Evidence map›Paper›PMID 32232474›Full record

ArticleThe Journal of infectious diseases2020

Human Challenge Studies to Accelerate Coronavirus Vaccine Licensure.

Nir Eyal, Marc Lipsitch, Peter G Smith

Open access · hybridAbstract read
In one paragraph

Article 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 117 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 2% 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

117 citing papers in PubMed, 3 syntheses or guidelines pooled it, 295 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. COVID 19 repercussions in ophthalmology: a narrative review.Sao Paulo medical journal = Revista paulista de medicina
    Pooled it
  4. Article
  5. Ethical Frameworks for Conducting Social Challenge Studies.Journal of empirical research on human research ethics : JERHRE · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. medRxiv : the preprint server for health sciences · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Human Challenge Studies with Coronaviruses Old and New.Current topics in microbiology and immunology · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. First Do No Harm? Modeling Risks and Benefits of Challenge Trials for Hepatitis C Vaccine Development.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  19. Article
  20. Article

57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Nir EyalCenter for Population-Level Bioethics, Rutgers University, New Brunswick, New Jersey, USA.
Marc LipsitchCenter for Communicable Disease Dynamics, Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Peter G SmithMRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, UK.
Center for Disease Dynamics, Economics & Policy · USLondon School of Hygiene & Tropical Medicine · GBRutgers, The State University of New Jersey · US

Funding

Understanding and controlling antibiotic resistanceU54GM088558 · NIGMS · HARVARD SCHOOL OF PUBLIC HEALTH · PI HANAGE, WILLIAM · 2009 to 2018
$26.4M
Epidemiology of Infectious Diseases and BiodefenseT32AI007535 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRAD, YONATAN H, MURRAY, MEGAN B · 1998 to 2025
$4.8M
HIV cure studies: risk, risk perception, and ethicsR01AI114617 · NIAID · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI EYAL, NIR · 2015 to 2018
$3.2M
HIV cure studies: risk, risk perception, and ethicsR56AI114617 · NIAID · HARVARD MEDICAL SCHOOL · PI EYAL, NIR · 2014 to 2014
$528k
NIAID NIH HHS AI114617-01A1NIAID NIH HHS R01 AI114617NIAID NIH HHS R56 AI114617NIAID NIH HHS T32 AI007535NIGMS NIH HHS U54 GM088558
6 · The paper itself

Abstract

Controlled human challenge trials of SARS-CoV-2 vaccine candidates could accelerate the testing and potential rollout of efficacious vaccines. By replacing conventional phase 3 testing of vaccine candidates, such trials may subtract many months from the licensure process, making efficacious vaccines available more quickly. Obviously, challenging volunteers with this live virus risks inducing severe disease and possibly even death. However, we argue that such studies, by accelerating vaccine evaluation, could reduce the global burden of coronavirus-related mortality and morbidity. Volunteers in such studies could autonomously authorize the risks to themselves, and their net risk could be acceptable if participants comprise healthy young adults, who are at relatively low risk of serious disease following natural infection, if they have a high baseline risk of natural infection, and if during the trial they receive frequent monitoring and, following any infection, the best available care.

Indexed as

BetacoronavirusClinical Trials as TopicCoronavirus InfectionsCOVID-19COVID-19 VaccinesDrug DevelopmentHumansLicensurePandemicsPneumonia, ViralSARS-CoV-2Viral VaccinesCOVID-19 VaccinesViral Vaccinescoronavirusethicshuman challenge studiesrandomized controlled trialsrisk-takingvaccines

Identifiers

PMID32232474
PMCPMC7184325
OpenAlexW3013321552

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.