Evidence map›Paper›PMID 24983989›Full record

Trial reportPloS one2014

Safety and immunogenicity of a live oral recombinant cholera vaccine VA1.4: a randomized, placebo controlled trial in healthy adults in a cholera endemic area in Kolkata, India.

Suman Kanungo, Bandana Sen, Thandavarayan Ramamurthy, Dipika Sur, Byomkesh Manna, Gururaja P Pazhani, Goutam Chowdhury, Puja Jhunjhunwala, Ranjan K Nandy, Hemanta Koley and 8 more

Open access · goldAbstract readRandomized 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 26% 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.

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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  3. Frontiers in medicine · 2023
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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

18 authors at 5 institutions in 1 country.

Suman KanungoDepartment of Epidemiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Bandana SenSociety for Applied Studies, Kolkata, West Bengal, India.
Thandavarayan RamamurthyDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Dipika SurDepartment of Epidemiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Byomkesh MannaDepartment of Epidemiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Gururaja P PazhaniDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Goutam ChowdhuryDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Puja JhunjhunwalaDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Ranjan K NandyDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Hemanta KoleyDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Mihir Kumar BhattacharyaDepartment of Epidemiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Sanjay GuptaCatalyst Clinical Services Pvt. Ltd., Delhi, India.
Gaurav GoelCatalyst Clinical Services Pvt. Ltd., Delhi, India.
Bindu DeyDepartment of Biotechnology, Ministry of Science and Technology, New Delhi, India.
Thungapathra MInstitute of Post Graduate Medicine and Research, Chandigarh, India.
G Balakrish NairTranslational Health Science and Technology Institute, Gurgaon, Haryana, India.
Amit GhoshDepartment of Microbiology, National Institute of Cholera & Enteric Diseases, Kolkata, West Bengal, India.
Dilip MahalanabisSociety for Applied Studies, Kolkata, West Bengal, India.
National Institute of Cholera and Enteric Diseases · INSociety for Applied Studies · INMinistry of Science and Technology · INPost Graduate Institute of Medical Education and Research · INTranslational Health Science and Technology Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA live oral cholera vaccine VA 1.4 developed from a non-toxigenic Vibrio cholerae O1 El Tor strain using ctxB gene insertion was further developed into a clinical product following cGMP and was evaluated in a double-blind randomized placebo controlled parallel group two arm trial with allocation ratio of 1∶1 for safety and immunogenicity in men and women aged 18-60 years from Kolkata, India.

methodA lyophilized dose of 1.9×109 CFU (n = 44) or a placebo (n = 43) reconstituted with a diluent was administered within 5 minutes of drinking 100 ml of a buffer solution made of sodium bicarbonate and ascorbic acid and a second dose on day 14.

resultThe vaccine did not elicit any diarrhea related adverse events. Other adverse events were rare, mild and similar in two groups. One subject in the vaccine group excreted the vaccine strain on the second day after first dose. The proportion of participants who seroconverted (i.e. had 4-folds or higher rise in reciprocal titre) in the vaccine group were 65.9% (95% CI: 50.1%-79.5%) at both 7 days (i.e. after 1st dose) and 21 days (i.e. after 2nd dose). None of the placebo recipients seroconverted. Anti-cholera toxin antibody was detected in very few recipients of the vaccine.

conclusionThis study demonstrates that VA 1.4 at a single dose of 1.9×109 is safe and immunogenic in adults from a cholera endemic region. No additional benefit after two doses was seen.

trial registrationClinical Trials Registry-India, National Institute of Medical Statistics (Indian Council of Medical Research) CTRI/2012/04/002582.

Indexed as

Vibrio choleraeAdministration, OralAdolescentAdultAntibodies, BacterialCholeraCholera VaccinesDose-Response Relationship, ImmunologicFemaleHumansIndiaMaleMiddle AgedVaccines, SyntheticAntibodies, BacterialCholera VaccinesVaccines, Synthetic

Identifiers

PMID24983989
PMCPMC4077646
OpenAlexW2119183510

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.