Evidence map›Paper›PMID 34786358›Full record

ArticleEuroasian journal of hepato-gastroenterology

HeberNasvac, a Therapeutic Vaccine for Chronic Hepatitis B, Stimulates Local and Systemic Markers of Innate Immunity: Potential Use in SARS-CoV-2 Postexposure Prophylaxis.

Yoel A Fleites, Jorge Aguiar, Zurina Cinza, Monica Bequet, Elieser Marrero, Maritania Vizcaíno, Idelsis Esquivel, Marisol Diaz, Adriana Sin-Mayor, Maura Garcia and 18 more

Open access · diamondAbstract read
In one paragraph

Article in Euroasian journal of hepato-gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  7. Preventive and Therapeutic Vaccination for COVID-19 Using NASVAC.Euroasian journal of hepato-gastroenterology
    Review
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

28 authors at 3 institutions in 3 countries.

Yoel A FleitesDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Jorge AguiarDepartment of Vaccines, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Zurina CinzaDepartment of Vaccines, Clinical Trials Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Monica BequetDepartment of Pharmaceuticals, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Elieser MarreroDepartment of Quality Control Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Maritania VizcaínoDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Idelsis EsquivelDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Marisol DiazDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Adriana Sin-MayorDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Maura GarciaDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Sara M MartinezDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Abrahan BeatoDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Ana G GalarragaDepartment of Clinical Trials, Luis Diaz Soto Hospital, Havana, Cuba.
Yssel Mendoza-MariDepartment of Pharmaceuticals, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Iris ValdésDepartment of Vaccines, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Gerardo GarcíaDepartment of Quality Control Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Gilda LemosDepartment of Vaccines, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Isabel GonzálezDepartment of Pharmaceuticals, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Camila Canaán-HadenDepartment of Pharmaceuticals, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Nelvis FigueroaDepartment of Vaccines, Clinical Trials Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Rachel OquendoDepartment of Vaccines, Clinical Trials Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Sheikh Mf AkbarDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Ehime, Japan.
Mamun A MahtabDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0003-3728-3879
Mohammad H UddinDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Gerardo E GuillénDepartment of Vaccines, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Verena L MuzioDepartment of Vaccines, Clinical Trials Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Eduardo PentónDepartment of Vaccines, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.
Julio C AguilarDepartment of Vaccines, Biomedical Research Direction, Center for Genetic Engineering and Biotechnology, Havana, Cuba.ORCID https://orcid.org/0000-0003-0166-4784
Hospital Oncológico Docente "Conrado Benítez García" · CUCentro de Ingeniería Genética y Biotecnología · CUBangladesh Medical University · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMore than 180 million people have been infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and more than 4 million coronavirus disease-2019 (COVID-19) patients have died in 1.5 years of the pandemic. A novel therapeutic vaccine (NASVAC) has shown to be safe and to have immunomodulating and antiviral properties against chronic hepatitis B (CHB). MATERIALS AND

methodsA phase I/II, open-label controlled and randomized clinical trial of NASVAC as a postexposure prophylaxis treatment was designed with the primary aim of assessing the local and systemic immunomodulatory effect of NASVAC in a cohort of suspected and SARS-CoV-2 risk-contact patients. A total of 46 patients, of both sexes, 60 years or older, presenting with symptoms of COVID-19 were enrolled in the study. Patients received NASVAC (100 μg per Ag per dose) via intranasal at days 1, 7, and 14 and sublingual, daily for 14 days. RESULTS AND DISCUSSION: The present study detected an increased expression of toll-like receptors (TLR)-related genes in nasopharyngeal tonsils, a relevant property considering these are surrogate markers of SARS protection in the mice model of lethal infection. The HLA-class II increased their expression in peripheral blood mononuclear cell's (PBMC's) monocytes and lymphocytes, which is an attractive property taking into account the functional impairment of innate immune cells from the periphery of COVID-19-infected subjects. NASVAC was safe and well tolerated by the patients with acute respiratory infections and evidenced a preliminary reduction in the number of days with symptoms that needs to be confirmed in larger studies.

conclusionsOur data justify the use of NASVAC as preemptive therapy or pre-/postexposure prophylaxis of SARS-CoV-2 and acute respiratory infections in general. The use of NASVAC or their active principles has potential as immunomodulatory prophylactic therapies in other antiviral settings like dengue as well as in malignancies like hepatocellular carcinoma where these markers have shown relation to disease progression. HOW TO CITE THIS ARTICLE: Fleites YA, Aguiar J, Cinza Z,

Indexed as

ImmunityInnatePostexposureProphylaxisSARS-CoV-2Therapy

Identifiers

PMID34786358
PMCPMC8566153
OpenAlexW3211119290

What OpenQuestion holds

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Registered trials

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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.