Evidence map›Paper›PMID 22891287›Full record

Trial reportThe Journal of infectious diseases2012

Direct comparison of an inactivated subvirion influenza A virus subtype H5N1 vaccine administered by the intradermal and intramuscular routes.

Shital M Patel, Robert L Atmar, Hana M El Sahly, Kuo Guo, Heather Hill, Wendy A Keitel

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00439335 (A Phase I/II Randomized, Double-Blinded Placebo-Controlled Trial to Evaluate the Safety, Reactogenicity, and Immunogenicity of Immunization With Inactivated Subvirion Influenza A/H5N1 Vaccine Administered by the Intradermal or the Intramuscular Route Among Healthy Adults), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT00439335 phase1 / phase2completednot on this map

A Phase I/II Randomized, Double-Blinded Placebo-Controlled Trial to Evaluate the Safety, Reactogenicity, and Immunogenicity of Immunization With Inactivated Subvirion Influenza A/H5N1 Vaccine Administered by the Intradermal or the Intramuscular Route Among Healthy Adults

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2007 to 2008Enrolled227ConditionsInfluenzaArmsInactivated Influenza A Vaccine A/H5N1, Placebo (IM), Placebo (ID)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Challenges in the Vaccination of the Elderly and Strategies for Improvement.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
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

6 authors.

Shital M PatelSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA. shitalp@bcm.edu
Robert L Atmar
Hana M El Sahly
Kuo Guo
Heather Hill
Wendy A Keitel

Funding

VIRAL RESPIRATORY PATHOGENS RESEARCH UNIT /VRPRU/-266030039-266030039N01AI030039 · NIAID · BAYLOR COLLEGE OF MEDICINE INC · PI COUCH, ROBERT B. · 2003 to 2006
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NIAID NIH HHS N01-AI-300390
6 · The paper itself

Abstract

backgroundDirect comparisons of similar doses of a novel influenza virus antigen administered by the intradermal route and the intramuscular route have not been reported.

methodsA total of 227 healthy adults aged 18-49 years were randomized to receive 2 doses 1 month apart of a subvirion inactivated influenza A virus subtype H5N1 (rgA/Vietnam/1203/2004) vaccine containing 38.7 μg of H5N1 hemagglutinin (HA), by the intramuscular route or by the intradermal route using the Mantoux technique. Clinical and serologic responses were assessed.

resultsInjection site reactions were more frequent in the intradermal group. Immune responses and the geometric mean titer of serum hemagglutination inhibition and neutralizing antibodies 1 month after receipt of the first dose were similar and low but were significantly higher after 2 doses of vaccine in both groups.

conclusionsIntramuscular and intradermal delivery of vaccine were both well tolerated. Immune responses after 2 doses of this influenza A/H5N1 HA (38.7 μg) were low and not significantly different when given by the intradermal or intramuscular route. Evaluation of higher dosages, alternative intradermal delivery methods, and the addition of adjuvants will be needed to enhance the immunogenicity of inactivated influenza A/H5N1 vaccines by the intradermal route. CLINICAL TRIALS REGISTRATION: NCT00439335.

Indexed as

AdolescentAdultAntibodies, NeutralizingAntibodies, ViralDouble-Blind MethodFemaleHemagglutination Inhibition TestsHumansInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza VaccinesInjections, IntradermalInjections, IntramuscularMaleMiddle AgedTreatment OutcomeAntibodies, NeutralizingAntibodies, ViralInfluenza VaccinesVaccines, Inactivated

Identifiers

PMID22891287
PMCPMC3501693

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.