Evidence map›Paper›PMID 19616494›Full record

Trial reportVaccine2009

Delaying BCG vaccination from birth to 10 weeks of age may result in an enhanced memory CD4 T cell response.

Benjamin M N Kagina, Brian Abel, Mark Bowmaker, Thomas J Scriba, Sebastian Gelderbloem, Erica Smit, Mzwandile Erasmus, Nonhlanhla Nene, Gerhard Walzl, Gillian Black and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed.

  1. Trial
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  7. Immunogenicity of BCG in HIV-exposed and non-exposed infants following routine birth or delayed vaccination.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2015
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  14. Review
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  16. The Ability of Neonatal Mice to Develop Immunity toJournal of cellular immunology · 2025
    Article
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  18. Review
  19. Article
  20. Article

3 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

13 authors.

Benjamin M N KaginaSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Diseases and Molecular Medicine and School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Brian Abel
Mark Bowmaker
Thomas J Scriba
Sebastian Gelderbloem
Erica Smit
Mzwandile Erasmus
Nonhlanhla Nene
Gerhard Walzl
Gillian Black
Gregory D Hussey
Anneke C Hesseling
Willem A Hanekom

Funding

Protective immunity induced by newborn BCG vaccinationR01AI065653 · NIAID · UNIVERSITY OF CAPE TOWN · PI HANEKOM, WILLEM ALBERT · 2005 to 2009
$2.5M
NIAID NIH HHS R01 AI065653NIAID NIH HHS R01-AI065653Wellcome Trust 080929
6 · The paper itself

Abstract

backgroundIn most tuberculosis (TB) endemic countries, bacillus Calmette-Guérin (BCG) is usually given around birth to prevent severe TB in infants. The neonatal immune system is immature. Our hypothesis was that delaying BCG vaccination from birth to 10 weeks of age would enhance the vaccine-induced immune response.

methodsIn a randomized clinical trial, BCG was administered intradermally either at birth (n=25) or at 10 weeks of age (n=21). Ten weeks after vaccination, and at 1 year of age, vaccine-specific CD4 and CD8 T cell responses were measured with a whole blood intracellular cytokine assay.

resultsInfants who received delayed BCG vaccination demonstrated higher frequencies of BCG-specific CD4 T cells, particularly polyfunctional T cells co-expressing IFN-gamma, TNF-alpha and IL-2, and most strikingly at 1 year of age.

conclusionsDelaying BCG vaccination from birth to 10 weeks of age enhances the quantitative and qualitative BCG-specific T cell response, when measured at 1 year of age.

Indexed as

Immunization ScheduleBCG VaccineCD4-Positive T-LymphocytesHumansImmunologic MemoryInfantInfant, NewbornInterferon-gammaInterleukin-2TuberculosisTumor Necrosis Factor-alphaVaccinationBCG VaccineInterferon-gammaInterleukin-2Tumor Necrosis Factor-alpha

Identifiers

PMID19616494
PMCPMC2745558

What OpenQuestion holds

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Registered trials

None linked

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.