Evidence map›Paper›PMID 31734696›Full record

Trial reportThe Journal of infectious diseases2020

Cytomegalovirus Humoral Response Against Epithelial Cell Entry-Mediated Infection in the Primary Infection Setting After Hematopoietic Cell Transplantation.

Danniel Zamora, Elizabeth M Krantz, Margaret L Green, Laurel Joncas-Schronce, Rachel Blazevic, Bradley C Edmison, Meei-Li Huang, Terry Stevens-Ayers, Keith R Jerome, Adam P Geballe and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

11 authors at 2 institutions in 1 country.

Danniel ZamoraVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Elizabeth M KrantzVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Margaret L GreenVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Laurel Joncas-SchronceVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Rachel BlazevicVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Bradley C EdmisonVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Meei-Li HuangDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Terry Stevens-AyersVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Keith R JeromeVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Adam P GeballeDivisions of Human Biology and Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Michael BoeckhVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
University of Washington · USFred Hutch Cancer Center · US

Funding

Training Program in Infectious Diseases in the Immunocompromised HostT32AI118690 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOECKH, MICHAEL J · 2016 to 2025
$4.0M
Infections in Hematopoietic Cell Transplant RecipientsK24HL093294 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOECKH, MICHAEL J · 2009 to 2019
$1.5M
CMV Entry-Specific Neutralizing Antibody in Primary Infection in TransplantationK23AI097234 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GREEN, MARGARET L · 2012 to 2016
$653k
NHLBI NIH HHS K24 HL093294NIAID NIH HHS K23 AI097234NIAID NIH HHS T32 AI118690
6 · The paper itself

Abstract

backgroundThe influence of humoral immunity on the prevention of primary cytomegalovirus (CMV) infection after hematopoietic cell transplantation (HCT) is poorly understood.

methodsTo determine whether neutralizing antibodies (nAbs) against CMV pentameric complex (PC)-mediated epithelial cell entry decrease CMV infection after HCT, samples were analyzed from a randomized controlled trial of CMV intravenous immunoglobulin (IVIG) prophylaxis. Weekly serum from 61 CMV donor-positive/recipient-negative (D+/R-) HCT patients (33 control, 28 CMV IVIG) was tested using a PC-entry nAb assay and quantitative CMV polymerase chain reaction (PCR).

resultsThere was a trend toward higher weekly PC-entry nAb titers (P = .07) and decreased CMV infection by PCR at viral load cutoffs of ≥1000 and ≥10 000 IU/mL in the CMV IVIG arm. High nAb titers were not significantly protective against CMV infection later after HCT in both study arms. Among CMV-infected patients, each log2 increase in nAb titer was associated with an average 0.2 log10 decrease in concurrent CMV viral load after infection (P = .001; adjusted for study arm).

conclusionsThis study provides initial support that CMV IVIG prophylaxis moderately enhances PC-entry nAB activity in D+/R- HCT recipients.

Indexed as

Immunity, HumoralAdolescentAdultAntibodies, NeutralizingAntibodies, ViralAntiviral AgentsChildChild, PreschoolCytomegalovirusCytomegalovirus InfectionsEpithelial CellsFemaleHematopoietic Stem Cell TransplantationHumansImmunoglobulins, IntravenousMaleAntibodies, NeutralizingAntibodies, ViralAntiviral AgentsImmunoglobulins, IntravenousCMVcytomegalovirushematopoietic cell transplantationneutralizing antibodiespentameric complex

Identifiers

PMID31734696
PMCPMC7137890
OpenAlexW2985440778

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.