Evidence map›Paper›PMID 29321075›Full record

ArticleTrials2018

A phase I, open-label trial on the safety and immunogenicity of the adjuvanted tuberculosis subunit vaccine H1/IC31® in people living in a TB-endemic area.

Jemal Hussein, Martha Zewdie, Lawrence Yamuah, Ahmed Bedru, Markos Abebe, Alemnew F Dagnew, Menberework Chanyalew, Asfawesen G Yohannes, Jemal Ahmed, Howard Engers and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01049282 (A Safety and Immunogenicity Phase 1 Trial With an Adjuvanted TB Subunit Vaccine), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT01049282 phase1completednot on this map

A Safety and Immunogenicity Phase 1 Trial With an Adjuvanted TB Subunit Vaccine (Ag85B-ESAT-6 + IC31) Administered in Different Antigen/Adjuvant Formulations in TST Negative and TST Positive Volunteers at 0 and 2 Months

TypeinterventionalSponsorStatens Serum InstitutRan2008 to 2010Enrolled39ConditionsTuberculosisArmsAntigen (Ag85B-ESAT-6), Antigen (Ag85B-ESAT-6) with adjuvant (IC31)
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. A proteome-wide atlas of humoral immunity toFrontiers in immunology · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Challenges in Developing a Controlled Human Tuberculosis Challenge Model.Current topics in microbiology and immunology · 2024
    Review
  10. An Update on Tuberculosis Vaccines.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  11. Article
  12. Review
  13. Exploration of Pattern Recognition Receptor Agonists as Candidate Adjuvants.Frontiers in cellular and infection microbiology · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

15 authors at 4 institutions in 5 countries.

Jemal HusseinArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Martha ZewdieArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia. martha_zg@yahoo.co.uk.ORCID http://orcid.org/0000-0003-2155-5550
Lawrence YamuahArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Ahmed BedruArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Markos AbebeArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Alemnew F DagnewArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Menberework ChanyalewArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Asfawesen G YohannesArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Jemal AhmedArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Howard EngersArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
T Mark DohertyStatens Serum Institut (SSI), Artillerivej 5, 2300, Copenhagen, Denmark.
Peter BangStatens Serum Institut (SSI), Artillerivej 5, 2300, Copenhagen, Denmark.
Ingrid KromannStatens Serum Institut (SSI), Artillerivej 5, 2300, Copenhagen, Denmark.
Søren T HoffStatens Serum Institut (SSI), Artillerivej 5, 2300, Copenhagen, Denmark.
Abraham AseffaArmauer Hansen Research Institute (AHRI), Jimma Road, PO Box 1005, Addis Ababa, Ethiopia.
Armauer Hansen Research Institute · ETStatens Serum Institut · DKGlaxoSmithKline (United States) · USTuBerculosis Vaccine Initiative · NL

Funding

Ethiopia-Emory TB Research Training ProgramD43TW009127 · FIC · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Kidist Bobosha · 2013 to 2026
$3.4M
European and Developing Countries Clinical Trials Partnership (NL) IP.2007.32080.001FIC NIH HHS D43 TW009127
6 · The paper itself

Abstract

backgroundH1/IC31® is a tuberculosis (TB) subunit vaccine candidate consisting of the fusion protein of Ag85B and ESAT-6 (H1) formulated with the IC31® adjuvant. Previous trials have reported on the H1/IC31® vaccine in M. tuberculosis (Mtb)-naïve, BCG-vaccinated and previously Mtb-infected individuals. In this trial, conducted between December 2008 and April 2010, the safety and immunogenicity of H1/IC31® was assessed in participants living in Ethiopia - a highly TB-endemic area.

methodsHealthy male participants aged 18-25 years were recruited into four groups. Participants in group 1 (N = 12) and group 2 (N = 12) were Tuberculin Skin Test (TST) negative and QuantiFERON-TB Gold in-tube test (QFT) negative (Mtb-naïve groups), participants in group 3 (N = 3) were TST positive and QFT negative (BCG group), and participants in group 4 (N = 12) were both TST and QFT positive (Mtb-infected group). H1 vaccine alone (group 1) or H1 formulated with the adjuvant IC31® (groups 2, 3 and 4) was administered intramuscularly on day 0 and day 56. Safety and immunogenicity parameters were evaluated for up to 32 weeks after day 0.

resultsThe H1/IC31®vaccine was safe and generally well tolerated. There was little difference among the four groups, with a tendency towards a higher incidence of adverse events in Mtb-infected compared to Mtb-naïve participants. Two serious adverse events were reported in the Mtb-infected group where a relationship to the vaccine could not be excluded. In both cases the participants recovered without sequelae within 72 h. Immunogenicity assays, evaluated in the 29 participants who received both vaccinations, showed a stronger response to TB antigens in the Mtb-naïve group vaccinated with the adjuvant.

conclusionThe trial confirmed the need for an adjuvant for the vaccine to be immunogenic and highlighted the importance of early phase testing of a novel TB vaccine candidate in TB-endemic areas.

trial registrationClinicalTrials.gov, ID: NCT01049282. Retrospectively registered on 14 January 2010.

Indexed as

Adjuvants, ImmunologicAdultAntibodies, BacterialHumansImmunoglobulin GMaleTuberculosis VaccinesVaccines, SubunitAdjuvants, ImmunologicAntibodies, BacterialImmunoglobulin GTuberculosis VaccinesVaccines, SubunitImmunogenicityTuberculosisVaccines

Identifiers

PMID29321075
PMCPMC5764015
OpenAlexW2783006274

What OpenQuestion holds

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LicenceCC BY
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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.