Evidence map›Paper›PMID 26657997›Full record

Trial reportVaccine2016

Cell mediated immune responses following revaccination with an influenza A/H5N1 vaccine.

Innocent N Mbawuike, Robert L Atmar, Shital M Patel, David B Corry, Patricia L Winokur, Rebecca C Brady, Wilbur H Chen, Kathryn M Edwards, C Buddy Creech, Emmanuel B Walter and 5 more

Abstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  2. Article
  3. Review
  4. 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 1 country.

Innocent N MbawuikeDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States.
Robert L AtmarDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States; Department of Medicine, Baylor College of Medicine, Houston, TX, United States. Electronic address: ratmar@bcm.edu.
Shital M PatelDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States; Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
David B CorryDepartment of Medicine, Baylor College of Medicine, Houston, TX, United States.
Patricia L WinokurDepartment of Internal Medicine, University of Iowa, Iowa City, IA, United States.
Rebecca C BradyGamble Program for Clinical Studies, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Wilbur H ChenCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, United States.
Kathryn M EdwardsVanderbilt Vaccine Research Program, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, United States.
C Buddy CreechVanderbilt Vaccine Research Program, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, United States.
Emmanuel B WalterDuke Clinical Vaccine Unit, Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States.
Sharon E FreyDepartment of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO, United States.
Robert B BelsheDepartment of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO, United States.
Johannes B GollEMMES Corporation, Rockville, MD, United States.
Heather HillEMMES Corporation, Rockville, MD, United States.
Wendy A KeitelDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States; Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Baylor College of Medicine · USEmmes (United States) · USSaint Louis University · USVanderbilt University · USCincinnati Children's Hospital Medical Center · USDuke University · USUniversity of Iowa · USUniversity of Maryland, Baltimore · US

Funding

The University of Iowa Clinical and Translational Science AwardU54TR001356 · NCATS · UNIVERSITY OF IOWA · PI WINOKUR, PATRICIA · 2015 to 2016
$7.1M
Molecular Phenotypes for Lung DiseasesR01HL095382 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI CORRY, DAVID B, KHERADMAND, FARRAH · 2008 to 2011
$2.8M
Th1 and Th17 Mediators in Experimental EmphysemaR01HL117181 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI CORRY, DAVID B, KHERADMAND, FARRAH · 2013 to 2016
$1.5M
Carbon Black Induced Activation of Lung APCsI01BX002221 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI CORRY, DAVID B · 2013 to 2016
–
BLRD VA I01 BX002221NCATS NIH HHS U54 TR001356NHLBI NIH HHS R01 HL095382NHLBI NIH HHS R01 HL117181NIAID NIH HHS HHSN272200800001CNIAID NIH HHS HHSN272200800001GNIAID NIH HHS HHSN272200800001INIAID NIH HHS HHSN272200800001ONIAID NIH HHS HHSN272200800002CNIAID NIH HHS HHSN272200800003CNIAID NIH HHS HHSN272200800006CNIAID NIH HHS HHSN272200800007CNIAID NIH HHS HHSN272200800008CNIAID NIH HHS HHSN272200800013CPHS HHS HHSN2722-00800001CPHS HHS HHSN272200800002CPHS HHS HHSN272200800003CPHS HHS HHSN272200800006CPHS HHS HHSN272200800007CPHS HHS HHSN272200800008CPHS HHS HHSN272200800013C
6 · The paper itself

Abstract

purposeThe study aims were to determine whether inactivated influenza A/H5N1 vaccine administration elicited cell mediated immune (CMI) responses and the impact of adjuvant, vaccine dose and subject age on these responses.

methodsAdults who were previously primed with either adjuvanted or unadjuvanted, inactivated, A/H5N1/Vietnam/1203/2004 (Clade 1) vaccine or unprimed (received placebo) in previous vaccine studies were randomized to receive one (primed) or two (unprimed) 15- or 90-mcg doses of inactivated, A/H5N1/Indonesia/05/05 (Clade 2) vaccine. Peripheral blood mononuclear cells (PBMCs) were collected and analyzed from a subset of vaccinees to assess CMI responses using IFN-γ and granzyme B ELISPOT assays. Cytokine measurements were performed on PBMC supernatants after stimulation with H5N1 virus.

resultsPBMCs were available from 177 participants; 88 and 89 received 15-mcg and 90-mcg of unadjuvanted clade 2 vaccine, respectively. Following H5N1 clade 1 stimulation, IFN-γ but not granzyme B normalized spot-forming cell numbers had statistically significant increased numbers at each of the post-vaccination timepoints compared to baseline in pooled analyses of all vaccine doses and age groups. Clade 2 stimulation resulted in statistically significant increased numbers of IFN-γ cells only 180 days following the last vaccination. Responses were similar among younger and older study participants, as were responses among those primed with alum-adjuvanted or non-adjuvanted clade 1 H5N1 vaccines. The dosage of clade 2 vaccine did not impact CMI responses among primed subjects, but responses were statistically significantly greater in unprimed recipients of the 90-mcg dosage compared to unprimed recipients of the 15-mcg dosage. IFN-γ levels in the supernatants of stimulated PBMC were strongly correlated with IFN-γ ELISPOT results.

conclusionCMI responses occur in adults administered influenza A/H5N1 inactivated influenza vaccine.

Indexed as

Immunity, CellularImmunization, SecondaryAdjuvants, ImmunologicAdultAgedAge FactorsCytokinesFemaleGranzymesHumansInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza VaccinesInterferon-gammaLeukocytes, MononuclearMaleAdjuvants, ImmunologicCytokinesGranzymesIFNG protein, humanInfluenza VaccinesInterferon-gammaVaccines, InactivatedAdjuvantCell mediated immune responseCytokineH5N1Inactivated influenza vaccine

Identifiers

PMID26657997
PMCPMC4713282
OpenAlexW2185306026

What OpenQuestion holds

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LicenceTDM
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.