Evidence map›Paper›PMID 31515141›Full record

Trial reportVaccine2019

A phase 1 study of the safety, reactogenicity, and immunogenicity of a Schistosoma mansoni vaccine with or without glucopyranosyl lipid A aqueous formulation (GLA-AF) in healthy adults from a non-endemic area.

W A Keitel, G E Potter, D Diemert, J Bethony, H M El Sahly, J K Kennedy, S M Patel, J L Plieskatt, W Jones, G Deye and 3 more

Open access · greenAbstract readClinical Trial, Phase IRandomized Controlled Trial
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. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.0field-weighted citation impact, top 3% 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.

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

43 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
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  6. Article
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  9. Article
  10. Review
  11. Therapeutic challenges of schistosomiasis: mechanisms of action and current limitations.Journal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Review
  12. Article
  13. Review
  14. Review
  15. Applications of the Methylotrophic YeastJournal of fungi (Basel, Switzerland) · 2024
    Review
  16. Article
  17. Transmission-Blocking Vaccines against Schistosomiasis Japonica.International journal of molecular sciences · 2024
    Review
  18. Article
  19. Schistosomiasis.Advances in experimental medicine and biology · 2024
    Review
  20. 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

13 authors at 5 institutions in 1 country.

W A KeitelDepartments of Molecular Virology & Microbiology and Medicine, Baylor College of Medicine, Houston, TX, United States. Electronic address: wkeitel@bcm.edu.
G E PotterThe Emmes Corporation, United States.
D DiemertDepartment of Microbiology, Immunology and Tropical Medicine, The George Washington University, Washington, DC, United States.
J BethonyDepartment of Microbiology, Immunology and Tropical Medicine, The George Washington University, Washington, DC, United States.
H M El SahlyDepartments of Molecular Virology & Microbiology and Medicine, Baylor College of Medicine, Houston, TX, United States.
J K KennedyThe Emmes Corporation, United States.
S M PatelDepartments of Molecular Virology & Microbiology and Medicine, Baylor College of Medicine, Houston, TX, United States.
J L PlieskattDepartment of Microbiology, Immunology and Tropical Medicine, The George Washington University, Washington, DC, United States.
W JonesDivision of Microbiology and Infectious Diseases (DMID), National Institutes of Allergy and Infectious. Diseases (NIAID), National Institutes of Health (NIH), United States.
G DeyeDivision of Microbiology and Infectious Diseases (DMID), National Institutes of Allergy and Infectious. Diseases (NIAID), National Institutes of Health (NIH), United States.
M E BottazziDepartments of Molecular Virology & Microbiology and Medicine, Baylor College of Medicine, Houston, TX, United States; Texas Children's Hospital Center for Vaccine Development, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.
P J HotezDepartments of Molecular Virology & Microbiology and Medicine, Baylor College of Medicine, Houston, TX, United States; Texas Children's Hospital Center for Vaccine Development, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.
R L AtmarDepartments of Molecular Virology & Microbiology and Medicine, Baylor College of Medicine, Houston, TX, United States.
Baylor College of Medicine · USGeorge Washington University · USEmmes (United States) · USNational Institutes of Health · USTexas Children's Hospital · US

Funding

NIAID NIH HHS HHSN272200800002CNIAID NIH HHS HHSN272201300015CNIAID NIH HHS HHSN272201300015INIAID NIH HHS HHSN272201500002C
6 · The paper itself

Abstract

backgroundSchistosomiasis caused by Schistosoma mansoni (Sm) is a chronic, debilitating and potentially deadly neglected tropical disease. The licensure of a vaccine to prevent schistosomiasis would represent a major breakthrough in public health.

methodsThe safety and immunogenicity of a candidate Sm vaccine were assessed in this phase I, double-blind, dose-escalation trial. Seventy-two healthy Sm-naïve 18-50 year olds were randomized to receive 3 doses ∼ 8 weeks apart of saline placebo, or 10 µg, 30 µg, or 100 µg of recombinant Sm-Tetraspanin-2 vaccine formulated on aluminum hydroxide adjuvant (Sm-TSP-2/Al) with or without 5 µg of glucopyranosyl lipid A aqueous formulation (GLA-AF). Clinical and serologic responses were assessed for 1 year after dose 3.

resultsVaccines were safe and well-tolerated. The most common reactions were injection site tenderness and pain, and headache and fatigue. Tenderness and pain were more frequent in groups receiving vaccine with GLA-AF than placebo (p = 0.0036 and p = 0.0014, respectively). Injection site reactions among those given Sm-TSP-2/Al with GLA-AF lasted 1.22 and 1.33 days longer than those receiving Sm-TSP-2/Al without GLA-AF or placebo (p < 0.001 for both). Dose- and adjuvant-related increases in serum IgG against Sm-TSP-2 were observed. Peak IgG levels occurred 14 days after dose 3. Seroresponse frequencies were low among recipients of Sm-TSP-2/Al without GLA-AF, but higher among subjects receiving 30 µg or 100 µg of Sm-TSP-2/Al with GLA-AF. More seroresponses were observed among those given 30 µg or 100 µg of Sm-TSP-2/Al with GLA-AF compared to placebo (p = 0.023 and p < 0.001, respectively). Seroresponse frequencies were 0%, 30%, 50%, and 89%, respectively, among those given placebo, or 10 µg, 30 µg or 100 µg of Sm-TSP-2/Al with GLA-AF, suggesting a dose-response relationship for Sm-TSP-2/Al with GLA-AF (p = 0.0001).

conclusionsSm-TSP-2/Al with or without GLA-AF was safe and well tolerated in a Sm-naïve population. A vaccine like the one under development may represent our best hope to eliminating this neglected tropical disease.

Indexed as

Immunogenicity, VaccineAdjuvants, ImmunologicAdolescentAdultAnimalsAntibodies, HelminthAntigens, HelminthCohort StudiesCytokinesDose-Response Relationship, DrugDouble-Blind MethodFemaleGlucosidesHealthy VolunteersHumansImmunoglobulin GAdjuvants, ImmunologicAntibodies, HelminthAntigens, HelminthCytokinesglucopyranosyl lipid-AGlucosidesImmunoglobulin GLipid AVaccinesAdjuvantGlucopyranosyl lipid AImmune responsesImmunizationSchistosoma mansoni (Sm)SchistosomiasisSm tetraspanin 2 (Sm-TSP-2)

Identifiers

PMID31515141
PMCPMC6771426
OpenAlexW2973110906

What OpenQuestion holds

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Registered trials

None linked

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.