Evidence map›Paper›PMID 19416838›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2009

Fast rise of broadly cross-reactive antibodies after boosting long-lived human memory B cells primed by an MF59 adjuvanted prepandemic vaccine.

Grazia Galli, Kathy Hancock, Katja Hoschler, Joshua DeVos, Michaela Praus, Monia Bardelli, Carmine Malzone, Flora Castellino, Chiara Gentile, Teresa McNally and 8 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 117 papers.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00478816 phase2completednot on this map

A Phase II, Single Center, Exploratory Study to Evaluate Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Adults Unprimed and Primed With MF59-adjuvanted or Non-adjuvanted H5N3 Influenza Vaccines

TypeinterventionalSponsorNovartis VaccinesRan2007 to 2009Enrolled58ConditionsProphylaxis of Avian Influenza VaccineArmsFluad H5N1 Pandemic Influenza Vaccine
NCT01443663 phase1completednot on this mapstarted 2011, after this paper: background citation

Immunogenicity and Safety Study of a 45 Micrograms Dose of Inactivated, Unadjuvanted H5N1 Influenza Vaccine in Prior Recipients of Live Attenuated H5N1 and H7N3 Influenza Vaccines and in H5 and Live Attenuated Vaccine Naïve Individuals

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2011 to 2013Enrolled69ConditionsH5N1 InfluenzaArmsH5N1 Vaccine
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 258 citations in OpenAlex.

  1. Trial
  2. SARS-CoV-2 Neutralization with BNT162b2 Vaccine Dose 3.The New England journal of medicine · 2021
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  20. AVIAN INFLUENZA VIRUS: THE NEXT PANDEMIC?Transactions of the American Clinical and Climatological Association · 2025
    Review

57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 4 countries.

Grazia GalliTranslational Medicine, Novartis Vaccines, Siena, Italy 53100.
Kathy Hancock
Katja Hoschler
Joshua DeVos
Michaela Praus
Monia Bardelli
Carmine Malzone
Flora Castellino
Chiara Gentile
Teresa McNally
Giuseppe Del Giudice
Angelika Banzhoff
Volker Brauer
Emanuele Montomoli
Maria Zambon
Jacqueline Katz
Karl Nicholson
Iain Stephenson
Novartis (Italy) · ITCenters for Disease Control and Prevention · USNovartis (Germany) · DEUniversity of Leicester · GBUniversity of Siena · IT

Funding

Medical Research Council G0700846
6 · The paper itself

Abstract

Proactive priming before the next pandemic could induce immune memory responses to novel influenza antigens. In an open-label study, we analyzed B cell memory and antibody responses of 54 adults who received 2 7.5-microg doses of MF59-adjuvanted A/Vietnam/1194/2004 clade 1 (H5N1) vaccine. Twenty-four subjects had been previously primed with MF59-adjuvanted or plain clade 0-like A/duck/Singapore/1997 (H5N3) vaccine during 1999-2001. The prevaccination frequency of circulating memory B cells reactive to A/Vietnam/1194/2004 was low in both primed and unprimed individuals. However, at day 21 after boosting, MF59-adjuvanted primed subjects displayed a higher frequency of H5N1-specific memory B cells than plain-primed or unprimed subjects. The immune memory was rapidly mobilized by a single vaccine administration and resulted in high titers of neutralizing antibodies to antigenically diverse clade 0, 1, and 2 H5N1 viruses already at day 7. In general, postvaccination antibody titers were significantly higher in primed subjects than in unprimed subjects. Subjects primed with MF59-adjuvanted vaccine responded significantly better than those primed with plain vaccine, most notably in early induction and duration of cross-reacting antibody responses. After 6 months, high titers of cross-reactive antibody remained detectable among MF59-primed subjects. We conclude that distant priming with clade 0-like H5N3 induces a pool of cross-reactive memory B cells that can be boosted rapidly years afterward by a mismatched MF59-adjuvanted vaccine to generate high titers of cross-reactive neutralizing antibodies rapidly. These results suggest that pre-pandemic vaccination strategies should be considered.

Indexed as

VaccinationAdjuvants, ImmunologicAntibody FormationB-LymphocytesHumansImmunoglobulin GImmunologic MemoryInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza VaccinesModels, TheoreticalNeutralization TestsPolysorbatesSqualeneVaccinesAdjuvants, ImmunologicImmunoglobulin GInfluenza VaccinesMF59 oil emulsionPolysorbatesSqualeneVaccines

Identifiers

PMID19416838
PMCPMC2674105
OpenAlexW2103758376

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.