Evidence map›Paper›PMID 24576885›Full record

Trial reportHuman vaccines & immunotherapeutics2014

Safety and immunogenicity of 13-valent pneumococcal conjugate vaccine formulations with and without aluminum phosphate and comparison of the formulation of choice with 23-valent pneumococcal polysaccharide vaccine in elderly adults: a randomized open-label trial.

Christine Juergens, Pierre J T de Villiers, Keymanthri Moodley, Deepthi Jayawardene, Kathrin U Jansen, Daniel A Scott, Emilio A Emini, William C Gruber, Beate Schmoele-Thoma

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04056117 (Safety and Immunogenicity of a Shigella-Tetravalent Bioconjugate Vaccine), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 21% 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.

NCT04056117 phase1 / phase2completednot on this mapstarted 2019, after this paper: background citation

Safety and Immunogenicity of a Shigella-Tetravalent Bioconjugate Vaccine: A Phase 1/2 Randomized Controlled and Age Descending Study Including Dose Finding in 9 Month Old Infants

TypeinterventionalSponsorLimmaTech Biologics AGRan2019 to 2022Enrolled597ConditionsShigellosisArmsShigella 4V, MenACWY, Rabies, Diphtheria, Tetanus and Pertussis (DTaP), Placebo
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2023
    Guideline
  3. Pooled it
  4. Guideline
  5. Safety, Tolerability, and Immunogenicity of a 20-Valent Pneumococcal Conjugate Vaccine (PCV20) in Adults 60 to 64 Years of Age.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  6. Trial
  7. Review
  8. Review
  9. Article
  10. Article
  11. Precision Vaccine Adjuvants for Older Adults: A Scoping Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  12. Polysaccharide and conjugate vaccines toScience translational medicine · 2022
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  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

9 authors at 4 institutions in 3 countries.

Christine JuergensPfizer GmbH; Berlin, Germany.
Pierre J T de VilliersUniversity of Stellenbosch; Tygerberg, South Africa.
Keymanthri MoodleyUniversity of Stellenbosch; Tygerberg, South Africa.
Deepthi JayawardenePfizer Inc; Pearl River, New York, United States.
Kathrin U JansenPfizer Inc; Pearl River, New York, United States.
Daniel A ScottPfizer Inc; Pearl River, New York, United States.
Emilio A EminiPfizer Inc; Pearl River, New York, United States.
William C GruberPfizer Inc; Pearl River, New York, United States.
Beate Schmoele-ThomaPfizer GmbH; Berlin, Germany.
Pfizer (United States) · USPfizer (Germany) · DEStellenbosch University · ZATygerberg Hospital · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This randomized open-label trial was designed to provide preliminary immunogenicity and safety data to support development of the pediatric 13-valent pneumococcal conjugate vaccine (PCV13) for adults. The aims were to: identify an age-appropriate PCV13 formulation, i.e., with (n = 309) or without (n = 304) aluminum phosphate (AlPO 4); compare the selected PCV13 formulation (n = 309) with 23-valent pneumococcal polysaccharide vaccine (PPSV23; n = 301); and, together with an extension study, assess sequential use of pneumococcal vaccines at 1-year intervals in adults aged ≥65 years (n = 105) not pre-vaccinated with PPSV23. Immune responses were measured by ELISA and opsonophagocytic activity assays 1 month postvaccination. Immunoglobulin G responses elicited by PCV13 with AlPO 4 and PCV13 without AlPO 4 were similar for the majority, and noninferior for all PCV13 serotypes. PCV13 with AlPO 4 was generally more reactogenic, with reactions mainly mild or moderate. Thus, PCV13 with AlPO 4 (hereafter PCV13) became the selected formulation. Immune responses to PCV13 were noninferior for all but one serotype and for most PCV13 serotypes superior to PPSV23. Vaccine sequence assessments showed that for PCV13/PPSV23, the initial PCV13 dose generally enhanced responses to a subsequent PPSV23 dose, compared with PPSV23 alone. For PCV13/PCV13, a second dose did not enhance the first dose response when given after 1 year. For PCV13/PPSV23/PCV13, priming with PCV13 (vaccination 1) did not protect against lower responses induced by PPSV23 to subsequent PCV13 (vaccination 3). In conclusion, the pediatric PCV13 formulation with AlPO 4 is well tolerated and immunogenic in adults, is generally more immunogenic than PPSV23, and subsequent vaccination with PPSV23 is possible if required.

Indexed as

AgedAged, 80 and overAluminum CompoundsChemistry, PharmaceuticalDouble-Blind MethodFatigueFemaleHumansImmunogenetic PhenomenaMalePainPhosphatesPneumococcal InfectionsPneumococcal VaccinesSouth AfricaVaccines, Conjugate13-valent pneumococcal vaccine23-valent pneumococcal capsular polysaccharide vaccineAluminum Compoundsaluminum phosphatePhosphatesPneumococcal VaccinesVaccines, Conjugate13-valent pneumococcal conjugate vaccine23-valent pneumococcal polysaccharide vaccineadultselderlyimmunogenicityPCV13PPSV23safety

Identifiers

PMID24576885
PMCPMC4896606
OpenAlexW1984361010

What OpenQuestion holds

Textmetadata
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.