Evidence map›Paper›PMID 31703934›Full record

Trial reportVaccine2020

Immunogenicity and safety of an adjuvanted inactivated polio vaccine, IPV-Al, compared to standard IPV: A phase 3 observer-blinded, randomised, controlled trial in infants vaccinated at 6, 10, 14 weeks and 9 months of age.

Lulu C Bravo, Josefina C Carlos, Salvacion R Gatchalian, May Emmeline B Montellano, Charissa Fay Corazon B Tabora, Birgit Thierry-Carstensen, Pernille Nyholm Tingskov, Charlotte Sørensen, Henrik Wachmann, Ananda S Bandyopadhyay and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03032419 (Safety and Immunogenicity of Adjuvanted Reduced Dose Inactivated Polio Vaccine, IPV-Al SSI, in Comparison to Non-adjuvanted Full Dose IPV SSI, in Infants Vaccinated at 6, 10, 14 Weeks and 9 Months of Age), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 19% 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.

NCT03032419 phase3completednot on this map

Safety and Immunogenicity of Adjuvanted Reduced Dose Inactivated Polio Vaccine, IPV-Al SSI, in Comparison to Non-adjuvanted Full Dose IPV SSI, in Infants Vaccinated at 6, 10, 14 Weeks and 9 Months of Age

TypeinterventionalSponsorStatens Serum InstitutRan2017 to 2018Enrolled1,002ConditionsPoliomyelitisArmsIPV-Al SSI, IPV SSI
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 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 8 institutions in 4 countries.

Lulu C BravoUniversity of the Philippines Manila, Manila, Philippines.
Josefina C CarlosUniversity of the East-Ramon Magsaysay Memorial Medical Center Incorporated, Manila, Philippines.
Salvacion R GatchalianUP CM University of the Philippines, Manila, Department of Pediatrics. Philippine General Hospital, Philippines.
May Emmeline B MontellanoMary Chiles General Hospital, Sampaloc, Manila, Philippines.
Charissa Fay Corazon B TaboraResearch Institute for Tropical Medicine, Muntinlupa City, Metro Manila, Philippines.
Birgit Thierry-CarstensenStatens Serum Institut, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: BTC@ssi.dk.
Pernille Nyholm TingskovStatens Serum Institut, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: PNT@ssi.dk.
Charlotte SørensenAJ Vaccines, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: CHS@ajvaccines.com.
Henrik WachmannLarix A/S, Lyskær 8b, 2730 Herlev, Denmark. Electronic address: HEW@larixcro.com.
Ananda S BandyopadhyayBill & Melinda Gates Foundation, Seattle, WA, USA. Electronic address: Ananda.bandyopadhyay@gatesfoundation.org.
Pernille Ingemann NielsenAJ Vaccines, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: PXN@ajvaccines.com.
Mie Vestergaard KuskAJ Vaccines, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: MHK@ajvaccines.com.
Global Vaccines (United States) · USStatens Serum Institut · DKGates Foundation · USPhilippine General Hospital · PHResearch Institute for Tropical Medicine · PHTiGenix (Spain) · ESUniversity of the East Ramon Magsaysay Memorial Medical Center · PHUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA dose-sparing inactivated polio vaccine (IPV-Al), obtained by adsorption of inactivated virus to an aluminium hydroxide adjuvant, can help mitigate global supply and the cost constraints of IPV. The objective of this trial was to demonstrate the non-inferiority of IPV-Al to standard IPV.

methodsThis phase 3, observer-blinded, randomised, controlled trial was conducted at 5 investigational sites in the Philippines. Infants not previously vaccinated with any polio vaccines were randomised to receive three IPV-Al (n = 502) or IPV vaccinations (n = 500) at 6, 10 and 14 weeks of age plus a booster vaccination at 9 months. The primary endpoint was type-specific seroconversion, defined as an antibody titre ≥4-fold higher than the estimated maternal antibody titre and a titre ≥8, one month after the primary vaccination series.

resultsSeroconversion rates following primary vaccination with IPV-Al (483 infants in the per-protocol analysis set) or IPV (478 infants) were: polio type 1, 97.1% versus 99.0%; type 2, 94.2% versus 99.0%; and type 3, 98.3% versus 99.6%. IPV-Al was non-inferior to IPV, as the lower 95% confidence limits of the treatment differences were above the predefined -10%-point limit: type 1, -1.85% (-3.85; -0.05); type 2, -4.75% (-7.28; -2.52); type 3, -1.24 (-2.84; 0.13). The booster effect (geometric mean titre (GMT) post-booster / GMT pre-booster) was: type 1, 63 versus 43; type 2, 54 versus 47; type 3, 112 versus 80. IPV-Al was well tolerated with a safety profile comparable to that of IPV. Serious adverse events were recorded for 29 infants (5.8%, 37 events) in the IPV-Al group compared to 28 (5.6%, 48 events) in the IPV group.

conclusionNon-inferiority of IPV-Al to IPV with respect to seroconversion was confirmed and a robust booster response was demonstrated. Both vaccines had a similar safety profile. ClinicalTrials.gov identifier: NCT03032419.

Indexed as

Immunogenicity, VaccineAluminum HydroxideFemaleHumansInfantMalePhilippinesPoliomyelitisPoliovirus Vaccine, InactivatedSingle-Blind MethodAluminum HydroxidePoliovirus Vaccine, InactivatedAffordable IPVAluminium hydroxide adjuvantBooster vaccinationImmunogenicityPolioPrimary vaccination

Identifiers

PMID31703934
PMCPMC6983932
OpenAlexW2989269497

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.