Evidence map›Paper›PMID 25444805›Full record

Trial reportVaccine2015

Phase II trial in adults of concurrent or sequential 2009 pandemic H1N1 and 2009-2010 seasonal trivalent influenza vaccinations.

Sharon E Frey, David I Bernstein, Rebecca C Brady, Wendy A Keitel, Hana El Sahly, Nadine Georges Rouphael, Mark J Mulligan, Robert L Atmar, Srilatha Edupuganti, Shital M Patel and 7 more

Open access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  2. Future Goals and Long-term Vision of the Infectious Diseases Clinical Research Consortium/Vaccine and Treatment Evaluation Unit Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Review
  4. Review
  5. 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

17 authors at 8 institutions in 1 country.

Sharon E FreySaint Louis University School of Medicine, United States. Electronic address: freyse@slu.edu.
David I BernsteinCincinnati Children's Hospital Medical Center, University of Cincinnati, United States.
Rebecca C BradyCincinnati Children's Hospital Medical Center, University of Cincinnati, United States.
Wendy A KeitelBaylor College of Medicine, United States.
Hana El SahlyBaylor College of Medicine, United States.
Nadine Georges RouphaelThe Hope Clinic of the Emory Vaccine Center, Department of Medicine, Emory University School of Medicine, United States.
Mark J MulliganThe Hope Clinic of the Emory Vaccine Center, Department of Medicine, Emory University School of Medicine, United States.
Robert L AtmarBaylor College of Medicine, United States.
Srilatha EdupugantiThe Hope Clinic of the Emory Vaccine Center, Department of Medicine, Emory University School of Medicine, United States.
Shital M PatelBaylor College of Medicine, United States.
Michelle DickeyCincinnati Children's Hospital Medical Center, University of Cincinnati, United States.
Irene GrahamSaint Louis University School of Medicine, United States.
Edwin L AndersonSaint Louis University School of Medicine, United States.
Diana L NoahSouthern Research Institute, United States.
Heather HillThe EMMES Corporation, United States.
Mark WolffThe EMMES Corporation, United States.
Robert B BelsheSaint Louis University School of Medicine, United States.
Baylor College of Medicine · USSaint Louis University · USEmmes (United States) · USEmory University · USUniversity of Cincinnati · USCincinnati Children's Hospital Medical Center · USHOPE Clinic · USSouthern Research Institute · US

Funding

MACROPHAGE DEFENSES AGAINST HAEMOPHILUS INFLUENZAER29AI030063 · NIAID · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI NOEL, GARY J. · 1990 to 1994
–
NIAID NIH HHS HHSN272200800002CNIAID NIH HHS HHSN272200800003CNIAID NIH HHS HHSN272200800005CNIAID NIH HHS HHSN272200800006CNIAID NIH HHS HHSN272200800013CNIAID NIH HHS N01 AI030063
6 · The paper itself

Abstract

backgroundDuring the 2009 influenza pandemic both seasonal and 2009 pandemic vaccines were recommended. We conducted a randomized trial of monovalent 2009-H1N1 vaccine and seasonal trivalent inactivated influenza vaccine (IIV3) given sequentially or concurrently to adults.

methodsAdults randomized to 4 study groups and stratified by age (18-64 and ≥65 years) received 1 dose of seasonal IIV3 or placebo and 2 doses of 2009-H1N1 vaccine or placebo in one of 4 combinations, i.e., H1N1+Placebo/H1N1+Placebo/IIV3 (HP/HP/V3), H1N1+IIV3/H1N1+Placebo/Placebo (HV3/HP/P), H1N1+Placebo/H1N1+IIV3/Placebo (HP/HV3/P), and IIV3+Placebo/H1N1+Placebo/H1N1 (V3P/HP/H). Intramuscular injections were given three times at 21 day intervals. Sera for antibody assays were obtained prior to and 21 days after each vaccination. Reactogenicity and adverse events were monitored.

resultsEight hundred-five (805) adults were enrolled. All combinations of vaccines were safe and well tolerated. In general, one dose of 2009-H1N1 and one dose of IIV3, regardless of sequence or concurrency of administration, were immunogenic in adults. There were no significant differences in geometric mean titers (GMT) or the proportions of subjects with ≥4-fold rise in antibody responses and titers ≥40 for any vaccine group or between age strata for 2009-H1N1 after the first or second dose, although the vaccine sequence affected the titers to the IIV3 antigens. Hemagglutination inhibition antibody (HAI) GMTs against 2009-H1N1 for the combined age strata 21 days after the first 2009-H1N1 dose were 190.4, 182.1, 232.9 and 157.5 for HP/HP/V3, HV3/HP/P, HP/HV3/P and V3P/HP/H, respectively. While IIV3 GMTs were adequate they were generally lower than the 2009-H1N1 GMTs. In a subset of subjects, there was good correlation between HAI and microneutralization (MN) titers (Spearman's correlation coefficient 0.92).

conclusionsAll vaccine combinations were generally well tolerated. Immune responses to one dose of 2009-H1N1 were adequate regardless of the sequence of vaccination in all age groups, but the sequence affected titers to IIV3 antigens.

Indexed as

Immunization ScheduleAdolescentAdultAgedAged, 80 and overAntibodies, ViralFemaleHemagglutination Inhibition TestsHumansInfluenza, HumanInfluenza VaccinesInjections, IntramuscularMaleMiddle AgedPlacebosVaccinationAntibodies, ViralInfluenza VaccinesPlacebos2009-H1N1AdultsConcurrentElderlyHAIInfluenza vaccineMicroneutralizationPandemicSeasonal IIV3Sequential

Identifiers

PMID25444805
PMCPMC4293632
OpenAlexW1988881084

What OpenQuestion holds

Textmetadata
LicenceTDM
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.