Evidence map›Paper›PMID 31092224›Full record

Trial reportBMC infectious diseases2019

Safety of a bivalent, killed, whole-cell oral cholera vaccine in pregnant women in Bangladesh: evidence from a randomized placebo-controlled trial.

Ashraful Islam Khan, Mohammad Ali, Julia Lynch, Alamgir Kabir, Jean-Louis Excler, Md Arifuzzaman Khan, Md Taufiqul Islam, Afroza Akter, Fahima Chowdhury, Amit Saha and 7 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC 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 trial NCT02027207 (An Individually Randomized, Placebo-controlled Trial to Measure the Protection Conferred by a Single Dose Regimen of Bivalent, Killed, Whole Cell Oral Cholera Vaccine), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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.

NCT02027207 phase3completednot on this map

An Individually Randomized, Placebo-controlled Trial to Measure the Protection Conferred by a Single Dose Regimen of Bivalent, Killed, Whole Cell Oral Cholera Vaccine (Shanchol™) in Dhaka, Bangladesh

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2012 to 2017Enrolled204,438ConditionsCholeraArmsShanchol, Placebo
3 · Its place in the literature

Who cites it

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

  1. Oral killed cholera vaccines for preventing cholera.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Review
  3. Cholera Infection Risks and Cholera Vaccine Safety in Pregnancy.Infectious diseases in obstetrics and gynecology · 2023
    Review
  4. 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

17 authors at 3 institutions in 3 countries.

Ashraful Islam KhanInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Mohammad AliJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Julia LynchInternational Vaccine Institute, Seoul, South Korea.
Alamgir KabirInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Jean-Louis ExclerInternational Vaccine Institute, Seoul, South Korea.
Md Arifuzzaman KhanInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Md Taufiqul IslamInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Afroza AkterInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Fahima ChowdhuryInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Amit SahaInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Iqbal Ansary KhanInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Sachin N DesaiInternational Vaccine Institute, Seoul, South Korea.
Deok Ryun KimInternational Vaccine Institute, Seoul, South Korea.
Nirod Chandra SahaInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Ajit P SinghInternational Vaccine Institute, Seoul, South Korea.
John D ClemensInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh.
Firdausi QadriInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali Dhaka, 1212, Bangladesh. fqadri@icddrb.org.
International Centre for Diarrhoeal Disease Research · BDInternational Vaccine Institute · KRJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCholera increases the risk of harmful effects on foetuses. We prospectively followed pregnant women unaware of their pregnancy status who received a study agent in a clinical trial evaluating the association between exposure to an oral cholera vaccine (OCV) and foetal survival.

methodsStudy participants were selected from a randomized placebo-controlled trial conducted in Dhaka, Bangladesh. The vaccination campaign was conducted between January 10 and February 4, 2014. We enrolled women who were exposed to an OCV or placebo during pregnancy (Cohort 1) and women who were pregnant after the vaccination was completed (Cohort 2). Our primary endpoint was pregnancy loss (spontaneous miscarriage or stillbirth), and the secondary endpoints were preterm delivery and low birth weight. We employed a log-binomial regression to calculate the relative risk of having adverse outcomes among OCV recipients compared to that among placebo recipients.

resultThere were 231 OCV and 234 placebo recipients in Cohort 1 and 277 OCV and 299 placebo recipients in Cohort 2. In Cohort 1, the incidence of pregnancy loss was 113/1000 and 115/1000 among OCV and placebo recipients, respectively. The adjusted relative risk for pregnancy loss was 0.97 (95% CI: 0.58-1.61; p = 0.91) in Cohort 1. We did not observe any variation in the risk of pregnancy loss between the two cohorts. The risks for preterm delivery and low birth weight were not significantly different between the groups in both cohorts.

conclusionsOur study provides additional evidence that exposure to an OCV during pregnancy does not increase the risk of pregnancy loss, preterm delivery, or low birth weight, suggesting that pregnant women in cholera-affected regions should not be excluded in a mass vaccination campaign.

trial registrationThe study is registered at ( http://clinicaltrials.gov ). Identifier: NCT02027207 .

Indexed as

Abortion, SpontaneousAdministration, OralAdolescentAdultBangladeshCholeraCholera VaccinesCohort StudiesFemaleHumansIncidenceMass VaccinationMiddle AgedPlacebo EffectPregnancyPregnant PeopleCholera VaccinesBangladeshCholeraOCVPregnant womenSafety

Identifiers

PMID31092224
PMCPMC6518748
OpenAlexW2945939420

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.