Evidence map›Paper›PMID 26825000›Full record

Trial reportThe Journal of allergy and clinical immunology2016

No long-term evidence of hyporesponsiveness after use of pneumococcal conjugate vaccine in children previously immunized with pneumococcal polysaccharide vaccine.

Paul V Licciardi, Zheng Quan Toh, Elizabeth A Clutterbuck, Anne Balloch, Rachel A Marimla, Leena Tikkanen, Karen E Lamb, Kathryn J Bright, Uraia Rabuatoka, Lisi Tikoduadua and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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.

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.

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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

17 authors.

Paul V LicciardiPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia. Electronic address: paul.licciardi@mcri.edu.au.
Zheng Quan TohPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Elizabeth A ClutterbuckDepartment of Paediatrics, University of Oxford, and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom.
Anne BallochPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Rachel A MarimlaPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Leena TikkanenPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Karen E LambDepartment of Paediatrics, University of Melbourne, Parkville, Australia; Clinical Epidemiology and Biostatistics Unit, Murdoch Childrens Research Institute, Melbourne, Australia.
Kathryn J BrightPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Uraia RabuatokaMataika House, National Centre for Communicable Disease Research, Suva, Fiji.
Lisi TikoduaduaColonial War Memorial Hospital, Suva, Fiji.
Laura K BoelsenPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia.
Eileen M DunnePneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Catherine SatzkePneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Department of Microbiology and Immunology at the Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, Australia.
Yin Bun CheungCenter for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore; Department of International Health, University of Tampere, Tampere, Finland.
Andrew J PollardDepartment of Paediatrics, University of Oxford, and the NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom.
Fiona M RussellDepartment of Paediatrics, University of Melbourne, Parkville, Australia; Centre for International Child Health, Murdoch Childrens Research Institute, Melbourne, Australia.
Edward K MulhollandPneumococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia; Menzies School of Health Research, Darwin, Australia; London School of Hygiene and Tropical Medicine, London, United Kingdom.

Funding

The safety of pneumococcal polysaccharide vaccine in children - a followup study.R01AI085198 · NIAID · MURDOCH CHILDREN'S RESEARCH INSTITUTE · PI MULHOLLAND, EDWARD KIM · 2010 to 2011
$936k
NIAID NIH HHS R01 AI085198
6 · The paper itself

Abstract

backgroundA randomized controlled trial in Fiji examined the immunogenicity and effect on nasopharyngeal carriage after 0, 1, 2, or 3 doses of 7-valent pneumococcal conjugate vaccine (PCV7; Prevnar) in infancy followed by 23-valent pneumococcal polysaccharide vaccine (23vPPV; Pneumovax) at 12 months of age. At 18 months of age, children given 23vPPV exhibited immune hyporesponsiveness to a micro-23vPPV (20%) challenge dose in terms of serotype-specific IgG and opsonophagocytosis, while 23vPPV had no effect on vaccine-type carriage.

objectiveThis follow-up study examined the long-term effect of the 12-month 23vPPV dose by evaluating the immune response to 13-valent pneumococcal conjugate vaccine (PCV13) administration 4 to 5 years later.

methodsBlood samples from 194 children (now 5-7 years old) were taken before and 28 days after PCV13 booster immunization. Nasopharyngeal swabs were taken before PCV13 immunization. We measured levels of serotype-specific IgG to all 13 vaccine serotypes, opsonophagocytosis for 8 vaccine serotypes, and memory B-cell responses for 18 serotypes before and after PCV13 immunization.

resultsPaired samples were obtained from 185 children. There were no significant differences in the serotype-specific IgG, opsonophagocytosis, or memory B-cell response at either time point between children who did or did not receive 23vPPV at 12 months of age. Nasopharyngeal carriage of PCV7 and 23vPPV serotypes was similar among the groups. Priming with 1, 2, or 3 PCV7 doses during infancy did not affect serotype-specific immunity or carriage.

conclusionImmune hyporesponsiveness induced by 23vPPV in toddlers does not appear to be sustained among preschool children in this context and does not affect the pneumococcal carriage rate in this age group.

Indexed as

ImmunityAntibodies, BacterialChildChild, PreschoolFemaleFijiFollow-Up StudiesHeptavalent Pneumococcal Conjugate VaccineHospitalizationHumansImmunization ScheduleImmunization, SecondaryImmunoglobulin GInfantInfant, NewbornMale23-valent pneumococcal capsular polysaccharide vaccineAntibodies, BacterialHeptavalent Pneumococcal Conjugate VaccineImmunoglobulin GPneumococcal VaccinesVaccines, Conjugate23vPPVantibodyhyporesponsivenessmemory B cellopsonophagocytosisPneumococcal polysaccharide vaccine

Identifiers

PMID26825000
PMCPMC4899320

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Registered trials

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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.