Evidence map›Paper›PMID 32040014›Full record

Trial reportThe Pediatric infectious disease journal2020

Secondary Analysis of the Efficacy and Safety Trial Data of the Tetravalent Dengue Vaccine in Children and Adolescents in Colombia.

Humberto Reynales, Gabriel Carrasquilla, Betzana Zambrano, Margarita Cortés S, Tifany Machabert, Jin Jing, Sophie Pallardy, Owen Haney, Martha Faccini, Juliana Quintero and 1 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Pediatric infectious disease journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01374516 (Efficacy and Safety of a Novel Tetravalent Dengue Vaccine in Healthy Children and Adolescents Aged 9 to 16 Years in Latin America), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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.

NCT01374516 phase3completednot on this map

Efficacy and Safety of a Novel Tetravalent Dengue Vaccine in Healthy Children and Adolescents Aged 9 to 16 Years in Latin America

TypeinterventionalSponsorSanofi Pasteur, a Sanofi CompanyRan2011 to 2018Enrolled20,869ConditionsDengue Fever, Dengue Hemorrhagic Fever, DengueArmsLive, attenuated, dengue serotype 1, 2, 3, 4 virus, Placebo: (NaCl) 0.9% solution
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. 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 6 institutions in 5 countries.

Humberto ReynalesFrom the Centro de Atención e Investigación Médica - CAIMED, Bogotá, Colombia.
Gabriel CarrasquillaFundación Santa Fe de Bogotá, Bogotá, Colombia.
Betzana ZambranoSanofi Pasteur Global Clinical Sciences, Montevideo, Uruguay.
Margarita Cortés SSanofi Global Head Medical, Bogotá, Colombia.
Tifany MachabertSanofi Pasteur Global Clinical Programs, Marcy L'Étoile, France.
Jin JingBiostatistics and Programming, Clinical Scientific Operations, Sanofi, Beijing, China.
Sophie PallardySanofi Pasteur Global Clinical Programs, Marcy L'Étoile, France.
Owen HaneySanofi Pasteur Global Pharmacovigilance, Swiftwater, PA, USA.
Martha FacciniFrom the Centro de Atención e Investigación Médica - CAIMED, Bogotá, Colombia.
Juliana QuinteroFundación Santa Fe de Bogotá, Bogotá, Colombia.
Fernando NoriegaSanofi Pasteur Global Clinical Sciences, Swiftwater, PA, USA.
Fundación Santa Fe de Bogotá · COSanofi (France) · FRSanofi (United States) · USAsociación Colombiana de Facultades de Ingeniería · COInstitut Pasteur de Montevideo · UYSanofi (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of the recombinant, live, attenuated, tetravalent dengue vaccine (CYD-TDV) against virologically-confirmed dengue (VCD) has been documented in a phase 3 trial in Latin America (CYD15, NCT01374516). This is a descriptive secondary analysis of the efficacy and safety of CYD-TDV in participants from Colombia.

methodsData from 9740 Colombian participants 9-16 years of age who were randomized 2:1 to receive CYD-TDV or placebo were assessed to describe the vaccine efficacy of CYD-TDV against VCD and severe VCD. Estimation was made of the relative risk (RR) for hospitalized VCD cases and severe hospitalized VCD cases after the first dose of CYD-TDV, as well as a description of the incidence of hospitalized dengue from the start of the study and per year of the study until study completion.

resultsDuring the active phase of the trial in Colombia, the efficacy of CYD-TDV was 67.5% [95% confidence interval (CI): 58.3-74.7] against symptomatic VCD due to any serotype from injection 1 (month 0) to 25 months postinjection 1. Over 6 years, the RR across all 4 serotypes was 0.166 (95% CI: 0.09-0.29) in hospitalized VCD patients and 0.154 (95% CI: 0.04-0.50) in patients with severe hospitalized VCD.

conclusionsAnalysis of the data from Colombia mimics the efficacy observed in CYD15 during the active surveillance follow-up (25 months), but with a sustained beneficial RR for dengue hospitalizations on the subsequent years of follow-up. In Colombia, where seroprevalence has been demonstrated to be high in several regions of the country, CYD-TDV is a useful tool to consider as part of an integrated control strategy against endemic dengue, a disease with a high economic impact on the health system.

Indexed as

AdolescentAntibodies, NeutralizingAntibodies, ViralChildColombiaDengueDengue VaccinesDengue VirusFemaleHospitalizationHumansImmunogenicity, VaccineIncidenceMaleSerogroupSevere DengueAntibodies, NeutralizingAntibodies, ViralDengue VaccinesVaccines, AttenuatedVaccines, Synthetic

Identifiers

PMID32040014
PMCPMC7182239
OpenAlexW3006334113

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.