Evidence map›Paper›PMID 34326330›Full record

ArticleNPJ vaccines2021

Assessment of genetic changes and neurovirulence of shed Sabin and novel type 2 oral polio vaccine viruses.

Rahnuma Wahid, Laina Mercer, Andrew Macadam, Sarah Carlyle, Laura Stephens, Javier Martin, Konstantin Chumakov, Majid Laassri, Svetlana Petrovskaya, Saskia L Smits and 10 more

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

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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

20 authors at 8 institutions in 4 countries.

Rahnuma WahidCenter for Vaccine Innovation and Access, PATH, Seattle, WA, USA. rwahid@path.org.ORCID http://orcid.org/0000-0001-9344-7685
Laina MercerCenter for Vaccine Innovation and Access, PATH, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-2517-8900
Andrew MacadamNational Institute for Biological Standards and Control (NIBSC), Hertfordshire, UK.ORCID http://orcid.org/0000-0002-8687-1573
Sarah CarlyleNational Institute for Biological Standards and Control (NIBSC), Hertfordshire, UK.
Laura StephensNational Institute for Biological Standards and Control (NIBSC), Hertfordshire, UK.
Javier MartinNational Institute for Biological Standards and Control (NIBSC), Hertfordshire, UK.ORCID http://orcid.org/0000-0001-5326-7081
Konstantin ChumakovCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA.ORCID http://orcid.org/0000-0003-3002-6247
Majid LaassriCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA.ORCID http://orcid.org/0000-0002-0110-5504
Svetlana PetrovskayaCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA.
Saskia L SmitsViroclinics Biosciences B.V., Rotterdam, the Netherlands.
Koert J StittelaarViroclinics Xplore, Viroclinics Biosciences B.V., Rotterdam, the Netherlands.
Chris GastCenter for Vaccine Innovation and Access, PATH, Seattle, WA, USA.
William C WeldonDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jennifer L Konopka-AnstadtDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
M Steven ObersteDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Pierre Van DammeCentre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium.
Ilse De CosterCentre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium.
Ricardo RüttimannFighting Infectious Diseases in Emerging Countries (FIDEC), Miami, FL, USA.
Ananda BandyopadhyayBill and Melinda Gates Foundation, Seattle, WA, USA.
John KonzCenter for Vaccine Innovation and Access, PATH, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-8309-5540
National Institute for Biological Standards and Control · GBProgram for Appropriate Technology in Health · USCenter for Biologics Evaluation and Research · USCenters for Disease Control and Prevention · USUniversity of Antwerp · BEViroclinics Biosciences (Netherlands) · NLFighting Infectious Diseases in Emerging Countries · USGates Foundation · US

Funding

Bill and Melinda Gates Foundation (Bill & Melinda Gates Foundation) OPP1150001
6 · The paper itself

Abstract

Sabin-strain oral polio vaccines (OPV) can, in rare instances, cause disease in recipients and susceptible contacts or evolve to become circulating vaccine-derived strains with the potential to cause outbreaks. Two novel type 2 OPV (nOPV2) candidates were designed to stabilize the genome against the rapid reversion that is observed following vaccination with Sabin OPV type 2 (mOPV2). Next-generation sequencing and a modified transgenic mouse neurovirulence test were applied to shed nOPV2 viruses from phase 1 and 2 studies and shed mOPV2 from a phase 4 study. The shed mOPV2 rapidly reverted in the primary attenuation site (domain V) and increased in virulence. In contrast, the shed nOPV2 viruses showed no evidence of reversion in domain V and limited or no increase in neurovirulence in mice. Based on these results and prior published data on safety, immunogenicity, and shedding, the nOPV2 viruses are promising alternatives to mOPV2 for outbreak responses.

Identifiers

PMID34326330
PMCPMC8322168
OpenAlexW3186371875

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.