Evidence map›Paper›PMID 33745731›Full record

Trial reportVaccine2021

Effect of a 2+1 schedule of ten-valent versus 13-valent pneumococcal conjugate vaccine on pneumococcal carriage: Results from a randomised controlled trial in Vietnam.

Beth Temple, Monica Larissa Nation, Vo Thi Trang Dai, Jemima Beissbarth, Kathryn Bright, Eileen Margaret Dunne, Jason Hinds, Pham Thi Hoan, Jana Lai, Cattram Duong Nguyen and 9 more

Registry-linked trialOpen access · hybridAbstract readRandomized 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. It is linked to trial NCT01953510 (Evaluation of Different Infant Vaccination Schedules Incorporating Pneumococcal Vaccination), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT01953510 phase2 / phase3completednot on this map

Evaluation of Different Infant Vaccination Schedules Incorporating Pneumococcal Vaccination

TypeinterventionalSponsorMurdoch Childrens Research InstituteRan2013 to 2021Enrolled1,400ConditionsPneumococcal VaccinesArmsPCV10, PCV13
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Microbiology spectrum · 2024
    Article
  6. Review
  7. Molecular Epidemiology ofPathogens (Basel, Switzerland) · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

19 authors at 7 institutions in 3 countries.

Beth TempleGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK; Infection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Monica Larissa NationInfection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Vo Thi Trang DaiDepartment of Microbiology and Immunology, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Jemima BeissbarthChild Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Kathryn BrightInfection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Eileen Margaret DunneInfection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia.
Jason HindsInstitute for Infection and Immunity, St George's, University of London, London, UK; BUGS Bioscience, London Bioscience Innovation Centre, London, UK.
Pham Thi HoanDepartment of Microbiology and Immunology, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Jana LaiChild Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Cattram Duong NguyenInfection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia.
Belinda Daniela OrtikaInfection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Thanh V PhanDepartment of Microbiology and Immunology, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Ho Nguyen Loc ThuyDepartment of Microbiology and Immunology, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Nguyen Trong ToanDepartment of Disease Control and Prevention, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Doan Y UyenDepartment of Disease Control and Prevention, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Catherine SatzkeInfection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia; Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.
Heidi Smith-VaughanChild Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Tran Ngoc HuuDepartment of Disease Control and Prevention, Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Kim MulhollandDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK; Infection and Immunity, Murdoch Children's Research Institute, Melbourne, VIC, Australia. Electronic address: kim.mulholland@lshtm.ac.uk.
Institut Pasteur in Ho Chi Minh City · VNMurdoch Children's Research Institute · AUCharles Darwin University · AUMenzies School of Health Research · AUPeter Doherty Institute · AUSt George's, University of London · GBUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPneumococcal conjugate vaccines (PCVs) generate herd protection by reducing nasopharyngeal (NP) carriage. Two PCVs, PCV10 and PCV13, have been in use for over a decade, yet there are few data comparing their impact on carriage. Here we report their effect on carriage in a 2+1 schedule, compared with each other and with unvaccinated controls.

methodsData from four groups within a parallel, open-label randomised controlled trial in Ho Chi Minh City contribute to this article. Three groups were randomised to receive a 2+1 schedule of PCV10 (n = 250), a 2+1 schedule of PCV13 (n = 251), or two doses of PCV10 at 18 and 24 months (controls, n = 197). An additional group (n = 199) was recruited at 18 months to serve as controls from 18 to 24 months. NP swabs collected at 2, 6, 9, 12, 18, and 24 months were analysed (blinded) for pneumococcal carriage. This study aimed to determine if PCV10 and PCV13 have a differential effect on pneumococcal carriage, a secondary outcome of the trial. We also describe the serotype distribution among unvaccinated participants.

trial registrationClinicalTrials.gov NCT01953510.

findingsCompared with unvaccinated controls, a 2+1 schedule of PCV10 reduced PCV10-type carriage by 45-62% from pre-booster through to 24 months of age, and a 2+1 schedule of PCV13 reduced PCV13-type carriage by 36-49% at 12 and 18 months of age. Compared directly with each other, there were few differences between the vaccines in their impact on carriage. Vaccine serotypes accounted for the majority of carriage in unvaccinated participants.

interpretationBoth PCV10 and PCV13 reduce the carriage of pneumococcal vaccine serotypes. The introduction of either vaccine would have the potential to generate significant herd protection in this population.

fundingNational Health and Medical Research Council of Australia, Bill & Melinda Gates Foundation.

Indexed as

Pneumococcal InfectionsAntibodies, BacterialAustraliaCarrier StateChild, PreschoolHumansImmunoglobulin GInfantNasopharynxPneumococcal VaccinesSerogroupVaccines, ConjugateVietnamAntibodies, BacterialImmunoglobulin GPneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID33745731
PMCPMC8052188
OpenAlexW3139026090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.