Evidence map›Paper›PMID 21921208›Full record

Trial reportThe Journal of infectious diseases2011

Safety and immunogenicity of LC16m8, an attenuated smallpox vaccine in vaccinia-naive adults.

Jeffrey S Kennedy, Marc Gurwith, Cornelia L Dekker, Sharon E Frey, Kathryn M Edwards, Julie Kenner, Michael Lock, Cyril Empig, Shigeru Morikawa, Masayuki Saijo and 5 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in The Journal of infectious diseases, 2011. 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 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 27% 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.

NCT00103584 phase1 / phase2unknown statusnot on this map

A Phase I/II Clinical Trial to Evaluate the Safety and Immunogenicity of LC16m8, A Modified Vaccinia Vaccine, in Healthy Volunteers

TypeinterventionalSponsorVaxGenRan2004 to 2006Enrolled150ConditionsSmallpoxArmsLC16m8 Smallpox Vaccine
NCT06223919 phase3active not recruitingnot on this mapstarted 2023, after this paper: background citation

Randomized Trial to Evaluate the Efficacy/Effectiveness, Safety, and Immunogenicity of Replicative Live Attenuated Vaccinia Virus Vaccine LC16m8 for Prevention Against Mpox in High-risk Populations During Vaccination Deployment in Colombia

TypeinterventionalSponsorUniversidad Nacional de ColombiaRan2023 to 2025Enrolled8,686ConditionsMonkeypoxArmsLC16m8
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026
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  16. Current advances and challenges in mpox vaccine development: a global landscape.Therapeutic advances in vaccines and immunotherapy · 2025
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 2 countries.

Jeffrey S KennedyWadsworth Center, New York State Department of Health, Albany, NY, USA.
Marc Gurwith
Cornelia L Dekker
Sharon E Frey
Kathryn M Edwards
Julie Kenner
Michael Lock
Cyril Empig
Shigeru Morikawa
Masayuki Saijo
Hiroyuki Yokote
Kevin Karem
Inger Damon
Mark Perlroth
Richard N Greenberg
Centers for Disease Control and Prevention · USNational Institute of Infectious Diseases · JPStanford University · USAvid Bioservices (United States) · USKaketsuken (Japan) · JPNew York State Department of Health · USPaxVax (United States) · USSaint Louis University · USUniversity of Kentucky · USVanderbilt University · US

Funding

Technologies for Human Cellular ImmunologyU19AI057319 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIBRATY, DANIEL H. · 2003 to 2013
$34.4M
NIAID NIH HHS AI057319NIAID NIH HHS U19 AI057319
6 · The paper itself

Abstract

introductionLC16m8 is an attenuated cell culture-adapted Lister vaccinia smallpox vaccine missing the B5R protein and licensed for use in Japan.

methodsWe conducted a phase I/II clinical trial that compared the safety and immunogenicity of LC16m8 with Dryvax in vaccinia-naive participants. Adverse events were assessed, as were electrocardiography and laboratory testing for cardiotoxicity and viral culturing of the vaccination sites. Neutralization titers to vaccinia, monkeypox, and variola major were assessed and cell-mediated immune responses were measured by interferon (IFN)-γ enzyme-linked immunosorbent spot and lymphoproliferation assays.

resultsLocal and systemic reactions after vaccination with LC16m8 were similar to those reported after Dryvax. No clinically significant abnormalities consistent with cardiac toxicity were seen for either vaccine. Both vaccines achieved antivaccinia, antivariola, and antimonkeypox neutralizing antibody titers >1:40, although the mean plaque reduction neutralization titer of LC16m8 at day 30 after vaccination was significantly lower than Dryvax for anti-NYCBH vaccinia (P < .01), antimonkeypox (P < .001), and antivariola (P < .001). LC16m8 produced robust cellular immune responses that trended higher than Dryvax for lymphoproliferation (P = .06), but lower for IFN-γ ELISPOT (P = .02).

conclusionsLC16m8 generates neutralizing antibody titers to multiple poxviruses, including vaccinia, monkeypox, and variola major, and broad T-cell responses, indicating that LC16m8 may have efficacy in protecting individuals from smallpox. Clinical Trials Registration. NCT00103584.

Indexed as

AdolescentAdultAntibodies, NeutralizingAntibodies, ViralCell ProliferationCytokinesFemaleHumansJapanLeukocytes, MononuclearMaleMonkeypox virusSmallpoxSmallpox VaccineVaccines, AttenuatedVaccinia virusAntibodies, NeutralizingAntibodies, ViralCytokinesSmallpox VaccineVaccines, Attenuated

Identifiers

PMID21921208
PMCPMC3218648
OpenAlexW2151381318

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.