Evidence map›Paper›PMID 28362135›Full record

Trial reportHuman vaccines & immunotherapeutics2017

Immunogenicity and safety evaluation of bivalent types 1 and 3 oral poliovirus vaccine by comparing different poliomyelitis vaccination schedules in China: A randomized controlled non-inferiority clinical trial.

Jingjun Qiu, Yunkai Yang, Lirong Huang, Ling Wang, Zhiwei Jiang, Jian Gong, Wei Wang, Hongyan Wang, Shaohong Guo, Chanjuan Li and 3 more

Open access · bronzeAbstract readRandomized 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, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Immunogenicity of New Primary Immunization Schedules With Inactivated Poliovirus Vaccine and Bivalent Oral Polio Vaccine for the Polio Endgame: A Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    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

13 authors at 2 institutions in 1 country.

Jingjun Qiua Department of Health Statistics, School of Preventive Medicine , Fourth Military Medical University , Xi'an , Shaanxi , China.
Yunkai Yangb Beijing Tiantan Biological Products CO., Ltd. , Beijing , China.
Lirong Huangc Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention , Nanning , Guangxi Zhuang Autonomous Region , China.
Ling Wanga Department of Health Statistics, School of Preventive Medicine , Fourth Military Medical University , Xi'an , Shaanxi , China.
Zhiwei Jianga Department of Health Statistics, School of Preventive Medicine , Fourth Military Medical University , Xi'an , Shaanxi , China.
Jian Gongc Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention , Nanning , Guangxi Zhuang Autonomous Region , China.
Wei Wangb Beijing Tiantan Biological Products CO., Ltd. , Beijing , China.
Hongyan Wangb Beijing Tiantan Biological Products CO., Ltd. , Beijing , China.
Shaohong Guob Beijing Tiantan Biological Products CO., Ltd. , Beijing , China.
Chanjuan Lia Department of Health Statistics, School of Preventive Medicine , Fourth Military Medical University , Xi'an , Shaanxi , China.
Shuyuan Weib Beijing Tiantan Biological Products CO., Ltd. , Beijing , China.
Zhaojun Moc Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention , Nanning , Guangxi Zhuang Autonomous Region , China.
Jielai Xiaa Department of Health Statistics, School of Preventive Medicine , Fourth Military Medical University , Xi'an , Shaanxi , China.
Air Force Medical University · CNGuangxi Center for Disease Prevention and Control · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe type 2 component of the oral poliovirus vaccine is targeted for global withdrawal through a switch from the trivalent oral poliovirus vaccine (tOPV) to a bivalent oral poliovirus vaccine (bOPV). The switch is intended to prevent paralytic polio caused by circulating vaccine-derived poliovirus type 2. We aimed to assess the immunogenicity and safety profile of 6 vaccination schedules with different sequential doses of inactivated poliovirus vaccine (IPV), tOPV, or bOPV.

methodsA randomized controlled trial was conducted in China in 2015. Healthy newborn babies randomly received one of the following 6 vaccination schedules: cIPV-bOPV-bOPV(I-B-B), cIPV-tOPV-tOPV(I-T-T), cIPV-cIPV-bOPV(I-I-B), cIPV-cIPV-tOPV(I-I-T), cIPV-cIPV-cIPV(I-I-I), or tOPV-tOPV-tOPV(T-T-T). Doses were administered sequentially at 4-6 week intervals after collecting baseline blood samples. Patients were proactively followed up for observation of adverse events after the first dose and 30 days after all doses. The primary study objective was to investigate the immunogenicity and safety profile of different vaccine schedules, evaluated by seroconversion, seroprotection and antibody titer against poliovirus types 1, 2, and 3 in the per-protocol population.

resultsOf 600 newborn babies enrolled, 504 (84.0%) were included in the per-protocol population. For type 1 poliovirus, the differences in the seroconversion were 1.17% (95% CI = -2.74%, 5.08%) between I-B-B and I-T-T and 0.00% (95% CI: -6.99%, 6.99%) between I-I-B and I-I-T; for type 3 poliovirus, differences in the seroconversion were 3.49% (95% CI: -1.50%, 8.48%) between I-B-B and I-T-T and -2.32% (95% CI: -5.51%, 0.86%) between I-I-B and I-I-T. The non-inferiority conclusion was achieved in both poliovirus type 1 and 3 with the margin of -10%. Of 24 serious adverse events reported, no one was vaccine-related.

conclusionsThe vaccination schedules with bOPV followed by one or 2 doses of IPV were recommended to substitute for vaccinations involving tOPV without compromising the immunogenicity and safety in the Chinese population. The findings will be essential for policy formulation by national and global authorities to facilitate polio elimination.

Indexed as

Immunization ScheduleAntibodies, ViralChinaDrug-Related Side Effects and Adverse ReactionsFemaleHumansInfantMalePoliomyelitisPoliovirusPoliovirus Vaccine, OralAntibodies, ViralPoliovirus Vaccine, Oralimmunizationinactivated polio vaccineinfectious diseaseoral polio vaccinepoliopoliomyelitispoliovirusvaccinevaccine schedule

Identifiers

PMID28362135
PMCPMC5489289
OpenAlexW2595829810

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.