Evidence map›Paper›PMID 35149714›Full record

ArticleNPJ vaccines2022

Evaluating stability of attenuated Sabin and two novel type 2 oral poliovirus vaccines in children.

Rahnuma Wahid, Laina Mercer, Chris Gast, Tirza De Leon, Xavier Sáez-Llorens, Alan Fix, Andrew Macadam, Laura Stephens, Konstantin Chumakov, Saskia L Smits and 11 more

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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

21 authors at 10 institutions in 5 countries.

Rahnuma WahidPATH, Seattle, WA, USA. rwahid@path.org.ORCID http://orcid.org/0000-0001-9344-7685
Laina MercerPATH, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-2517-8900
Chris GastPATH, Seattle, WA, USA.
Tirza De LeonHospital Materno Infantil José Domingo De Obaldía, David, Panama.
Xavier Sáez-LlorensCentro de Investigación en Vacunas (Cevaxin), Panama City, Panama.
Alan FixPATH, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-2912-6267
Andrew MacadamNational Institute for Biological Standards and Control (NIBSC), Hertfordshire, UK.ORCID http://orcid.org/0000-0002-8687-1573
Laura StephensNational Institute for Biological Standards and Control (NIBSC), Hertfordshire, UK.
Konstantin ChumakovCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA.ORCID http://orcid.org/0000-0003-3002-6247
Saskia L SmitsViroclinics Biosciences B.V, Rotterdam, the Netherlands.
Marta MurredduViroclinics Xplore, Viroclinics Biosciences B.V, Rotterdam, the Netherlands.
Jennifer L Konopka-AnstadtDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
M Steven ObersteDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Cara C BurnsDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-2582-2476
Raul AndinoDepartment of Microbiology and Immunology, University of California, San Francisco, CA, USA.
Novilia Sjafri BachtiarResearch and Development Division, PT. Bio Farma, Bandung, West Java, Indonesia.
Erman TritamaResearch and Development Division, PT. Bio Farma, Bandung, West Java, Indonesia.
Ananda S BandyopadhyayBill and Melinda Gates Foundation, Seattle, WA, USA.
Gabriela AguirreFighting Infectious Diseases in Emerging Countries (FIDEC), Miami, FL, USA.
Ricardo RüttimannFighting Infectious Diseases in Emerging Countries (FIDEC), Miami, FL, USA.
John O KonzPATH, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-8309-5540
Program for Appropriate Technology in Health · USCenters for Disease Control and Prevention · USFighting Infectious Diseases in Emerging Countries · USNational Institute for Biological Standards and Control · GBPT Bio Farma (Indonesia) · IDUniversidad de Panamá · PAViroclinics Biosciences (Netherlands) · NLCenter for Biologics Evaluation and Research · USGates Foundation · USUniversity of California, San Francisco · US

Funding

Bill and Melinda Gates Foundation (Bill & Melinda Gates Foundation) OPP1150001
6 · The paper itself

Abstract

Novel oral poliovirus vaccine type 2 (nOPV2) is being developed to reduce the rare occurrence of disease and outbreaks associated with the genetic instability of the Sabin vaccine strains. Children aged 1 to 5 years were enrolled in two related clinical studies to assess safety, immunogenicity, shedding rates and properties of the shed virus following vaccination with nOPV2 (two candidates) versus traditional Sabin OPV type 2 (mOPV2). The anticipated pattern of reversion and increased virulence was observed for shed Sabin-2 virus, as assessed using a mouse model of poliovirus neurovirulence. In contrast, there were significantly reduced odds of mouse paralysis for shed virus for both nOPV2 candidates when compared to shed Sabin-2 virus. Next-generation sequencing of shed viral genomes was consistent with and further supportive of the observed neurovirulence associated with shed Sabin-2 virus, as well as the reduced reversion to virulence of shed candidate viruses. While shed Sabin-2 showed anticipated A481G reversion in the primary attenuation site in domain V in the 5' untranslated region to be associated with increased mouse paralysis, the stabilized domain V in the candidate viruses did not show polymorphisms consistent with reversion to neurovirulence. The available data from a key target age group for outbreak response confirm the superior genetic and phenotypic stability of shed nOPV2 strains compared to shed Sabin-2 and suggest that nOPV2 should be associated with less paralytic disease and potentially a lower risk of seeding new outbreaks.

Identifiers

PMID35149714
PMCPMC8837630
OpenAlexW4211012480

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.