Evidence map›Paper›PMID 33461835›Full record

ArticleVaccine2021

The humoral immune response to high-dose influenza vaccine in persons with monoclonal B-cell lymphocytosis (MBL) and chronic lymphocytic leukemia (CLL).

Jennifer A Whitaker, Sameer A Parikh, Tait D Shanafelt, Neil E Kay, Richard B Kennedy, Diane E Grill, Krista M Goergen, Timothy G Call, Saad S Kendarian, Wei Ding and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07485855 (Comparison of Immunogenicity of Different Influenza Vaccines in Patients With Hematologic Malignancies), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT07485855 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Immunogenicity of Different Influenza Vaccines in Patients With Hematologic Malignancies

TypeinterventionalSponsorAsan Medical CenterRan2025 to 2028Enrolled60ConditionsHematologic Neoplasms, Influenza, ImmunogenicityArmsHigh-dose trivalent inactivated influenza vaccine (HD-IIV3), MF59-adjuvanted quadrivalent inactivated influenza vaccine (aIIV4), Standard-dose trivalent inactivated influenza vaccine (SD-IIV3)
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Risk of Incident Melanoma Among Individuals With Low-Count Monoclonal B-Cell Lymphocytosis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  9. How does geographical diversity shape vaccine efficacy?Clinical and experimental vaccine research · 2024
    Review
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  11. Observational
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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

11 authors at 3 institutions in 1 country.

Jennifer A WhitakerMolecular Virology and Microbiology and Medicine, Infectious Diseases, Baylor College of Medicine One Baylor Plaza, MS-280, Houston, TX 77030, USA; Division of Infectious Diseases, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA. Electronic address: jennifer.whitaker@bcm.edu.
Sameer A ParikhDivision of Hematology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Tait D ShanafeltDivision of Hematology, Stanford University School of Medicine, 500 Pasteur Drive, Stanford, CA 94305, USA.
Neil E KayDivision of Hematology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Richard B KennedyDivision of General Internal Medicine and Vaccine Research Group, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Diane E GrillDivision of Biomedical Statistics and Informatics, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Krista M GoergenDivision of Biomedical Statistics and Informatics, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Timothy G CallDivision of Hematology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Saad S KendarianDivision of Hematology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Wei DingDivision of Hematology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Gregory A PolandDivision of General Internal Medicine and Vaccine Research Group, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Mayo Clinic · USBaylor College of Medicine · USStanford University · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
Bioinformatics Approach to Influenza A/H1N1 Vaccine Immune ProfilingU01AI089859 · NIAID · MAYO CLINIC ROCHESTER · PI POLAND, GREGORY A. · 2010 to 2015
$33.8M
Systems Biology of Mumps Vaccine ResponseR01AI138965 · NIAID · MAYO CLINIC ROCHESTER · PI KENNEDY, RICHARD B · 2018 to 2022
$3.9M
Transcriptomic Signatures of Influenza Vaccine ResponsesR01AI132348 · NIAID · MAYO CLINIC ROCHESTER · PI KENNEDY, RICHARD B, POLAND, GREGORY A. · 2018 to 2022
$3.9M
Integration of germline and tumor genomes in CLLR01CA235026 · NCI · MAYO CLINIC ROCHESTER · PI BRAGGIO, ESTEBAN, SLAGER, SUSAN L · 2019 to 2023
$3.2M
Predicting clinical outcome in individuals with small CLL B cell clonesR01CA197120 · NCI · MAYO CLINIC ROCHESTER · PI KAY, NEIL E, SHANAFELT, TAIT D · 2015 to 2019
$3.0M
NCI NIH HHS P30 CA015083NCI NIH HHS R01 CA197120NCI NIH HHS R01 CA235026NIAID NIH HHS R01 AI132348NIAID NIH HHS R01 AI138965NIAID NIH HHS U01 AI089859
6 · The paper itself

Abstract

backgroundLimited data are available regarding the immunogenicity of high-dose influenza vaccine among persons with chronic lymphocytic leukemia (CLL) and monoclonal B cell lymphocytosis (MBL).

methodsA prospective pilot study of humoral immune responses to 2013-2014 and 2014-2015 high-dose trivalent influenza vaccine (HD IIV; Fluzone® High-Dose; Sanofi Pasteur) was conducted among individuals with MBL and previously untreated CLL. Serum hemagglutination inhibition (HAI) antibody titers were measured at baseline and Day 28 after vaccination; seroprotection and seroconversion rates were determined. Memory B cell responses were assessed by B-cell enzyme-linked immune absorbent spotassays.

resultsThirty subjects (17 CLL and 13 MBL) were included. Median age was 69.5 years. Day 28 seroprotection rates for the cohort were 19/30 (63.3%) for A/H1N1; 21/23 (91.3%) for A/H3N2; and 13/30 (43.3%) for influenza B. Those with MBL achieved higher day 28 HAI geometric mean titers (54.1 [4.9, 600.1] vs. 12.1 [1.3, 110.1]; p = 0.01) and higher Day 28 seroprotection rates (76.9% vs. 17.6%; p = 0.002) against the influenza B-vaccine strain virus than those with CLL.

conclusionsImmunogenicity of the HD IIV3 in patients with CLL and MBL is lower than reported in healthy adults. Immunogenicity to influenza B was greater in those with MBL than CLL.

Indexed as

Immunity, HumoralInfluenza, HumanInfluenza VaccinesLeukemia, Lymphocytic, Chronic, B-CellLymphocytosisAdultAgedAntibodies, ViralB-LymphocytesHemagglutination Inhibition TestsHumansInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypePilot ProjectsProspective StudiesAntibodies, ViralInfluenza VaccinesB-cellChronicInfluenzaInfluenza vaccinesLeukemiaLymphocyticMonoclonal B cell lymphocytosis

Identifiers

PMID33461835
PMCPMC8189080
OpenAlexW3123047185

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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.