Evidence map›Paper›PMID 24906244›Full record

Trial reportAIDS research and human retroviruses2014

Expectation of volunteers towards the vaccine efficacy of the prime-boost HIV vaccine phase III trial during unblinding.

Kessuda Khowsroy, Jittima Dhitavat, Yupa Sabmee, Pataramon Laowarakul, Jutarat Wattanakitwichai, Jiraporn Auetian, Kannika Lothong, Roongtip Boondao, Sarawan Maythaarttaphong, Sunee Yaemwong and 3 more

Abstract readClinical Trial, Phase III
In one paragraph

Trial report in AIDS research and human retroviruses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

13 authors.

Kessuda Khowsroy1 Vaccine Trial Center, Faculty of Tropical Medicine, Mahidol University , Ratchathewi, Bangkok, Thailand .
Jittima Dhitavat
Yupa Sabmee
Pataramon Laowarakul
Jutarat Wattanakitwichai
Jiraporn Auetian
Kannika Lothong
Roongtip Boondao
Sarawan Maythaarttaphong
Sunee Yaemwong
Jean-Louis Excler
Supachai Rerks-Ngarm
Punnee Pitisuttithum

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A Phase III community-based HIV vaccine trial using the ALVAC-HIV and AIDSVAX B/E prime-boost regimen (RV144) showed a modest vaccine efficacy of 31.2% against HIV acquisition. Participant's understanding of the trial is a key element of its success. This study aimed to understand participant's expectation and response to the overall results of the trial as well after unblinding. Using an open-ended questionnaire, data were collected from 400 participants who came for the unblinding visit. Fifty-three percent received the vaccine and 47% were placebo recipients. The median age was 30 years (range: 22-37). The observed vaccine efficacy of 31.2% was lower than expected by 67.75% of participants compared to higher than expected (by 6%), as expected (by 11.25%), and those with no expectation (15%). A majority of participants (71.5%) were happy and proud, and indicated that it was a good result. The rest were sad or disappointed (22.75%) or acquiescent (5.75%). After unblinding, 67.92% of the vaccine recipients had a positive response and 32.08% were acquiescent. Among placebo recipients, 85.11% were acquiescent and 10.11% indicated that being assigned to the vaccine group would have been better even though vaccine efficacy was only 31.2%. Despite the modest vaccine efficacy, a majority of study participants acknowledged the value of the trial and hoped that information from RV144 could be used for future vaccine development.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultAIDS VaccinesFemaleHealthy VolunteersHIV InfectionsHumansMaleTreatment OutcomeYoung AdultAIDS Vaccines

Identifiers

PMID24906244
PMCPMC4208557

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.