Evidence map›Paper›PMID 31375440›Full record

Trial reportVaccine2019

Safety and immunogenicity of unadjuvanted subvirion monovalent inactivated influenza H3N2 variant (H3N2v) vaccine in children and adolescents.

Flor M Munoz, Evan J Anderson, David I Bernstein, Christopher J Harrison, Barbara Pahud, Edwin Anderson, C Buddy Creech, Andrea A Berry, Karen L Kotloff, Emmanuel B Walter and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02100436 (A Phase II Open-Label Study in Healthy Pediatric Populations to Assess the Safety, Reactogenicity, and Immunogenicity of an Intramuscular Unadjuvanted Subvirion Monovalent Inactivated Influenza H3N2 Variant), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% 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.

NCT02100436 phase2completednot on this map

A Phase II Open-Label Study in Healthy Pediatric Populations to Assess the Safety, Reactogenicity, and Immunogenicity of an Intramuscular Unadjuvanted Subvirion Monovalent Inactivated Influenza H3N2 Variant (H3N2v) Vaccine

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2014 to 2015Enrolled270ConditionsInfluenzaArmsInfluenza Virus Vaccine, Monovalent A/H3N2v A/Minnesota/11/2010 NYMC X-203
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  3. Future Goals and Long-term Vision of the Infectious Diseases Clinical Research Consortium/Vaccine and Treatment Evaluation Unit Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  4. Article
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

14 authors at 9 institutions in 1 country.

Flor M MunozDepartments of Pediatrics, Baylor College of Medicine, Houston, TX, United States; Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States. Electronic address: florm@bcm.edu.
Evan J AndersonDepartment of Pediatrics and Medicine, Emory University School of Medicine, Atlanta, GA, United States.
David I BernsteinCincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Christopher J HarrisonDepartment of Pediatrics, Children's Mercy Hospital Kansas City, Kansas City, MO, United States.
Barbara PahudDepartment of Pediatrics, Children's Mercy Hospital Kansas City, Kansas City, MO, United States.
Edwin AndersonDepartment of Pediatrics, Saint Louis University School of Medicine, St. Louis, MO, United States.
C Buddy CreechVanderbilt Vaccine Research Program, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, United States.
Andrea A BerryDepartment of Pediatrics and Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States.
Karen L KotloffDepartment of Pediatrics and Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States.
Emmanuel B WalterDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, United States.
Robert L AtmarMolecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States; Medicine, Baylor College of Medicine, Houston, TX, United States.
Abbie R BellamyThe Emmes Corporation, Rockville, MD, United States.
Soju ChangNational Institute of Allergy and Infectious Diseases, Rockville, MD, United States.
Wendy A KeitelMolecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States; Medicine, Baylor College of Medicine, Houston, TX, United States.
Baylor College of Medicine · USChildren's Mercy Hospital · USEmory University · USUniversity of Maryland, Baltimore · USCincinnati Children's Hospital Medical Center · USDuke University · USEmmes (United States) · USNational Institute of Allergy and Infectious Diseases · USVanderbilt University · US

Funding

EVALUATION OF CONTROL MEASURES AGAINST DISEASES OTHER THAN AIDS-266025465N01AI025465 · NIAID · BAYLOR COLLEGE OF MEDICINE INC · PI KEITEL, WENDY A · 2002 to 2006
–
NIAID NIH HHS HHSN272200800002CNIAID NIH HHS HHSN272200800003CNIAID NIH HHS HHSN272200800005CNIAID NIH HHS HHSN272200800006CNIAID NIH HHS HHSN272200800007CNIAID NIH HHS HHSN272200800008CNIAID NIH HHS HHSN272201300015CNIAID NIH HHS HHSN272201300015INIAID NIH HHS HHSN272201300017CNIAID NIH HHS HHSN272201300017INIAID NIH HHS HHSN272201300018CNIAID NIH HHS HHSN272201300018INIAID NIH HHS HHSN272201300022CNIAID NIH HHS HHSN272201300022INIAID NIH HHS HHSN272201300023CNIAID NIH HHS HHSN272201300023INIAID NIH HHS HHSN272201500002CNIAID NIH HHS N01 AI025465
6 · The paper itself

Abstract

objectiveIn response to the emergence of influenza viruses with pandemic potential, we evaluated a swine-origin influenza A/H3N2 variant (H3N2v) vaccine in children. STUDY

designThis multicenter phase II open-label study assessed the safety and immunogenicity of two doses, 21 days apart, of investigational unadjuvanted subvirion monovalent inactivated H3N2v vaccine administered via intramuscular injection. Children 6-35 months of age received 7.5mcg or 15mcg of hemagglutinin (HA)/dose; children 3-17 years of age received 15mcg HA/dose. Safety and reactogenicity were assessed by measuring the occurrence of solicited injection site and systemic reactions in the 7 days after each vaccination; adverse events were assessed for 42 days and serious adverse events for 7 months after the first vaccination. Immunogenicity was evaluated by measuring hemagglutination inhibition (HAI) and neutralizing (Neut) antibodies to H3N2v prior to and 21 days after each vaccination. Cross-reactivity against seasonal H3N2 strains was evaluated.

resultsThe H3N2v vaccine was well tolerated. Transient mild to moderate injection site tenderness, pain and erythema was observed, with the most commonly reported systemic reactogenicity being irritability in children 6-35 months, and headache and fatigue in children 9-17 years old. Children 6-35 months old, whether they received 7.5mcg or 15mcg/dose, had low HAI and Neut antibody responses after two doses compared to older children. Children under 9 years of age required two doses of vaccine to demonstrate a response, while 9-17 year olds responded well after one dose. Previous influenza vaccination and older age were associated with higher immune responses to H3N2v vaccine. Children 9-17 years of age also developed cross-reactive antibodies against recent seasonal H3N2 influenza viruses.

conclusionThe H3N2v vaccine was safe and immunogenic in children and adolescents. Age-related increases in immunogenicity against H3N2v and seasonal H3N2 viruses were observed, suggesting prior priming via infection and/or immunization. Clinical trial registry: The trial is registered with clinicaltrial.gov: NCT02100436.

Indexed as

AdolescentAdultAntibodies, ViralChildChild, PreschoolFemaleHemagglutination Inhibition TestsHumansInfluenza A Virus, H3N2 SubtypeInfluenza, HumanInfluenza VaccinesMaleVaccines, InactivatedYoung AdultAntibodies, ViralInfluenza VaccinesVaccines, InactivatedAdolescentsChildrenCross-reactive antibodiesH3N2 variantImmunogenicityInfluenzaSafety

Identifiers

PMID31375440
PMCPMC10494964
OpenAlexW2964972272

What OpenQuestion holds

Textmetadata
LicenceTDM
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.