Evidence map›Paper›PMID 33485646›Full record

Trial reportVaccine2021

Immunogenicity and safety of different dose schedules and antigen doses of an MF59-adjuvanted H7N9 vaccine in healthy adults aged 65 years and older.

Patricia Winokur, Hana M El Sahly, Mark J Mulligan, Sharon E Frey, Richard Rupp, Evan J Anderson, Kathryn M Edwards, David I Bernstein, Kenneth Schmader, Lisa A Jackson and 4 more

Open access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. A Phase 1/2 Dose-Ranging Safety and Immunogenicity Study of mRNA-Based Candidate Pandemic Influenza Vaccines in Healthy Adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  6. From Yesterday to Tomorrow: How Vaccine Platforms Have Shaped the Vaccine and Treatment Evaluation Units.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  7. Future Goals and Long-term Vision of the Infectious Diseases Clinical Research Consortium/Vaccine and Treatment Evaluation Unit Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  8. 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

14 authors at 10 institutions in 1 country.

Patricia WinokurDivision of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, Iowa, United States. Electronic address: patricia-winokur@uiowa.edu.
Hana M El SahlyDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, United States.
Mark J MulliganThe Hope Clinic of the Emory Vaccine Center, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, United States.
Sharon E FreyDepartment of Medicine, Saint Louis University School of Medicine, Saint Louis, MO, United States.
Richard RuppSealy Institute for Vaccine Sciences, University of Texas Medical Branch, Galveston, TX, United States.
Evan J AndersonEmory Children's Center, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt Vaccine Research Program, Vanderbilt University, Nashville, TN, United States.
David I BernsteinCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH, United States.
Kenneth SchmaderDuke University, United States.
Lisa A JacksonKaiser Permanente Washington Health Research Institute, Seattle, WA, United States.
Wilbur H ChenDepartment of Medicine, University of Maryland School of Medicine, Baltimore, MD, United States.
Heather HillThe Emmes Corporation, Rockville, MD, United States.
Abigail BellamyThe Emmes Corporation, Rockville, MD, United States.
DMID 13-0034 H7N9 Vaccine Study Group
Emmes (United States) · USEmory University · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USDuke University · USKaiser Permanente Washington Health Research Institute · USSaint Louis University · USUniversity of Iowa · USUniversity of Maryland, Baltimore · USVanderbilt University · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002537NIAID NIH HHS HHSN272200800001CNIAID NIH HHS HHSN272200800001GNIAID NIH HHS HHSN272200800001INIAID NIH HHS HHSN272200800001ONIAID NIH HHS HHSN272200800002CNIAID NIH HHS HHSN272200800003CNIAID NIH HHS HHSN272200800005CNIAID NIH HHS HHSN272200800006CNIAID NIH HHS HHSN272200800008CNIAID NIH HHS HHSN272200800013CNIAID NIH HHS HHSN272201300015CNIAID NIH HHS HHSN272201300015INIAID NIH HHS HHSN272201300018INIAID NIH HHS HHSN272201300019CNIAID NIH HHS HHSN272201300019INIAID NIH HHS HHSN272201300020INIAID NIH HHS HHSN272201300021CNIAID NIH HHS HHSN272201500002C
6 · The paper itself

Abstract

backgroundThe number of human influenza A (H7N9) infections has escalated since 2013 with high resultant mortality. We conducted a phase II, randomized, partially-blinded trial to evaluate the safety and immunogenicity of an MF59-adjuvanted inactivated, split virion, H7N9 influenza vaccine (H7N9 IIV) administered at various dose levels and schedules in older adults.

methods479 adults ≥ 65 years of age in stable health were randomized to one of six groups to receive either 3.75, 7.5 or 15 µg of influenza A/Shanghai/02/2013 (H7N9) IIV adjuvanted with MF59 given as a 3-dose series either on days 1, 28 and 168 or on days 1, 57 and 168. Immunogenicity was assessed using both hemagglutination inhibition (HAI) and microneutralization (MN) assays prior to and 28 days following each dose. Safety was assessed through 1 year following the last dose.

resultsSubjects in all groups had only modest immune responses, with the HAI GMT < 20 after the second vaccine dose and <29 after the third vaccine dose. HAI titers ≥ 40 were seen in <37% of subjects after the second dose and <49% after the third dose. There were no significant differences seen between the two dose schedules. MN titers followed similar patterns, although the titers were approximately two-fold higher than the HAI titers. Logistic regression modeling demonstrated no statistically significant associations between the immune responses and age, sex or body mass index whereas recent prior receipt of seasonal influenza vaccine significantly reduced the HAI response [OR 0.13 (95% CI 0.05, 0.33); p < 0.001]. Overall, the vaccine was well tolerated. Two mild potentially immune mediated adverse events occurred, lichen planus and guttate psoriasis.

conclusionsMF59-adjuvanted H7N9 IIV was only modestly immunogenic in the older adult population following three doses. There were no significant differences in antibody responses noted among the various antigen doses or the two dose schedules.

Indexed as

Influenza A Virus, H7N9 SubtypeInfluenza, HumanInfluenza VaccinesAdjuvants, ImmunologicAgedAnimalsAntibodies, ViralChinaHemagglutination Inhibition TestsHumansImmunogenicity, VaccinePolysorbatesSqualeneAdjuvants, ImmunologicAntibodies, ViralInfluenza VaccinesMF59 oil emulsionPolysorbatesSqualeneAvian influenzaH7N9influenza vaccineMF59

Identifiers

PMID33485646
PMCPMC8504682
OpenAlexW3122020336

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.