Evidence map›Paper›PMID 30497831›Full record

ArticleVaccine2019

Defining the interval for monitoring potential adverse events following immunization (AEFIs) after receipt of live viral vectored vaccines.

Sonali Kochhar, Jean-Louis Excler, Karin Bok, Marc Gurwith, Michael M McNeil, Stephen J Seligman, Najwa Khuri-Bulos, Bettina Klug, Marian Laderoute, James S Robertson and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Vaccine adverse event reporting system (VAERS): Evaluation of 31 years of reports and pandemics' impact.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. COVID-19 vaccine platforms: Delivering on a promise?Human vaccines & immunotherapeutics · 2021
    Review
  9. Article
  10. Review
  11. Chitosan Derivatives and Their Application in Biomedicine.International journal of molecular sciences · 2020
    Review
  12. Article
  13. Recombinant vector vaccine evolution.PLoS computational biology · 2019
    Article
  14. Review
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

13 authors at 10 institutions in 6 countries.

Sonali KochharGlobal Healthcare Consulting, New Delhi, India; Erasmus MC, University Medical Center, Rotterdam, the Netherlands; University of Washington, Seattle, USA.
Jean-Louis ExclerInternational Vaccine Institute, Seoul, Republic of Korea.
Karin BokNational Vaccine Program Office, Office of the Assistant Secretary for Health, US Department of Health and Human Services, Washington DC, USA.
Marc GurwithPaxVax Inc., San Diego, CA, USA.
Michael M McNeilImmunization Safety Office, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Stephen J SeligmanDepartment of Microbiology and Immunology, New York Medical College, NY, USA; St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller University, New York, NY, USA.
Najwa Khuri-BulosDivision of Infectious Disease, Jordan University Hospital, Amman, Jordan.
Bettina KlugDivision Immunology, Paul-Ehrlich-Institut, Langen, Germany.
Marian LaderouteImmune System Management Clinic & Lab, Ottawa, Ontario, Canada.
James S RobertsonIndependent Adviser (formerly of National Institute for Biological Standards and Control), Potters Bar, UK.
Vidisha SinghDivision of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), USA.
Robert T ChenDivision of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), USA; Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. Electronic address: brightoncollaborationv3swg@gmail.com.
Brighton Collaboration Viral Vector Vaccines Safety Working Group (V3SWG)
Centers for Disease Control and Prevention · USInternational Vaccine Institute · KRJordan Hospital · JONational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USNational Institute for Biological Standards and Control · GBNew York Medical College · USOffice of the Assistant Secretary for Health · USPaul Ehrlich Institut · DEPaxVax (United States) · USUniversity of Washington · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Live viral vectors that express heterologous antigens of the target pathogen are being investigated in the development of novel vaccines against serious infectious agents like HIV and Ebola. As some live recombinant vectored vaccines may be replication-competent, a key challenge is defining the length of time for monitoring potential adverse events following immunization (AEFI) in clinical trials and epidemiologic studies. This time period must be chosen with care and based on considerations of pre-clinical and clinical trials data, biological plausibility and practical feasibility. The available options include: (1) adapting from the current relevant regulatory guidelines; (2) convening a panel of experts to review the evidence from a systematic literature search to narrow down a list of likely potential or known AEFI and establish the optimal risk window(s); and (3) conducting "near real-time" prospective monitoring for unknown clustering's of AEFI in validated large linked vaccine safety databases using Rapid Cycle Analysis for pre-specified adverse events of special interest (AESI) and Treescan to identify previously unsuspected outcomes. The risk window established by any of these options could be used along with (4) establishing a registry of clinically validated pre-specified AESI to include in case-control studies. Depending on the infrastructure, human resources and databases available in different countries, the appropriate option or combination of options can be determined by regulatory agencies and investigators.

Indexed as

ImmunizationAdverse Drug Reaction Reporting SystemsAnimalsFollow-Up StudiesHumansImmunization ScheduleImmunogenicity, VaccinePopulation SurveillancePractice Guidelines as TopicRegistriesVaccines, AttenuatedViral VaccinesVaccines, AttenuatedViral VaccinesAdverse event of special interest (AESI)Adverse events following immunization (AEFI)DurationSafetySurveillanceTreescanVaccinesViral vector

Identifiers

PMID30497831
PMCPMC6535369
OpenAlexW2902802763

What OpenQuestion holds

Textmetadata
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.