Evidence map›Paper›PMID 23510357›Full record

Trial reportBMC infectious diseases2013

Immune response, antibody persistence, and safety of a single dose of the quadrivalent meningococcal serogroups A, C, W-135, and Y tetanus toxoid conjugate vaccine in adolescents and adults: results of an open, randomised, controlled study.

Charissa Borja-Tabora, Cecilia Montalban, Ziad A Memish, Marie Van der Wielen, Veronique Bianco, Dominique Boutriau, Jacqueline Miller

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00356369 (Phase IIb Primary Vaccination Study to Evaluate Non-Inferiority & Persistence of the Immune Response of GSK Biologicals' MenACWY Conjugate Vaccine), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT00356369 phase2completednot on this map

Phase IIb Primary Vaccination Study to Evaluate Non-Inferiority & Persistence of the Immune Response of GSK Biologicals' MenACWY Conjugate Vaccine (Intramuscularly) vs Mencevax ACWY (Subcutaneously) to Healthy Subjects (11-55 Years of Age)

TypeinterventionalSponsorGlaxoSmithKlineRan2006 to 2008Enrolled500ConditionsInfections, MeningococcalArmsmeningococcal ACWY (vaccine), Mencevax™ ACWY
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Real-world impact and effectiveness of MenACWY-TT.Human vaccines & immunotherapeutics · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Vaccines, adjuvants and autoimmunity.Pharmacological research · 2015
    Review
  12. Article
  13. Review
  14. 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

7 authors at 5 institutions in 5 countries.

Charissa Borja-TaboraResearch Institute for Tropical Medicine, Muntinlupa City, Philippines.
Cecilia Montalban
Ziad A Memish
Marie Van der Wielen
Veronique Bianco
Dominique Boutriau
Jacqueline Miller
GlaxoSmithKline (Belgium) · BEAlfaisal University · SAGlaxoSmithKline (United Kingdom) · GBPhilippine General Hospital · PHResearch Institute for Tropical Medicine · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe best strategy to protect individuals against meningococcal disease is to immunize against multiple serogroups. Immunogenicity, antibody persistence, and safety of the EU-licensed meningococcal ACWY-tetanus toxoid conjugate vaccine (MenACWY-TT) were evaluated in healthy participants aged 11-55 years from the Philippines and Saudi Arabia.

methodsIn this phase IIb, open, controlled study, 500 participants were randomised (3:1) to receive one dose of MenACWY-TT or a licensed meningococcal polysaccharide vaccine (Men-PS). Functional antibody responses against meningococcal serogroups A, C, W-135, and Y were assessed by a serum bactericidal antibody assay using rabbit complement (rSBA) at Month 0, Month 1, Year 1, Year 2, and Year 3. Vaccine response was defined as an rSBA titre ≥32 at Month 1 in participants who were seronegative (rSBA titre <8) pre-vaccination and as at least a four-fold increase in titre in participants who were seropositive pre-vaccination. Solicited symptoms were recorded up to Day 4, safety outcomes up to Month 6, and serious adverse events related to vaccination up to Year 3.

resultsPre-specified criteria for non-inferiority of MenACWY-TT versus Men-PS were met in terms of rSBA vaccine response and incidence of grade 3 general symptoms. At Month 1, 82.7%-96.3% of MenACWY-TT and 69.7%-91.7% in Men-PS recipients had a vaccine response for each serogroup. At Year 3, ≥99.1% and ≥92.9% of MenACWY-TT recipients retained rSBA titres ≥8 and ≥128, respectively, as compared to ≥86.7% and ≥80.0% in the Men-PS group. Both vaccines had a clinically acceptable safety profile, although injection site redness and swelling were more frequent in MenACWY-TT recipients.

conclusionsThese results suggest that MenACWY-TT could protect adolescents and adults against meningococcal disease up to three years post-vaccination.

trial registrationThis study is registered at http://www.clinicaltrials.gov/NCT00356369.

Indexed as

AdolescentAdultAntibodies, BacterialChildFemaleHumansMaleMass VaccinationMeningococcal VaccinesMiddle AgedPhilippinesSaudi ArabiaAntibodies, BacterialMeningococcal Vaccinestetravalent meningococcal serogroups A, C, W-135 and Y tetanus toxoid conjugate vaccine

Identifiers

PMID23510357
PMCPMC3599520
OpenAlexW1976058654

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.