Evidence map›Paper›PMID 34007070›Full record

Trial reportNature medicine2021

Phase 1 randomized trial of a plant-derived virus-like particle vaccine for COVID-19.

Brian J Ward, Philipe Gobeil, Annie Séguin, Judith Atkins, Iohann Boulay, Pierre-Yves Charbonneau, Manon Couture, Marc-André D'Aoust, Jiwanjeet Dhaliwall, Carolyn Finkle and 9 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04450004 (A Randomized, Partially-Blinded, Dose-Ranging Phase 1 Study to Assess the Safety, Tolerability, and Immunogenicity of a Recombinant Coronavirus-Like Particle COVID 19 Vaccine in Adults 18-55 Years of Age), which is not on this map. Cited by 202 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
202citing papers in PubMed, 7 pooled it
38.7field-weighted citation impact, top 1% 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.

NCT04450004 phase1completednot on this map

A Randomized, Partially-Blinded, Dose-Ranging Phase 1 Study to Assess the Safety, Tolerability, and Immunogenicity of a Recombinant Coronavirus-Like Particle COVID 19 Vaccine in Adults 18-55 Years of Age

TypeinterventionalSponsorMedicagoRan2020 to 2021Enrolled180ConditionsSARS-CoV 2ArmsIntramuscular Vaccine
3 · Its place in the literature

Who cites it

202 citing papers in PubMed, 7 syntheses or guidelines pooled it, 308 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety of COVID-19 vaccines.The Cochrane database of systematic reviews · 2022
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  6. Immunogenicity and Safety of the COVID-19 Vaccines Compared With Control in Healthy Adults: A Qualitative and Systematic Review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022
    Pooled it
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142 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Brian J WardMedicago Inc., Quebec City, Quebec, Canada. wardb@medicago.com.ORCID http://orcid.org/0000-0003-3251-958X
Philipe GobeilMedicago Inc., Quebec City, Quebec, Canada.
Annie SéguinMedicago Inc., Quebec City, Quebec, Canada.
Judith AtkinsMedicago Inc., Quebec City, Quebec, Canada.
Iohann BoulayMedicago Inc., Quebec City, Quebec, Canada.
Pierre-Yves CharbonneauMedicago Inc., Quebec City, Quebec, Canada.
Manon CoutureMedicago Inc., Quebec City, Quebec, Canada.
Marc-André D'AoustMedicago Inc., Quebec City, Quebec, Canada.
Jiwanjeet DhaliwallMedicago Inc., Quebec City, Quebec, Canada.
Carolyn FinkleMedicago Inc., Quebec City, Quebec, Canada.
Karen HagerMedicago Inc., Quebec City, Quebec, Canada.
Asif MahmoodMedicago Inc., Quebec City, Quebec, Canada.
Alexander MakarkovMedicago Inc., Quebec City, Quebec, Canada.ORCID http://orcid.org/0000-0003-4255-7627
Matthew P ChengResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Stéphane PilletMedicago Inc., Quebec City, Quebec, Canada.
Patricia SchimkeMedicago Inc., Quebec City, Quebec, Canada.
Sylvie St-MartinMedicago Inc., Quebec City, Quebec, Canada.
Sonia TrépanierMedicago Inc., Quebec City, Quebec, Canada.
Nathalie LandryMedicago Inc., Quebec City, Quebec, Canada. landryn@medicago.com.
Medicago (Canada) · CAMcGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines are being deployed, but the global need greatly exceeds the supply, and different formulations might be required for specific populations. Here we report Day 42 interim safety and immunogenicity data from an observer-blinded, dose escalation, randomized controlled study of a virus-like particle vaccine candidate produced in plants that displays the SARS-CoV-2 spike glycoprotein (CoVLP: NCT04450004 ). The co-primary outcomes were the short-term tolerability/safety and immunogenicity of CoVLP formulations assessed by neutralizing antibody (NAb) and cellular responses. Secondary outcomes in this ongoing study include safety and immunogenicity assessments up to 12 months after vaccination. Adults (18-55 years, n = 180) were randomized at two sites in Quebec, Canada, to receive two intramuscular doses of CoVLP (3.75 μg, 7.5 μg, and 15 μg) 21 d apart, alone or adjuvanted with AS03 or CpG1018. All formulations were well tolerated, and adverse events after vaccination were generally mild to moderate, transient and highest in the adjuvanted groups. There was no CoVLP dose effect on serum NAbs, but titers increased significantly with both adjuvants. After the second dose, NAbs in the CoVLP + AS03 groups were more than tenfold higher than titers in Coronavirus 2019 convalescent sera. Both spike protein-specific interferon-γ and interleukin-4 cellular responses were also induced. This pre-specified interim analysis supports further evaluation of the CoVLP vaccine candidate.

Indexed as

AdolescentAdultAntibodies, NeutralizingAntibodies, ViralCanadaCOVID-19COVID-19 SerotherapyCOVID-19 VaccinesDrug-Related Side Effects and Adverse ReactionsFemaleHumansImmunization, PassiveImmunogenicity, VaccineMaleMiddle AgedSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesSpike Glycoprotein, Coronavirusspike glycoprotein, SARS-CoVVaccines, Virus-Like Particle

Identifiers

PMID34007070
PMCPMC8205852
OpenAlexW3161351685

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.