Evidence map›Paper›PMID 34378087›Full record

Trial reportWiener klinische Wochenschrift2021

Safety and immunogenicity of an mRNA-lipid nanoparticle vaccine candidate against SARS-CoV-2 : A phase 1 randomized clinical trial.

Peter G Kremsner, Philipp Mann, Arne Kroidl, Isabel Leroux-Roels, Christoph Schindler, Julian J Gabor, Mirjam Schunk, Geert Leroux-Roels, Jacobus J Bosch, Rolf Fendel and 13 more

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Wiener klinische Wochenschrift, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 6 pooled it
7.2field-weighted citation impact, top 2% 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

100 citing papers in PubMed, 6 syntheses or guidelines pooled it, 130 citations in OpenAlex.

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  16. Developing the next-generation of adenoviral vector vaccines.Human vaccines & immunotherapeutics · 2025
    Review
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40 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

23 authors at 7 institutions in 4 countries.

Peter G KremsnerInstitute of Tropical Medicine, University Hospital Tübingen, Tübingen, Germany.
Philipp MannCureVac AG, Schumannstraße 27, 60325, Frankfurt, Germany. Philipp.Mann@curevac.com.
Arne KroidlDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Isabel Leroux-RoelsGhent University Hospital, Ghent, Belgium.
Christoph SchindlerHannover Medical School (MHH), Hannover, Germany.
Julian J GaborInstitute of Tropical Medicine, University Hospital Tübingen, Tübingen, Germany.
Mirjam SchunkDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Geert Leroux-RoelsGhent University Hospital, Ghent, Belgium.
Jacobus J BoschHannover Medical School (MHH), Hannover, Germany.
Rolf FendelInstitute of Tropical Medicine, University Hospital Tübingen, Tübingen, Germany.
Andrea KreidenweissInstitute of Tropical Medicine, University Hospital Tübingen, Tübingen, Germany.
Thirumalaisamy P VelavanInstitute of Tropical Medicine, University Hospital Tübingen, Tübingen, Germany.
Mariola Fotin-MleczekCureVac AG, Tübingen, Germany.
Stefan O MuellerCureVac AG, Schumannstraße 27, 60325, Frankfurt, Germany.
Gianluca QuintiniCureVac AG, Tübingen, Germany.
Oliver Schönborn-KellenbergerCogitars, Heidelberg, Germany.
Dominik VahrenhorstCureVac AG, Tübingen, Germany.
Thomas VerstraetenP95 Epidemiology and Pharmacovigilance, Leuven, Belgium.
Margarida Alves de MesquitaCureVac AG, Schumannstraße 27, 60325, Frankfurt, Germany.
Lisa WalzCureVac AG, Schumannstraße 27, 60325, Frankfurt, Germany.
Olaf-Oliver WolzCureVac AG, Tübingen, Germany.
Lidia OostvogelsCureVac AG, Schumannstraße 27, 60325, Frankfurt, Germany.
CV-NCOV-001 Study Group
CureVac (Germany) · DEGerman Center for Infection Research · DEGhent University Hospital · BELMU Klinikum · DEMedizinische Hochschule Hannover · DEUniversity Children's Hospital Tübingen · DECentre de Recherche Médicales de Lambaréné · GA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe used the RNActive® technology platform (CureVac N.V., Tübingen, Germany) to prepare CVnCoV, a COVID-19 vaccine containing sequence-optimized mRNA coding for a stabilized form of SARS-CoV‑2 spike (S) protein encapsulated in lipid nanoparticles (LNP).

methodsThis is an interim analysis of a dosage escalation phase 1 study in healthy 18-60-year-old volunteers in Hannover, Munich and Tübingen, Germany, and Ghent, Belgium. After giving 2 intramuscular doses of CVnCoV or placebo 28 days apart we assessed solicited local and systemic adverse events (AE) for 7 days and unsolicited AEs for 28 days after each vaccination. Immunogenicity was measured as enzyme-linked immunosorbent assay (ELISA) IgG antibodies to SARS-CoV‑2 S‑protein and receptor binding domain (RBD), and SARS-CoV‑2 neutralizing titers (MN

resultsIn 245 volunteers who received 2 CVnCoV vaccinations (2 μg, n = 47, 4 μg, n = 48, 6 μg, n = 46, 8 μg, n = 44, 12 μg, n = 28) or placebo (n = 32) there were no vaccine-related serious AEs. Dosage-dependent increases in frequency and severity of solicited systemic AEs, and to a lesser extent local AEs, were mainly mild or moderate and transient in duration. Dosage-dependent increases in IgG antibodies to S‑protein and RBD and MN

conclusionIn this study 2 CVnCoV doses were safe, with acceptable reactogenicity and 12 μg dosages elicited levels of immune responses that overlapped those observed in convalescent sera.

Indexed as

COVID-19NanoparticlesVaccinesAdolescentAdultAntibodies, ViralCOVID-19 SerotherapyCOVID-19 VaccinesDouble-Blind MethodHumansImmunization, PassiveImmunogenicity, VaccineLipidsMiddle AgedRNA, MessengerSARS-CoV-2Antibodies, ViralCOVID-19 VaccinesLipidsRNA, MessengerVaccinesCOVID-19Dose-responseNeutralizing antibodiesReactogenicityS protein

Identifiers

PMID34378087
PMCPMC8354521
OpenAlexW3188147052

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.