Evidence map›Paper›PMID 34933765›Full record

ArticleVaccine2022

Towards a population-based threshold of protection for COVID-19 vaccines.

David Goldblatt, Andrew Fiore-Gartland, Marina Johnson, Adam Hunt, Christopher Bengt, Dace Zavadska, Hilda Darta Snipe, Jeremy S Brown, Lesley Workman, Heather J Zar and 6 more

Abstract read
In one paragraph

Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
–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

119 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Evaluating the efficacy and safety of SpikoGen®, an Advax-CpG55.2-adjuvanted severe acute respiratory syndrome coronavirus 2 spike protein vaccine: a phase 3 randomized placebo-controlled trial.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
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  13. Parental risk preferences and children's vaccination coverage.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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59 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

16 authors.

David GoldblattGreat Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1 EH, UK; Great Ormond Street Children's Hospital NHS Foundation Trust, Great Ormond Street, London WC1N 3JH, UK. Electronic address: d.goldblatt@ucl.ac.uk.
Andrew Fiore-GartlandVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Marina JohnsonGreat Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1 EH, UK.
Adam HuntGreat Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1 EH, UK.
Christopher BengtGreat Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1 EH, UK.
Dace ZavadskaChildren's Clinical University Hospital, Vienibas gatve 45, Riga LV-1004, Latvia.
Hilda Darta SnipeChildren's Clinical University Hospital, Vienibas gatve 45, Riga LV-1004, Latvia.
Jeremy S BrownUCL Respiratory, Division of Medicine, University College London, London WC1E 6JF, UK.
Lesley WorkmanDept of Paediatrics & Child Health, Red Cross Children's Hospital, and SA-MRC Unit on Child & Adolescent Health, University of Cape Town, South Africa.
Heather J ZarDept of Paediatrics & Child Health, Red Cross Children's Hospital, and SA-MRC Unit on Child & Adolescent Health, University of Cape Town, South Africa.
David MontefioriDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Xiaoying ShenDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Peter DullVaccine Development and Surveillance, Bill & Melinda Gates Foundation, Seattle, WA, USA.
Stanley PlotkinDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
George SiberIndependent Advisor, New York, NY, USA.
Donna AmbrosinoIndependent Advisor, Stuart, FL, USA.

Funding

Medical Research Council MR/V028782/1
6 · The paper itself

Abstract

Correlates of protection for COVID-19 vaccines are urgently needed to license additional vaccines. We measured immune responses to four COVID-19 vaccines of proven efficacy using a single serological platform. IgG anti-Spike antibodies were highly correlated with ID50 neutralization in a validated pseudoviral assay and correlated significantly with efficacies for protection against infection with wild-type, alpha and delta variant SARS-CoV-2 virus. The protective threshold for each vaccine was calculated for IgG anti-Spike antibody. The mean protective threshold for all vaccine studies for WT virus was 154 BAU/ml (95 %CI 42-559), and for studies with antibody distributions that enabled precise estimation of thresholds (i.e. leaving out 2-dose mRNA regimens) was 60 BAU/ml (95 %CI 35-102). We propose that the proportion of individuals with responses above the appropriate protective threshold together with the geometric mean concentration can be used in comparative non-inferiority studies with licensed vaccines to ensure that new vaccines will be efficacious.

Indexed as

COVID-19SARS-CoV-2Antibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesHumansSpike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesSpike Glycoprotein, CoronavirusCorrelates of protectionCOVID-19COVID vaccinesSARS-CoV-2

Identifiers

PMID34933765
PMCPMC8673730

What OpenQuestion holds

Textmetadata
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.