Evidence map›Paper›PMID 22537984›Full record

Trial reportVaccine2012

Phase 2 assessment of the safety and immunogenicity of two inactivated pandemic monovalent H1N1 vaccines in adults as a component of the U.S. pandemic preparedness plan in 2009.

Wilbur H Chen, Patricia L Winokur, Kathryn M Edwards, Lisa A Jackson, Anna Wald, Emmanuel B Walter, Diana L Noah, Mark Wolff, Karen L Kotloff, Pandemic H1N1 Vaccine Adult Study Group

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2012. 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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

NCT00943488 phase2completednot on this map

A Phase II Study in Healthy Adult and Elderly Populations to Assess the Safety and Immunogenicity of an Unadjuvanted CSL H1N1 Influenza Vaccine Administered at Two Dose Levels

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2009 to 2010Enrolled408ConditionsInfluenzaArmsInactivated H1N1 Vaccine
NCT00943631 phase2completednot on this map

A Phase II Study in Healthy Adult and Elderly Populations to Assess the Safety and Immunogenicity of an Unadjuvanted Sanofi Pasteur H1N1 Influenza Vaccine Administered at Two Dose Levels

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2009 to 2010Enrolled406ConditionsInfluenzaArmsInactivated H1N1 Vaccine
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  7. From Yesterday to Tomorrow: How Vaccine Platforms Have Shaped the Vaccine and Treatment Evaluation Units.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  8. Inclusion of Women, Children, the Elderly, and Individuals With Underlying Medical Conditions: Prioritizing Vulnerable Populations in Clinical Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  9. Historical Advances in Clinical Trial Design and Expanding Representation as the New Frontier for Innovation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  10. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
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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 1 country.

Wilbur H ChenCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Patricia L Winokur
Kathryn M Edwards
Lisa A Jackson
Anna Wald
Emmanuel B Walter
Diana L Noah
Mark Wolff
Karen L Kotloff
Pandemic H1N1 Vaccine Adult Study Group
University of Maryland, Baltimore · USDuke University · USEmmes (United States) · USKaiser Permanente Washington Health Research Institute · USSouthern Research Institute · USUniversity of Iowa · USUniversity of Washington · USVanderbilt University · US

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
YOHIMBINE AS A MODEL OF ORTHOSTATIC INTOLERANCEM01RR000095 · NCRR · VANDERBILT UNIVERSITY · PI DRAKE, WONDER P. · 1985 to 2008
$38.3M
UNIVERSITY OF IOWA CTSA FOR PEDIATRIC RESEARCHUL1RR024979 · NCRR · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2007 to 2011
$31.8M
Zonulin Antibodies in Intestinal Permeabilitiy in IDDMM01RR016500 · NCRR · UNIVERSITY OF MARYLAND BALTIMORE · PI OSWALD, LYNN M · 2002 to 2009
$20.2M
Clinical Research Career Development (RMI)K12RR023250 · NCRR · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2005 to 2009
$13.3M
Institute for Translational Health Science (KL2)KL2RR025015 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$9.3M
Institute for Translational Health Science (TL1)TL1RR025016 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$2.7M
Institute of Translational Health SciencesTL1TR000422 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$2.1M
Reverse Line Blot for Diagnosis of Infective EndocarditisR43AI080004 · NIAID · IMMUNETICS, INC. · PI LEVIN, ANDREW E. · 2009 to 2010
$600k
Immunomodulation of Sophorolipids in SepsisR43AI080001 · NIAID · BIOMEDICA MANAGEMENT CORPORATION · PI NOWAKOWSKI, MAJA · 2008 to 2008
$100k
MACROPHAGE DEFENSES AGAINST HAEMOPHILUS INFLUENZAER29AI030063 · NIAID · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI NOEL, GARY J. · 1990 to 1994
–
NCATS NIH HHS TL1 TR000422NCRR NIH HHS K12 RR023250NCRR NIH HHS K12-RR-023250NCRR NIH HHS KL2 RR025015NCRR NIH HHS KL2RR025015NCRR NIH HHS M01 RR000095NCRR NIH HHS M01-RR-00095NCRR NIH HHS M01 RR016500NCRR NIH HHS M01-RR-016500NCRR NIH HHS TL1 RR025016NCRR NIH HHS TL1RR025016NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1RR024128NCRR NIH HHS UL1 RR024979NCRR NIH HHS UL1RR024979NCRR NIH HHS UL1 RR025014NCRR NIH HHS UL1RR025014NIAID NIH HHS HHSN272200800057CNIAID NIH HHS N01 AI030063NIAID NIH HHS N01 AI080007NIAID NIH HHS N01-AI30063NIAID NIH HHS N01-AI-80001NIAID NIH HHS N01-AI-80004NIAID NIH HHS N01-AI-80008NIAID NIH HHS R43 AI080001NIAID NIH HHS R43 AI080004
6 · The paper itself

Abstract

backgroundThe influenza A/H1N1 pandemic in 2009 created an urgent need to develop vaccines for mass immunization. To guide decisions regarding the optimal immunization dosage and schedule for adults, we evaluated two monovalent, inactivated, unadjuvanted H1N1 influenza vaccines in independent, but simultaneously conducted, multi-center Phase 2 trials of identical design.

methodsHealthy adults, stratified by age (18-64 years and ≥65 years), were randomized (1:1 allocation), in a double-blind, parallel-group design, to receive two intramuscular doses (21 days apart) of vaccine containing approximately 15 μg or 30 μg of hemagglutinin (HA). Primary endpoints were safety (reactogenicity for 8 days after each vaccination and vaccine-associated serious adverse events during the 7 month study) and immunogenicity (proportion of subjects, stratified by age, achieving a serum hemagglutination inhibition [HI] antibody titer ≥1:40 or a ≥4-fold rise in titer after a single injection of either dosage).

resultsBoth vaccines were well-tolerated. A single 15 μg dose induced HI titers ≥1:40 in 90% of younger adults (95% confidence interval [CI] 82-95%) and 81% of elderly (95% CI 71-88%) who received Sanofi-Pasteur vaccine (subsequently found to contain 24 μg HA in the standard potency assay), and in 80% of younger adults (95% CI 71-88%) and 60% of elderly (95% CI 50-70%) who received CSL vaccine. Both vaccines were significantly more immunogenic in younger compared with elderly adults by at least one endpoint measure. Increasing the dose to 30 μg raised the frequency of HI titers ≥1:40 in the elderly by approximately 10%. Higher dosage did not significantly enhance immunogenicity in younger adults and a second dose provided little additional benefit to either age group.

conclusionThese trials provided evidence for policymakers that a single 15 μg dose of 2009 A/H1N1 vaccine would likely protect most U.S. adults and suggest a potential benefit of a 30 μg dose for the elderly.

Indexed as

Adjuvants, ImmunologicAdolescentAdultAgedAged, 80 and overAntibodies, ViralDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsFemaleHemagglutination Inhibition TestsHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesInjections, IntramuscularMaleAdjuvants, ImmunologicAntibodies, ViralInfluenza VaccinesVaccines, Inactivated

Identifiers

PMID22537984
PMCPMC3490194
OpenAlexW2062355225

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.