Evidence map›Paper›PMID 23451070›Full record

Trial reportPloS one2013

Safety and immunogenicity of neonatal pneumococcal conjugate vaccination in Papua New Guinean children: a randomised controlled trial.

William S Pomat, Anita H J van den Biggelaar, Suparat Phuanukoonnon, Jacinta Francis, Peter Jacoby, Peter M Siba, Michael P Alpers, John C Reeder, Patrick G Holt, Peter C Richmond and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00219401 (Neonatal Immunization With Pneumococcal Conjugate Vaccine in Papua New Guinea), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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.

NCT00219401 phase2completednot on this map

Neonatal Immunization With Pneumococcal Conjugate Vaccine in Papua New Guinea

TypeinterventionalSponsorPapua New Guinea Institute of Medical ResearchRan2005 to 2010Enrolled318ConditionsPneumonia, Meningitis, Otitis MediaArmsPneumococcal 7 valent conjugate vaccine (Prevenar®)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pneumococcal vaccination during pregnancy for preventing infant infection.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Effect of Maternally Derived Anti-protein and Anticapsular IgG Antibodies on the Rate of Acquisition of Nasopharyngeal Carriage of Pneumococcus in Newborns.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  14. Review
  15. Article
  16. Vaccine responses in newborns.Seminars in immunopathology · 2017
    Review
  17. Article
  18. Article
  19. Article
  20. 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

12 authors at 4 institutions in 2 countries.

William S PomatPapua New Guinean Institute of Medical Research, Goroka, Papua New Guinea.
Anita H J van den Biggelaar
Suparat Phuanukoonnon
Jacinta Francis
Peter Jacoby
Peter M Siba
Michael P Alpers
John C Reeder
Patrick G Holt
Peter C Richmond
Deborah Lehmann
Neonatal Pneumococcal Conjugate Vaccine Trial Study Team
Papua New Guinea Institute of Medical Research · PGThe Kids Research Institute Australia · AUUniversity of Western Australia · AUCurtin University · AU

Funding

Wellcome TrustWellcome Trust 071613/Z/03/Z
6 · The paper itself

Abstract

backgroundApproximately 826,000 children, mostly young infants, die annually from invasive pneumococcal disease. A 6-10-14-week schedule of pneumococcal conjugate vaccine (PCV) is efficacious but neonatal PCV may provide earlier protection and better coverage. We conducted an open randomized controlled trial in Papua New Guinea to compare safety, immunogenicity and priming for memory of 7-valent PCV (PCV7) given in a 0-1-2-month (neonatal) schedule with that of the routine 1-2-3-month (infant) schedule.

methodsWe randomized 318 infants at birth to receive PCV7 in the neonatal or infant schedule or no PCV7. All infants received 23-valent pneumococcal polysaccharide vaccine (PPV) at age 9 months. Serotype-specific serum IgG for PCV7 (VT) serotypes and non-VT serotypes 2, 5 and 7F were measured at birth and 2, 3, 4, 9, 10 and 18 months of age. Primary outcomes were geometric mean concentrations (GMCs) and proportions with concentration ≥ 0.35 µg/ml of VT serotype-specific pneumococcal IgG at age 2 months and one month post-PPV.

resultsWe enrolled 101, 105 and 106 infants, respectively, into neonatal, infant and control groups. Despite high background levels of maternally derived antibody, both PCV7 groups had higher GMCs than controls at age 2 months for serotypes 4 (p<0.001) and 9V (p<0.05) and at age 3 months for all VTs except 6B. GMCs for serotypes 4, 9V, 18C and 19F were significantly higher (p<0.001) at age 2 months in the neonatal (one month post-dose2 PCV7) than in the infant group (one month post-dose1 PCV7). PPV induced significantly higher VT antibody responses in PCV7-primed than unprimed infants, with neonatal and infant groups equivalent. High VT and non-VT antibody concentrations generally persisted to age 18 months.

conclusionsPCV7 is well-tolerated and immunogenic in PNG neonates and young infants and induces immunologic memory to PPV booster at age 9 months with antibody levels maintained to age 18 months.

trial registrationClinicalTrials.gov NCT00219401.

Indexed as

FemaleHumansImmunization ScheduleImmunoglobulin GInfantInfant, NewbornMalePneumococcal InfectionsPneumococcal VaccinesVaccines, Conjugate23-valent pneumococcal capsular polysaccharide vaccineImmunoglobulin GPneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID23451070
PMCPMC3579820
OpenAlexW1998905181

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.