Evidence map›Paper›PMID 30787276›Full record

Trial reportNature communications2019

Outcomes of controlled human malaria infection after BCG vaccination.

Jona Walk, L Charlotte J de Bree, Wouter Graumans, Rianne Stoter, Geert-Jan van Gemert, Marga van de Vegte-Bolmer, Karina Teelen, Cornelus C Hermsen, Rob J W Arts, Marije C Behet and 10 more

3 registry-linked trialsAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 142 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 1 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.

NCT04632537 phase3withdrawnnot on this mapstarted 2020, after this paper: background citation

Novel Use of an Existing Vaccine (BCG) Alliance: The NUEVA Trial

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2020 to 2021Enrolled0ConditionsCOVID-19ArmsTice® BCG (for intravesical use) BCG LIVE strain of the BCG (Merck) vaccine, Preservative-free saline
NCT04938323 phase2 / phase3withdrawnnot on this mapstarted 2022, after this paper: background citation

Prevention of Acute Respiratory Infection in Taiwanese Institutionalized Elderly (PARITIE)

TypeinterventionalSponsorHarvard Medical School (HMS and HSDM)Ran2022 to 2022Enrolled0ConditionsAcute Respiratory InfectionArmsBCG Vaccine, Placebo
NCT07527247 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity

TypeinterventionalSponsorSingapore General HospitalRan2025 to 2029Enrolled40ConditionsImmune System Responses and Trained Immunity After AS01 Administration, Healthy AdultArmsAS01 adjuvant (0.5 mL intramuscular), YF17D (Stamaril, Sanofi-Pasteur), Placebo (NaCl 09%, 0.5mL)
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Efficacy and Safety of BCG Revaccination WithFrontiers in immunology · 2022
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Review
  15. Review
  16. Article
  17. A new mRNA antigen vaccine induces potent B and T cell responses andbioRxiv : the preprint server for biology · 2026
    Article
  18. Review
  19. Article
  20. Review

82 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

20 authors.

Jona WalkDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-9420-4578
L Charlotte J de BreeRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Wouter GraumansDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Rianne StoterDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Geert-Jan van GemertDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Marga van de Vegte-BolmerDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Karina TeelenDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Cornelus C HermsenDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Rob J W ArtsRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Marije C BehetDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Farid KeramatiDepartment of Molecular Biology, Faculty of Science, Radboud university, 6525 GA, Nijmegen, The Netherlands.
Simone J C F M MoorlagRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Annie S P YangDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Reinout van CrevelRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Peter AabyResearch Center for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut, 2300, Copenhagen, Denmark.
Quirijn de MastRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
André J A M van der VenRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Christine Stabell BennResearch Center for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut, 2300, Copenhagen, Denmark.
Mihai G NeteaRadboud Center for Infectious Diseases, Radboud University Medical Center PO Box 9101, 6500 HB, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-2421-6052
Robert W SauerweinDepartment of Medical Microbiology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. Robert.Sauerwein@Radboudumc.nl.

Funding

European Research Council 310372
6 · The paper itself

Abstract

Recent evidence suggests that certain vaccines, including Bacillus-Calmette Guérin (BCG), can induce changes in the innate immune system with non-specific memory characteristics, termed 'trained immunity'. Here we present the results of a randomised, controlled phase 1 clinical trial in 20 healthy male and female volunteers to evaluate the induction of immunity and protective efficacy of the anti-tuberculosis BCG vaccine against a controlled human malaria infection. After malaria challenge infection, BCG vaccinated volunteers present with earlier and more severe clinical adverse events, and have significantly earlier expression of NK cell activation markers and a trend towards earlier phenotypic monocyte activation. Furthermore, parasitemia in BCG vaccinated volunteers is inversely correlated with increased phenotypic NK cell and monocyte activation. The combined data demonstrate that BCG vaccination alters the clinical and immunological response to malaria, and form an impetus to further explore its potential in strategies for clinical malaria vaccine development.

Indexed as

AdolescentAdultAnimalsAnophelesB7-2 AntigenBCG VaccineC-Reactive ProteinCytokinesFemaleGPI-Linked ProteinsGranzymesHLA-DR AntigensHumansImmunity, InnateImmunologic MemoryInterferon-gammaB7-2 AntigenBCG VaccineCD86 protein, humanC-Reactive ProteinCytokinesFCGR3B protein, humanGPI-Linked ProteinsGranzymesHLA-DR AntigensIFNG protein, humanInterferon-gammaReceptors, IgG

Identifiers

PMID30787276
PMCPMC6382772

What OpenQuestion holds

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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.