Evidence map›Paper›PMID 32025302›Full record

ArticleClinical & translational immunology2020

Assessment of enhanced influenza vaccination finds that FluAd conveys an advantage in mice and older adults.

Niloufar Kavian, Asmaa Hachim, Athena Py Li, Carolyn A Cohen, Alex Wh Chin, Leo Lm Poon, Vicky J Fang, Nancy Hl Leung, Benjamin J Cowling, Sophie A Valkenburg

Open access · goldAbstract read
In one paragraph

Article in Clinical & translational immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 24 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

10 authors at 1 institution in 3 countries.

Niloufar KavianHKU-Pasteur Research Pole School of Public Health The University of Hong Kong Hong Kong.
Asmaa HachimHKU-Pasteur Research Pole School of Public Health The University of Hong Kong Hong Kong.
Athena Py LiHKU-Pasteur Research Pole School of Public Health The University of Hong Kong Hong Kong.
Carolyn A CohenHKU-Pasteur Research Pole School of Public Health The University of Hong Kong Hong Kong.
Alex Wh ChinWorld Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control School of Public Health The University of Hong Kong Hong Kong.
Leo Lm PoonWorld Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control School of Public Health The University of Hong Kong Hong Kong.
Vicky J FangWorld Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control School of Public Health The University of Hong Kong Hong Kong.
Nancy Hl LeungWorld Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control School of Public Health The University of Hong Kong Hong Kong.ORCID https://orcid.org/0000-0001-7314-840X
Benjamin J CowlingWorld Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control School of Public Health The University of Hong Kong Hong Kong.
Sophie A ValkenburgHKU-Pasteur Research Pole School of Public Health The University of Hong Kong Hong Kong.ORCID https://orcid.org/0000-0002-0768-9926
World Health Organization - Pakistan · PK

Funding

ACL HHS U01IP001064NCIRD CDC HHS U01 IP001064NIAID NIH HHS HHSN272201400006C
6 · The paper itself

Abstract

objectivesEnhanced inactivated influenza vaccines (eIIV) aim to increase immunogenicity and protection compared with the widely used standard IIV (S-IIV).

methodsWe tested four vaccines in parallel, FluZone high dose, FluBlok and FluAd versus S-IIV in a randomised controlled trial of older adults and in a mouse infection model to assess immunogenicity, protection from lethal challenge and mechanisms of action.

resultsIn older adults, FluAd vaccination stimulated a superior antibody profile, including H3-HA antibodies that were elevated for up to 1 year after vaccination, higher avidity H3HA IgG and larger HA stem IgG responses. In a mouse model, FluAd also elicited an earlier and larger induction of HA stem antibodies with increased germinal centre responses and upregulation and long-term expression of B-cell switch transcription factors. Long-term cross-reactive memory responses were sustained by FluAd following lethal heterosubtypic influenza challenge, with reduced lung damage and viral loads, coinciding with increased T- and B-cell recall. Advantages were also noted for the high-dose FluZone vaccine in both humans and mice.

conclusionThe early, broadly reactive and long-lived antibody response of FluAd indicates a potential advantage of this vaccine, particularly in years when there is a mismatch between the vaccine strain and the circulating strain of influenza viruses.

Indexed as

adjuvantantibodyB cellHA steminfectioninfluenza vaccine

Identifiers

PMID32025302
PMCPMC6997034
OpenAlexW3005269606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.