Evidence map›Paper›PMID 29029127›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Antibody Kinetics and Response to Routine Vaccinations in Infants Born to Women Who Received an Investigational Trivalent Group B Streptococcus Polysaccharide CRM197-Conjugate Vaccine During Pregnancy.

Shabir A Madhi, Anthonet Koen, Clare L Cutland, Lisa Jose, Niresha Govender, Frederick Wittke, Morounfolu Olugbosi, Ajoke Sobanjo-Ter Meulen, Sherryl Baker, Peter M Dull and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01193920 (A Phase Ib/II Randomized, Observer-Blind, Controlled, Single Centre Study of a Trivalent Group B Streptococcus Vaccine in Healthy Non-Pregnant Women Leading Into a Dose-Ranging Study in Pregnant Women in South Africa), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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.

NCT01193920 phase1 / phase2completednot on this map

A Phase Ib/II Randomized, Observer-Blind, Controlled, Single Centre Study of a Trivalent Group B Streptococcus Vaccine in Healthy Non-Pregnant Women Leading Into a Dose-Ranging Study in Pregnant Women in South Africa

TypeinterventionalSponsorNovartis VaccinesRan2010 to 2012Enrolled380ConditionsStreptococcal InfectionsArmsGroup B Streptococcus Trivalent Vaccine - 20/20/20 μg, Saline solution, Group B Streptococcus Trivalent Vaccine - 0.5/0.5/0.5 μg, Group B Streptococcus Trivalent Vaccine - 2.5/2.5/2.5 μg, Group B Streptococcus Trivalent Vaccine - 5/5/5 μg
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Clinical Risk Factors Associated With Late-Onset Invasive Group B Streptococcal Disease: Systematic Review and Meta-Analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Vaccines forFrontiers in immunology · 2024
    Review
  10. Article
  11. Strategies to Prevent Early and Late-Onset Group BPathogens (Basel, Switzerland) · 2023
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. A group BCell reports. Medicine · 2022
    Article
  18. Invasive group BFrontiers in microbiology · 2022
    Article
  19. A Vaccine Against Group BInfection and drug resistance · 2020
    Review
  20. 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

12 authors at 3 institutions in 3 countries.

Shabir A MadhiMedical Research Council: Respiratory and Meningeal Pathogens Research Unit.
Anthonet KoenMedical Research Council: Respiratory and Meningeal Pathogens Research Unit.
Clare L CutlandMedical Research Council: Respiratory and Meningeal Pathogens Research Unit.
Lisa JoseMedical Research Council: Respiratory and Meningeal Pathogens Research Unit.
Niresha GovenderMedical Research Council: Respiratory and Meningeal Pathogens Research Unit.
Frederick WittkeGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Morounfolu OlugbosiGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Ajoke Sobanjo-Ter MeulenGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Sherryl BakerGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Peter M DullGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Vas NarasimhanGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Karen SlobodGSK and Novartis Vaccines Division, Cambridge, Massachusetts.
Novartis (United States) · USRespiratory and Meningeal Pathogens Research Unit · ZAMedical Research Council · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal vaccination against group B Streptococcus (GBS) might provide protection against invasive GBS disease in infants. We investigated the kinetics of transplacentally transferred GBS serotype-specific capsular antibodies in the infants and their immune response to diphtheria toxoid and pneumococcal vaccination.

methodsThis phase 1b/2, observer-blind, single-center study (NCT01193920) enrolled infants born to women previously randomized (1:1:1:1) to receive either GBS vaccine at dosages of 0.5, 2.5, or 5.0 μg of each of 3 CRM197-glycoconjugates (serotypes Ia, Ib, and III), or placebo. Infants received routine immunization: combination diphtheria vaccine (diphtheria-tetanus-acellular pertussis-inactivated poliovirus/Haemophilus influenzae type b vaccine; age 6/10/ 14 weeks) and 13-valent pneumococcal CRM197-conjugate vaccine (PCV13; age 6/14 weeks and 9 months). Antibody levels were assessed at birth, day (D) 43, and D91 for GBS serotypes; 1 month postdose 3 (D127) for diphtheria; and 1 month postprimary (D127) and postbooster (D301) doses for pneumococcal serotypes.

resultsOf 317 infants enrolled, 295 completed the study. In infants of GBS vaccine recipients, GBS serotype-specific antibody geometric mean concentrations were significantly higher than in the placebo group at all timepoints and predictably decreased to 41%-61% and 26%-76% of birth levels by D43 and D91, respectively. Across all groups, ≥95% of infants were seroprotected against diphtheria at D127 and ≥91% of infants had seroprotective antibody levels against each PCV13 pneumococcal serotype at D301.

conclusionsMaternal vaccination with an investigational CRM197-glycoconjugate GBS vaccine elicited higher GBS serotype-specific antibody levels in infants until 90 days of age, compared with a placebo group, and did not affect infant immune responses to diphtheria toxoid and pneumococcal vaccination. CLINICAL TRIALS REGISTRATION: NCT01193920.

Indexed as

Immunity, Maternally-AcquiredAntibodies, BacterialBacterial ProteinsDiphtheria-Tetanus-Pertussis VaccineFemaleHaemophilus VaccinesHumansImmunization ScheduleImmunization, SecondaryImmunogenicity, VaccineInfantKineticsMaleMothersPneumococcal VaccinesPolysaccharides13-valent pneumococcal vaccineAntibodies, BacterialBacterial ProteinsCRM197 (non-toxic variant of diphtheria toxin)diphtheria-tetanus-pertussis-haemophilus b conjugate vaccineDiphtheria-Tetanus-Pertussis VaccineHaemophilus VaccinesPneumococcal VaccinesPolysaccharidesVaccines, CombinedVaccines, Conjugateantenatal vaccinationgroup B Streptococcus conjugate vaccineinfantsroutine immunization

Identifiers

PMID29029127
PMCPMC5848233
OpenAlexW2756924665

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.