Evidence map›Paper›PMID 36256646›Full record

Trial reportPloS one2022

Dose-sparing effect of two adjuvant formulations with a pandemic influenza A/H7N9 vaccine: A randomized, double-blind, placebo-controlled, phase 1 clinical trial.

Tazio Vanni, Beatriz C Thomé, Erin Sparrow, Martin Friede, Christopher B Fox, Anna Marie Beckmann, Chuong Huynh, Gabriella Mondini, Daniela H Silveira, Juliana Y K Viscondi and 21 more

2 registry-linked trialsAbstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT03330899 phase1completednot on this map

A Phase I Randomized, Double-blind, Placebo-controlled, Dose Finding Clinical Trial to Evaluate the Safety and Immunogencity of H7N9 Influenza Antigen Adjuvanted With 2 Different Adjuvant Formulations in Healthy Adult Volunteers in Brazil

TypeinterventionalSponsorButantan InstituteRan2018 to 2020Enrolled432ConditionsInfluenza, H7N9 InfluenzaArmsH7N9 antigen + adjuvant IB160, H7N9 antigen + adjuvant SE, H7N9 antigen without adjuvant, Placebo (PBS)
NCT06842173 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Randomized, Double-Blind, Placebo-Controlled Phase I/II Clinical Trial To Evaluate The Safety And Immunogenicity Of The Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) From Instituto Butantan, In Adults And The Older Adults

TypeinterventionalSponsorButantan InstituteRan2025 to 2027Enrolled700ConditionsAvian Influenza A VirusArmsMonovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg, Monovalent influenza vaccine type A (H5N8) 15 mcg, Placebo
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

31 authors.

Tazio VanniInstituto Butantan, São Paulo, Brazil.
Beatriz C ThoméInstituto Butantan, São Paulo, Brazil.
Erin SparrowWorld Health Organization, Geneva, Switzerland.ORCID 0000-0003-3912-2550
Martin FriedeWorld Health Organization, Geneva, Switzerland.
Christopher B FoxInfectious Disease Research Institute, Seattle, WA, United States of America.
Anna Marie BeckmannInfectious Disease Research Institute, Seattle, WA, United States of America.
Chuong HuynhBiomedical Advanced Research and Development Authority, Washington, DC, United States of America.
Gabriella MondiniInstituto Butantan, São Paulo, Brazil.
Daniela H SilveiraInstituto Butantan, São Paulo, Brazil.
Juliana Y K ViscondiInstituto Butantan, São Paulo, Brazil.
Patrícia Emilia BragaInstituto Butantan, São Paulo, Brazil.
Anderson da SilvaInstituto Butantan, São Paulo, Brazil.
Maria da Graça SalomãoInstituto Butantan, São Paulo, Brazil.
Roberta O PiorelliInstituto Butantan, São Paulo, Brazil.
Joane P SantosInstituto Butantan, São Paulo, Brazil.
Vera Lúcia GattásInstituto Butantan, São Paulo, Brazil.
Maria Beatriz B LucchesiInstituto Butantan, São Paulo, Brazil.
Mayra M M de OliveiraInstituto Butantan, São Paulo, Brazil.
Marcelo E KoikeInstituto Butantan, São Paulo, Brazil.
Esper G KallasClinics Hospital of the School of Medicine of University of São Paulo, São Paulo, Brazil.
Lucia M A CamposChild Institute of the Clinics Hospital of the School of Medicine of University of São Paulo, São Paulo, Brazil.
Eduardo B CoelhoClinics Hospital of the Medical School of Ribeirão Preto of the University of São Paulo, Ribeirão Preto, Brazil.
Marilda A M SiqueiraOswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Cristiana C GarciaOswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Milene Dias MirandaOswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Terezinha M PaivaAdolfo Lutz Institute, São Paulo, Brazil.
Maria do Carmo S T TimenetskyAdolfo Lutz Institute, São Paulo, Brazil.
Eduardo A AdamiInstituto Butantan, São Paulo, Brazil.
Milena A AkamatsuInstituto Butantan, São Paulo, Brazil.ORCID 0000-0002-8193-3448
Paulo Lee HoInstituto Butantan, São Paulo, Brazil.
Alexander R PreciosoInstituto Butantan, São Paulo, Brazil.ORCID 0000-0001-8657-9292

Funding

World Health Organization 001
6 · The paper itself

Abstract

The emergence of potentially pandemic viruses has resulted in preparedness efforts to develop candidate vaccines and adjuvant formulations. We evaluated the dose-sparing effect and safety of two distinct squalene-based oil-in-water adjuvant emulsion formulations (IB160 and SE) with influenza A/H7N9 antigen. This phase I, randomized, double-blind, placebo-controlled, dose-finding trial (NCT03330899), enrolled 432 healthy volunteers aged 18 to 59. Participants were randomly allocated to 8 groups: 1A) IB160 + 15μg H7N9, 1B) IB160 + 7.5μg H7N9, 1C) IB160 + 3.75μg H7N9, 2A) SE + 15μg H7N9, 2B) SE + 7.5μg H7N9, 2C) SE + 3.75μg H7N9, 3) unadjuvanted vaccine 15μg H7N9 and 4) placebo. Immunogenicity was evaluated through haemagglutination inhibition (HI) and microneutralization (MN) tests. Safety was evaluated by monitoring local and systemic, solicited and unsolicited adverse events (AE) and reactions (AR) 7 and 28 days after each study injection, respectively, whereas serious adverse events (SAE) were monitored up to 194 days post-second dose. A greater increase in antibody geometric mean titers (GMT) was observed in groups receiving adjuvanted vaccines. Vaccinees receiving IB160-adjuvanted formulations showed the greatest response in group 1B, which induced an HI GMT increase of 4.7 times, HI titers ≥40 in 45.2% of participants (MN titers ≥40 in 80.8%). Vaccinees receiving SE-adjuvanted vaccines showed the greatest response in group 2A, with an HI GMT increase of 2.5 times, HI titers ≥40 in 22.9% of participants (MN titers ≥40 in 65.7%). Frequencies of AE and AR were similar among groups. Pain at the administration site and headache were the most frequent local and systemic solicited ARs. The vaccine candidates were safe and the adjuvanted formulations have a potential dose-sparing effect on immunogenicity against influenza A/H7N9. The magnitude of this effect could be further explored.

Indexed as

Influenza A Virus, H7N9 SubtypeInfluenza, HumanInfluenza VaccinesAdjuvants, ImmunologicAdjuvants, PharmaceuticAntibodies, ViralEmulsionsHemagglutination Inhibition TestsHumansPandemicsPolysorbatesSqualeneWaterAdjuvants, ImmunologicAdjuvants, PharmaceuticAntibodies, ViralEmulsionsInfluenza VaccinesPolysorbatesSqualeneWater

Identifiers

PMID36256646
PMCPMC9578608

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

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.