Evidence map›Paper›PMID 29140444›Full record

Trial reportThe Journal of infectious diseases2018

Safety and Immunogenicity of Different Formulations of Norovirus Vaccine Candidate in Healthy Adults: A Randomized, Controlled, Double-Blind Clinical Trial.

Geert Leroux-Roels, Jakob P Cramer, Paul M Mendelman, James Sherwood, Ralf Clemens, Annelies Aerssens, Ilse De Coster, Astrid Borkowski, Frank Baehner, Pierre Van Damme

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02038907 (A Phase II, Randomized, Controlled, Double-Blind, Dosage and Adjuvant Justification, Safety and Immunogenicity Trial of Intramuscular Norovirus GI.1/GII.4 Bivalent Virus-Like Particle Vaccine Adjuvanted With or Without Monophosphoryl Lipid A and Aluminum Hydroxide in Adults), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 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.

NCT02038907 phase2completednot on this map

A Phase II, Randomized, Controlled, Double-Blind, Dosage and Adjuvant Justification, Safety and Immunogenicity Trial of Intramuscular Norovirus GI.1/GII.4 Bivalent Virus-Like Particle Vaccine Adjuvanted With or Without Monophosphoryl Lipid A and Aluminum Hydroxide in Adults

TypeinterventionalSponsorTakedaRan2014 to 2015Enrolled420ConditionsHealthy Volunteers, Norovirus, PreventionArmsHepatitis A Vaccine, Norovirus Bivalent VLP Vaccine
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Geert Leroux-RoelsCenter for Vaccinology, Ghent University and University Hospital, Belgium.
Jakob P CramerTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Paul M MendelmanTakeda Vaccines Inc, Boston, Massachusetts.
James SherwoodTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Ralf ClemensTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Annelies AerssensCenter for Vaccinology, Ghent University and University Hospital, Belgium.
Ilse De CosterCentre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Belgium.
Astrid BorkowskiTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Frank BaehnerTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Pierre Van DammeCentre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We investigated safety and immunogenicity of 1-2 doses of different bivalent virus-like particle (VLP) norovirus vaccine candidate (NoV) formulations in healthy 18- to 64-year-olds. Methods: On days 1 and 28, participants (n = 420) randomized to 14 equal groups received intramuscular control vaccine (hepatitis A) or 1 of 11 NoV formulations containing varying dosages of GI.1 and GII.4c genotype VLP antigens with aluminum hydroxide [Al(OH)3], and 0 μg, 15 μg, or 50 μg monophosphoryl lipid A (MPL). Immunogenicity was assessed on days 1, 28, 56, 208 and 393. Solicited local and systemic reactions were recorded for 7 days, unsolicited adverse events (AEs) until day 56, and serious AEs throughout the trial. Results: All NoV formulations induced similar increases in pan-immunoglobulin, immunoglobulin A, and histo-blood group binding antigen-blocking antibodies by day 56, mostly after 1 dose, that persisted above baseline to day 393. Higher GI.1 content interfered with GII.4c responses, and responses did not benefit from MPL. Overall reactogenicity consisted of mainly mild injection site pain, headache, and fatigue. No vaccine-related serious AEs were reported. Conclusions: All candidate NoV formulations were well tolerated. Overall, 15 μg GI.1/50 μg GII.4c elicited the best balance of immunogenicity with no clear benefit of MPL, and is the candidate formulation being taken forward in clinical development. Clinical Trials Registration: NCT02038907.

Indexed as

AdolescentAdultAntibodies, ViralAntibody FormationCaliciviridae InfectionsDouble-Blind MethodDrug CompoundingDrug-Related Side Effects and Adverse ReactionsFemaleGenotypeHealthy VolunteersHumansImmunization ScheduleInjections, IntramuscularMaleMiddle AgedAntibodies, ViralViral Vaccinesadultsimmunogenicitynorovirusreactogenicityvaccine

Identifiers

PMID29140444
PMCPMC5853300

What OpenQuestion holds

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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.