Evidence map›Paper›PMID 36164460›Full record

ArticleVaccine: X2022

Lot-to-lot consistency of a hexavalent DTwP-IPV-HB-PRP∼T vaccine and non-inferiority to separate DTwP-HB-PRP∼T and IPV antigen-matching vaccines at 6-8, 10-12, and 14-16 weeks of age co-administered with oral rotavirus vaccine in healthy infants in India: A multi-center, randomized, controlled study.

S Mangarule, S Prashanth, A Kawade, M D Ravi, I V Padmavathi, S Palkar, V N Tripathi, R Singh, M Maurya, M Mitra and 11 more

Abstract read
In one paragraph

Article in Vaccine: X, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

21 authors.

S MangaruleSanofi Healthcare India Private Ltd (SHIPL), Hyderabad, India.
S PrashanthMysore Medical College & Research Institute and Cheluvamba Hopsital, Mysore, India.
A KawadeVadu Rural Health Program, King Edward Memorial Hospital Research Centre, Pune, India.
M D RaviJSS Academy of Higher Education, JSS Medical College and Hospital, Mysore, India.
I V PadmavathiVictoria Government Hospital, Visakhapatnam, India.
S PalkarBharati Vidyapeeth Deemed University Medical College, Pune, India.
V N TripathiPrakhar Hospital Pvt Ltd, Kanpur, India.
R SinghMaulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India.
M MauryaSeth GS Medical College and KEM Hospital, Mumbai, India.
M MitraInstitute of Child Health, Kolkata, West Bengal, India.
R S ShettyKasturba Medical College, Manipal, Karnataka, India.
R Z KompithraChristian Medical College, Vellore, Tamilnadu, India.
S M DhadedKLES Dr. Prabhakar Kore Hospital and MRC and JN Medical College, Belagavi, Karnataka, India.
V EpariInstitute of Medical Sciences & Sum Hospital, Siksha 'O' Anusandhan, Odisha, India.
A MoureauSanofi Pasteur, Lyon, France.
M V JayanthSanofi Healthcare India Private Ltd (SHIPL), Hyderabad, India.
K VargheseSanofi Pasteur, Swiftwater, PA, USA.
S RavinuthalaSanofi Healthcare India Private Ltd (SHIPL), Hyderabad, India.
D KukianSanofi Healthcare India Private Ltd (SHIPL), Hyderabad, India.
B N PatnaikSanofi Healthcare India Private Ltd (SHIPL), Hyderabad, India.
F NoriegaSanofi Pasteur, Swiftwater, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Combination vaccines reduce the number of pediatric injections but must be as safe, immunogenic, and effective as each of the individual vaccines given separately. Additionally, consistency in manufacturing lots is essential for WHO prequalification. This study aimed to establish the lot-to-lot consistency of a fully liquid, hexavalent diphtheria (D)-tetanus (T)-whole-cell pertussis (wP)-inactivated poliovirus (IPV)-hepatitis B (HB)- Methods: A Phase III, randomized, active-controlled, and open-label study was conducted at multiple centers across India. Healthy infants who had received a birth dose of oral poliovirus vaccine and hepatitis B vaccine received one of three lots of DTwP-IPV-HB-PRP∼T or separate DTwP-HB-PRP∼T and IPV vaccines at 6-8, 10-12, and 14-16 weeks of age. Oral rotavirus vaccine was co-administered at 6-8 weeks of age and 10-12/14-16 weeks of age. DTwP-IPV-HB-PRP∼T lot-to-lot consistency and non-inferiority (pooled DTwP-IPV-HB-PRP∼T) versus DTwP-HB-PRP∼T and IPV post-third dose were assessed using seroprotection rates (anti-D, anti-T, anti-HBs, anti-PRP, anti-polio 1, 2, 3) and adjusted geometric mean concentrations (anti-PT, anti-FIM). Safety was assessed by parental reports. Results: Lot-to-lot consistency was demonstrated for DTwP-IPV-HB-PRP∼T and non-inferiority versus DTwP-HB-PRP∼T and IPV was confirmed with 95% CIs for seroprotection rate differences and adjusted geometric mean concentration ratios within pre-defined clinical margins. Pooled seroprotection rate was ≥ 99.7% for anti-D ≥ 0.01 IU/mL, anti-T ≥ 0.01 IU/mL, anti-HBs ≥ 10 mIU/mL, anti-PRP ≥ 0.15 µg/mL, and anti-polio 1, 2, and 3 ≥ 8 (1/dil) and vaccine response rate was 83.9% for anti-PT and 97.7% for anti-FIM. There were no safety concerns. Conclusions: Immunogenicity of three lots of the fully liquid DTwP-IPV-HB-PRP∼T vaccine was consistent and non-inferior to licensed comparators following vaccination at 6-8, 10-12, and 14-16 weeks of age. There were no safety concerns and no evidence of any effect of co-administration with rotavirus vaccine.

Indexed as

Co-administrationCombination vaccineHexavalentImmunogenicityLot-to-lot consistencyNon-inferiorityRotavirusSafety

Identifiers

PMID36164460
PMCPMC9508377

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LicenceCC BY-NC-ND
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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.