Evidence map›Paper›PMID 32273184›Full record

Trial reportVaccine2020

Immunogenicity and safety of an adjuvanted inactivated polio vaccine, IPV-Al, following vaccination in children at 2, 4, 6 and at 15-18 months.

Xavier Sáez-Llorens, Birgit Thierry-Carstensen, Lina Saem Stoey, Charlotte Sørensen, Henrik Wachmann, Ananda S Bandyopadhyay, Pernille Ingemann Nielsen, Mie Vestergaard Kusk

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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.

NCT03025750 phase3completednot on this map

Safety and Immunogenicity of Adjuvanted Reduced Dose Inactivated Polio Vaccine, IPV-Al SSI, in Comparison to Non-adjuvanted Full Dose IPV SSI, in Infants Vaccinated at 2, 4 and 6 Months of Age

TypeinterventionalSponsorStatens Serum InstitutRan2017 to 2017Enrolled800ConditionsPoliomyelitisArmsIPV-Al SSI, IPV SSI
NCT03671616 phase3completednot on this map

Immunogenicity and Safety of Adjuvanted Reduced Dose Inactivated Polio Vaccine, IPV-Al SSI Given as a Booster Vaccination at the Age of 15-18 Months to Infants Previously Immunised With IPV-Al SSI or IPV SSI

TypeinterventionalSponsorStatens Serum InstitutRan2018 to 2018Enrolled666ConditionsPoliomyelitisArmsIPV-Al SSI
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. 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

8 authors at 5 institutions in 4 countries.

Xavier Sáez-LlorensHospital del Niño Dr. José Renán Esquivel, Calle 34 Este, Panama City, Panama; Cevaxin, Avenida Mexico Calle 33, Local 4, Calidonia, Panama; National System of Investigation at Senacyt, Panama. Electronic address: xsaezll@cwpanama.net.
Birgit Thierry-CarstensenStatens Serum Institut, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: BTC@ssi.dk.
Lina Saem StoeyStatens Serum Institut, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: LSST@ssi.dk.
Charlotte SørensenAJ Vaccines, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: CHS@ajvaccines.com.
Henrik WachmannLarix A/S, Lyskær 8b, 2730 Herlev, Denmark. Electronic address: HEW@larixcro.com.
Ananda S BandyopadhyayBill & Melinda Gates Foundation, Seattle, WA, USA. Electronic address: Ananda.bandyopadhyay@gatesfoundation.org.
Pernille Ingemann NielsenAJ Vaccines, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: PXN@ajvaccines.com.
Mie Vestergaard KuskAJ Vaccines, 5 Artillerivej, 2300 Copenhagen S, Denmark. Electronic address: MHK@ajvaccines.com.
Global Vaccines (United States) · USStatens Serum Institut · DKGates Foundation · USSecretaría Nacional de Ciencia, Tecnología e Innovación · PATiGenix (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAvailability of affordable inactivated polio vaccines (IPV) is of major importance to meet the increasing global supply needs. The results presented here demonstrate non-inferiority of a reduced-dose, aluminium hydroxide-adjuvanted IPV (IPV-Al) to standard IPV.

methodsA phase 3, observer-blinded, randomised, clinical trial was conducted in Panama in infants who received either IPV-Al (n = 400) or standard IPV (n = 400) at age 2, 4 and 6 months. In the booster trial, subjects received a single dose of IPV-Al at age 15-18 months. The primary endpoint was type-specific seroconversion, defined as an antibody titre ≥4-fold higher than the estimated maternal antibody titre and a titre ≥8, one month after the primary vaccination series. In the booster trial, the primary endpoint was the type-specific booster effects (geometric mean titre (GMT) post-booster (Day 28)/GMT pre-booster (Day 0).

resultsSeroconversion rates following primary vaccination with IPV-Al vs IPV were: 96.1% vs 100% (type 1); 100% vs 100% (type 2); and 99.2% vs 100% (type 3) respectively. IPV-Al was non-inferior to IPV, as the lower 95% confidence limits of the treatment differences were above the pre-defined -10%-point limit: 3.94% (-6.51; -2.01) for type 1; 0.0% (-1.30; -1.37) for type 2; -0.85 (-2.46; 0.40) for type 3. The booster effects for the group primed with IPV-Al versus the group primed with IPV were 25.3 vs 9.2 (type 1), 19.1 vs 6.5 (type 2) and 50.4 vs 12.5 (type 3). IPV-Al had a comparable safety profile to that of IPV.

conclusionsNon-inferiority of IPV-Al to standard IPV with respect to seroconversion after vaccination at 2, 4 and 6 months was confirmed for all three poliovirus serotypes. A robust booster response was demonstrated following vaccination with IPV-Al, regardless of the primary vaccine received. Both vaccines were well tolerated. ClinicalTrials.gov identifiers: NCT03025750 and NCT03671616.

fundingBill & Melinda Gates Foundation.

Indexed as

Immunization, SecondaryImmunogenicity, VaccineAntibodies, ViralFemaleHumansImmunization ScheduleInfantMalePanamaPoliomyelitisPoliovirus Vaccine, InactivatedVaccinationAntibodies, ViralPoliovirus Vaccine, InactivatedAffordable IPVAluminium hydroxide adjuvantBooster vaccinationImmunogenicityPolioPrimary vaccinationStandalone adjuvanted IPV

Identifiers

PMID32273184
PMCPMC7184674
OpenAlexW3016049807

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.