Evidence map›Paper›PMID 34020607›Full record

Trial reportBMC infectious diseases2021

An emm-type specific qPCR to track bacterial load during experimental human Streptococcus pyogenes pharyngitis.

Loraine V Fabri, Kristy I Azzopardi, Joshua Osowicki, Hannah R Frost, Pierre R Smeesters, Andrew C Steer

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03361163 (Group A Streptococcal Human Challenge Study), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT03361163 phase1completednot on this map

Group A Streptococcal Human Challenge Study: Building a Pharyngitis Model to Accelerate Vaccine Development

TypeinterventionalSponsorAndrew SteerRan2018 to 2020Enrolled25ConditionsStreptococcus Pyogenes Pharyngitis, Streptococcus Pharyngitis, Strep Throat, Streptococcus Pyogenes InfectionArmsemm75 Streptococcus pyogenes (GAS M75, strain 611024)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

6 authors at 3 institutions in 2 countries.

Loraine V Fabri *Tropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Kristy I Azzopardi *Tropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Joshua OsowickiTropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia. joshua.osowicki@rch.org.au.ORCID http://orcid.org/0000-0002-9432-6700
Hannah R FrostTropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Pierre R SmeestersTropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Andrew C SteerTropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Murdoch Children's Research Institute · AURoyal Children's Hospital · AUUniversité Libre de Bruxelles · BE

Funding

National Health and Medical Research Council GNT1099183
6 · The paper itself

Abstract

backgroundStreptococcus pyogenes causes a profound global burden of morbidity and mortality across its diverse clinical spectrum. To support a new controlled human infection ('challenge') model seeking to accelerate S. pyogenes vaccine development, we aimed to develop an accurate and reliable molecular method for quantifying bacterial load from pharyngeal swabs collected during experimental human pharyngitis.

methodsCombined sequential RNA + DNA extraction from throat swabs was compared to traditional separate RNA-only and DNA-only extractions. An emm-type specific qPCR was developed to detect the emm75 challenge strain. Results from the qPCR were compared to culture, using throat swab samples collected in a human challenge study.

resultsThe qPCR was 100% specific for the emm75 challenge strain when tested against a panel of S. pyogenes emm-types and other respiratory pathogens. Combined RNA + DNA extraction had similar yield to traditional separate extractions. The combined extraction method and emm75 qPCR had 98.8% sensitivity compared to culture for throat swabs collected from challenge study participants.

conclusionsWe have developed a reliable molecular method for measuring S. pyogenes bacterial load from throat swabs collected in a controlled human infection model of S. pyogenes pharyngitis.

trial registrationNCT03361163 on 4th December 2017.

Indexed as

Bacterial LoadAdultAntigens, BacterialBacterial Outer Membrane ProteinsDNA, BacterialFollow-Up StudiesHealthy VolunteersHumansPharyngitisReal-Time Polymerase Chain ReactionRNA, BacterialSensitivity and SpecificityStreptococcal InfectionsStreptococcus pyogenesAntigens, BacterialBacterial Outer Membrane ProteinsDNA, BacterialRNA, BacterialHuman challenge studyNucleic acid extractionPharyngitisqPCRStreptococcus pyogenes

Identifiers

PMID34020607
PMCPMC8138111
OpenAlexW3161049801

What OpenQuestion holds

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LicenceCC BY
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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.