Evidence map›Paper›PMID 26873052›Full record

Trial reportVaccine2016

Supplemental measles vaccine antibody response among HIV-infected and -uninfected children in Malawi after 1- and 2-dose primary measles vaccination schedules.

Ashley L Fowlkes, Desiree Witte, Judy Beeler, Susette A Audet, Robin Broadhead, William J Bellini, Felicity Cutts, Rita F Helfand

Open access · hybridAbstract readComparative StudyRandomized 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 4 institutions in 4 countries.

Ashley L FowlkesCenters for Disease Control and Prevention (CDC), Atlanta, GA USA. Electronic address: afowlkes@cdc.gov.
Desiree WitteCollege of Medicine, University of Malawi, Blantyre, Malawi.
Judy BeelerCenter for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD, USA.
Susette A AudetCenter for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD, USA.
Robin BroadheadCollege of Medicine, University of Malawi, Blantyre, Malawi.
William J BelliniCenters for Disease Control and Prevention (CDC), Atlanta, GA USA.
Felicity CuttsLondon School of Hygiene and Tropical Medicine, London, UK.
Rita F HelfandCenters for Disease Control and Prevention (CDC), Atlanta, GA USA.
Centers for Disease Control and Prevention · USCenter for Biologics Evaluation and Research · USUniversity of Malawi · MWLondon School of Hygiene & Tropical Medicine · GB

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe long-term antibody response to measles vaccine (MV) administered at age 6 months with or without subsequent doses is not well documented.

methodsMeasles serum antibody responses were evaluated after a supplemental dose of measles vaccine (sMV) administered at a median age of 20 months among Malawian children who had previously received 2 doses of measles vaccine (MV) at ages 6 and 9 months (HIV-infected and random sample of HIV-uninfected) or 1 dose at age 9 months (random sample of HIV-uninfected). We compared measles antibody seropositivity between groups by enzyme linked immunoassay and seroprotection by plaque reduction neutralization geometric mean concentrations.

resultsOf 1756 children enrolled, 887 (50.5%) received a sMV dose following MV at 9 months of age and had specimens available after sMV receipt, including 401 HIV-uninfected children who received one MV dose at 9 months, 464 HIV-uninfected and 22 HIV-infected children who received two doses of MV at ages 6 and 9 months. Among HIV-uninfected children, protective levels of antibody were found post sMV in 90-99% through ages 24-36 months and were not affected by MV schedule. Geometric mean concentration levels of measles antibody were significantly increased post-sMV among those HIV-uninfected children previously non-responsive to vaccination. Among HIV-infected children, the proportion seroprotected increased initially but by 9 months post-sMV was no higher than pre-sMV.

conclusionsOur findings support early 2-dose MV to provide measles immunity for young infants without risk of interference with antibody responses to subsequent MV doses administered as part of SIAs.

Indexed as

HIV InfectionsImmunity, HumoralImmunization, SecondaryAntibodies, ViralAntibody FormationFemaleHumansImmunization ScheduleInfantMalawiMaleMeaslesMeasles VaccineAntibodies, ViralMeasles VaccineAntibody responseHIVMeasles vaccineNeutralizing antibodySupplementary immunization activity

Identifiers

PMID26873052
PMCPMC5737013
OpenAlexW2264494045

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.