Evidence map›Paper›PMID 27936344›Full record

Trial reportHuman vaccines & immunotherapeutics2017

Safety and immunogenicity of a Herpes Zoster subunit vaccine in Japanese population aged ≥50 years when administered subcutaneously vs. intramuscularly.

Peter Vink, Masanari Shiramoto, Masayuki Ogawa, Masahiro Eda, Martine Douha, Thomas Heineman, Himal Lal

Abstract readClinical Trial, Phase IIIRandomized 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 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 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.

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, 4 syntheses or guidelines pooled it.

  1. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  3. Vaccines for preventing herpes zoster in older adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Pooled it
  5. Design, Synthesis andArchives of Razi Institute · 2024
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Subcutaneous vaccine administration - an outmoded practice.Human vaccines & immunotherapeutics · 2021
    Review
  11. Article
  12. Varicella zoster virus vaccines: an update.ImmunoTargets and therapy · 2019
    Article
  13. Review
  14. Article
  15. Review
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

7 authors.

Peter Vinka GSK Vaccines , Rockville , MD , USA.
Masanari Shiramotob SOUSEKAI PS Clinic , Tenyamachi, Hakata-ku, Fukuoka , Japan.
Masayuki Ogawac Japan Vaccine Company Ltd. , Chiyoda-ku , Tokyo , Japan.
Masahiro Edac Japan Vaccine Company Ltd. , Chiyoda-ku , Tokyo , Japan.
Martine Douhad GSK Vaccines , Wavre , Belgium.
Thomas Heinemana GSK Vaccines , Rockville , MD , USA.
Himal Lala GSK Vaccines , Rockville , MD , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of alternate routes of vaccine administration, subcutaneous (SC) or intramuscular (IM), on the safety and immunogenicity of herpes zoster subunit candidate vaccine (HZ/su) was assessed in Japanese adults aged ≥ 50 y. During this phase III open-label study, 60 subjects were randomized (1:1) to receive HZ/su through SC or IM routes in a 0, 2 month schedule. Vaccine response rates (VRRs) and geometric mean concentrations (GMCs) of varicella zoster virus glycoprotein E (gE)-specific antibodies were determined by ELISA. Solicited and unsolicited symptoms were recorded for 7 and 30 d after each vaccination and graded 1-3 in severity. Serious adverse events (SAEs) were recorded throughout the study. At one month post-dose 2, VRRs were 100% (95% Confidence Interval (CI): 88.1-100) in both groups; anti-gE antibody GMCs were 44126.1 mIU/ml (95% CI: 36326.1-53601.0) and 45521.5 mIU/ml (95% CI; 37549.5-55185.9) in the SC and IM groups, respectively. Injection site reactions (pain, swelling and redness) were common, and observed more frequently following SC administration. Grade 3 redness and swelling were more frequently observed after SC administration. Fatigue and headache were the most frequently reported general symptoms for both routes of administration. Ten and 7 unsolicited AEs were reported in the SC and IM group, respectively. Two unsolicited AEs (1 in SC; 1 in IM) were considered related to vaccination by the investigator. Three non-fatal SAEs considered unrelated to vaccination were reported during the study. Administration of the HZ/su vaccine candidate resulted in a substantial immune response that was comparable between SC and IM subjects, but local reactogenicity may be greater for SC.

Indexed as

AgedAged, 80 and overAntibodies, ViralDrug-Related Side Effects and Adverse ReactionsEnzyme-Linked Immunosorbent AssayFemaleHerpes Zoster VaccineHumansInjections, IntramuscularInjections, SubcutaneousJapanMaleMiddle AgedVaccines, SubunitViral Envelope ProteinsAntibodies, Viralglycoprotein E, varicella-zoster virusHerpes Zoster VaccineVaccines, SubunitViral Envelope Proteinsadjuvantadjuvanted vaccineherpes zosterHZ/su vaccineimmunogenicityintramuscularreactogenicitysubcutaneous

Identifiers

PMID27936344
PMCPMC5360149

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Registered trials

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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.