Evidence map›Paper›PMID 24586912›Full record

Trial reportPloS one2014

Safety, tolerability, and immunogenicity of the novel antituberculous vaccine RUTI: randomized, placebo-controlled phase II clinical trial in patients with latent tuberculosis infection.

Andre S Nell, Eva D'lom, Patrick Bouic, Montserrat Sabaté, Ramon Bosser, Jordi Picas, Mercè Amat, Gavin Churchyard, Pere-Joan Cardona

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. 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 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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.

NCT01136161 phase2completednot on this map

Double-Blind, Randomized, Placebo-Controlled Phase II Clinical Trial to Investigate the Safety, Tolerability, and Immunogenicity of the Novel Antituberculous Vaccine RUTI® Following One Month of Isoniazid Treatment in Subjects With Latent Tuberculosis Infection

TypeinterventionalSponsorArchivel Farma S.L.Ran2010 to 2011Enrolled95ConditionsLatent Tuberculosis Infection, TuberculosisArmsRUTI, RUTI Matching Placebo
NCT02711735 phase2terminatednot on this mapstarted 2020, after this paper: background citation

Double-Blind, Randomized, Placebo-Controlled Phase IIa Clinical Trial to Investigate the Safety and Immunogenicity of RUTI® Therapeutic Vaccination in Patients With MDR-TB After Successful Intensive-phase Treatment.

TypeinterventionalSponsorArchivel Farma S.L.Ran2020 to 2020Enrolled9ConditionsTuberculosis, Multidrug ResistantArmsRUTI® Therapeutic vaccine, Matching RUTI® Placebo
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Pooled it
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  9. Host Immune Response toJournal of inflammation research · 2025
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  18. MedComm · 2024
    Review
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  20. Mycobacterial lipid-derived immunomodulatory drug- liposome conjugate eradicates endosome-localized mycobacteria.Journal of controlled release : official journal of the Controlled Release Society · 2023
    Article

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

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 5 institutions in 2 countries.

Andre S NellPAREXEL Early Phase Clinical Unit, Bloemfontein, South Africa.
Eva D'lomPAREXEL International, Madrid, Spain.
Patrick BouicSynexa Life Sciences, Cape Town, South Africa.
Montserrat SabatéTFS Develop, Barcelona, Catalonia, Spain.
Ramon BosserJanus Developments, Barcelona, Catalonia, Spain.
Jordi PicasArchivel Farma, Badalona, Catalonia, Spain.
Mercè AmatArchivel Farma, Badalona, Catalonia, Spain.
Gavin ChurchyardThe Aurum Institute, Johannesburg, South Africa.
Pere-Joan CardonaArchivel Farma, Badalona, Catalonia, Spain ; Unitat de Tuberculosi Experimental (UTE), Institut per a la Investigació en Ciències de la Salut Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Catalonia, Spain.
Badalona Serveis Assistencials · ESAurum Institute · ZAClinvet · ZAInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESTeulades i Façanes Multifuncionals (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the safety, tolerability and immunogenicity of three different doses (5, 25 and 50 µg) of the novel antituberculous vaccine RUTI compared to placebo in subjects with latent tuberculosis infection. METHODS AND

findingsDouble-blind, randomized, placebo-controlled Phase II Clinical Trial (95 patients randomized). Three different RUTI doses and placebo were tested, randomized both in HIV-positive (n = 47) and HIV-negative subjects (n = 48), after completion of one month isoniazid (INH) pre-vaccination. Each subject received two vaccine administrations, 28 Days apart. Five patients withdrew and 90 patients completed the study. Assessment of safety showed no deaths during study. Two subjects had serious adverse events one had a retinal detachment while taking INH and was not randomized and the other had a severe local injection site abscess on each arm and was hospitalized; causality was assessed as very likely and by the end of the study the outcome had resolved. All the patients except 5 (21%) patients of the placebo group (3 HIV+ and 2 HIV-) reported at least one adverse event (AE) during the study. The most frequently occurring AEs among RUTI recipients were (% in HIV+/-): injection site reactions [erythema (91/92), induration (94/92), local nodules (46/25), local pain (66/75), sterile abscess (6/6), swelling (74/83), ulcer (20/11), headache (17/22) and nasopharyngitis (20/5)]. These events were mostly mild and well tolerated. Overall, a polyantigenic response was observed, which differed by HIV- status. The best polyantigenic response was obtained when administrating 25 µg RUTI, especially in HIV-positive subjects which was not increased after the second inoculation.

conclusionThis Phase II clinical trial demonstrates reasonable tolerability of RUTI. The immunogenicity profile of RUTI vaccine in LTBI subjects, even being variable among groups, allows us considering one single injection of one of the highest doses in future trials, preceded by an extended safety clinical phase.

trial registrationClinicalTrials.gov NCT01136161.

Indexed as

AdultDouble-Blind MethodFemaleFollow-Up StudiesHIVHIV InfectionsHumansLatent TuberculosisMaleMaximum Tolerated DoseMiddle AgedPrognosisSafetyTuberculosis VaccinesVaccinationTuberculosis Vaccines

Identifiers

PMID24586912
PMCPMC3935928
OpenAlexW2004240693

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.