Evidence map›Paper›PMID 34451976›Full record

ArticleVaccines2021

Efficacy and Safety of a Modified Vaccinia Ankara-NP+M1 Vaccine Combined with QIV in People Aged 65 and Older: A Randomised Controlled Clinical Trial (INVICTUS).

Chris Butler, Chris Ellis, Pedro M Folegatti, Hannah Swayze, Julie Allen, Louise Bussey, Duncan Bellamy, Alison Lawrie, Elizabeth Eagling-Vose, Ly-Mee Yu and 7 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 12 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

17 authors at 2 institutions in 1 country.

Chris ButlerNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford OX2 6GG, UK.ORCID 0000-0002-0102-3453
Chris EllisVaccitech Ltd., Oxford OX4 4GE, UK.
Pedro M FolegattiJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.ORCID 0000-0001-5330-0240
Hannah SwayzeNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford OX2 6GG, UK.
Julie AllenNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford OX2 6GG, UK.
Louise BusseyVaccitech Ltd., Oxford OX4 4GE, UK.
Duncan BellamyJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.ORCID 0000-0003-3614-0032
Alison LawrieJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.
Elizabeth Eagling-VoseVaccitech Ltd., Oxford OX4 4GE, UK.
Ly-Mee YuNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford OX2 6GG, UK.
Milensu ShanyindeNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford OX2 6GG, UK.
Catherine MairJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.
Amy FlaxmanJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.ORCID 0000-0001-6460-1372
Katie EwerJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.ORCID 0000-0001-9827-9836
Sarah GilbertJenner Institute, University of Oxford, Oxford OX3 7DQ, UK.
Thomas G EvansVaccitech Ltd., Oxford OX4 4GE, UK.
On Behalf Of The Invictus Investigators
University of Oxford · GBVaccitech (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-existing T cell responses to influenza have been correlated with improved clinical outcomes in natural history and human challenge studies. We aimed to determine the efficacy, safety and immunogenicity of a T-cell directed vaccine in older people.

methodsThis was a multicentre, participant- and safety assessor-blinded, randomised, placebo-controlled trial of the co-administration of Modified Vaccinia Ankara encoding nucleoprotein and matrix protein 1 (MVA-NP+M1) and annual influenza vaccine in participants ≥ 65. The primary outcome was the number of days with moderate or severe influenza-like symptoms (ILS) during the influenza season.

results846 of a planned 2030 participants were recruited in the UK prior to, and throughout, the 2017/18 flu season. There was no evidence of a difference in the reported rates of days of moderate or severe ILS during influenza-like illness episodes (unadjusted OR = 0.95, 95% CI: 0.54-1.69; adjusted OR = 0.91, 95% CI: 0.51-1.65). The trial was stopped after one season due to a change in the recommended annual flu vaccine, for which safety of the new combination had not been established. More participants in the MVA-NP+M1 group had transient moderate or severe pain, redness, and systemic responses in the first seven days.

conclusionThe MVA-NP+M1 vaccine is well tolerated in those aged 65 years and over. Larger trials would be needed to determine potential efficacy.

Indexed as

elderlyinfluenzaMVAnucleoproteinvaccination

Identifiers

PMID34451976
PMCPMC8402379
OpenAlexW3187523027

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.