Evidence map›Paper›PMID 33568467›Full record

Trial reportJournal of clinical microbiology2021

Antibody Responses to Two Recombinant Treponemal Antigens (rp17 and TmpA) before and after Azithromycin Treatment for Yaws in Ghana and Papua New Guinea.

Nishanth Parameswaran, Oriol Mitjà, Christian Bottomley, Cynthia Kwakye, Wendy Houinei, Allan Pillay, Damien Danavall, Kai-Hua Chi, Ronald C Ballard, Anthony W Solomon and 7 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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 at 5 institutions in 6 countries.

Nishanth ParameswaranOak Ridge Institute for Science and Education, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Oriol MitjàFight AIDS and Infectious Diseases Foundation, Hospital Germans Trias i Pujol, Barcelona, Spain.
Christian BottomleyMRC Tropical Epidemiology Group, Faculty of Epidemiology and Public Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Cynthia KwakyeGhana Health Services, Accra, Ghana.
Wendy HouineiPapua New Guinea Department of Health, Port Moresby, Papua New Guinea.
Allan PillayMolecular Diagnostics & Typing Laboratory, Laboratory Reference & Research Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Damien DanavallMolecular Diagnostics & Typing Laboratory, Laboratory Reference & Research Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Kai-Hua ChiMolecular Diagnostics & Typing Laboratory, Laboratory Reference & Research Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Ronald C BallardCenter for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Anthony W SolomonDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Cheng Y ChenMolecular Diagnostics & Typing Laboratory, Laboratory Reference & Research Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sibauk V BiebPapua New Guinea Department of Public Health, Waigani, Papua New Guinea.
Yaw Adu-SarkodieGhana Health Services, Accra, Ghana.
David C W MabeyHospital for Tropical Diseases, London, United Kingdom.
Kingsley AsieduDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Michael MarksHospital for Tropical Diseases, London, United Kingdom.ORCID 0000-0002-7585-4743
Diana L MartinDivision of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, USA hzx3@cdc.gov.ORCID 0000-0001-9417-5562
Centers for Disease Control and Prevention · USLondon School of Hygiene & Tropical Medicine · GBGhana Health Service · GHWorld Health Organization · CHFundació Lluita contra les Infeccions · ES

Funding

Medical Research Council MR/R010161/1World Health Organization 001
6 · The paper itself

Abstract

WHO and its partners aim to interrupt yaws transmission in countries of endemicity and to certify others as being yaws-free. Transmission can be assessed using rapid plasma reagin (RPR) tests, reflecting current or recent infection, but RPR is operationally impractical. We evaluated changes in antibody levels against two recombinant treponemal antigens, rp17 (also known as Tp17) and TmpA, after antibiotic treatment given as part of a randomized controlled trial for yaws in Ghana and Papua New Guinea. Paired serum samples from children aged 6 to 15 years with confirmed yaws, collected before and after treatment, were tested for antibodies to rp17 and TmpA using a semiquantitative bead-based immunoassay. Of 344 baseline samples, 342 tested positive for anti-rp17 antibodies and 337 tested positive for anti-TmpA antibodies. Six months after treatment, the median decrease in anti-rp17 signal was 3.2%, whereas the median decrease in anti-TmpA was 53.8%. The magnitude of change in the anti-TmpA response increased with increasing RPR titer fold change. These data demonstrate that responses to TmpA decrease markedly within 6 months of treatment whereas (as expected) those to rp17 do not. Incorporating responses to TmpA as a marker of recent infection within an integrated sero-surveillance platform could provide a way to prioritize areas for yaws mapping.

Indexed as

AzithromycinYawsAntibody FormationChildGhanaHumansPapua New GuineaTreponema pallidumAzithromycinantibodymass drug administrationsero-surveillancesurveillance studiesyaws

Identifiers

PMID33568467
PMCPMC8091825
OpenAlexW3127401706

What OpenQuestion holds

Textmetadata
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.