Evidence map›Paper›PMID 21787822›Full record

Trial reportVaccine2011

Inferior quantitative and qualitative immune responses to pneumococcal conjugate vaccine in infants with nasopharyngeal colonization by Streptococcus pneumoniae during the primary series of immunization.

Shabir A Madhi, Avy Violari, Keith P Klugman, Gina Lin, James A McIntyre, Anne von Gottberg, Patrick Jean-Philippe, Mark F Cotton, Peter Adrian, CIPRA 4 team

Abstract readClinical Trial
In one paragraph

Trial report in Vaccine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

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

8 citing papers in PubMed, 21 citations in OpenAlex.

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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

10 authors at 8 institutions in 2 countries.

Shabir A MadhiUniversity of the Witwatersrand, Department of Science and Technology/National Research Foundation: Vaccine Preventable Diseases & Respiratory and Meningeal Pathogens Research Unit, Johannesburg, South Africa. shabirm@nicd.ac.za
Avy Violari
Keith P Klugman
Gina Lin
James A McIntyre
Anne von Gottberg
Patrick Jean-Philippe
Mark F Cotton
Peter Adrian
CIPRA 4 team
Respiratory and Meningeal Pathogens Research Unit · ZAAnova Health Institute · ZAEmory University · USJackson Foundation · USPerinatal HIV Research Unit · ZAStellenbosch University · ZAUniversity of the Witwatersrand · ZAWilmington University · US

Funding

The effect of ART on rates and transmission of TBU19AI053217 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI MCINTYRE, JAMES ALASDAIR · 2002 to 2011
$44.9M
NIAID NIH HHS HHSN272200800014CNIAID NIH HHS U19 AI053217NIAID NIH HHS U19 AI53217
6 · The paper itself

Abstract

backgroundHeightened immunogenicity, measured one month after the primary series of pneumococcal conjugate vaccine (PCV), in African children was previously hypothesized to be due to increased rates of nasopharyngeal pneumococcal colonization during early infancy.

methodsWe analyzed the effect of selected vaccine-serotype (6B, 19F and 23F) nasopharyngeal colonization prior to the first PCV dose or when colonized for the first time prior to the second or third (2nd/3rd) PCV dose on serotype quantitative and qualitative antibody responses.

resultsColonization prior to receiving the first PCV was associated with lower geometric mean antibody concentrations (GMCs) one month after the third dose of PCV and six months later to the colonizing-serotype. Colonized infants also had lower geometric mean titers (GMTs) on opsonophagocytosis activity assay (OPA) and a lower proportion had titers ≥ 8 against the colonizing serotypes (19F and 23F) post vaccination. Colonization occurring only prior to the 2nd/3rdPCV dose was also associated with lower GMCs and OPA GMTs to the colonizing-serotype. The effect of colonization with serotypes 19F and 23F prior to PCV vaccination had a greater effect on a lower proportion of colonized infants having OPA titers ≥ 8 than the effect of colonization on the lower proportion with antibody ≥ 0.35 μg/ml.

conclusionInfant nasopharyngeal colonization at any stage before completing the primary series of PCV vaccination was associated with inferior quantitative and qualitative antibody responses to the colonizing-serotype.

Indexed as

Antibodies, BacterialHIV InfectionsHumansImmunizationInfantNasopharynxPneumococcal InfectionsPneumococcal VaccinesSerotypingStreptococcus pneumoniaeVaccines, ConjugateAntibodies, BacterialPneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID21787822
PMCPMC3167924
OpenAlexW2152936763

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.