Evidence map›Paper›PMID 24814553›Full record

Trial reportVaccine2014

Safety and reactogenicity of BCG revaccination with isoniazid pretreatment in TST positive adults.

Mark Hatherill, Hendrik Geldenhuys, Bernadette Pienaar, Sara Suliman, Phalkun Chheng, Sara M Debanne, Daniel F Hoft, W Henry Boom, Willem A Hanekom, John L Johnson

8 registry-linked trialsAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT01119521 phase1completednot on this map

Phase I Study of Whether Preclearance of Latent M. Tuberculosis (MTB) Infection With Isoniazid (INH) Enhances Specific Immune Responses to MTB Following Subsequent BCG Revaccination in Healthy, HIV-Uninfected, Tuberculin Skin Test Positive Adults

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2010 to 2013Enrolled82ConditionsTuberculosisArmsBCG strain Danish, Isoniazid
NCT04348370 phase4completednot on this mapstarted 2020, after this paper: background citation

Bacillus Calmette-Guerin Vaccination as Defense Against SARS-CoV-2: A Randomized Controlled Trial to Protect Health Care Workers by Enhanced Trained Immune Responses

TypeinterventionalSponsorTexas A&M UniversityRan2020 to 2023Enrolled659ConditionsCoronavirus, Coronavirus Infection, Coronavirus as the Cause of Diseases Classified ElsewhereArmsBCG Vaccine, Placebo Vaccine
NCT04373291 phase3completednot on this mapstarted 2020, after this paper: background citation

Using BCG Vaccine to Enhance Non-specific Protection of Health Care Workers During the COVID-19 Pandemic. A Randomized Controlled Multi-center Trial

TypeinterventionalSponsorBandim Health ProjectRan2020 to 2021Enrolled1,293ConditionsCOVID-19, Non-specific Effects of Vaccines, Morbidity, AbsenteeismArmsBCG-Denmark, Saline
NCT04534803 phase3withdrawnnot on this mapstarted 2021, after this paper: background citation

Bacillus Calmette-Guerin Against Covid-19 for Prevention and Amelioration of Severity Trial

TypeinterventionalSponsorHarvard Medical School (HMS and HSDM)Ran2021 to 2022Enrolled0ConditionsCovid19ArmsBCG Vaccine, Placebo
NCT04632537 phase3withdrawnnot on this mapstarted 2020, after this paper: background citation

Novel Use of an Existing Vaccine (BCG) Alliance: The NUEVA Trial

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2020 to 2021Enrolled0ConditionsCOVID-19ArmsTice® BCG (for intravesical use) BCG LIVE strain of the BCG (Merck) vaccine, Preservative-free saline
NCT04641858 phase4completednot on this mapstarted 2020, after this paper: background citation

BCG Vaccine to Reduce Unplanned Absenteeism Due to Illness of Health Care Workers During the COVID-19 Pandemic. A Multi-center Randomised Controlled Trial (BCG-COVID-RCT)

TypeinterventionalSponsorUniversity of Southern DenmarkRan2020 to 2022Enrolled668ConditionsCovid19, Morbidity, AbsenteeismArmsBCG-Denmark, Saline
NCT04938323 phase2 / phase3withdrawnnot on this mapstarted 2022, after this paper: background citation

Prevention of Acute Respiratory Infection in Taiwanese Institutionalized Elderly (PARITIE)

TypeinterventionalSponsorHarvard Medical School (HMS and HSDM)Ran2022 to 2022Enrolled0ConditionsAcute Respiratory InfectionArmsBCG Vaccine, Placebo
NCT05507671 phase3active not recruitingnot on this mapstarted 2021, after this paper: background citation

The Role of the Bacillus Calmette-Guérin Vaccine (BCG) in the Clinical Evolution of COVID-19 and in the Efficacy of Anti-SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) Vaccines

TypeinterventionalSponsorOswaldo Cruz FoundationRan2021 to 2025Enrolled556ConditionsCOVID-19ArmsBCG (Bacillus Calmette-Guérin) vaccine, Placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Novel Targets for the Development of Tuberculosis Vaccine.Current drug discovery technologies · 2025
    Review
  9. Vaccines · 2024
    Article
  10. bioRxiv : the preprint server for biology · 2024
    Article
  11. The safety of BCG revaccination in the context of COVID-19.Human vaccines & immunotherapeutics · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. BCG: a vaccine with multiple faces.Human vaccines & immunotherapeutics · 2020
    Review
  17. Review
  18. Article
  19. Article
  20. BCG and New Preventive Tuberculosis Vaccines: Implications for Healthcare Workers.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    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

10 authors at 5 institutions in 2 countries.

Mark HatherillSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Disease & Molecular Medicine, School of Child & Adolescent Health, University of Cape Town, Cape Town, South Africa. Electronic address: Mark.Hatherill@uct.ac.za.
Hendrik GeldenhuysSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Disease & Molecular Medicine, School of Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
Bernadette PienaarSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Disease & Molecular Medicine, School of Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
Sara SulimanSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Disease & Molecular Medicine, School of Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
Phalkun ChhengTuberculosis Research Unit, Department of Medicine, Case Western Reserve University and University Hospitals Case Medical Center, Cleveland, OH, USA.
Sara M DebanneDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA.
Daniel F HoftDivision of Immunobiology, Departments of Internal Medicine and Molecular Biology, Saint Louis University Medical Center, and Center for Vaccine Development, Saint Louis, MO, USA.
W Henry BoomTuberculosis Research Unit, Department of Medicine, Case Western Reserve University and University Hospitals Case Medical Center, Cleveland, OH, USA.
Willem A HanekomSouth African Tuberculosis Vaccine Initiative (SATVI), Institute of Infectious Disease & Molecular Medicine, School of Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
John L JohnsonTuberculosis Research Unit, Department of Medicine, Case Western Reserve University and University Hospitals Case Medical Center, Cleveland, OH, USA.
Case Western Reserve University · USUniversity of Cape Town · ZASouth African Tuberculosis Vaccine Initiative · ZASaint Louis University · USUniversity Hospitals Case Medical Center · US

Funding

Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
NIAID NIH HHS N01 AI070022NIAID NIH HHS N01 AI095383NIAID NIH HHS N01-AI-70022NIAID NIH HHS N01-AI95383PHS HHS 266200700022C
6 · The paper itself

Abstract

rationaleGlobal tuberculosis (TB) control may require mass vaccination with a new TB vaccine, such as a recombinant bacille Calmette Guerin (BCG) or attenuated Mycobacterium tuberculosis (MTB). The safety profile of live mycobacterial vaccines in latently infected adults with prior infant BCG vaccination is unknown.

objectivesEvaluate safety and reactogenicity of BCG revaccination, with or without isoniazid (INH) pretreatment, in adults with latent MTB infection (LTBI).

methodsEighty-two healthy, HIV uninfected, South African adults, with a BCG scar and tuberculin skin test (TST) diameter ≥ 15 mm, were randomized to receive 6 months of INH, starting either before, or 6 months after, intradermal revaccination with BCG Vaccine SSI (Statens Serum Institut, Copenhagen). Safety and reactogenicity data are reported through 3 months post BCG revaccination.

resultsBaseline characteristics were similar between treatment arms. Mean baseline TST diameter was 20 ± 4 mm. Seventy-two subjects received BCG revaccination. Injection site erythema (68%) and induration (86%) peaked 1 week after revaccination. Ulceration (76%) peaked at 2 weeks, and resolved by 3 months in all but 3 subjects. Diameter of ulceration was >10mm in only 8%, but a residual scar was common (85%). No regional lymphadenitis or serious morbidity related to BCG was seen. Reactogenicity was not affected by INH pretreatment.

conclusionBCG revaccination of MTB infected adults is safe, well tolerated, and reactogenicity is similar to that of primary BCG vaccination. Clinical trials of live recombinant BCG or attenuated MTB vaccines may be considered in latently infected adults, with or without INH pretreatment (ClinicalTrials.gov identifier: NCT01119521).

Indexed as

Immunization, SecondaryAdultBCG VaccineFemaleHumansIsoniazidLatent TuberculosisMaleSouth AfricaTuberculin TestYoung AdultBCG VaccineIsoniazidBCGIsoniazidLTBIRevaccinationSafety

Identifiers

PMID24814553
PMCPMC4135306
OpenAlexW2088721367

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 2 more above

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.