Evidence map›Paper›PMID 27159397›Full record

Trial reportHuman vaccines & immunotherapeutics2016

Immunogenicity and safety of subunit plague vaccine: A randomized phase 2a clinical trial.

Kai Chu, Jialei Hu, Fanyue Meng, Jingxin Li, Li Luo, Jianjun Xu, Zhonghang Yuan, Zhiyong Li, Wangeng Chen, Lei Jiao and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Plague Gives Surprises in the Second Decade of the Twenty-First Century.The American journal of tropical medicine and hygiene · 2023
    Article
  6. Review
  7. Article
  8. Current Challenges in Vaccinology.Frontiers in immunology · 2020
    Review
  9. Article
  10. Vaccines for emerging pathogens: prospects for licensure.Clinical and experimental immunology · 2019
    Review
  11. Article
  12. 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

13 authors at 4 institutions in 1 country.

Kai Chua Jiangsu Provincial Center for Diseases Control and Prevention , Nanjing , China.
Jialei Hua Jiangsu Provincial Center for Diseases Control and Prevention , Nanjing , China.
Fanyue Menga Jiangsu Provincial Center for Diseases Control and Prevention , Nanjing , China.
Jingxin Lia Jiangsu Provincial Center for Diseases Control and Prevention , Nanjing , China.
Li Luob Department of Public Health , Southeast University , Nanjing , China.
Jianjun Xuc Yandu Center for Disease Control and Prevention , Yancheng , China.
Zhonghang Yuanc Yandu Center for Disease Control and Prevention , Yancheng , China.
Zhiyong Lic Yandu Center for Disease Control and Prevention , Yancheng , China.
Wangeng Chenc Yandu Center for Disease Control and Prevention , Yancheng , China.
Lei Jiaod Lanzhou Institute of Biological Products Co.,Ltd. , Lanzhou , China.
Yali Changd Lanzhou Institute of Biological Products Co.,Ltd. , Lanzhou , China.
Bingxiang Wangd Lanzhou Institute of Biological Products Co.,Ltd. , Lanzhou , China.
Yuemei Hua Jiangsu Provincial Center for Diseases Control and Prevention , Nanjing , China.
Jiangsu Provincial Center for Disease Control and Prevention · CNChinese Center For Disease Control and Prevention · CNLanzhou Institute of Husbandry and Pharmaceutical Sciences · CNSoutheast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the killed whole-cell and live attenuated plague vaccine have been licensed, they are rarely used today because of toxicities, limited evidence of efficacy against plague, poor immune persistence required booster immunization every year, and limited commercial availability. This study was a randomized phase 2a clinical trial aimed to evaluating the immunogenicity and safety of a novel subunit plague vaccine.

methods240 healthy adults aged 18-55 y were enrolled and randomly assigned at a ratio of 1:1 to receive 2 doses of 15 or 30 mcg vaccine at a 28-day interval between doses. Blood samples were collected at day 0, 28 and 56. Adverse events were collected during the first 28 d after each vaccination. Serious Adverse Event was observed throughout the study period.

results239 participants received the first dose at day 0 and 238 received the second dose at day 28. Antibodies to envelope antigen faction 1 (F1) and recombinant virulence antigen (rV) were increased at day 28, and boosted significantly at day 56. For anti-F1 antibodies, geometric mean titer (GMT) and geometric mean fold increase (GMFI) were significantly higher in 30 mcg group than in the 15 mcg group(each P1< 0.05 at day 28 and each P1< 0.001 at day 56), with similar seroconversion rate of antibodies between 15 and 30 mcg group at both of the 2 time points. For anti-rV antibodies, seroconversion rate at day 28 in 30 mcg group was higher than that in 15 mcg group. However, GMT and GMFI of anti-rV antibodies were increased to approximately the same levels in the 2 groups. Similar booster immune response was also noticed in both groups at day 56. The injections were well tolerated, with mainly mild or moderate local and systemic adverse reactions (lower than grad 3). The proportion of pain at injection site was higher in 30 mcg group. None of SAEs were reported during 56 d.

conclusionThe plague vaccine comprised of F1 and rV antigens showed good safety and immunogenicity in adults aged 18-55 y old. The data show that the 30 mcg formulation is generally more immunogenic than the 15 mcg formulation, and represents the preferred formulation for further clinical development. It will be important to evaluate the long-term efficacy for appropriate formulations of the plague subunit vaccine.

Indexed as

AdolescentAdultAntibodies, BacterialDrug-Related Side Effects and Adverse ReactionsFemaleHealthy VolunteersHumansMaleMiddle AgedPlague VaccineVaccines, SubunitYoung AdultAntibodies, BacterialPlague VaccineVaccines, SubunitimmunogenicityPhase2aPlague vaccineSafetyVaccine clinical trial

Identifiers

PMID27159397
PMCPMC5027722
OpenAlexW2346695359

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.