Evidence map›Paper›PMID 32355503›Full record

ArticleImmunity & ageing : I & A2020

The SENIEUR protocol and the efficacy of hepatitis B vaccination in healthy elderly persons by age, gender, and vaccine route.

Robert Edelman, Meagan E Deming, Franklin R Toapanta, Mark D Heuser, Lisa Chrisley, Robin S Barnes, Steven S Wasserman, William C Blackwelder, Barry S Handwerger, Marcela Pasetti and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Immunity & ageing : I & A, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04162223 (Mechanisms of Immunosenescence), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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.

NCT04162223 early_phase1completednot on this map

Mechanisms of Immunosenescence: A Single-Blinded Comparison of the Location of Vaccine Inoculum, Intramuscular Versus Subcutaneous Adipose Tissue, on the Immune Response of Healthy Elderly Adults to a Recombinant Hepatitis B Surface Antigen Vaccine (Recombivax-HB)

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2000 to 2003Enrolled52ConditionsHepatitis B VaccinationArmsSubcutaneous fat injection of Recombivax-HB, Intramuscular injection of Recombivax-HB
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. How does geographical diversity shape vaccine efficacy?Clinical and experimental vaccine research · 2024
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Vaccines and Senior Travellers.Frontiers in aging · 2021
    Review
  14. Article
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

12 authors at 2 institutions in 1 country.

Robert Edelman1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
Meagan E Deming1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
Franklin R Toapanta1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
Mark D Heuser2Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.
Lisa Chrisley1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
Robin S Barnes1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
Steven S Wasserman1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
William C Blackwelder6Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, USA.
Barry S Handwerger7Rheumatology and Clinical Immunology, Dept of Medicine, University of Maryland School of Medicine, Baltimore, USA.
Marcela Pasetti1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
Khan M Siddiqui10Imaging Informatics and Body Magnetic Resonance Imaging unit, Veterans Affairs Maryland Health Care System Baltimore, Baltimore, MD USA.
Marcelo B Sztein1Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, USA.
University of Maryland, Baltimore · USVA Maryland Health Care System · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI Stephen L. Seliger · 2006 to 2026
$28.9M
Wild-type S. typhi Infection in Humans: Integrated Immunoprotective MechanismsU19AI082655 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI SZTEIN, MARCELO B. · 2009 to 2018
$27.8M
FELLOWSHIP TRAINING PROGRAM IN VACCINOLOGYT32AI007524 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI Marcelo B. Sztein · 1997 to 2026
$6.4M
EVALUATION OF VACCINES &THERAPEUTICS IN ADULTS/ELDERLY-266985342N01AI085342 · NIAID · UNIVERSITY OF MARYLAND BALT PR · 1998 to 2004
–
NIAID NIH HHS N01 AI085342NIAID NIH HHS T32 AI007524NIAID NIH HHS U19 AI082655NIA NIH HHS P30 AG028747
6 · The paper itself

Abstract

backgroundReduced response to hepatitis B vaccines is associated with aging, confounding and comorbid conditions, as well as inadvertent subcutaneous (SC) inoculation. We hypothesized that the antibody and T cell-mediated immune responses (T-CMI) of elderly adults to a vaccine intended for intramuscular (IM) administration would be attenuated when deposited into SC fat, independent of confounding conditions.

resultsFifty-two healthy, community dwelling elderly adults (65-82 years), seronegative for HBV, were enrolled in the SENIEUR protocol as a strictly healthy population. These seniors were randomized to receive a licensed alum-adjuvanted recombinant HBV vaccine either SC or IM, with the inoculum site verified by imaging. The response rates, defined as hepatitis B surface antibodies (HBsAb) ≥10 IU/L, were significantly lower in the elderly than in young adults, a group of 12, healthy, 21-34-year-old volunteers. Moreover, elderly participants who received the vaccine IM were significantly more likely to be responders than those immunized SC (54% versus 16%,

conclusionsOur data demonstrate the blunted immunogenicity of SC inoculation as measured by peak titers and response rates. Further, the qualitative and quantitative deficits in B- and T-CMI responses to primary alum adjuvanted protein antigens persisted even in strictly healthy elderly populations with verified IM placement compared to younger populations. CLINICAL

trial registrationClinicalTrials.gov, NCT04162223. Registered 14 November 2019. Retrospectively registered.

Indexed as

AgingAntibodyCellular immunityHepatitis BImmunesenescenceVaccine

Identifiers

PMID32355503
PMCPMC7187507
OpenAlexW3022451474

What OpenQuestion holds

Textmetadata
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.