Evidence map›Paper›PMID 35907430›Full record

ArticleThe Lancet. Microbe2022

Safety and immunogenicity of a simian-adenovirus-vectored rabies vaccine: an open-label, non-randomised, dose-escalation, first-in-human, single-centre, phase 1 clinical trial.

Daniel Jenkin, Adam J Ritchie, Jeremy Aboagye, Sofiya Fedosyuk, Luke Thorley, Samuel Provstgaad-Morys, Helen Sanders, Duncan Bellamy, Rebecca Makinson, Zhi Quan Xiang and 9 more

Open access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in The Lancet. Microbe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Trial
  3. The immunogenicity and safety of adenoviral-based vaccines.Current opinion in allergy and clinical immunology · 2026
    Review
  4. Article
  5. Article
  6. Developing the next-generation of adenoviral vector vaccines.Human vaccines & immunotherapeutics · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Construction and application of adenoviral vectors.Molecular therapy. Nucleic acids · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Article
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

19 authors at 3 institutions in 2 countries.

Daniel JenkinJenner Institute, University of Oxford, Oxford, UK; Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, University of Oxford, Oxford, UK.
Adam J RitchieJenner Institute, University of Oxford, Oxford, UK.
Jeremy AboagyeJenner Institute, University of Oxford, Oxford, UK.
Sofiya FedosyukJenner Institute, University of Oxford, Oxford, UK.
Luke ThorleyJenner Institute, University of Oxford, Oxford, UK.
Samuel Provstgaad-MorysJenner Institute, University of Oxford, Oxford, UK.
Helen SandersJenner Institute, University of Oxford, Oxford, UK.
Duncan BellamyJenner Institute, University of Oxford, Oxford, UK.
Rebecca MakinsonJenner Institute, University of Oxford, Oxford, UK.
Zhi Quan XiangWistar Institute of Anatomy & Biology, Philadelphia, PA, USA.
Emma BolamClinical Biomanufacturing Facility, University of Oxford, Oxford, UK.
Richard TarrantClinical Biomanufacturing Facility, University of Oxford, Oxford, UK.
Fernando Ramos LopezCentre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, University of Oxford, Oxford, UK.
Abigail PlattCentre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, University of Oxford, Oxford, UK.
Ian PoultonCentre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, University of Oxford, Oxford, UK.
Catherine GreenClinical Biomanufacturing Facility, University of Oxford, Oxford, UK.
Hildegund C J ErtlWistar Institute of Anatomy & Biology, Philadelphia, PA, USA.
Katie J EwerJenner Institute, University of Oxford, Oxford, UK.
Alexander D DouglasJenner Institute, University of Oxford, Oxford, UK. Electronic address: sandy.douglas@ndm.ox.ac.uk.
Jenner Institute · GBUniversity of Oxford · GBThe Wistar Institute · US

Funding

Department of HealthMedical Research Council MC_PC_13073Medical Research Council MR/P017339Medical Research Council MR/P017339/1Wellcome Trust 201477/Z/16/ZWellcome Trust 220679Wellcome Trust 220679/Z/20/Z
6 · The paper itself

Abstract

backgroundRabies kills around 60 000 people each year. ChAdOx2 RabG, a simian adenovirus-vectored rabies vaccine candidate, might have potential to provide low-cost single-dose pre-exposure rabies prophylaxis. This first-in-human study aimed to evaluate its safety and immunogenicity in healthy adults.

methodsWe did a single-centre phase 1 study of ChAdOx2 RabG, administered as a single intramuscular dose, with non-randomised open-label dose escalation at the Centre for Clinical Vaccinology and Tropical Medicine, Oxford, UK. Healthy adults were sequentially allocated to groups receiving low (5 × 10

findingsBetween Jan 2 and Oct 28, 2020, 12 adults received low (n=3), middle (n=3), and high doses (n=6) of ChAdOx2 RabG. Participants reported predominantly mild-to-moderate reactogenicity. There were no serious adverse events. Virus neutralising antibody concentrations exceeded the recognised correlate of protection (0·5 IU/mL) in three middle-dose recipients and six high-dose recipients within 56 days of vaccination (median 18·0 IU/mL). The median peak virus neutralising antibody concentrations within 56 days were 0·7 IU/mL (range 0·0-54·0 IU/mL) for the low-dose group, 18·0 IU/mL (0·7-18·0 IU/mL) for the middle-dose group, and 18·0 IU/mL (6·0-486·0 IU/mL) for the high-dose group. Nine participants returned for the additional follow-up after 1 year. Of these nine participants, virus neutralising antibody titres of more than 0·5 IU/mL were maintained in six of seven who had received middle-dose or high-dose ChAdOx2 RabG. Within 7 days of administration of the first dose of a licensed rabies vaccine, nine participants had virus neutralising antibody titres of more than 0·5 IU/mL.

interpretationIn this study, ChAdOx2 RabG showed an acceptable safety and tolerability profile and encouraging immunogenicity, supporting further clinical evaluation.

fundingUK Medical Research Council and Engineering and Physical Sciences Research Council.

Indexed as

Adenoviruses, SimianRabiesRabies VaccinesAdultAntibodies, NeutralizingAntibodies, ViralHumansAntibodies, NeutralizingAntibodies, ViralRabies Vaccines

Identifiers

PMID35907430
PMCPMC7614839
OpenAlexW4288058399

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.