Evidence map›Paper›PMID 29871628›Full record

ArticleBMC medicine2018

Zika vaccines and therapeutics: landscape analysis and challenges ahead.

Annelies Wilder-Smith, Kirsten Vannice, Anna Durbin, Joachim Hombach, Stephen J Thomas, Irani Thevarjan, Cameron P Simmons

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
14.0field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 87 citations in OpenAlex.

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  19. Antiviral Natural Products for Arbovirus Infections.Molecules (Basel, Switzerland) · 2020
    Review
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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

7 authors at 5 institutions in 5 countries.

Annelies Wilder-SmithImmunization, Vaccines & Biologicals, World Health Organization, Geneva, Switzerland. wildersmitha@who.int.
Kirsten VanniceImmunization, Vaccines & Biologicals, World Health Organization, Geneva, Switzerland.
Anna DurbinCenter for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Joachim HombachImmunization, Vaccines & Biologicals, World Health Organization, Geneva, Switzerland.
Stephen J ThomasState University of New York, Upstate Medical University, Syracuse, NY, USA.
Irani ThevarjanDoherty Institute for Infection and Immunity, Parkville, VIC, 3010, Australia.
Cameron P SimmonsOxford University Clinical Research Unit, 764 Vo Van Kiet street, District 5, Ho Chi Minh City, Vietnam.
World Health Organization · CHJohns Hopkins University · USOxford University Clinical Research Unit · VNSUNY Upstate Medical University · USThe Royal Melbourne Hospital · AU

Funding

Horizon 2020 (European Union) 734584World Health Organization 001
6 · The paper itself

Abstract

backgroundVarious Zika virus (ZIKV) vaccine candidates are currently in development. Nevertheless, unique challenges in clinical development and regulatory pathways may hinder the licensure of high-quality, safe, and effective ZIKV vaccines. DISCUSSION: Implementing phase 3 efficacy trials will be difficult given the challenges of the spatio-temporal heterogeneity of ZIKV transmission, the unpredictability of ZIKV epidemics, the broad spectrum of clinical manifestations making a single definite endpoint difficult, a lack of sensitive and specific diagnostic assays, and the need for inclusion of vulnerable target populations. In addition to a vaccine, drugs for primary prophylaxis, post-exposure prophylaxis, or treatment should also be developed to prevent or mitigate the severity of congenital Zika syndrome.

conclusionEstablishing the feasibility of immune correlates and/or surrogates are a priority. Given the challenges in conducting phase 3 trials at a time of waning incidence, human challenge trials should be considered to evaluate efficacy. Continued financial support and engagement of industry partners will be essential to the successful development, licensure, and accessibility of Zika vaccines or therapeutics.

Indexed as

HumansViral VaccinesZika VirusZika Virus InfectionViral VaccinesAnti-viralsClinical endpointsEfficacy trialsFlavivirusHuman controlled infectionsImmune correlatesImmune surrogatesMonoclonal antibodiesProphylaxisTherapeuticsZikaZika diagnosticsZika vaccines

Identifiers

PMID29871628
PMCPMC5989336
OpenAlexW2805727550

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.