Evidence map›Paper›PMID 23319176›Full record

Trial reportHuman vaccines & immunotherapeutics2013

Immunogenicity and safety of a live attenuated shingles (herpes zoster) vaccine (Zostavax®) in individuals aged ≥ 70 years: a randomized study of a single dose vs. two different two-dose schedules.

Timo Vesikari, Roland Hardt, Hans C Rümke, Giancarlo Icardi, Jordi Montero, Stéphane Thomas, Christine Sadorge, Anne Fiquet

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Vaccination for quality of life: herpes-zoster vaccines.Aging clinical and experimental research · 2021
    Review
  10. A rare case of cellulitis after tetanus toxoid (TT) vaccination.Journal of family medicine and primary care · 2020
    Article
  11. Review
  12. Article
  13. Article
  14. Diagnosis, antiviral therapy, and prophylaxis of varicella-zoster virus infections.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Review
  15. Vaccination of healthcare workers: A review.Human vaccines & immunotherapeutics · 2015
    Review
  16. Cost-effectiveness of vaccination against herpes zoster.Human vaccines & immunotherapeutics · 2014
    Review
  17. Article
  18. Review
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

8 authors at 7 institutions in 7 countries.

Timo VesikariVaccine Research Centre; University of Tampere Medical School; Tampere, Finland.
Roland Hardt
Hans C Rümke
Giancarlo Icardi
Jordi Montero
Stéphane Thomas
Christine Sadorge
Anne Fiquet
Sanofi (France) · FRBellvitge University Hospital · ESInstitut Pasteur · FRIstituti di Ricovero e Cura a Carattere Scientifico · ITRotterdam University of Applied Sciences · NLSt. Bernward Krankenhaus · DETampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disease protection provided by herpes zoster (HZ) vaccination tends to reduce as age increases. This study was designed to ascertain whether a second dose of the HZ vaccine, Zostavax(®), would increase varicella zoster virus (VZV)-specific immune response among individuals aged ≥ 70 y. Individuals aged ≥ 70 y were randomized to receive HZ vaccine in one of three schedules: a single dose (0.65 mL), two doses at 0 and 1 mo, or two doses at 0 and 3 mo. VZV antibody titers were measured at baseline, 4 weeks after each vaccine dose, and 12 mo after the last dose. In total, 759 participants (mean age 76.1 y) were randomized to receive vaccination. Antibody responses were similar after a single dose or two doses of HZ vaccine [post-dose 2/post-dose 1 geometric mean titer (GMT) ratios for the 1-mo or 3-mo schedules were 1.11, 95% confidence interval (CI) 1.02-1.22 and 0.78, 95% CI 0.73-0.85], respectively). The 12-mo post-dose 2/12-mo post-dose 1 GMT ratio was similar for the 1-mo schedule and for the 3-mo schedule (1.06, 95% CI 0.96-1.17 and 1.08, 95% CI 0.98-1.19, respectively). Similar immune responses were observed in participants aged 70-79 y and those aged ≥ 80 y. HZ vaccine was generally well tolerated, with no evidence of increased adverse event incidence after the second dose with either schedule. Compared with a single-dose regimen, two-dose vaccination did not increase VZV antibody responses among individuals aged ≥ 70 y. Antibody persistence after 12 mo was similar with all three schedules.

Indexed as

AgedAged, 80 and overAntibodies, ViralDrug-Related Side Effects and Adverse ReactionsFemaleHerpes ZosterHerpes Zoster VaccineHumansLongitudinal StudiesMaleVaccinationAntibodies, ViralHerpes Zoster VaccineAgingHerpes zoster vaccineRandomized clinical trialTwo-dose regimenVaricella zoster virusZistavax®

Identifiers

PMID23319176
PMCPMC3903905
OpenAlexW1988348492

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.