Evidence map›Paper›PMID 23225902›Full record

ArticleThe Journal of infectious diseases2013

Safety, immunogenicity, and surrogate markers of clinical efficacy for modified vaccinia Ankara as a smallpox vaccine in HIV-infected subjects.

Richard N Greenberg, Edgar Turner Overton, David W Haas, Ian Frank, Mitchell Goldman, Alfred von Krempelhuber, Garth Virgin, Nicole Bädeker, Jens Vollmar, Paul Chaplin

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
1.9field-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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 133 citations in OpenAlex.

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9 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

10 authors at 9 institutions in 4 countries.

Richard N GreenbergInfectious Diseases Division, University of Kentucky School of Medicine, Lexington, KY 40536-0093, USA. rngree01@uky.edu
Edgar Turner Overton
David W Haas
Ian Frank
Mitchell Goldman
Alfred von Krempelhuber
Garth Virgin
Nicole Bädeker
Jens Vollmar
Paul Chaplin
Bavarian Nordic (Germany) · DEGlaxoSmithKline (Netherlands) · NLGlaxoSmithKline (United Kingdom) · GBIndiana University School of MedicineUniversity of Alabama at Birmingham · USUniversity of Kentucky · USUniversity of Pennsylvania · USVanderbilt University · USVifor Pharma (Germany) · DE

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
ZOSUQUIDAR TRIHYDROCHLORIDE DURING CONVENTIONAL INDUCTION AND POST-REMISSIONM01RR000750 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI RODRIGUEZ, HENRY · 1985 to 2008
$25.5M
Production and Testing of a MVA Vaccine-266040072N01AI040072 · NIAID · Bavarian Nordic A/S · 2005 to 2005
–
NCRR NIH HHS M01 RR000750NCRR NIH HHS MO1 RR000750-36NIAID NIH HHS N01 AI040072NIAID NIH HHS P30 AI045008NIAID NIH HHS P30AI045008
6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV)-infected persons are at higher risk for serious complications associated with traditional smallpox vaccines. Alternative smallpox vaccines with an improved safety profile would address this unmet medical need.

methodsThe safety and immunogenicity of modified vaccinia Ankara (MVA) was assessed in 91 HIV-infected adult subjects (CD4(+) T-cell counts, ≥350 cells/mm(3)) and 60 uninfected volunteers. The primary objectives were to evaluate the safety of MVA and immunogenicity in HIV-infected and uninfected subjects. As a measure of the potential efficacy of MVA, the ability to boost the memory response in people previously vaccinated against smallpox was evaluated by the inclusion of vaccinia-experienced HIV-infected and HIV-uninfected subjects.

resultsMVA was well tolerated and immunogenic in all subjects. Antibody responses were comparable between uninfected and HIV-infected populations, with only 1 significantly lower total antibody titer at 2 weeks after the second vaccination, while no significant differences were observed for neutralizing antibodies. MVA rapidly boosted the antibody responses in vaccinia-experienced subjects, supporting the efficacy of MVA against variola.

conclusionsMVA is a promising candidate as a safer smallpox vaccine, even for immunocompromised individuals, a group for whom current smallpox vaccines have an unacceptable safety profile.

Indexed as

BiomarkersAdolescentAdultAntibodies, ViralDrug-Related Side Effects and Adverse ReactionsFemaleHIV InfectionsHumansImmunologic MemoryMaleMiddle AgedSmallpoxSmallpox VaccineVaccinia virusYoung AdultAntibodies, ViralBiomarkersSmallpox Vaccine

Identifiers

PMID23225902
PMCPMC3611764
OpenAlexW2124124821

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.