Evidence map›Paper›PMID 25876102›Full record

ArticleThe Pediatric infectious disease journal2015

Immunogenicity and safety of meningococcal C conjugate vaccine in children and adolescents infected and uninfected with HIV in Rio de Janeiro, Brazil.

Ana Cristina C Frota, Lucimar G Milagres, Lee H Harrison, Bianca Ferreira, Daniela Menna Barreto, Gisele S Pereira, Aline C Cruz, Wania Pereira-Manfro, Ricardo Hugo de Oliveira, Thalita F Abreu and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03682939 (Evaluation of Safety and Immunogenicity of Meningococcal B and Meningococcal ACWY Vaccine in at Risk Population), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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.

NCT03682939 phase4unknown statusnot on this mapstarted 2019, after this paper: background citation

Evaluation of Safety and Immunogenicity of Meningococcal B and Meningococcal ACWY Vaccine in at Risk Population (ProPositive Study)

TypeinterventionalSponsorSt George's, University of LondonRan2019 to 2021Enrolled55ConditionsHiv, Meningitis, Meningococcal, HIV InfectionsArmsBexsero® (meningitis B vaccine), Menveo® (meningitis ACWY vaccine)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Meningococcal Vaccination: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2020
    Guideline
  2. Innate-immune cell distribution in pediatric HIV patients and uninfected controls.Revista do Instituto de Medicina Tropical de Sao Paulo · 2024
    Article
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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

11 authors at 3 institutions in 2 countries.

Ana Cristina C FrotaFrom the *Department of Pediatrics and †Department of Preventive Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; ‡Department of Microbiology and Immunology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil; and §Infectious Diseases Epidemiology Research Unit, University of Pittsburgh, Pittsburgh, PA.
Lucimar G Milagres
Lee H Harrison
Bianca Ferreira
Daniela Menna Barreto
Gisele S Pereira
Aline C Cruz
Wania Pereira-Manfro
Ricardo Hugo de Oliveira
Thalita F Abreu
Cristina B Hofer
Universidade Federal do Rio de Janeiro · BRUniversidade do Estado do Rio de Janeiro · BRUniversity of Pittsburgh · US

Funding

Real-Time PCR for Diagnosis of Culture-Negative Bacterial Meningitis in S?o PauloD43TW006592 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRISON, LEE H · 2004 to 2013
$1.7M
Immunogenicity of meningococcal C conjugate vaccine in HIV infected childrenR01TW008397 · FIC · FEDERAL UNIVERSITY OF RIO DE JANEIRO · PI HOFER, CRISTINA BARROSO · 2009 to 2013
$250k
FIC NIH HHS 5R01 TW008397FIC NIH HHS D43 TW006592FIC NIH HHS D43TW006592FIC NIH HHS R01 TW008397
6 · The paper itself

Abstract

backgroundWe aimed to evaluate the Meningococcal (Neisseria meningitidis) C conjugated (MCC) vaccine seroconversion and adverse events (AEs) in HIV-infected and HIV-uninfected children and adolescents in Rio de Janeiro, Brazil.

methodsHIV-infected or HIV-uninfected subjects, 2-18 years old, with CD4+ T-lymphocyte cell (CD4) percentage >15%, without active infection or antibiotic use, were enrolled. All patients were evaluated before and 1-2 months after immunization for seroconversion (defined as ≥4-fold titer increase in human serum bactericidal activity) and at 20 minutes, 3 and 7 days after immunization for AEs. Factors associated with seroconversion among HIV-infected group were studied.

resultsTwo hundred four subjects were enrolled: 154 HIV-infected and 50 HIV-uninfected. Median age was 12 years, and 53% were female. Among the HIV-infected group, 82 (53%) had a history of at least 1 C clinical category of Centers for Diseases Control and Prevention event, and 134 (87%) were using combination antiretroviral therapy. The median nadir CD4 percentage was 13% (0-47%). Seventy-six (37.3%) experienced mild AEs. Seroconversion occurred in 46 of 154 (30%) in the HIV-infected group and in 38 of 50 (76%) in the uninfected group (P < 0.01). Factors associated with seroconversion in the HIV-infected group were as follows: never had a C clinical category event [odds ratio (OR) = 2.1, 95% confidence interval (CI): 1.0-4.4]; undetectable viral load at immunization (OR: 2.4, 95% CI: 1.1-5.2) and higher CD4 nadir/100 cells (OR: 1.1, 95% CI: 1.0-1.2).

conclusionMCC vaccine should be administered to HIV-infected children and adolescents after maximum immunologic and virologic benefits have been achieved with combination antiretroviral therapy. Our data suggest that a single dose of MCC vaccine is insufficient for HIV-infected individuals 2-18 years of age.

Indexed as

AdolescentAntibodies, BacterialBrazilChildFemaleHIV InfectionsHumansMaleMeningococcal InfectionsMeningococcal VaccinesProspective StudiesAntibodies, BacterialMeningococcal Vaccinesserogroup C meningococcal conjugate vaccine

Identifiers

PMID25876102
PMCPMC4454630
OpenAlexW2462993340

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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.