Evidence map›Paper›PMID 23715660›Full record

ArticleThe Journal of infectious diseases2013

Safety and immunological outcomes following human inoculation with nontypeable Haemophilus influenzae.

Patricia L Winokur, Kathryn Chaloner, Gary V Doern, Jennifer Ferreira, Michael A Apicella

Abstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Nasal Delivery of a CommensalInfection and immunity · 2020
    Article
  4. Review
  5. Panel 8: Vaccines and immunology.International journal of pediatric otorhinolaryngology · 2020
    Review
  6. Article
  7. Article
  8. Why we need a vaccine for non-typeable Haemophilus influenzae.Human vaccines & immunotherapeutics · 2016
    Article
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Patricia L WinokurDepartment of Internal Medicine, Division of Infectious Diseases, University of Iowa, 200 Hawkins Dr, Iowa City,IA 52242, USA. patricia-winokur@uiowa.edu
Kathryn Chaloner
Gary V Doern
Jennifer Ferreira
Michael A Apicella

Funding

University of Iowa Clinical and Translational Science ProgramUL1TR000442 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2013
$10.0M
LIPOOLIGOSACCHARIDES OF HAEMOPHILUS INFLUENZAER01AI024616 · NIAID · UNIVERSITY OF IOWA · PI APICELLA, MICHAEL A. · 1988 to 2014
$6.0M
Statisics In Microbiology, Infectious Diseases & BioinformaticsT32GM077973 · NIGMS · UNIVERSITY OF IOWA · PI CHALONER, KATHRYN · 2006 to 2010
$673k
VIRAL RESPIRATORY PATHOGENS RESEARCH UNIT /VRPRU/-266030040-266030040N01AI030040 · NIAID · UNIVERSITY OF IOWA · PI APICELLA, MICHAEL A. · 2003 to 2006
–
NCATS NIH HHS 2UL1TR000442-06NCATS NIH HHS UL1 TR000442NIAID NIH HHS N01 AI030040NIAID NIH HHS N01AI-30040-07NIAID NIH HHS R01 AI024616NIGMS NIH HHS T32 GM077973
6 · The paper itself

Abstract

backgroundNontypeable Haemophilus influenzae (NTHi) exclusively infects humans, causing significant numbers of upper respiratory tract infections. The goal of this study was to develop a safe experimental human model of NTHi nasopharyngeal colonization.

methodsA novel streptomycin-resistant strain of NTHi was developed, and 15 subjects were inoculated in an adaptive-design phase I trial to rapidly identify colonizing doses of NTHi. Bayesian analysis was used to estimate the human colonizing dose 50 and 90 (HCD50 and HCD90, respectively). Side effects and immunological responses to whole-cell sialylated NTHi were measured.

resultsNine subjects were colonized and tolerated colonization well. Immunological analyses demonstrated that 7 colonized subjects and 0 noncolonized subjects had a 4-fold rise in serum levels of immunoglobulin A, immunoglobulin M, or immunoglobulin G. Preexisting immunity to whole-cell NTHi did not predict success or failure of colonization.

conclusionsThe statistical design incorporated a slow escalation to higher dose levels. HCD50 and HCD90 Bayesian estimates were identified as approximately 2000 and 150 000 colony-forming units, respectively; credible interval estimates were broad. This study provides a potential platform for early proof of concept studies for NTHi vaccines, as well as a way to evaluate bacterial factors associated with colonization.

Indexed as

Models, TheoreticalAdolescentAdultCarrier StateFemaleHaemophilus InfectionsHaemophilus influenzaeHuman ExperimentationHumansMaleYoung Adultadaptive designBayesian analysisHaemophilus influenzaenasopharyngeal colonizationrespiratory pathogensupper respiratory tract

Identifiers

PMID23715660
PMCPMC3733507

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.