Evidence map›Paper›PMID 27429204›Full record

Trial reportPediatric research2016

Nonspecific effect of BCG vaccination at birth on early childhood infections: a randomized, clinical multicenter trial.

Jesper Kjærgaard, Nina M Birk, Thomas N Nissen, Lisbeth M Thøstesen, Gitte T Pihl, Christine S Benn, Dorthe L Jeppesen, Ole Pryds, Poul-Erik Kofoed, Peter Aaby and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04534803 (Bacillus Calmette-Guerin Against Covid-19 for Prevention and Amelioration of Severity Trial), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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.

NCT04534803 phase3withdrawnnot on this mapstarted 2021, after this paper: background citation

Bacillus Calmette-Guerin Against Covid-19 for Prevention and Amelioration of Severity Trial

TypeinterventionalSponsorHarvard Medical School (HMS and HSDM)Ran2021 to 2022Enrolled0ConditionsCovid19ArmsBCG Vaccine, Placebo
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. Bacillus Calmette-Guérin vaccination at birth and in vitro cytokine responses to non-specific stimulation. A randomized clinical trial.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
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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

12 authors.

Jesper KjærgaardThe Department of Paediatrics and Adolescent Medicine, Juliane Marie Center, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Nina M BirkDepartment of Paediatrics 460, Copenhagen University Hospital, Hvidovre, Denmark.
Thomas N NissenDepartment of Paediatrics 460, Copenhagen University Hospital, Hvidovre, Denmark.
Lisbeth M ThøstesenDepartment of Paediatrics, Kolding Hospital, University of Southern Denmark, Kolding, Denmark.
Gitte T PihlDepartment of Paediatrics, Kolding Hospital, University of Southern Denmark, Kolding, Denmark.
Christine S BennResearch Center for Vitamins and Vaccines (CVIVA), Statens Serum Institut and OPEN, Institute of Clinical Research, University of Southern Denmark/Odense University Hospital, Copenhagen, Denmark.
Dorthe L JeppesenDepartment of Paediatrics 460, Copenhagen University Hospital, Hvidovre, Denmark.
Ole PrydsDepartment of Paediatrics 460, Copenhagen University Hospital, Hvidovre, Denmark.
Poul-Erik KofoedDepartment of Paediatrics, Kolding Hospital, University of Southern Denmark, Kolding, Denmark.
Peter AabyBandim Health Project, Statens Serum Institut, Copenhagen, Denmark.
Gorm GreisenThe Neonatal Department, Juliane Marie Centret, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Lone G StensballeThe Department of Paediatrics and Adolescent Medicine, Juliane Marie Center, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood infections are common and Bacillus Calmette-Guérin (BCG) vaccination at birth may prevent these via nonspecific effects.

methodsA randomized, clinical multicenter trial. All women planning to give birth (n = 16,521) at the three study sites were invited during the recruitment period. Participating children were randomized to receive BCG within 7 d of birth or to a no intervention control group. Parent-reported infections (events) were collected using telephone interviews at 3 and 13 mo. Data collectors were blinded to allocation.

resultsThe analyses included 4,224/4,262 (99%) and 4,192/4,262 (98%) children at 3 and 13 mo. From 0 to 3 mo, there were 291 events in the BCG group vs. 336 events in the control group, incidence rate ratio (IRR) = 0.87 (95% confidence interval (CI): 0.72 to 1.05). In this age group, the IRR was 0.62 (95% CI: 0.39 to 0.98) if the mother was BCG vaccinated. From 3 to 13 mo, there were 7,028 vs. 6,791 events, IRR = 1.02 (95% CI: 0.97 to 1.07).

conclusionThis study did not find a nonspecific public health benefit of BCG on parent-reported infections. BCG may have reduced the incidence of infections in children of BCG-vaccinated mothers during the first 3 mo.

Indexed as

Bacterial InfectionsBCG VaccineCommunicable Disease ControlDenmarkFemaleHumansIncidenceInfantInfant, NewbornMaleMycobacterium tuberculosisPregnancyReproducibility of ResultsTime FactorsVaccinationBCG Vaccine

Identifiers

PMID27429204

What OpenQuestion holds

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Registered trials

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.