Evidence map›Paper›PMID 32658939›Full record

Trial reportPLoS pathogens2020

Minimal transmission in an influenza A (H3N2) human challenge-transmission model within a controlled exposure environment.

Jonathan S Nguyen-Van-Tam, Ben Killingley, Joanne Enstone, Michael Hewitt, Jovan Pantelic, Michael L Grantham, P Jacob Bueno de Mesquita, Robert Lambkin-Williams, Anthony Gilbert, Alexander Mann and 10 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS pathogens, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07342556 (EMIT-2b), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07342556 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

EMIT-2b: Evaluating Modes of Influenza Transmission Through the Conduct of Controlled Human Influenza Virus Infection Transmission Trials (CHIVITTs)

TypeinterventionalSponsorUniversity of Maryland, College ParkRan2026 to 2026Enrolled80ConditionsInfluenza (Healthy Volunteers)ArmsExposure to Donors with naturally acquired influenza virus infection
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Prophylactic Efficacy of CD388, a Novel Drug-Fc Conjugate, in a Human Influenza A/H3N2 Virus Challenge Model: A Randomized, Controlled Phase 2a Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Ventilation does not affect close-range transmission of influenza virus in a ferret playpen setup.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Airborne transmission of respiratory viruses.Science (New York, N.Y.) · 2021
    Review
  19. Review
  20. 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

20 authors.

Jonathan S Nguyen-Van-TamHealth Protection and Influenza Research Group, Division of Epidemiology and Public Heath, University of Nottingham School of Medicine, Nottingham, United Kingdom.ORCID 0000-0003-2579-4655
Ben KillingleyHealth Protection and Influenza Research Group, Division of Epidemiology and Public Heath, University of Nottingham School of Medicine, Nottingham, United Kingdom.
Joanne EnstoneHealth Protection and Influenza Research Group, Division of Epidemiology and Public Heath, University of Nottingham School of Medicine, Nottingham, United Kingdom.
Michael HewittHealth Protection and Influenza Research Group, Division of Epidemiology and Public Heath, University of Nottingham School of Medicine, Nottingham, United Kingdom.ORCID 0000-0002-7036-3451
Jovan PantelicUniversity of Maryland School of Public Health, Maryland Institute for Applied Environmental Health, College Park, Maryland, United States of America.
Michael L GranthamUniversity of Maryland School of Public Health, Maryland Institute for Applied Environmental Health, College Park, Maryland, United States of America.
P Jacob Bueno de MesquitaUniversity of Maryland School of Public Health, Maryland Institute for Applied Environmental Health, College Park, Maryland, United States of America.ORCID 0000-0001-5991-0138
Robert Lambkin-WilliamshVIVO London, United Kingdom.
Anthony GilberthVIVO London, United Kingdom.
Alexander MannhVIVO London, United Kingdom.ORCID 0000-0002-3744-4604
John FornihVIVO London, United Kingdom.
Catherine J NoakesUniversity of Leeds School of Civil Engineering, Leeds, United Kingdom.ORCID 0000-0003-3084-7467
Min Z LevineCenters for Disease Control and Prevention, Influenza Division, Atlanta, Georgia, United States of America.
LaShondra BermanCenters for Disease Control and Prevention, Influenza Division, Atlanta, Georgia, United States of America.ORCID 0000-0003-1732-5939
Stephen LindstromCenters for Disease Control and Prevention, Influenza Division, Atlanta, Georgia, United States of America.ORCID 0000-0002-3271-8362
Simon CauchemezImperial College London, MRC Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, London, United Kingdom.
Werner BischoffWake Forest School of Medicine, Winston-Salem, North Carolina, United States of America.ORCID 0000-0003-1388-3642
Raymond TellierMcGill University, Dept of Medicine, Montreal, Canada.
Donald K MiltonUniversity of Maryland School of Public Health, Maryland Institute for Applied Environmental Health, College Park, Maryland, United States of America.ORCID 0000-0002-0550-7834
EMIT Consortium

Funding

EMIT: Evaluating Modes of Influenza Transmission using a Human Challenge ModelU01IP000497 · IP · UNIVERSITY OF NOTTINGHAM · PI BISCHOFF, WERNER E, MILTON, DONALD KIRBY · 2011 to 2011
$10.8M
NCIRD CDC HHS U01 IP000497
6 · The paper itself

Abstract

Uncertainty about the importance of influenza transmission by airborne droplet nuclei generates controversy for infection control. Human challenge-transmission studies have been supported as the most promising approach to fill this knowledge gap. Healthy, seronegative volunteer 'Donors' (n = 52) were randomly selected for intranasal challenge with influenza A/Wisconsin/67/2005 (H3N2). 'Recipients' randomized to Intervention (IR, n = 40) or Control (CR, n = 35) groups were exposed to Donors for four days. IRs wore face shields and hand sanitized frequently to limit large droplet and contact transmission. One transmitted infection was confirmed by serology in a CR, yielding a secondary attack rate of 2.9% among CR, 0% in IR (p = 0.47 for group difference), and 1.3% overall, significantly less than 16% (p<0.001) expected based on a proof-of-concept study secondary attack rate and considering that there were twice as many Donors and days of exposure. The main difference between these studies was mechanical building ventilation in the follow-on study, suggesting a possible role for aerosols.

Indexed as

AerosolsFemaleHumansInfluenza A Virus, H3N2 SubtypeInfluenza, HumanMaleAerosols

Identifiers

PMID32658939
PMCPMC7390452

What OpenQuestion holds

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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.