Evidence map›Paper›PMID 25567841›Full record

Trial reportThe Journal of infectious diseases2015

Comparison of the Immunogenicity of Various Booster Doses of Inactivated Polio Vaccine Delivered Intradermally Versus Intramuscularly to HIV-Infected Adults.

Stephanie B Troy, Diana Kouiavskaia, Julia Siik, Efrat Kochba, Hind Beydoun, Olga Mirochnitchenko, Yotam Levin, Nancy Khardori, Konstantin Chumakov, Yvonne Maldonado

2 registry-linked trialsOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2015. 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 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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.

NCT01686503 phase2completednot on this map

Comparison of the Immunogenicity of Various Inactivated Polio Vaccine Booster Doses by Intradermal vs. Intramuscular Routes in HIV-Infected Subjects

TypeinterventionalSponsorEastern Virginia Medical SchoolRan2012 to 2013Enrolled231ConditionsPolio ImmunityArmsIPOL (Sanofi Pasteur) inactivated polio vaccine booster dose
NCT04027036 phase2completednot on this mapstarted 2020, after this paper: background citation

Clinical Trial to Compare the Immunogenicity of the Inactivated Poliovirus Vaccine (IPV) Administered in Reduced Doses Intramuscularly or Intradermally in Infants at 2 and 4 Months of Age in the Maputo City

TypeinterventionalSponsorInstituto Nacional de Saúde, MozambiqueRan2020 to 2022Enrolled382ConditionsPolioArmsInactivated poliovirus vaccine in reduced doses
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Stephanie B TroyDepartment of Internal Medicine.
Diana KouiavskaiaCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland.
Julia SiikDepartment of Internal Medicine.
Efrat KochbaNanoPass Technologies, Nes Ziona, Israel.
Hind BeydounGraduate Program in Public Health, Eastern Virginia Medical School, Norfolk.
Olga MirochnitchenkoCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland.
Yotam LevinNanoPass Technologies, Nes Ziona, Israel.
Nancy KhardoriDepartment of Internal Medicine.
Konstantin ChumakovCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland.
Yvonne MaldonadoDepartment of Pediatrics, Stanford University School of Medicine, California.
Center for Biologics Evaluation and Research · USEastern Virginia Medical School · USStanford University · US

Funding

Oral Polio Vaccine Circulation in MexicoK23AI093678 · NIAID · EASTERN VIRGINIA MEDICAL SCHOOL · PI TROY, STEPHANIE B · 2011 to 2014
$507k
NIAID NIH HHS 5K23AI093678NIAID NIH HHS K23 AI093678
6 · The paper itself

Abstract

backgroundInactivated polio vaccine (IPV) is necessary for global polio eradication because oral polio vaccine can rarely cause poliomyelitis as it mutates and may fail to provide adequate immunity in immunocompromised populations. However, IPV is unaffordable for many developing countries. Intradermal IPV shows promise as a means to decrease the effective dose and cost of IPV, but prior studies, all using 20% of the standard dose used in intramuscular IPV, resulted in inferior antibody titers.

methodsWe randomly assigned 231 adults with well-controlled human immunodeficiency virus infection at a ratio of 2:2:2:1 to receive 40% of the standard dose of IPV intradermally, 20% of the standard dose intradermally, the full standard dose intramuscularly, or 40% of the standard dose intramuscularly. Intradermal vaccination was done using the NanoPass MicronJet600 microneedle device.

resultsBaseline immunity was 87%, 90%, and 66% against poliovirus serotypes 1, 2, and 3, respectively. After vaccination, antibody titers increased a median of 64-fold. Vaccine response to 40% of the standard dose administered intradermally was comparable to that of the standard dose of IPV administered intramuscularly and resulted in higher (although not significantly) antibody titers. Intradermal administration had higher a incidence of local side effects (redness and itching) but a similar incidence of systemic side effects and was preferred by study participants over intramuscular administration.

conclusionsA 60% reduction in the standard IPV dose without reduction in antibody titers is possible through intradermal administration.

Indexed as

AdultAntibodies, ViralFemaleHIV InfectionsHumansImmunization, SecondaryInjections, IntradermalInjections, IntramuscularMaleMiddle AgedPoliomyelitisPoliovirus Vaccine, InactivatedTreatment OutcomeYoung AdultAntibodies, ViralPoliovirus Vaccine, Inactivatedfractional doseHIVinactivated polio vaccineintradermalpoliovaccine

Identifiers

PMID25567841
PMCPMC4539908
OpenAlexW2170063713

What OpenQuestion holds

Textmetadata
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.