Evidence map›Paper›PMID 32492039›Full record

ArticlePloS one2020

Preparedness against pandemic influenza: Production of an oil-in-water emulsion adjuvant in Brazil.

Milena Apetito Akamatsu, Vitor Anselmo Sakihara, Bianca Pereira Carvalho, Aline de Paiva Abrantes, Maria A Sakauchi Takano, Eduardo Alfredo Adami, Fernando Seiji Yonehara, Patrícia Dos Santos Carneiro, Stefanni Rico, Alessandra Schanoski and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06842173 (Randomized, Double-Blind, Placebo-Controlled Phase I/II Clinical Trial To Evaluate The Safety And Immunogenicity Of The Monovalent Influenza Vaccine A), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% 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.

NCT06842173 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Randomized, Double-Blind, Placebo-Controlled Phase I/II Clinical Trial To Evaluate The Safety And Immunogenicity Of The Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) From Instituto Butantan, In Adults And The Older Adults

TypeinterventionalSponsorButantan InstituteRan2025 to 2027Enrolled700ConditionsAvian Influenza A VirusArmsMonovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg, Monovalent influenza vaccine type A (H5N8) 15 mcg, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  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

15 authors at 2 institutions in 2 countries.

Milena Apetito AkamatsuDivisão BioIndustrial, Serviço de Bacteriologia, Instituto Butantan, São Paulo, Brazil.ORCID 0000-0002-8193-3448
Vitor Anselmo SakiharaDivisão BioIndustrial, Serviço de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Bianca Pereira CarvalhoDivisão BioIndustrial, Serviço de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Aline de Paiva AbrantesDivisão BioIndustrial, Serviço de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Maria A Sakauchi TakanoDivisão BioIndustrial, Serviço de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Eduardo Alfredo AdamiDivisão BioIndustrial, Laboratório de Influenza, Instituto Butantan, São Paulo, Brazil.
Fernando Seiji YoneharaControle de Qualidade, Instituto Butantan, São Paulo, Brazil.
Patrícia Dos Santos CarneiroControle de Qualidade, Instituto Butantan, São Paulo, Brazil.
Stefanni RicoLaboratório de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Alessandra SchanoskiLaboratório de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Maurício MerosDivisão BioIndustrial, Instituto Butantan, São Paulo, Brazil.
Adrian SimpsonInfectious Disease Research Institute, Seattle, Washington, United States of America.
Tony PhanInfectious Disease Research Institute, Seattle, Washington, United States of America.
Christopher B FoxInfectious Disease Research Institute, Seattle, Washington, United States of America.
Paulo Lee HoDivisão BioIndustrial, Serviço de Bacteriologia, Instituto Butantan, São Paulo, Brazil.
Instituto Butantan · BRInfectious Disease Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing pandemic influenza vaccine manufacturing capacity is considered strategic by WHO. Adjuvant use is key in this strategy in order to spare the vaccine doses and by increasing immune protection. We describe here the production and stability studies of a squalene based oil-in-water emulsion, adjuvant IB160, and the immune response of the H7N9 vaccine combined with IB160. To qualify the production of IB160 we produced 10 consistency lots of IB160 and the average results were: pH 6.4±0.05; squalene 48.8±.0.03 mg/ml; osmolality 47.6±6.9 mmol/kg; Z-average 157±2 nm, with polydispersity index (PDI) of 0.085±0.024 and endotoxin levels <0.5 EU/mL. The emulsion particle size was stable for at least six months at 25°C and 24 months at 4-8°C. Two doses of H7N9 vaccine formulated at 7.5 μg/dose or 15 μg/dose with adjuvant IB160 showed a significant increase of hemagglutination inhibition (HAI) titers in sera of immunized BALB/c mice when compared to control sera from animals immunized with the H7N9 antigens without adjuvant. Thus the antigen-sparing capacity of IB160 can potentially increase the production of the H7N9 pandemic vaccine and represents an important achievement for preparedness against pandemic influenza and a successful North (IDRI) to South (Butantan Institute) technology transfer for the production of the adjuvant emulsion IB160.

Indexed as

Adjuvants, PharmaceuticAnimalsBrazilDrug StabilityEmulsionsHemagglutination Inhibition TestsHumansInfluenza A Virus, H7N9 SubtypeInfluenza, HumanInfluenza VaccinesMiceMice, Inbred BALB COrthomyxoviridae InfectionsPandemicsPolysorbatesSqualeneAdjuvants, PharmaceuticEmulsionsInfluenza VaccinesPolysorbatesSqualene

Identifiers

PMID32492039
PMCPMC7269237
OpenAlexW3028786311

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.