Evidence map›Paper›PMID 30968056›Full record

ArticleOpen forum infectious diseases2019

Safety and Immunogenicity of MF59-Adjuvanted Cell Culture-Derived A/H5N1 Subunit Influenza Virus Vaccine: Dose-Finding Clinical Trials in Adults and the Elderly.

Sharon E Frey, Sepehr Shakib, Pornthep Chanthavanich, Peter Richmond, Timothy Smith, Terapong Tantawichien, Claudia Kittel, Peter Jaehnig, Zenaida Mojares, Bikash Verma and 2 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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.

NCT01766921 phase2completednot on this map

A Phase II, Randomized, Observer-Blind, Multi-Center, Study to Evaluate Safety, Tolerability and Immunogenicity of an Adjuvanted Cell Culture-Derived H5N1 Subunit Influenza Virus Vaccine at Two Different Formulations in Healthy Elderly Subjects.

TypeinterventionalSponsorNovartis VaccinesRan2013 to 2014Enrolled1,393ConditionsPandemic H5N1 InfluenzaArmsAdjuvanted H5N1 pandemic influenza vaccine
NCT01776541 phase2completednot on this map

A Phase II, Randomized, Observer-Blind,Multi-Center, Study to Evaluate Safety, Tolerability and Immunogenicity of an Adjuvanted Cell Culture-Derived H5N1 Subunit Influenza Virus Vaccine at Two Different Formulations in Healthy Adult Subjects.

TypeinterventionalSponsorNovartis VaccinesRan2013 to 2014Enrolled979ConditionsPandemic H5N1 InfluenzaArmsAdjuvanted H5N1 pandemic influenza vaccine
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

12 authors at 9 institutions in 4 countries.

Sharon E FreySchool of Medicine, Saint Louis University, St. Louis, Missouri.
Sepehr ShakibCMAX Clinical Research Pty Ltd., Adelaide, SA, Australia.
Pornthep ChanthavanichDepartment of Tropical Pediatrics, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Peter RichmondDivision of Paediatrics, School of Medicine, University of Western Australia, and Vaccine Trials Group, Telethon Kids Institute, Subiaco, WA, Australia.
Timothy SmithMercy Health Research, St. Louis, Missouri.
Terapong TantawichienDepartment of Medicine, Faculty of Medicine, Chulalongkorn University and Queen Saovabha Memorial Institute, Bangkok, Thailand.
Claudia KittelGlaxoSmithKline Vaccines GmbH, Marburg, Germany.
Peter JaehnigGlaxoSmithKline Vaccines GmbH, Marburg, Germany.
Zenaida MojaresGlaxoSmithKline Pte Ltd., Singapore, Singapore.
Bikash VermaGlaxoSmithKline Vaccines LLC, Rockville, Maryland.
Niranjan Kanesa-ThasanGlaxoSmithKline Vaccines LLC, Rockville, Maryland.
Matthew HohenbokenSeqirus Inc., Cambridge, Massachusetts.
GlaxoSmithKline (Germany) · DEGlaxoSmithKline (United States) · USChulalongkorn University · THMahidol Oxford Tropical Medicine Research Unit · THMercy Health · USSaint Louis University · USSeqirus (United States) · USSouth Australia Pathology · AUThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA/H5N1 influenza viruses have high pandemic potential; consequently, vaccines need to be produced rapidly. MF59® adjuvant reduces the antigen required per dose, allowing for dose sparing and more rapid vaccine availability.

methodsTwo multicenter, phase II trials were conducted to evaluate the safety and immunogenicity of an MF59-adjuvanted, cell culture-derived, A/H5N1 vaccine (aH5N1c) among 979 adult (18-64 years old) and 1393 elderly (≥65 years old) subjects. Participants were equally randomized to receive 2 full-dose (7.5 μg of hemagglutinin antigen per dose) or 2 half-dose aH5N1c vaccinations 3 weeks apart. Outcomes were based on Center for Biologics Evaluation Research and Review (CBER) and Committee for Medicinal Products for Human Use (CHMP) licensure criteria (titers ≥1:40 and seroconversions on day 43). Solicited reactions and adverse events were assessed (www.clinicaltrials.gov: NCT01776541 and NCT01766921).

resultsCBER and CHMP criteria were met by both age groups. CBER criteria for hemagglutination titers were met for the full-dose formulation. Solicited reaction frequencies tended to be higher in the full-dose group and were of mild to moderate intensity. No vaccine-related serious adverse events occurred.

conclusionsIn adult and elderly participants, the full-dose aH5N1c vaccine formulation was well tolerated and met US and European licensure criteria for pandemic vaccines.

Indexed as

cell culture–derived vaccineH5N1 subunit vaccineinfluenzaMF59 adjuvant; pandemic influenzaphase II

Identifiers

PMID30968056
PMCPMC6446137
OpenAlexW2919862009

What OpenQuestion holds

Textmetadata
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.