Evidence map›Paper›PMID 26407272›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2016

Meningococcal Serogroup B Bivalent rLP2086 Vaccine Elicits Broad and Robust Serum Bactericidal Responses in Healthy Adolescents.

Timo Vesikari, Lars Østergaard, Javier Diez-Domingo, Jacek Wysocki, Carl-Erik Flodmark, Johannes Beeslaar, Joseph Eiden, Qin Jiang, Kathrin U Jansen, Thomas R Jones and 5 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
6.4field-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.

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, 2 syntheses or guidelines pooled it, 58 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. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. [Health Technology Assessment of meningococcal B vaccine (TrumenbaJournal of preventive medicine and hygiene · 2019
    Article
  12. Article
  13. A physician's guide to the 2-dose schedule of MenB-FHbp vaccine.Human vaccines & immunotherapeutics · 2019
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
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

15 authors at 8 institutions in 7 countries.

Timo VesikariUniversity of Tampere Medical School, Finland.
Lars ØstergaardDepartment of Infectious Diseases, Aarhus University Hospital, Denmark.
Javier Diez-DomingoÁrea de Investigación en Vacunas, FISABIO-Public Health, Universidad Católica de Valencia, Spain.
Jacek WysockiDepartment of Preventive Medicine, Poznań University of Medical Sciences, Poland.
Carl-Erik FlodmarkVaccine Unit, Department of Pediatrics, Skåne University Hospital, Malmo, Sweden.
Johannes BeeslaarPfizer Ltd, Walton Oaks, Tadworth, United Kingdom.
Joseph EidenPfizer Vaccine Research, Pearl River, New York.
Qin JiangPfizer Global Vaccines, Collegeville, Pennsylvania.
Kathrin U JansenPfizer Vaccine Research, Pearl River, New York.
Thomas R JonesPfizer Vaccine Research, Pearl River, New York.
Shannon L HarrisPfizer Vaccine Research, Pearl River, New York.
Robert E O'NeillPfizer Vaccine Research, Pearl River, New York.
Laura J YorkPfizer Medical and Scientific Affairs, Collegeville, Pennsylvania.
Graham CrowtherPfizer Ltd, Walton Oaks, Tadworth, United Kingdom.
John L PerezPfizer Global Vaccines, Collegeville, Pennsylvania.
Pfizer (United States) · USGlobal Vaccines (United States) · USPfizer (United Kingdom) · GBAarhus University Hospital · DKFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESPoznan University of Medical Sciences · PLSkåne University Hospital · SETampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeisseria meningitidis serogroup B (MnB) is a leading cause of invasive meningococcal disease in adolescents and young adults. A recombinant factor H binding protein (fHBP) vaccine (Trumenba(®); bivalent rLP2086) was recently approved in the United States in individuals aged 10-25 years. Immunogenicity and safety of 2- or 3-dose schedules of bivalent rLP2086 were assessed in adolescents.

methodsHealthy adolescents (11 to <19 years) were randomized to 1 of 5 bivalent rLP2086 dosing regimens (0,1,6-month; 0,2,6-month; 0,2-month; 0,4-month; 0,6-month). Immunogenicity was assessed by serum bactericidal antibody assay using human complement (hSBA). Safety assessments included local and systemic reactions and adverse events.

resultsBivalent rLP2086 was immunogenic when administered as 2 or 3 doses; the most robust hSBA responses occurred with 3 doses. The proportion of subjects with hSBA titers ≥1:8 after 3 doses ranged from 91.7% to 95.0%, 98.9% to 99.4%, 88.4% to 89.0%, and 86.1% to 88.5% for MnB test strains expressing vaccine--heterologous fHBP variants A22, A56, B24, and B44, respectively. After 2 doses, responses ranged from 90.8% to 93.5%, 98.4% to 100%, 69.1% to 81.1%, and 70.1% to 77.5%. Geometric mean titers (GMTs) were highest among subjects receiving 3 doses and similar between the 2- and 3-dose regimens. After 2 doses, GMTs trended numerically higher among subjects with longer intervals between the first and second dose (6 months vs 2 and 4 months). Bivalent rLP2086 was well tolerated.

conclusionsBivalent rLP2086 was immunogenic and well tolerated when administered in 2 or 3 doses. Three doses yielded the most robust hSBA response rates against MnB strains expressing vaccine-heterologous subfamily B fHBPs.

Indexed as

Antibody FormationNeisseria meningitidis, Serogroup BAdolescentAntibodies, BacterialAntigens, BacterialBacterial ProteinsFemaleHumansImmunogenicity, VaccineMaleMeningococcal InfectionsMeningococcal VaccinesSerum Bactericidal Antibody AssayVaccines, SyntheticAntibodies, BacterialAntigens, BacterialBacterial ProteinsMeningococcal VaccinesVaccines, Syntheticbivalent rLP2086clinical trialfunctional immunogenicityNeisseria meningitidis serogroup Bsafety

Identifiers

PMID26407272
PMCPMC5407127
OpenAlexW2112736812

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.