Evidence map›Paper›PMID 31919278›Full record

Observational studyNeurology(R) neuroimmunology & neuroinflammation2020

Tick-borne encephalitis vaccination in multiple sclerosis: A prospective, multicenter study.

Alexander Winkelmann, Christoph Metze, Silvius Frimmel, Emil C Reisinger, Uwe K Zettl, Micha Loebermann

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Neurology(R) neuroimmunology & neuroinflammation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02275741 (Study to Investigate the Immune Response and Safety of Prophylactic Vaccines in Patients Treated for Multiple Sclerosis), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT02275741 completednot on this map

Study to Investigate the Immune Response and Safety of Prophylactic Vaccines in Patients Treated for Multiple Sclerosis

TypeobservationalSponsorDr. med. Micha LoebermannRan2009 to 2016Enrolled226ConditionsMultiple Sclerosis, Relapsing-RemittingArmsprophylactic vaccine (tetanus, diphtheria, pertussis, poliomyelitis, influenza, hepatitis A, hepatitis B, tick-borne encephalitis, meningococcal, pneumococcal)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
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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

6 authors at 1 institution in 2 countries.

Alexander WinkelmannFrom the Department of Neurology (A.W.), University of Rostock, Germany; Section of Neuroimmunology (C.M., U.K.Z.), Department of Neurology; and Department of Tropical Medicine and Infectious Diseases (S.F., E.C.R., M.L.). alexander.winkelmann@med.uni-rostock.de.
Christoph MetzeFrom the Department of Neurology (A.W.), University of Rostock, Germany; Section of Neuroimmunology (C.M., U.K.Z.), Department of Neurology; and Department of Tropical Medicine and Infectious Diseases (S.F., E.C.R., M.L.).
Silvius FrimmelFrom the Department of Neurology (A.W.), University of Rostock, Germany; Section of Neuroimmunology (C.M., U.K.Z.), Department of Neurology; and Department of Tropical Medicine and Infectious Diseases (S.F., E.C.R., M.L.).
Emil C ReisingerFrom the Department of Neurology (A.W.), University of Rostock, Germany; Section of Neuroimmunology (C.M., U.K.Z.), Department of Neurology; and Department of Tropical Medicine and Infectious Diseases (S.F., E.C.R., M.L.).
Uwe K ZettlFrom the Department of Neurology (A.W.), University of Rostock, Germany; Section of Neuroimmunology (C.M., U.K.Z.), Department of Neurology; and Department of Tropical Medicine and Infectious Diseases (S.F., E.C.R., M.L.).
Micha LoebermannFrom the Department of Neurology (A.W.), University of Rostock, Germany; Section of Neuroimmunology (C.M., U.K.Z.), Department of Neurology; and Department of Tropical Medicine and Infectious Diseases (S.F., E.C.R., M.L.).ORCID 0000-0002-3453-8998
Institute of Neuroimmunology of the Slovak Academy of Sciences · SK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the changes in disease activity after tick-borne encephalitis (TBE) vaccination in patients with multiple sclerosis (MS) on a variety of disease-modifying drugs and to assess the immunogenicity, safety, and clinical tolerability of the vaccine in this patient group.

methodsWe conducted a prospective, multicenter, nonrandomized observational study. We enrolled 20 patients with MS receiving TBE vaccination who had been on disease-modifying treatment (DMT) for at least 6 months. Serum samples were obtained before and after 4 weeks of vaccination to determine the specific TBE antibody response. MS disease activity (Expanded Disability Status Scale and relapse rates) was evaluated for 1 year after immunization. Local and systemic adverse events were registered.

resultsIn 20 subjects with TBE vaccination, the annualized relapse rate decreased from 0.65 in the year before vaccination to 0.21 in the following year. Expanded Disability Status Scale remained stable during the 2-year period before vaccination and 1 year after vaccination (range: 1.50-1.97). The geometric mean titer (GMT) increased from 169 Vienna units per milliliter (VIEU/mL) to 719 VIEU/mL 4 weeks after vaccination (

conclusionTBE vaccination showed good tolerability and was safe in patients with MS. MS disease activity was not increased, and annualized relapse rates decreased after vaccination. Vaccine response differs according to the underlying DMT.

trial registrationClinicalTrials.gov, clinicaltrials.gov, Identifier: NCT02275741.

Indexed as

Multiple SclerosisAdultAntibodies, ViralEncephalitis, Tick-BorneEncephalitis Viruses, Tick-BorneFemaleHumansMaleMiddle AgedNeurotransmitter AgentsProspective StudiesTreatment OutcomeVaccinationViral VaccinesAntibodies, ViralNeurotransmitter AgentsViral Vaccines

Identifiers

PMID31919278
PMCPMC6984132
OpenAlexW2999448559

What OpenQuestion holds

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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.