Evidence map›Paper›PMID 22150036›Full record

Trial reportThe New England journal of medicine2011

Norovirus vaccine against experimental human Norwalk Virus illness.

Robert L Atmar, David I Bernstein, Clayton D Harro, Mohamed S Al-Ibrahim, Wilbur H Chen, Jennifer Ferreira, Mary K Estes, David Y Graham, Antone R Opekun, Charles Richardson and 1 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The New England journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00973284 (Phase 1-2, Randomized, Multi-Center, Double-Blind, Placebo-Controlled, Safety and Efficacy Study in Healthy Adults of Intranasal Norwalk Virus-like Particle Vaccine in Experimental Human Norwalk Virus Infection), which is not on this map. Cited by 272 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
272citing papers in PubMed, 2 pooled it
23.9field-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.

NCT00973284 phase1 / phase2completednot on this map

Phase 1-2, Randomized, Multi-Center, Double-Blind, Placebo-Controlled, Safety and Efficacy Study in Healthy Adults of Intranasal Norwalk Virus-like Particle Vaccine in Experimental Human Norwalk Virus Infection

TypeinterventionalSponsorTakedaRan2009 to 2010Enrolled98ConditionsAcute Gastroenteritis, Norwalk Virus InfectionArmsNorwalk VLP vaccine, mannitol and sucrose, Norwalk virus
3 · Its place in the literature

Who cites it

272 citing papers in PubMed, 2 syntheses or guidelines pooled it, 486 citations in OpenAlex.

  1. Pooled it
  2. The burden of norovirus disease in children in the European Union.The Pediatric infectious disease journal · 2015
    Pooled it
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  11. Serological Correlates of Protection against a GII.4 Norovirus.Clinical and vaccine immunology : CVI · 2015
    Trial
  12. Noroviruses as a Cause of Diarrhea in Immunocompromised Pediatric Hematopoietic Stem Cell and Solid Organ Transplant Recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2015
    Trial
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212 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

11 authors at 6 institutions in 2 countries.

Robert L AtmarBaylor College of Medicine, Houston, TX 77030, USA. ratmar@bcm.edu
David I Bernstein
Clayton D Harro
Mohamed S Al-Ibrahim
Wilbur H Chen
Jennifer Ferreira
Mary K Estes
David Y Graham
Antone R Opekun
Charles Richardson
Paul M Mendelman
Baylor College of Medicine · USEmmes (United States) · USEndocrinology Research Center · RUJohns Hopkins University · USUniversity of Cincinnati · USUniversity of Maryland, College Park · US

Funding

ZOLENDRONIC ACID IN CHILDREN W/ SEVERE OSTEOGENESIS IMPERFECTAM01RR000188 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI SHEARER, WILLIAM THOMAS · 1985 to 2011
$30.6M
NCRR NIH HHS M01 RR-000188NCRR NIH HHS M01 RR000188
6 · The paper itself

Abstract

backgroundNoroviruses cause epidemic and sporadic acute gastroenteritis. No vaccine is available to prevent norovirus illness or infection.

methodsWe conducted a randomized, double-blind, placebo-controlled, multicenter trial to assess the safety, immunogenicity, and efficacy of an investigational, intranasally delivered norovirus viruslike particle (VLP) vaccine (with chitosan and monophosphoryl lipid A as adjuvants) to prevent acute viral gastroenteritis after challenge with a homologous viral strain, Norwalk virus (genotype GI.1). Healthy adults 18 to 50 years of age received two doses of either vaccine or placebo and were subsequently inoculated with Norwalk virus and monitored for infection and gastroenteritis symptoms.

resultsNinety-eight persons were enrolled and randomly assigned to receive vaccine (50 participants) or placebo (48 participants), and 90 received both doses (47 participants in the vaccine group and 43 in the placebo group). The most commonly reported symptoms after vaccination were nasal stuffiness, nasal discharge, and sneezing. Adverse events occurred with similar frequency among vaccine and placebo recipients. A Norwalk virus-specific IgA seroresponse (defined as an increase by a factor of 4 in serum antibody levels) was detected in 70% of vaccine recipients. Seventy-seven of 84 participants inoculated with Norwalk virus were included in the per-protocol analysis. Vaccination significantly reduced the frequencies of Norwalk virus gastroenteritis (occurring in 69% of placebo recipients vs. 37% of vaccine recipients, P=0.006) and Norwalk virus infection (82% of placebo recipients vs. 61% of vaccine recipients, P=0.05).

conclusionsThis norovirus VLP vaccine provides protection against illness and infection after challenge with a homologous virus. (Funded by LigoCyte Pharmaceuticals and the National Institutes of Health; ClinicalTrials.gov number, NCT00973284.).

Indexed as

NorovirusAdministration, IntranasalAdultAntibodies, ViralCaliciviridae InfectionsDouble-Blind MethodFemaleGastroenteritisHumansMaleMiddle AgedViral VaccinesYoung AdultAntibodies, ViralViral Vaccines

Identifiers

PMID22150036
PMCPMC3761795
OpenAlexW2025733005

What OpenQuestion holds

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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.