Evidence map›Paper›PMID 23364472›Full record

Trial reportHuman vaccines & immunotherapeutics2013

17DD yellow fever vaccine: a double blind, randomized clinical trial of immunogenicity and safety on a dose-response study.

Reinaldo M Martins, Maria de Lourdes S Maia, Roberto Henrique G Farias, Luiz Antonio B Camacho, Marcos S Freire, Ricardo Galler, Anna Maya Yoshida Yamamura, Luiz Fernando C Almeida, Sheila Maria B Lima, Rita Maria R Nogueira and 7 more

2 registry-linked trialsAbstract 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. It is linked to 2 registered trials, which are not on this map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
–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.

NCT03430388 nacompletednot on this mapstarted 2018, after this paper: background citation

Evaluation of Yellow Fever Vaccine in Patients With Rheumatic Diseases Under Low Immunosuppression Level and Residing in a Risk Area

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2018 to 2019Enrolled600ConditionsSystemic Lupus, Rheumatoid Arthritis, Spondyloarthritis, Inflammatory MyopathyArmsYellow Fever vaccine (17D)
NCT05374317 phase4completednot on this mapstarted 2021, after this paper: background citation

An Exploratory, Pilot Study of the Safety and Immunogenicity of Reduced Doses of the US Yellow Fever Vaccine

TypeinterventionalSponsorUS Army Medical Research Institute of Infectious DiseasesRan2021 to 2022Enrolled88ConditionsYellow Fever Vaccination ReactionArmsYellow Fever Vaccine
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A Systematic Review on Yellow Fever Vaccine and Adverse Events.Global health, epidemiology and genomics · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Low-Dose Yellow Fever Vaccine in Adults in Africa.The New England journal of medicine · 2025
    Trial
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  6. Trial
  7. Trial
  8. Immunogenicity of Yellow Fever Vaccine Coadministered With MenAfriVac in Healthy Infants in Ghana and Mali.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. A Fast One-Step RT-qPCR to Quantify Yellow Fever Virus.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Reinaldo M MartinsBio-Manguinhos, Fiocruz; Rio de Janeiro, Brazil.
Maria de Lourdes S Maia
Roberto Henrique G Farias
Luiz Antonio B Camacho
Marcos S Freire
Ricardo Galler
Anna Maya Yoshida Yamamura
Luiz Fernando C Almeida
Sheila Maria B Lima
Rita Maria R Nogueira
Gloria Regina S Sá
Darcy A Hokama
Ricardo de Carvalho
Ricardo Aguiar V Freire
Edson Pereira Filho
Maria da Luz Fernandes Leal
Akira Homma

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo verify if the Bio-Manguinhos 17DD yellow fever vaccine (17DD-YFV) used in lower doses is as immunogenic and safe as the current formulation.

resultsDoses from 27,476 IU to 587 IU induced similar seroconversion rates and neutralizing antibodies geometric mean titers (GMTs). Immunity of those who seroconverted to YF was maintained for 10 mo. Reactogenicity was low for all groups.

methodsYoung and healthy adult males (n = 900) were recruited and randomized into 6 groups, to receive de-escalating doses of 17DD-YFV, from 27,476 IU to 31 IU. Blood samples were collected before vaccination (for neutralization tests to yellow fever, serology for dengue and clinical chemistry), 3 to 7 d after vaccination (for viremia and clinical chemistry) and 30 d after vaccination (for new yellow fever serology and clinical chemistry). Adverse events diaries were filled out by volunteers during 10 d after vaccination. Volunteers were retested for yellow fever and dengue antibodies 10 mo later. Seropositivity for dengue was found in 87.6% of volunteers before vaccination, but this had no significant influence on conclusions.

conclusionIn young healthy adults Bio-Manguinhos/Fiocruz yellow fever vaccine can be used in much lower doses than usual. INTERNATIONAL REGISTER: ISRCTN 38082350.

Indexed as

Dose-Response Relationship, ImmunologicAntibodies, NeutralizingAntibodies, ViralDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsHealthy VolunteersHumansMaleTime FactorsVaccinationYellow Fever VaccineYoung AdultAntibodies, NeutralizingAntibodies, ViralYellow Fever VaccineBio-Manguinhos/Fiocruzdengue interactionsdose-response studyimmunogenicityreactogenicitysafetyviremiayellow fever vaccine

Identifiers

PMID23364472
PMCPMC3903908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.