Evidence map›Paper›PMID 30624673›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

The Path to Group A Streptococcus Vaccines: World Health Organization Research and Development Technology Roadmap and Preferred Product Characteristics.

Johan Vekemans, Fernando Gouvea-Reis, Jerome H Kim, Jean-Louis Excler, Pierre R Smeesters, Katherine L O'Brien, Chris A Van Beneden, Andrew C Steer, Jonathan R Carapetis, David C Kaslow

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

95 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Tracing the recent evolution of Group AEmerging microbes & infections · 2026
    Review
  7. Review
  8. Global vaccine development.Nature medicine · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. T cells in Group AFrontiers in cellular and infection microbiology · 2026
    Review
  14. Multi-country surveillance of paediatric invasive group AEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Article

35 more citing papers are in PubMed but not listed here.

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

10 authors.

Johan VekemansInitiative for Vaccine Research, World Health Organization, Geneva, Switzerland.
Fernando Gouvea-ReisInitiative for Vaccine Research, World Health Organization, Geneva, Switzerland.
Jerome H KimInternational Vaccine Institute, Seoul, Republic of Korea.
Jean-Louis ExclerInternational Vaccine Institute, Seoul, Republic of Korea.
Pierre R SmeestersMolecular Bacteriology Laboratory, Université Libre de Bruxelles.
Katherine L O'BrienJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Chris A Van BenedenRespiratory Diseases Branch, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Andrew C SteerTropical Diseases Research Group, Murdoch Children's Research Institute.
Jonathan R CarapetisTelethon Kids Institute, University of Western Australia and Perth Children's Hospital, Australia.
David C KaslowPATH, Seattle, Washington.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Group A Streptococcus (GAS) infections result in a considerable underappreciated burden of acute and chronic disease globally. A 2018 World Health Assembly resolution calls for better control and prevention. Providing guidance on global health research needs is an important World Health Organization (WHO) activity, influencing prioritization of investments. Here, the role, status, and directions in GAS vaccines research are discussed. WHO preferred product characteristics and a research and development technology roadmap, briefly presented, offer an actionable framework for vaccine development to regulatory and policy decision making, availability, and use. GAS vaccines should be considered for global prevention of the range of clinical manifestations and associated antibiotic use. Impediments related to antigen diversity, safety concerns, and the difficulty to establish vaccine efficacy against rheumatic heart disease are discussed. Demonstration of vaccine efficacy against pharyngitis and skin infections constitutes a key near-term strategic goal. Investments and collaborative partnerships to diversify and advance vaccine candidates are needed.

Indexed as

Biomedical ResearchGlobal HealthStreptococcal VaccinesWorld Health OrganizationCost of IllnessHumansPolicy MakingStreptococcal InfectionsStreptococcus pyogenesStreptococcal Vaccinesgroup A Streptococcuspharyngitisrheumatic heart diseasevaccine

Identifiers

PMID30624673
PMCPMC6695511

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.