Evidence map›Paper›PMID 27686283›Full record

Trial reportHuman vaccines & immunotherapeutics2017

Safety and immunogenicity of a combined Tetanus, Diphtheria, recombinant acellular Pertussis vaccine (TdaP) in healthy Thai adults.

Chukiat Sirivichayakul, Pornthep Chanthavanich, Kriengsak Limkittikul, Claire-Anne Siegrist, Wassana Wijagkanalan, Pailinrut Chinwangso, Jean Petre, Pham Hong Thai, Mukesh Chauhan, Simonetta Viviani

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

Trial report in Human vaccines & immunotherapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  8. Article
  9. ERRATA CORRIGE.Journal of preventive medicine and hygiene · 2021
    Article
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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

10 authors at 2 institutions in 2 countries.

Chukiat Sirivichayakula Department of Tropical Pediatrics , Faculty of Tropical Medicine, Mahidol University , Bangkok , Thailand.
Pornthep Chanthavanicha Department of Tropical Pediatrics , Faculty of Tropical Medicine, Mahidol University , Bangkok , Thailand.
Kriengsak Limkittikula Department of Tropical Pediatrics , Faculty of Tropical Medicine, Mahidol University , Bangkok , Thailand.
Claire-Anne Siegristb WHO Collaborating Center for Vaccine Immunology, Faculty of Medicine, University of Geneva , Geneva , Switzerland.
Wassana Wijagkanalanc BioNet-Asia Co., Ltd., Prakanong , Bangkok , Thailand.
Pailinrut Chinwangsoc BioNet-Asia Co., Ltd., Prakanong , Bangkok , Thailand.
Jean Petrec BioNet-Asia Co., Ltd., Prakanong , Bangkok , Thailand.
Pham Hong Thaic BioNet-Asia Co., Ltd., Prakanong , Bangkok , Thailand.
Mukesh Chauhanc BioNet-Asia Co., Ltd., Prakanong , Bangkok , Thailand.
Simonetta Vivianic BioNet-Asia Co., Ltd., Prakanong , Bangkok , Thailand.
Mahidol Oxford Tropical Medicine Research Unit · THUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn acellular Pertussis (aP) vaccine containing recombinant genetically detoxified Pertussis Toxin (PTgen), Filamentous Hemagglutinin (FHA) and Pertactin (PRN) has been developed by BioNet-Asia (BioNet). We present here the results of the first clinical study of this recombinant aP vaccine formulated alone or in combination with tetanus and diphtheria toxoids (TdaP).

methodsA phase I/II, observer-blind, randomized controlled trial was conducted at Mahidol University in Bangkok, Thailand in healthy adult volunteers aged 18-35 y. The eligible volunteers were randomized to receive one dose of either BioNet's aP or Tetanus toxoid-reduced Diphtheria toxoid-acellular Pertussis (TdaP) vaccine, or the Tdap Adacel® vaccine in a 1:1:1 ratio. Safety follow-up was performed for one month. Immunogenicity was assessed at baseline, at 7 and 28 d after vaccination. Anti-PT, anti-FHA, anti-PRN, anti-tetanus and anti-diphtheria IgG antibodies were assessed by ELISA. Anti-PT neutralizing antibodies were assessed also by CHO cell assay.

resultsA total of 60 subjects (20 per each vaccine group) were enrolled and included in the safety analysis. Safety laboratory parameters, incidence of local and systemic post-immunization reactions during 7 d after vaccination and incidence of adverse events during one month after vaccination were similar in the 3 vaccine groups. One month after vaccination, seroresponse rates of anti-PT, anti-FHA and anti-PRN IgG antibodies exceeded 78% in all vaccine groups. The anti-PT IgG, anti-FHA IgG, and anti-PT neutralizing antibody geometric mean titers (GMTs) were significantly higher following immunization with BioNet's aP and BioNet's TdaP than Adacel® (P< 0.05). The anti-PRN IgG, anti-tetanus and anti-diphtheria GMTs at one month after immunization were comparable in all vaccine groups. All subjects had seroprotective titers of anti-tetanus and anti-diphtheria antibodies at baseline.

conclusionIn this first clinical study, PTgen-based BioNet's aP and TdaP vaccines showed a similar tolerability and safety profile to Adacel® and elicited significantly higher immune responses to PT and FHA.

Indexed as

AdolescentAdultAntibodies, BacterialCell SurvivalDiphtheriaDiphtheria-Tetanus-acellular Pertussis VaccinesDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsEnzyme-Linked Immunosorbent AssayFemaleHealthy VolunteersHumansImmunoglobulin GInjections, IntramuscularMaleNeutralization TestsAntibodies, BacterialDiphtheria-Tetanus-acellular Pertussis VaccinesImmunoglobulin Gclinical trialphase I/IIrecombinant acellular pertussis vaccineTdaPThailand

Identifiers

PMID27686283
PMCPMC5287298
OpenAlexW2524780288

What OpenQuestion holds

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LicenceCC BY-NC
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.