Evidence map›Paper›PMID 26823540›Full record

Trial reportPediatrics2016

Safety and Immunogenicity of Sequential Rotavirus Vaccine Schedules.

Romina Libster, Monica McNeal, Emmanuel B Walter, Andi L Shane, Patricia Winokur, Gretchen Cress, Andrea A Berry, Karen L Kotloff, Kwabena Sarpong, Christine B Turley and 8 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
2.9field-weighted citation impact, top 10% 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, 38 citations in OpenAlex.

  1. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Trial
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  10. Review
  11. Inclusion of Women, Children, the Elderly, and Individuals With Underlying Medical Conditions: Prioritizing Vulnerable Populations in Clinical Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  12. Historical Advances in Clinical Trial Design and Expanding Representation as the New Frontier for Innovation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  13. Vaccine and Treatment Evaluation Units: A Historical Perspective.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  14. Future Goals and Long-term Vision of the Infectious Diseases Clinical Research Consortium/Vaccine and Treatment Evaluation Unit Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

18 authors at 12 institutions in 2 countries.

Romina LibsterDepartment of Pediatrics, Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, Nashville, Tennessee; Fundación INFANT, CABA, Argentina; National Scientific and Technical Research Council (CONICET), CABA, Argentina;
Monica McNealDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio;
Emmanuel B WalterDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina;
Andi L ShaneEmory University School of Medicine, Atlanta, Georgia;
Patricia WinokurUniversity of Iowa, Iowa City, Iowa;
Gretchen CressUniversity of Iowa, Iowa City, Iowa;
Andrea A BerryDepartment of Pediatrics, Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland;
Karen L KotloffDepartment of Pediatrics, Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland;
Kwabena SarpongThe University of Texas Medical Branch, Galveston, Texas;
Christine B TurleyThe University of Texas Medical Branch, Galveston, Texas;
Christopher J HarrisonChildren's Mercy Hospital, Kansas City, Missouri;
Barbara A PahudChildren's Mercy Hospital, Kansas City, Missouri;
Jyothi MarbinUCSF Benioff Children's Hospital Oakland, California;
John DunnGroup Health Cooperative, Seattle, Washington; and.
Jill El-KhorazatyEmmes Corporation, Rockville, Maryland.
Jill BarrettEmmes Corporation, Rockville, Maryland.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, Nashville, Tennessee; kathryn.edwards@vanderbilt.edu.
VTEU Rotavirus Vaccine Study Work Group
Children's Mercy Hospital · USEmmes (United States) · USThe University of Texas Medical Branch at Galveston · USUniversity of Iowa · USUniversity of Maryland, Baltimore · USCincinnati Children's Hospital Medical Center · USDuke University · USEmory University · USGroup Health Cooperative · USInfant Foundation · ARUCSF Benioff Children's Hospital · USVanderbilt University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The University of Iowa Clinical and Translational Science AwardU54TR001356 · NCATS · UNIVERSITY OF IOWA · PI WINOKUR, PATRICIA · 2015 to 2016
$7.1M
University of Iowa Institute for Clinical and Translational ScienceU54TR001013 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2014 to 2014
$4.2M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) KL2KL2RR024977 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$3.0M
NCATS NIH HHS U54 TR001013NCATS NIH HHS U54TR001013NCATS NIH HHS U54 TR001356NCRR NIH HHS KL2 RR024977NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1RR024975-01NIAID NIH HHS HHSN272200800004CNIAID NIH HHS HHSN272200800006CNIAID NIH HHS HHSN272200800013CNIAID NIH HHS HHSN272200800057CPHS HHS HHSN272200800004CPHS HHS HHSN272200800006CPHS HHS HHSN27220080000CPHS HHS HHSN272200800013CPHS HHS HHSN272200800057CPHS HHS HHSN27220800008CPHS HHS UI PO 1000920057
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough both licensed rotavirus vaccines are safe and effective, it is often not possible to complete the schedule by using the same vaccine formulation. The goal of this study was to investigate the noninferiority of the immune responses to the 2 licensed rotavirus vaccines when administered as a mixed schedule compared with administering a single vaccine formulation alone.

methodsRandomized, multicenter, open-label study. Healthy infants (6-14 weeks of age) were randomized to receive rotavirus vaccines in 1 of 5 different schedules (2 using a single vaccine for all doses, and 3 using mixed schedules). The group receiving only the monovalent rotavirus vaccine received 2 doses of vaccine and the other 4 groups received 3 doses of vaccine. Serum for immunogenicity testing was obtained 1 month after the last vaccine dose and the proportion of seropositive children (rotavirus immunoglobulin A ≥20 U/mL) were compared in all the vaccine groups.

resultsBetween March 2011 and September 2013, 1393 children were enrolled and randomized. Immune responses to all the sequential mixed vaccine schedules were shown to be noninferior when compared with the 2 single vaccine reference groups. The proportion of children seropositive to at least 1 vaccine antigen at 1 month after vaccination ranged from 77% to 96%, and was not significantly different among all the study groups. All schedules were well tolerated.

conclusionsMixed schedules are safe and induced comparable immune responses when compared with the licensed rotavirus vaccines given alone.

Indexed as

Immunization ScheduleAntibodies, ViralBiomarkersEnzyme-Linked Immunosorbent AssayFemaleHumansInfantMalePatient SafetyRotavirusRotavirus VaccinesAntibodies, ViralBiomarkersRotavirus Vaccines

Identifiers

PMID26823540
PMCPMC4732359
OpenAlexW2390601559

What OpenQuestion holds

Textmetadata
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.