Evidence map›Paper›PMID 26979136›Full record

Trial reportVaccine2016

Randomized, double-blind, active-controlled study evaluating the safety and immunogenicity of three vaccination schedules and two dose levels of AV7909 vaccine for anthrax post-exposure prophylaxis in healthy adults.

Robert J Hopkins, Gurdyal Kalsi, Victor M Montalvo-Lugo, Mona Sharma, Yukun Wu, Derek D Muse, Eric A Sheldon, Frank C Hampel, Laurence Lemiale

Open access · hybridAbstract readClinical 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 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.8field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Use of Anthrax Vaccine in the United States: Recommendations of the Advisory Committee on Immunization Practices, 2019.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2019
    Guideline
  2. Trial
  3. Article
  4. Human anthrax vaccines: Current status and future prospects.Human vaccines & immunotherapeutics · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Role of site-directed mutagenesis and adjuvants in the stability and potency of anthrax protective antigen.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Review
  12. Review
  13. Article
  14. Article
  15. Biodefence research two decades on: worth the investment?The Lancet. Infectious diseases · 2021
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  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

9 authors at 2 institutions in 1 country.

Robert J HopkinsEmergent BioSolutions Inc., 400 Professional Drive, Gaithersburg, MD 20879, USA. Electronic address: hopkinsr@ebsi.com.
Gurdyal KalsiEmergent BioSolutions Inc., 400 Professional Drive, Gaithersburg, MD 20879, USA.
Victor M Montalvo-LugoEmergent BioSolutions Inc., 400 Professional Drive, Gaithersburg, MD 20879, USA.
Mona SharmaEmergent BioSolutions Inc., 400 Professional Drive, Gaithersburg, MD 20879, USA.
Yukun WuEmergent BioSolutions Inc., 400 Professional Drive, Gaithersburg, MD 20879, USA.
Derek D MuseJean Brown Research, 1045 East 3900 South, Suite 100, Salt Lake City, UT 84124, USA.
Eric A SheldonMiami Research Associates, 6141 Sunset Drive, Suite 301, South, Miami, FL 33143, USA.
Frank C HampelCentral Texas Health Research, 705-A Landa, New Braunfels, TX 78130, USA.
Laurence LemialeEmergent BioSolutions Inc., 400 Professional Drive, Gaithersburg, MD 20879, USA.
Emergent BioSolutions (United States) · USJean Brown Research · US

Funding

NIAID NIH HHS HHSN272201000035CPHS HHS HHSN272201000035C
6 · The paper itself

Abstract

AV7909 vaccine being developed for post-exposure prophylaxis of anthrax disease may require fewer vaccinations and reduced amount of antigen to achieve an accelerated immune response over BioThrax(®) (Anthrax Vaccine Adsorbed). A phase 2, randomized, double-blind, BioThrax vacccine-controlled study was conducted to evaluate the safety and immunogenicity of three intramuscular vaccination schedules and two dose levels of AV7909 in 168 healthy adults. Subjects were randomized at a 4:3:2:4:2 ratio to 5 groups: (1) AV7909 on Days 0/14; (2) AV7909 on Days 0/28; (3) AV7909 on Days 0/14/28; (4) half dose AV7909 on Days 0/14/28; and (5) BioThrax vaccine on Days 0/14/28. Vaccinations in all groups were well tolerated. The incidences of adverse events (AEs) were 79% for AV7909 subjects and 65% for BioThrax subjects; 92% of AV7909 subjects and 87% of BioThrax subjects having AEs reported Grade 1-2 AEs. No serious AEs were assessed as potentially vaccine-related, and no AEs of potential autoimmune etiology were reported. There was no discernible pattern indicative of a safety concern across groups in the incidence or severity of reactogenicity events. Groups 2-4 achieved success for the primary endpoint, demonstrated by a lower 95% confidence limit of the percentage of subjects with protective toxin neutralizing antibody NF50 values (≥0.56) to be ≥40% at Day 63. Group 1 marginally missed the criterion (lower bound 95% confidence limit of 39.5%). Immune responses were above this threshold for Groups 1, 3 and 4 at Day 28 and all groups at Day 42. Further study of an AV7909 two-dose schedule given 2 weeks apart is warranted in light of the favorable tolerability profile and immunogenicity response relative to three doses of BioThrax vaccine, as well as preliminary data from nonclinical studies indicating similar immune responses correlate with higher survival for AV7909 than BioThrax vaccine.

Indexed as

Immunization ScheduleAdjuvants, ImmunologicAdultAnthraxAnthrax VaccinesAntibodies, BacterialAntibodies, NeutralizingDouble-Blind MethodFemaleHumansMaleMiddle AgedOligodeoxyribonucleotidesPost-Exposure ProphylaxisYoung AdultAdjuvants, ImmunologicAnthrax VaccinesAntibodies, BacterialAntibodies, NeutralizingBiothraxOligodeoxyribonucleotidesProMuneAnthraxBioThrax(®) (Anthrax Vaccine Adsorbed)CPG 7909Post-exposure prophylaxisVaccine

Identifiers

PMID26979136
PMCPMC4839983
OpenAlexW2294922848

What OpenQuestion holds

Textmetadata
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.