Evidence map›Paper›PMID 33524278›Full record

ArticleHuman vaccines & immunotherapeutics2021

Challenges and opportunities in setting up a phase III vaccine clinical trial in resource limited settings: Experience from Nepal.

Tarun Saluja, Bishnu Rath Giri, Shipra Chaudhary, Dipesh Tamrakar, Piush Kanodia, Sonali Palkar, Sridhar Vemula, Suchada Chinaworapong, Bomi Kim, Birendra Prasad Gupta and 7 more

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 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
–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.

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.

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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

17 authors.

Tarun SalujaInternational Vaccine Institute, Seoul, Republic of Korea.ORCID 0000-0001-9771-7021
Bishnu Rath GiriKanti Children's Hospital, Kathmandu, Nepal.ORCID 0000-0001-5238-2061
Shipra ChaudharyB P Koirala Institute of Health Sciences, Dharan, Nepal.
Dipesh TamrakarKathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Piush KanodiaNepalgunj Medical College, Nepalgunj, Nepal.
Sonali PalkarBharti Hospital, Pune, India.
Sridhar VemulaInternational Vaccine Institute, Seoul, Republic of Korea.
Suchada ChinaworapongInternational Vaccine Institute, Seoul, Republic of Korea.
Bomi KimInternational Vaccine Institute, Seoul, Republic of Korea.
Birendra Prasad GuptaInternational Vaccine Institute, Seoul, Republic of Korea.
Sue Kyoung JoInternational Vaccine Institute, Seoul, Republic of Korea.
Sanet AspinallArdent Consulting (Pty) Ltd, South Africa.
Ganesh Kumar RaiKanti Children's Hospital, Kathmandu, Nepal.
Duncan SteeleBill & Melinda Gates Foundation, Seattle, USA.
Jerome H KimInternational Vaccine Institute, Seoul, Republic of Korea.ORCID 0000-0003-0461-6438
T Anh WartelInternational Vaccine Institute, Seoul, Republic of Korea.
Sushant SahastrabuddheInternational Vaccine Institute, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical trials are complicated, time-consuming and costly. From the initial screening, informed consent and recruitment of the participants' to study completion, the sponsor must undertake a wide array of complex and closely monitored operations, complying with international standards for human subject research and local requirements. Conducting these studies in an underdeveloped country, with limited resources, infrastructure, and experience with regulated clinical trials adds to this complexity. The initial site selection, set up and preparatory activities for the clinical trial are crucial to minimizing the risks to both participants and to successful completion during the subsequent study execution.In this paper, we describe the experience and lessons learned of building clinical trial site capacity in terms of infrastructure and human resource development for a Phase III vaccine clinical trial. We believe that sharing the experience of setting up a clinical trial in a resource-limited country will enable other entities contemplating clinical research in these countries, to prepare and plan ahead, to minimize the impact of barriers, and to contribute to bringing more studies to the countries where people live with the burden of vaccine-preventable, poverty-associated diseases.

Indexed as

VaccinesDeveloping CountriesHumansInformed ConsentNepalResearch DesignVaccinesCapacity buildingclinical trialphase IIIresource-limited settingsvaccine trial

Identifiers

PMID33524278
PMCPMC8189093

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Registered trials

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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.