Evidence map›Paper›PMID 34791350›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2022

Immunogenicity of Fractional Dose Inactivated Poliovirus Vaccine in India.

Mohammad Ahmad, Harish Verma, Jagadish Deshpande, Abhishek Kunwar, Ashish Bavdekar, Niranjana S Mahantashetti, Balasundaram Krishnamurthy, Manish Jain, Mannancheril A Mathew, Shailesh D Pawar and 7 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
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  5. Review
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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.

Mohammad AhmadOffice of the WHO Representative to India, New Delhi, India.
Harish VermaWorld Health Organization, Geneva, Switzerland.
Jagadish DeshpandeICMR-National Institute of Virology, Pune, Maharashtra, India.
Abhishek KunwarOffice of the WHO Representative to India, New Delhi, India.
Ashish BavdekarKing Edward Memorial Hospital, Pune, Maharashtra, India.
Niranjana S MahantashettiK.L.E Academy of Higher Education and Research, Belagavi, Karnataka, India.
Balasundaram KrishnamurthyMysore Medical College, Mysore, Karnataka, India.
Manish JainMahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, Maharashtra, India.
Mannancheril A MathewMalankara Orthodox Syrian Church Medical College, Kolenchery, Kerala, India.
Shailesh D PawarICMR-National Institute of Virology, Pune, Maharashtra, India.
Deepa K SharmaICMR-National Institute of Virology, Pune, Maharashtra, India.
Raman SethiOffice of the WHO Representative to India, New Delhi, India.
Jayaseelan VisalakshiWorld Health Organization, Geneva, Switzerland.
Lalitendu MohantyClinical Operations, Panacea Biotec Ltd, New Delhi, India.
Sunil BahlSouth East Asian Regional Office of World Health Organization, New Delhi, India.
Pradeep HaldarMinistry of Health and Family Welfare, Government of India, New Delhi, India.
Roland W SutterWorld Health Organization, Geneva, Switzerland.

Funding

WHO, Geneva 65163World Health Organization 001World Health Organization 65163
6 · The paper itself

Abstract

introductionFollowing the withdrawal of Sabin type 2 from trivalent oral poliovirus vaccine (tOPV) in 2016, the introduction of ≥1 dose of inactivated poliovirus vaccine (IPV) in routine immunization was recommended, either as 1 full dose (0.5mL, intramuscular) or 2 fractional doses of IPV (fIPV-0.1mL, intradermal). India opted for fIPV. We conducted a comparative assessment of IPV and fIPV.

methodsThis was a 4-arm, open-label, multicenter, randomized controlled trial. Infants were enrolled and vaccines administered according to the study design, and the blood was drawn at age 6, 14, and 18 weeks for neutralization testing against all 3 poliovirus types.

resultsStudy enrolled 799 infants. The seroconversion against type 2 poliovirus with 2 fIPV doses was 85.8% (95% confidence interval [CI]: 80.1%-90.0%) when administered at age 6 and 14 weeks, 77.0% (95% CI: 70.5-82.5) when given at age 10 and 14 weeks, compared to 67.9% (95% CI: 60.4-74.6) following 1 full-dose IPV at age 14 weeks.

conclusionThe study demonstrated the superiority of 2 fIPV doses over 1 full-dose IPV in India. Doses of fIPV given at 6 and 14 weeks were more immunogenic than those given at 10 and 14 weeks. Clinical Trial Registry of India (CTRI). Clinical trial registration number was CTRI/2017/02/007793.

Indexed as

PoliomyelitisPoliovirusAntibodies, ViralHumansImmunization ScheduleImmunogenicity, VaccineInfantPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralAntibodies, ViralPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralEPI schedulefractional dose inactivated poliovirus vaccineimmunogenicityIndia

Identifiers

PMID34791350
PMCPMC8865014

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.