Evidence map›Paper›PMID 29304199›Full record

Trial reportThe Journal of infectious diseases2018

Intestinal Immune Responses to Type 2 Oral Polio Vaccine (OPV) Challenge in Infants Previously Immunized With Bivalent OPV and Either High-Dose or Standard Inactivated Polio Vaccine.

Elizabeth B Brickley, Carolyn B Strauch, Wendy F Wieland-Alter, Ruth I Connor, Shu Lin, Joshua A Weiner, Margaret E Ackerman, Minetaro Arita, M Steven Oberste, William C Weldon and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIComparative StudyRandomized 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 NCT02111135 (Phase II, Observer-blind, Randomized Study on the Safety, Reactogenicity, Immunogenicity and Impact on Intestinal Shedding of a Single Dose of Monovalent High-dose Inactivated Poliovirus Type 2 Vaccine), 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
2.7field-weighted citation impact, top 8% 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.

NCT02111135 phase2completednot on this map

Phase II, Observer-blind, Randomized Study on the Safety, Reactogenicity, Immunogenicity and Impact on Intestinal Shedding of a Single Dose of Monovalent High-dose Inactivated Poliovirus Type 2 Vaccine (m-IPV2 HD) or a Single Dose of Standard Trivalent Inactivated Poliovirus Vaccine (t-IPV) When Given Concomitantly With the Third Dose of Bivalent Oral Poliovirus Vaccine (b-OPV) to Infants Early in Life

TypeinterventionalSponsorVaxtrials S.A.Ran2014 to 2015Enrolled240ConditionsPolioArmsb-OPV, m-OPV2, m-IPV HD, t-IPV
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  10. Intestinal Mucosal Immune Responses to Novel Oral Poliovirus Vaccine Type 2 in Healthy Newborns.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  19. Pseudotyped Viruses for Enterovirus.Advances in experimental medicine and biology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Elizabeth B BrickleyDepartment of Epidemiology, Geisel School of Medicine, Dartmouth College, Hanover.
Carolyn B StrauchDartmouth College, Hanover.
Wendy F Wieland-AlterDepartment of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon.
Ruth I ConnorDepartment of Microbiology and Immunology, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Shu LinThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Joshua A WeinerThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Margaret E AckermanThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Minetaro AritaDepartment of Virology II, National Institute of Infectious Diseases, Tokyo, Japan.
M Steven ObersteDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
William C WeldonDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Xavier Sáez-LlorensHospital del Niño "Dr José Renán Esquivel" and Senacyt, Panama City, Panama.
Ananda S BandyopadhyayBill & Melinda Gates Foundation, Seattle, Washington.
Peter F WrightDepartment of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon.
Dartmouth College · USCenters for Disease Control and Prevention · USBill & Melinda Gates Foundation · USHospital del Niño · PANational Institute of Infectious Diseases · JP

Funding

Training Program for Quantitative Population Sciences in CancerR25CA134286 · NCI · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA, TOSTESON, TOR D · 2009 to 2018
$3.0M
NCI NIH HHS R25 CA134286
6 · The paper itself

Abstract

Background: The impact of inactivated polio vaccines (IPVs) on intestinal mucosal immune responses to live poliovirus is poorly understood. Methods: In a 2014 phase 2 clinical trial, Panamanian infants were immunized at 6, 10, and 14 weeks of age with bivalent oral polio vaccine (bOPV) and randomized to receive either a novel monovalent high-dose type 2-specific IPV (mIPV2HD) or a standard trivalent IPV at 14 weeks. Infants were challenged at 18 weeks with a monovalent type 2 oral polio vaccine (mOPV2). Infants' intestinal immune responses during the 3 weeks following challenge were investigated by measuring poliovirus type-specific neutralization and immunoglobulin (Ig) A, IgA1, IgA2, IgD, IgG, and IgM antibodies in stool samples. Results: Despite mIPV2HD's 4-fold higher type 2 polio D-antigen content and heightened serum neutralization profile, mIPV2HD-immunized infants' intestinal immune responses to mOPV2 challenge were largely indistinguishable from those receiving standard IPV. Mucosal responses were tightly linked to evidence of active infection and, in the 79% of participants who shed virus, robust type 2-specific IgA responses and stool neutralization were observed by 2 weeks after challenge. Conclusions: Enhancing IPV-induced serum neutralization does not substantively improve intestinal mucosal immune responses or limit viral shedding on mOPV2 challenge. Clinical Trials Registration: NCT02111135.

Indexed as

Antibodies, NeutralizingAntibodies, ViralFecesFemaleHumansImmunity, MucosalImmunoglobulin AImmunoglobulin DImmunoglobulin GImmunoglobulin MInfantIntestinal MucosaMalePoliomyelitisPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralAntibodies, NeutralizingAntibodies, ViralImmunoglobulin AImmunoglobulin DImmunoglobulin GImmunoglobulin MPoliovirus Vaccine, InactivatedPoliovirus Vaccine, Oralhuman challengeinactivated vaccinelive oral vaccinemucosal immunitypoliovirus

Identifiers

PMID29304199
PMCPMC5853416
OpenAlexW2781617550

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.