Evidence map›Paper›PMID 25803642›Full record

Trial reportPLoS medicine2015

Broad blockade antibody responses in human volunteers after immunization with a multivalent norovirus VLP candidate vaccine: immunological analyses from a phase I clinical trial.

Lisa C Lindesmith, Martin T Ferris, Clancy W Mullan, Jennifer Ferreira, Kari Debbink, Jesica Swanstrom, Charles Richardson, Robert R Goodwin, Frank Baehner, Paul M Mendelman and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in PLoS medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01168401 (Phase 1, Randomized Controlled Dose Escalation, Safety and Immunogenicity Study of Intramuscular Norovirus GI.1/GII.4 Bivalent Virus-Like Particle), which is not on this map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
–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.

NCT01168401 phase1completednot on this map

Phase 1, Randomized Controlled Dose Escalation, Safety and Immunogenicity Study of Intramuscular Norovirus GI.1/GII.4 Bivalent Virus-Like Particle (VLP) Vaccine Adjuvanted With Monophosphoryl Lipid A (MPL) and Aluminum Hydroxide [Al(OH)3] in Adults

TypeinterventionalSponsorTakedaRan2010 to 2013Enrolled102ConditionsGastroenteritisArmsNoV GI.1/GII.4 Bivalent VLP Vaccine, Saline
3 · Its place in the literature

Who cites it

90 citing papers in PubMed.

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30 more citing papers are in PubMed but not listed here.

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

12 authors.

Lisa C LindesmithDepartment of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Martin T FerrisDepartment of Genetics, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Clancy W MullanDepartment of Genetics, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Jennifer FerreiraThe EMMES Corporation, Rockville, Maryland, United States of America.
Kari DebbinkDepartment of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Jesica SwanstromDepartment of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Charles RichardsonTakeda Vaccines, Deerfield, Illinois, United States of America.
Robert R GoodwinTakeda Vaccines, Deerfield, Illinois, United States of America.
Frank BaehnerTakeda Pharmaceutical International, Zurich, Switzerland.
Paul M MendelmanTakeda Vaccines, Deerfield, Illinois, United States of America.
Robert F BargatzeTakeda Vaccines, Deerfield, Illinois, United States of America.
Ralph S BaricDepartment of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States of America.

Funding

Translational CoreU19AI109761 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARIC, RALPH S · 2014 to 2018
$32.6M
Molecular Mechanisms of Microbial Pathogenesis Training ProgramT32AI007528 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARRUTHERS, VERNON BRUCE · 1998 to 2024
$6.8M
Susceptibility and Protective Immunity to NorovirusesR01AI056351 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BARIC, RALPH S · 2003 to 2013
$4.2M
Mechanisms of Norovirus Protective ImmunityR56AI106006 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BARIC, RALPH S · 2014 to 2014
$760k
NIAID NIH HHS R01 AI056351NIAID NIH HHS R56 AI106006NIAID NIH HHS T32 AI007528NIAID NIH HHS U19 AI109761PHS HHS R56 A15-0756
6 · The paper itself

Abstract

backgroundHuman noroviruses (NoVs) are the primary cause of acute gastroenteritis and are characterized by antigenic variation between genogroups and genotypes and antigenic drift of strains within the predominant GII.4 genotype. In the context of this diversity, an effective NoV vaccine must elicit broadly protective immunity. We used an antibody (Ab) binding blockade assay to measure the potential cross-strain protection provided by a multivalent NoV virus-like particle (VLP) candidate vaccine in human volunteers. METHODS AND

findingsSera from ten human volunteers immunized with a multivalent NoV VLP vaccine (genotypes GI.1/GII.4) were analyzed for IgG and Ab blockade of VLP interaction with carbohydrate ligand, a potential correlate of protective immunity to NoV infection and illness. Immunization resulted in rapid rises in IgG and blockade Ab titers against both vaccine components and additional VLPs representing diverse strains and genotypes not represented in the vaccine. Importantly, vaccination induced blockade Ab to two novel GII.4 strains not in circulation at the time of vaccination or sample collection. GII.4 cross-reactive blockade Ab titers were more potent than responses against non-GII.4 VLPs, suggesting that previous exposure history to this dominant circulating genotype may impact the vaccine Ab response. Further, antigenic cartography indicated that vaccination preferentially activated preexisting Ab responses to epitopes associated with GII.4.1997. Study interpretations may be limited by the relevance of the surrogate neutralization assay and the number of immunized participants evaluated.

conclusionsVaccination with a multivalent NoV VLP vaccine induces a broadly blocking Ab response to multiple epitopes within vaccine and non-vaccine NoV strains and to novel antigenic variants not yet circulating at the time of vaccination. These data reveal new information about complex NoV immune responses to both natural exposure and to vaccination, and support the potential feasibility of an efficacious multivalent NoV VLP vaccine for future use in human populations.

trial registrationClinicalTrials.gov NCT01168401.

Indexed as

Antibody FormationVaccinationViral VaccinesAdultAgedAged, 80 and overAntibodiesCaliciviridae InfectionsEpitopesFemaleGastroenteritisHealthy VolunteersHumansImmunizationImmunoglobulin GMaleAntibodiesEpitopesImmunoglobulin GViral Vaccines

Identifiers

PMID25803642
PMCPMC4371888

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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.