Evidence map›Paper›PMID 29895500›Full record

Trial reportVaccine2018

A randomized, observer-blinded, equivalence trial comparing two variations of Euvichol®, a bivalent killed whole-cell oral cholera vaccine, in healthy adults and children in the Philippines.

Paola Russo, Antonio D Ligsay, Remigio Olveda, Seuk Keun Choi, Deok Ryun Kim, Ju Yeon Park, Ju Yeong Park, Khalid Ali Syed, Ayan Dey, Yang Hee Kim and 6 more

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02502331 (A Randomized, Observer Blinded, Controlled Trial to Evaluate the Safety and Immunogenicity of a New Formulation of Euvichol®), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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.

NCT02502331 phase3unknown statusnot on this map

A Randomized, Observer Blinded, Controlled Trial to Evaluate the Safety and Immunogenicity of a New Formulation of Euvichol® (Killed Bivalent Whole Cell Oral Cholera Vaccine Manufactured by EuBiologics Co. Ltd.) in Healthy Individuals

TypeinterventionalSponsorInternational Vaccine InstituteRan2016 to 2016Enrolled442ConditionsCholeraArmsTest Oral Cholera Vaccine, Euvichol®
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Oral killed cholera vaccines for preventing cholera.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Article
  3. Correlates of Protection for Cholera.The Journal of infectious diseases · 2021
    Article
  4. Article
  5. Review
  6. An overview of VaxchoraHuman vaccines & immunotherapeutics · 2020
    Article
  7. Combating Cholera.F1000Research · 2019
    Review
  8. 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

16 authors at 6 institutions in 3 countries.

Paola RussoClinical Development & Regulatory, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea. Electronic address: paola.russo@ivi.int.
Antonio D LigsayNational Children's Hospital, Manila, Philippines.
Remigio OlvedaResearch Institute for Tropical Medicine, Manila, Philippines.
Seuk Keun ChoiEuBiologics Co., Ltd., Seoul, Republic of Korea; Department of Biotechnology, Korea University, Seoul, Republic of Korea.
Deok Ryun KimBiostatistics & Data Management, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
Ju Yeon ParkBiostatistics & Data Management, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
Ju Yeong ParkTranslational Immunology Laboratory, Science Unit, International Vaccine Institute, Seoul, Republic of Korea.
Khalid Ali SyedMSD Wellcome Trust Hilleman Laboratories, New Delhi, India.
Ayan DeyTranslational Immunology Laboratory, Science Unit, International Vaccine Institute, Seoul, Republic of Korea.
Yang Hee KimClinical Development & Regulatory, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
Sung Hee LeeEuBiologics Co., Ltd., Seoul, Republic of Korea.
Jayoung KimProgram Management, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
Yun ChonBiostatistics & Data Management, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
Laura DigilioDevelopment & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
Chan Wha KimDepartment of Biotechnology, Korea University, Seoul, Republic of Korea.
Jean-Louis ExclerClinical Development & Regulatory, Development & Delivery Unit, International Vaccine Institute, Seoul, Republic of Korea.
International Vaccine Institute · KRKorea University · KREuBiologics (South Korea) · KRHilleman Laboratories (India) · INNational Museum of the Philippines · PHResearch Institute for Tropical Medicine · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo contribute to the global demand for oral cholera vaccine (OCV), the production of Euvichol® was scaled up with elimination of thimerosal. To demonstrate the equivalence of the variations, a study was carried out in the Philippines.

methodsHealthy male and female adults and children in Manila were randomized to receive two doses of Euvichol® two weeks apart from either the 100L (Comparator) or the 600L (Test) variation. Primary and secondary immunogenicity endpoints were respectively geometric mean titer (GMT) of vibriocidal antibodies (two weeks post second dose) and seroconversion rate (two weeks after each dose) against O1 Inaba, Ogawa, and O139 serogroups. The GMT of vibriocidal antibodies against O1 Inaba, Ogawa, and O139 two weeks post first dose was also measured. To show the equivalence of two variations of Euvichol®, the ratio of GMT and the difference of seroconversion rate between Test and Comparator vaccines were tested with equivalence margin of [0.5, 2.0] for GMT ratio and of 15% for seroconversion rate, respectively. Safety assessment included solicited reactogenicity within 6 days after each dose and unsolicited and serious adverse events.

resultsA total of 442 participants were enrolled. For the overall population, equivalence between Test and Comparator was demonstrated for vibriocidal antibody response against O1 Inaba and Ogawa serotypes and O139 serogroup in both modified intention-to-treat (mITT) and per protocol analysis, since the 95% confidence intervals (CI) of GMT to any serotypes were within the lower and upper boundary [0.5, 2.0]. Seroconversion rates after two doses also showed equivalence for O1 Inaba, Ogawa, and O139. The vaccine was safe and well tolerated, similarly between the two groups.

conclusionThe study results support the equivalence of the 600L Euvichol® to the 100L formulation in healthy children and adults. The 600L Euvichol® is safe and immunogenic in adults and children. ClinicalTrials.gov registration number: NCT02502331.

Indexed as

AdolescentAdultAntibodies, BacterialChildChild, PreschoolCholera VaccinesDrug-Related Side Effects and Adverse ReactionsFemaleHealthy VolunteersHumansImmunization ScheduleInfantMalePhilippinesSeroconversionSingle-Blind MethodAntibodies, BacterialCholera VaccinesVaccines, InactivatedCholeraEquivalenceEuvicholOral cholera vaccineThe Philippines

Identifiers

PMID29895500
PMCPMC6026293
OpenAlexW2806872618

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.