Evidence map›Paper›PMID 33710336›Full record

Observational studyBlood advances2021

Safety and reactogenicity of the recombinant zoster vaccine after allogeneic hematopoietic cell transplantation.

Emily Baumrin, Natalie E Izaguirre, Bruce Bausk, Monica M Feeley, Camden P Bay, Qiheng Yang, Vincent T Ho, Lindsey R Baden, Nicolas C Issa

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. A Simple-to-PerformFrontiers in immunology · 2022
    Article
  14. Infectious complications and vaccines.Hematology. American Society of Hematology. Education Program · 2021
    Review
  15. 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

9 authors at 3 institutions in 1 country.

Emily BaumrinDepartment of Dermatology, University of Pennsylvania, Philadelphia, PA.
Natalie E IzaguirreDepartment of Infectious Disease and.
Bruce BauskDepartment of Infectious Disease and.
Monica M FeeleyDepartment of Infectious Disease and.
Camden P BayCenter for Clinical Investigation, Brigham and Women's Hospital, Boston, MA; and.
Qiheng YangDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Vincent T HoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Lindsey R BadenDepartment of Infectious Disease and.
Nicolas C IssaDepartment of Infectious Disease and.
Dana-Farber Cancer Institute · USBrigham and Women's Hospital · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic cell transplantation (HCT) recipients are at increased risk for varicella zoster virus (VZV) reactivation and associated complications. A nonlive adjuvanted recombinant zoster vaccine (RZV) has been developed to prevent herpes zoster (HZ), but there are no recommendations for use in this population. In this single-center prospective observational cohort study, we assessed the safety and reactogenicity of RZV, as well as incidence of graft-versus-host disease (GVHD) and confirmed cases of HZ after vaccination. Between December of 2018 and June of 2020, patients aged ≥18 years received 2 doses of RZV between 9 and 24 months after HCT, with the doses separated by ≥8 weeks. One hundred and fifty-eight patients (mean age, 55 years; 42% women) received ≥1 dose (total vaccinated cohort), and 150 patients (95%) received 2 doses (modified total vaccinated cohort). Solicited reactions occurred in 92.1% of patients (grade 3, 32.5%), owing mostly to injection site pain, which occurred in 86% (grade 3, 16%). The cumulative incidence of GVHD in the peri-vaccination period was no different than in historical controls (adjusted incidence rate ratio, 1.05; 95% confidence interval, 0.8-1.38). There were 4 cases of HZ in the total vaccinated cohort (2.5%) and 3 cases in the modified total vaccinated cohort (28.3/1000 person-years). Among recipients of allogeneic HCT, RZV was safe, tolerable, and did not increase rates of GVHD. Future clinical trials are needed to determine the immunogenicity and efficacy of RZV in this population.

Indexed as

Hematopoietic Stem Cell TransplantationHerpes ZosterHerpes Zoster VaccineAdolescentAdultFemaleHumansMaleMiddle AgedProspective StudiesVaccines, SyntheticHerpes Zoster VaccineVaccines, Synthetic

Identifiers

PMID33710336
PMCPMC7993108
OpenAlexW3135509721

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.