Evidence map›Paper›PMID 27847368›Full record

Trial reportClinical and vaccine immunology : CVI2017

The Live Attenuated Cholera Vaccine CVD 103-HgR Primes Responses to the Toxin-Coregulated Pilus Antigen TcpA in Subjects Challenged with Wild-Type Vibrio cholerae.

Leslie M Mayo-Smith, Jakub K Simon, Wilbur H Chen, Douglas Haney, Michael Lock, Caroline E Lyon, Stephen B Calderwood, Beth D Kirkpatrick, Mitchell Cohen, Myron M Levine and 2 more

Open access · diamondAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Clinical and vaccine immunology : CVI, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Frontiers in medicine · 2023
    Review
  8. Article
  9. InactivatedJournal of microbiology and biotechnology · 2022
    Article
  10. Review
  11. Article
  12. mSphere · 2019
    Review
  13. Article
  14. Cholera: Immunity and Prospects in Vaccine Development.The Journal of infectious diseases · 2018
    Article
  15. 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

12 authors at 7 institutions in 1 country.

Leslie M Mayo-SmithDivision of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jakub K SimonMerck & Co., Inc., Kenilworth, New Jersey, USA.
Wilbur H ChenCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0001-7741-5536
Douglas HaneyPaxVax, Inc., Redwood City, California, USA.
Michael LockPaxVax, Inc., Redwood City, California, USA.
Caroline E LyonDepartment of Medicine, Unit of Infectious Disease and Vaccine Testing Center, University of Vermont College of Medicine, Burlington, Vermont, USA.
Stephen B CalderwoodDivision of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Beth D KirkpatrickDepartment of Medicine, Unit of Infectious Disease and Vaccine Testing Center, University of Vermont College of Medicine, Burlington, Vermont, USA.
Mitchell CohenCincinnati Children's Hospital Medical Center and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Myron M LevineCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Marc GurwithPaxVax, Inc., Redwood City, California, USA.
Jason B HarrisDivision of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA jbharris@mgh.harvard.edu.
PaxVax (United States) · USHarvard University · USUniversity of Maryland, Baltimore · USUniversity of Vermont · USCincinnati Children's Hospital Medical Center · USMassachusetts General Hospital · USMerck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

Immune Responses to Vibrio cholerae infection and vaccination in HaitiR01AI099243 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI HARRIS, JASON B, IVERS, LOUISE C. · 2012 to 2022
$7.9M
Vermont Immunology/Infectious Diseases CenterP30GM118228 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI BUDD, RALPH C · 2016 to 2021
$6.8M
Innate and early B cell responses to V. choleraeR01AI103055 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI HARRIS, JASON B · 2014 to 2018
$3.9M
NIAID NIH HHS R01 AI099243NIAID NIH HHS R01 AI103055NIGMS NIH HHS P30 GM118228
6 · The paper itself

Abstract

One potential advantage of live attenuated bacterial vaccines is the ability to stimulate responses to antigens which are only expressed during the course of infection. To determine whether the live attenuated cholera vaccine CVD 103-HgR (Vaxchora) results in antibody responses to the in vivo-induced toxin-coregulated pilus antigen TcpA, we measured IgA and IgG responses to Vibrio cholerae O1 El Tor TcpA in a subset of participants in a recently reported experimental challenge study. Participants were challenged with V. cholerae O1 El Tor Inaba N16961 either 10 days or 90 days after receiving the vaccine or a placebo. Neither vaccination nor experimental infection with V. cholerae alone resulted in a robust TcpA IgG or IgA response, but each did elicit a strong response to cholera toxin. However, compared to placebo recipients, vaccinees had a marked increase in IgG TcpA antibodies following the 90-day challenge, suggesting that vaccination with CVD 103-HgR resulted in priming for a subsequent response to TcpA. No such difference between vaccine and placebo recipients was observed for volunteers challenged 10 days after vaccination, indicating that this was insufficient time for vaccine-induced priming of the TcpA response. The priming of the response to TcpA and potentially other antigens expressed in vivo by attenuated V. cholerae may have relevance to the maintenance of immunity in areas where cholera is endemic.

Indexed as

AdultAntibodies, BacterialAntigens, BacterialCholeraCholera VaccinesDouble-Blind MethodFemaleFimbriae ProteinsHumansImmunoglobulin AImmunoglobulin GMalePlacebosVaccines, AttenuatedVibrio cholerae O1VolunteersAntibodies, BacterialAntigens, Bacterialcholera vaccine CVD 103-HgRCholera VaccinesFimbriae ProteinsImmunoglobulin AImmunoglobulin GPlacebosTcpA protein, Vibrio choleraeVaccines, AttenuatedchallengecholeraprimingTcpAvaccines

Identifiers

PMID27847368
PMCPMC5216439
OpenAlexW2552022278

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.