Evidence map›Paper›PMID 34213404›Full record

ArticleHuman vaccines & immunotherapeutics2021

Projected impact of a plant-derived vaccine on the burden of seasonal influenza in Canada.

Lauren Ramjee, William Lemay, Nesrin Vurgun, Nathalie Charland, Chris T Bauch, Gokul Raj Pullagura, Sherilyn K D Houle, Gabriel Tremblay

Open access · hybridAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Lauren RamjeeHealth Economics, Purple Squirrel Economics, Montréal, QC, Canada.
William LemayHealth Economics, Purple Squirrel Economics, Montréal, QC, Canada.
Nesrin VurgunHealth Economics, Purple Squirrel Economics, Montréal, QC, Canada.
Nathalie CharlandMedicago Inc, Québec, Canada.
Chris T BauchDepartment of Applied Mathematics, University of Waterloo, Waterloo, ON, Canada.
Gokul Raj PullaguraSchool of Pharmacy, University of Waterloo, Waterloo, ON, Canada.
Sherilyn K D HouleSchool of Pharmacy, University of Waterloo, Waterloo, ON, Canada.
Gabriel TremblayHealth Economics, Purple Squirrel Economics, Montréal, QC, Canada.ORCID 0000-0003-0623-3545
University of Waterloo · CAMedicago (Canada) · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe analysis estimates projected population outcomes resulting from the introduction of a plant-derived influenza vaccine formulated as quadrivalent virus-like particles (QVLP) in Canada.

methodsUsing Monte Carlo simulations, the number of influenza cases, general practitioner visits, inpatient admissions, intensive care unit (ICU) admissions, and deaths due to influenza-associated illness were estimated under no vaccination, plant-derived QVLP vaccines only, or egg-derived vaccines only. The base case analysis examined the adult Canadian population in two subgroups: 18-64 years of age during the 2017/18 season and 65+ years of age during the 2018/19 season. Efficacy data were obtained from QVLP clinical trials. Vaccine effectiveness data for egg-derived vaccines were calculated from observational studies from the corresponding influenza seasons. Scenario analyses examined the impact of varying absolute vaccine effectiveness or vaccination coverage from base case inputs.

resultsIn the base case analysis, plant-derived QVLP vaccines led to an additional reduction in the burden of influenza over egg-derived vaccines for both population subgroups. In the 18-64 subgroup, QVLP vaccines were associated with 2.63% (48,029; 95% credible interval [Crl]: 42,723-53,336) fewer influenza cases than egg-derived vaccines. In the 65+ subgroup, QVLP vaccines led to 4.82% (27,918; 95% Crl: 25,440-30,397) fewer influenza cases, and reductions in the number of inpatient admissions by 4.77% (1167; 95% CrI: 851-1483) and deaths by 4.75% (326; 95% CrI: 107-546) compared to egg-derived vaccines. Further reductions were observed in scenario analyses considering the potential increase in vaccine coverage.

conclusionUse of plant-derived QVLP influenza vaccines may contribute to greater reductions in influenza cases and influenza-related outcomes, including inpatient admissions and deaths, compared to egg-derived vaccines currently available in Canada.

Indexed as

Influenza, HumanInfluenza VaccinesAdultCanadaHumansSeasonsVaccinationInfluenza VaccinesCanadadisease burdenInfluenza vaccinesmathematical modelplant-derived quadrivalent influenza vaccineprevented illness

Identifiers

PMID34213404
PMCPMC8437550
OpenAlexW3176615065

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.