Evidence map›Paper›PMID 33683337›Full record

Trial reportBlood advances2021

Tandem high-dose influenza vaccination is associated with more durable serologic immunity in patients with plasma cell dyscrasias.

Andrew R Branagan, Eamon Duffy, Geliang Gan, Fangyong Li, Connor Foster, Rakesh Verma, Lin Zhang, Terri L Parker, Stuart Seropian, Dennis L Cooper and 6 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT02566265 phase2completednot on this map

Study of High-dose Influenza Vaccine Efficacy by Repeated Dosing IN Gammopathy Patients (SHIVERING 2)

TypeinterventionalSponsorYale UniversityRan2015 to 2018Enrolled122ConditionsInfluenza, Multiple Myeloma, Waldenstrom's Macroglobulinemia, Plasma Cell DisordersArmsFluzone High Dose Vaccine, Standard of care/Placebo
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Seroconversion rate after vaccination against COVID-19 in patients with cancer-a systematic review.Annals of oncology : official journal of the European Society for Medical Oncology · 2022
    Pooled it
  2. Article
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  9. Determinants of Neutralizing Antibody Response After SARS CoV-2 Vaccination in Patients With Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
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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

16 authors at 2 institutions in 1 country.

Andrew R BranaganYale Cancer Center, New Haven, CT.
Eamon DuffyYale Cancer Center, New Haven, CT.
Geliang GanYale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT; and.
Fangyong LiYale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT; and.
Connor FosterYale Cancer Center, New Haven, CT.
Rakesh VermaYale Cancer Center, New Haven, CT.
Lin ZhangYale Cancer Center, New Haven, CT.
Terri L ParkerYale Cancer Center, New Haven, CT.
Stuart SeropianYale Cancer Center, New Haven, CT.
Dennis L CooperYale Cancer Center, New Haven, CT.
Debra BrandtYale Cancer Center, New Haven, CT.
Jeremy KortmanskyYale Cancer Center, New Haven, CT.
Davit WittYale Cancer Center, New Haven, CT.
Thomas M FerenczYale Cancer Center, New Haven, CT.
Kavita M DhodapkarYale Cancer Center, New Haven, CT.
Madhav V DhodapkarYale Cancer Center, New Haven, CT.
Yale Cancer Center · USEmory University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
HARNESSING HOST RESPONSE TO PREVENT MYELOMAR35CA197603 · NCI · YALE UNIVERSITY · PI DHODAPKAR, MADHAV V · 2016 to 2022
$5.8M
NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1 TR001863NCI NIH HHS R35 CA197603
6 · The paper itself

Abstract

Patients with plasma cell dyscrasias (PCDs) experience an increased burden of influenza, and current practice of single-dose annual influenza vaccination yields suboptimal protective immunity in these patients. Strategies to improve immunity to influenza in these patients are clearly needed. We performed a randomized, double-blind, placebo-controlled clinical trial comparing tandem Fluzone High-Dose influenza vaccination with standard-of-care influenza vaccination. Standard-of-care vaccination was single-dose age-based vaccination (standard dose, <65 years; high dose, ≥65 years), and patients in this arm received a saline placebo injection at 30 days. A total of 122 PCD patients were enrolled; 47 received single-dose standard-of-care vaccination, and 75 received 2 doses of Fluzone High-Dose vaccine. Rates of hemagglutinin inhibition (HAI) titer seroprotection against all 3 strains (H1N1, H3N2, and influenza B) were significantly higher for patients after tandem high-dose vaccination vs control (87.3% vs 63.2%; P = .003) and led to higher seroprotection at the end of flu season (60.0% vs 31.6%; P = .04). These data demonstrate that tandem high-dose influenza vaccination separated by 30 days leads to higher serologic HAI titer responses and more durable influenza-specific immunity in PCD patients. Similar vaccine strategies may also be essential to achieve protective immunity against other emerging pathogens such as novel coronavirus in these patients. This trial was registered at www.clinicaltrials.gov as #NCT02566265.

Indexed as

AdultAgedAged, 80 and overDouble-Blind MethodHumansInfluenza, HumanInfluenza VaccinesMiddle AgedParaproteinemiasInfluenza Vaccines

Identifiers

PMID33683337
PMCPMC7948269
OpenAlexW3134237532

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.