Evidence map›Paper›PMID 27746226›Full record

Trial reportThe Lancet. Global health2016

Efficacy of a Russian-backbone live attenuated influenza vaccine among young children in Bangladesh: a randomised, double-blind, placebo-controlled trial.

W Abdullah Brooks, K Zaman, Kristen D C Lewis, Justin R Ortiz, Doli Goswami, Jodi Feser, Amina Tahia Sharmeen, Kamrun Nahar, Mustafizur Rahman, Mohammed Ziaur Rahman and 6 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Lancet. Global health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 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.

NCT01797029 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled Trial on the Clinical Efficacy and Safety of a Single Dose of Trivalent Seasonal Live-Attenuated Influenza Vaccine(LAIV) Among Children Aged 24 Through 59 Months in Bangladesh

TypeinterventionalSponsorPATHRan2013 to 2014Enrolled1,761ConditionsInfluenzaArmsSIIL Live Attenuated Influenza Vaccine, Placebo
NCT05996549 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

Acceptability, Cost-Effectiveness, and Capacity of a Facility-Based Seasonal Influenza Vaccination: A Study in Selected Hospitals of Bangladesh

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2022 to 2024Enrolled2,567ConditionsInfluenza Vaccine, Cost-Effectiveness, VaccinationArmsQuadrivalent Influenza Vaccine
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Vaccines for preventing influenza in healthy children.The Cochrane database of systematic reviews · 2018
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  10. Influenza Among Young Children in Bangladesh: Clinical Characteristics and Outcomes From a Randomized Clinical Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
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  12. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

W Abdullah BrooksInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh; International Health, Johns Hopkins University, Baltimore, MD, USA.
K ZamanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Kristen D C LewisPATH, Seattle, WA, USA.
Justin R OrtizPATH, Seattle, WA, USA; Departments of Global Health and Medicine, University of Washington, Seattle, WA, USA.
Doli GoswamiInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Jodi FeserPATH, Seattle, WA, USA.
Amina Tahia SharmeenInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Kamrun NaharInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Mustafizur RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Mohammed Ziaur RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Burc BarinThe EMMES Corporation, Rockville, MD, USA.
Muhammad YunusInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Alicia M FryInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Joseph BreseeInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Tasnim AzimInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Kathleen M NeuzilPATH, Seattle, WA, USA. Electronic address: kneuzil@medicine.umaryland.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rates of influenza illness and associated complications are high among children in Bangladesh. We assessed the clinical efficacy and safety of a Russian-backbone live attenuated influenza vaccine (LAIV) at two field sites in Bangladesh.

methodsBetween Feb 27 and April 9, 2013, children aged 2-4 years in urban Kamalapur and rural Matlab, Bangladesh, were randomly assigned in a 2:1 ratio, according to a computer-generated schedule, to receive one intranasal dose of LAIV or placebo. After vaccination, we monitored children in weekly home visits until Dec 31, 2013, with study clinic surveillance for influenza illness. The primary outcome was symptomatic, laboratory-confirmed influenza illness due to vaccine-matched strains. Analysis was per protocol. The trial is registered with ClinicalTrials.gov, number NCT01797029.

findingsOf 1761 children enrolled, 1174 received LAIV and 587 received placebo. Laboratory-confirmed influenza illness due to vaccine-matched strains was seen in 93 (15·8%) children in the placebo group and 79 (6·7%) in the LAIV group. Vaccine efficacy of LAIV for vaccine-matched strains was 57·5% (95% CI 43·6-68·0). The vaccine was well tolerated, and adverse events were balanced between the groups. The most frequent adverse events were tachypnoea (n=86 in the LAIV group and n=54 in the placebo group), cough (n=73 and n=43), and runny nose (n=68 and n=39), most of which were mild.

interpretationThis single-dose Russian-backbone LAIV was safe and efficacious at preventing symptomatic laboratory-confirmed influenza illness due to vaccine-matched strains. LAIV programmes might reduce the burden of influenza illness in Bangladesh.

fundingThe Bill & Melinda Gates Foundation.

Indexed as

Administration, IntranasalBangladeshChild, PreschoolDouble-Blind MethodFemaleHumansImmunization ProgramsInfantInfluenza, HumanInfluenza VaccinesMalePlacebosVaccinationVaccines, AttenuatedInfluenza VaccinesPlacebosVaccines, Attenuated

Identifiers

PMID27746226
PMCPMC5118223

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.