Evidence map›Paper›PMID 26053679›Full record

Trial reportPLoS neglected tropical diseases2015

Effect of Antihelminthic Treatment on Vaccine Immunogenicity to a Seasonal Influenza Vaccine in Primary School Children in Gabon: A Randomized Placebo-Controlled Trial.

Sina Brückner, Selidji T Agnandji, Stefan Berberich, Emmanuel Bache, José F Fernandes, Brunhilde Schweiger, Marguerite Massinga Loembe, Thomas Engleitner, Bertrand Lell, Benjamin Mordmüller and 4 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 27% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
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  6. Review
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  10. Vaccines · 2024
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  15. Immunological Considerations forFrontiers in immunology · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Sina BrücknerInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Selidji T AgnandjiInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Stefan BerberichCentre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Emmanuel BacheCentre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
José F FernandesCentre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Brunhilde SchweigerNationales Referenzzentrum für Influenza, Robert-Koch-Institut, Berlin, Germany.
Marguerite Massinga LoembeCentre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Thomas EngleitnerInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Bertrand LellInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Benjamin MordmüllerInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Ayola A AdegnikaInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon; Leiden Medical University Center, Department of Parasitology, Leiden, The Netherlands.
Maria YazdanbakhshLeiden Medical University Center, Department of Parasitology, Leiden, The Netherlands.
Peter G KremsnerInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Meral EsenInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon.
Albert Schweitzer Hospital · GALeiden University Medical Center · NLRobert Koch Institute · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHelminth infections are a major public health problem, especially in the tropics. Infected individuals have an altered immune response with evidence that antibody response to vaccination is impaired. Hence, treatment of helminth infections before vaccination may be a simple intervention to improve vaccine immunogenicity. In the present study we investigated whether a single-dose antihelminthic treatment influences antibody responses to a seasonal influenza vaccine in primary school children living in Gabon, Central Africa.

methodsIn this placebo-controlled double-blind trial conducted in Gabon the effect of a single-dose antihelminthic treatment with 400 mg albendazole versus a placebo one month prior to immunization with a seasonal influenza vaccine was investigated. Antiviral antibody titers against all three vaccine strains were assessed by haemagglutination inhibition (HI) test at baseline (Day 0; vaccination) and four weeks (Day 28) as well as 12 weeks (Day 84) following vaccination. Vaccine-specific memory B-cell response was measured at Day 0 and Day 84 by vaccine-specific Enzyme-linked Immunospot (ELISpot) assay. The trial is registered with the Pan African Clinical Trials Registry (PACTR) (PACTR201303000434188).

results98 school children aged 6-10 years were randomly allocated to receive either antihelminthic treatment or placebo and were vaccinated one month after the treatment. The prevalence of helminths at baseline was 21%. Vaccine-specific HI titers against at least one of the three vaccine strains increased at Day 28 and Day 84 in all participants. HI titers against both influenza A strains as well as memory B-cell response were modestly higher in the antihelminthic treated group compared to the placebo group but the difference was not statistically significant. Total but not specific IgA was elevated in the antihelminthic treated group compared to the control group at Day 28.

conclusionIn our setting antihelminthic treatment had no significant effect on influenza vaccine immunogenicity. A trend towards better antiviral and vaccine immunogenicity in the antihelminthic treated group encourages studies to be conducted with alternative treatment schedules or in populations with a higher helminth burden.

Indexed as

VaccinationAlbendazoleAnthelminticsAntibodies, ViralB-LymphocytesChildDouble-Blind MethodFemaleGabonHelminthiasisHemagglutination Inhibition TestsHumansImmunoglobulin IsotypesInfluenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesAlbendazoleAnthelminticsAntibodies, ViralImmunoglobulin IsotypesInfluenza Vaccines

Identifiers

PMID26053679
PMCPMC4459874
OpenAlexW561230485

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.