Evidence map›Paper›PMID 29047317›Full record

ReviewExpert review of vaccines2017

Varicella and herpes zoster vaccine development: lessons learned.

Charlotte Warren-Gash, Harriet Forbes, Judith Breuer

Open access · greenAbstract readReview
In one paragraph

Review in Expert review of vaccines, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 68 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Charlotte Warren-Gasha Faculty of Epidemiology & Population Health , London School of Hygiene & Tropical Medicine , London , UK.
Harriet Forbesa Faculty of Epidemiology & Population Health , London School of Hygiene & Tropical Medicine , London , UK.
Judith Breuerb Division of Infection and Immunity , University College London , London , UK.
London School of Hygiene & Tropical Medicine · GBUniversity College London · GB

Funding

Medical Research Council G0700814Wellcome Trust 201440/Z/16/ZWellcome Trust 201440_Z_16_Z
6 · The paper itself

Abstract

introductionBefore vaccination, varicella zoster virus (VZV), which is endemic worldwide, led to almost universal infection. This neurotropic virus persists lifelong by establishing latency in sensory ganglia, where its reactivation is controlled by VZV-specific T-cell immunity. Lifetime risk of VZV reactivation (zoster) is around 30%. Vaccine development was galvanised by the economic and societal burden of VZV, including debilitating zoster complications that largely affect older individuals. Areas covered: We describe the story of development, licensing and implementation of live attenuated vaccines against varicella and zoster. We consider the complex backdrop of VZV virology, pathogenesis and immune responses in the absence of suitable animal models and examine the changing epidemiology of VZV disease. We review the vaccines' efficacy, safety, effectiveness and coverage using evidence from trials, observational studies from large routine health datasets and clinical post-marketing surveillance studies and outline newer developments in subunit and inactivated vaccines. Expert commentary: Safe and effective, varicella and zoster vaccines have already made major inroads into reducing the burden of VZV disease globally. As these live vaccines have the potential to reactivate and cause clinical disease, developing alternatives that do not establish latency is an attractive prospect but will require better understanding of latency mechanisms.

Indexed as

ChickenpoxChickenpox VaccineClinical Trials as TopicDrug ApprovalDrug DiscoveryHerpes ZosterHerpes Zoster VaccineHumansProduct Surveillance, PostmarketingTreatment OutcomeVaccines, AttenuatedVaccines, SubunitChickenpox VaccineHerpes Zoster VaccineVaccines, AttenuatedVaccines, Subunitherpes zosterlive attenuated vaccinepost-marketing surveillancesubunit vaccinevaccine effectivenessvaccine efficacyvaccine safetyVaricella

Identifiers

PMID29047317
PMCPMC5942150
OpenAlexW2765620583

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.