Evidence map›Paper›PMID 26336604›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2015

Immunogenicity and Reactogenicity of an Inactivated Quadrivalent Influenza Vaccine Administered Intramuscularly to Children 6 to 35 Months of Age in 2012-2013: A Randomized, Double-Blind, Controlled, Multicenter, Multicountry, Clinical Trial.

Joanne M Langley, Long Wang, Naresh Aggarwal, Agustin Bueso, Vijayalakshmi Chandrasekaran, Luis Cousin, Scott A Halperin, Ping Li, Aixue Liu, Shelly McNeil and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01711736 (Immunogenicity and Safety Study of GSK Biologicals' Quadrivalent Influenza Vaccine), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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.

NCT01711736 phase3completednot on this map

Immunogenicity and Safety Study of GSK Biologicals' Quadrivalent Influenza Vaccine (GSK2282512A) When Administered in Children

TypeinterventionalSponsorGlaxoSmithKlineRan2012 to 2013Enrolled606ConditionsInfluenzaArmsQuadrivalent influenza GSK2282512A vaccine, Fluarix
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Influenza vaccines: Evaluation of the safety profile.Human vaccines & immunotherapeutics · 2018
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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

14 authors.

Joanne M LangleyCanadian Center for Vaccinology, IWK Health Centre and Capital Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Long WangGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania.
Naresh AggarwalAggarwal and Associates Limited, Brampton, Ontario, Canada.
Agustin BuesoTecnologia en Investigacion, San Pedro Sula, Honduras.
Vijayalakshmi ChandrasekaranGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania.
Luis CousinTecnologia en Investigacion, San Pedro Sula, Honduras.
Scott A HalperinCanadian Center for Vaccinology, IWK Health Centre and Capital Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Ping LiGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania.
Aixue LiuGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania.
Shelly McNeilCanadian Center for Vaccinology, IWK Health Centre and Capital Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Lourdes Peña MendezHospital de Maternidad Nuestra Señora de la Altagracia, Santo Domingo, Dominican Republic.
Luis RiveraHospital de Maternidad Nuestra Señora de la Altagracia, Santo Domingo, Dominican Republic.
Bruce L InnisGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania.
Varsha K JainGlaxoSmithKline Vaccines, King of Prussia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfluenza attack rates are high in 6- to 35-month-old children; vaccines containing both lineages of influenza B (Yamagata and Victoria), in addition to the H3N2 and H1N1 antigens, may improve protection rates.

methodsIn a randomized double-blind controlled trial, the immunogenicity and reactogenicity of an inactivated quadrivalent influenza vaccine (QIV) and a trivalent control vaccine (TIV) were assessed.

resultsSix hundred one children (QIV, n = 299; TIV, n = 302) were enrolled at 8 sites in 3 countries. The primary immunogenicity objective was met: the lower limit (LL) of the 2-sided 95% confidence interval (CI) for the seroconversion rate in QIV recipients ranged from 66.6% to 81.3%, which was ≥40% against all 4 strains. The immunogenic superiority of the additional B/Victoria strain in the QIV compared to that in the TIV was confirmed: the LL of the 2-sided 95% CI of the geometric mean titer ratio (QIV/TIV) (6.28 [95% CI, 5.32-7.41]) was greater than 1.5, and the LL of the 2-sided 95% CI for the difference in the seroconversion rate (QIV - TIV) (64.19% [95% CI, 57.65%-69.95%]) was greater than 10%. Injection-site pain and irritability/fussiness were the most commonly reported solicited injection-site and general adverse events, respectively, from days 0 to 6 and were similar in frequency between the groups.

conclusionsIn children aged 6 to 35 months, a QIV has superior immunogenicity for the added B strain and acceptable immunogenicity for shared strains, with no notable difference in reactogenicity and safety when compared to a TIV.

Indexed as

Influenza B virusCanadaChild, PreschoolDominican RepublicDouble-Blind MethodFemaleHondurasHumansImmunogenicity, VaccineInfantInfluenza, HumanInfluenza VaccinesInjections, IntramuscularMaleVaccines, InactivatedInfluenza VaccinesVaccines, Inactivatedchildrenimmunogenicityinfluenza vaccine

Identifiers

PMID26336604
PMCPMC4554197

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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.