Evidence map›Paper›PMID 36888640›Full record

Trial reportPloS one2023

Immunogenicity and safety of a recombinant adenovirus type-5 COVID-19 vaccine in adults: Data from a randomised, double-blind, placebo-controlled, single-dose, phase 3 trial in Russia.

Dmitry Lioznov, Irina Amosova, Savely A Sheetikov, Ksenia V Zornikova, Yana Serdyuk, Grigory A Efimov, Mikhail Tsyferov, Mikhail Khmelevskii, Andrei Afanasiev, Nadezhda Khomyakova and 5 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04540419 (Multicenter, Randomized, Double Blind, Placebo Controlled Parallel Group Study Evaluating Efficacy, Reactogenicity and Safety of Recombinant Vaccine Ad5-nCoV Against Novel Coronavirus Infection in Adult Volunteers), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT04540419 phase3completednot on this map

Multicenter, Randomized, Double Blind, Placebo Controlled Parallel Group Study Evaluating Efficacy, Reactogenicity and Safety of Recombinant Vaccine Ad5-nCoV Against Novel Coronavirus Infection in Adult Volunteers

TypeinterventionalSponsorNPO PetrovaxRan2020 to 2021Enrolled500ConditionsCovid19ArmsRecombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector), Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

15 authors at 5 institutions in 2 countries.

Dmitry LioznovSmorodintsev Research Institute of Influenza, St Petersburg, Russia.
Irina AmosovaSmorodintsev Research Institute of Influenza, St Petersburg, Russia.ORCID 0000-0003-1769-0645
Savely A SheetikovNational Research Center for Hematology, Moscow, Russia.
Ksenia V ZornikovaNational Research Center for Hematology, Moscow, Russia.ORCID 0000-0002-9568-2109
Yana SerdyukNational Research Center for Hematology, Moscow, Russia.
Grigory A EfimovNational Research Center for Hematology, Moscow, Russia.ORCID 0000-0001-7129-6062
Mikhail TsyferovNPO Petrovax Pharm LLC, Moscow, Russia.
Mikhail KhmelevskiiNPO Petrovax Pharm LLC, Moscow, Russia.
Andrei AfanasievNPO Petrovax Pharm LLC, Moscow, Russia.
Nadezhda KhomyakovaNPO Petrovax Pharm LLC, Moscow, Russia.ORCID 0000-0002-9111-3144
Dmitry ZubkovNPO Petrovax Pharm LLC, Moscow, Russia.
Anton TikhonovNPO Petrovax Pharm LLC, Moscow, Russia.
Tao ZhuCanSino Biologics Inc., Tianjin, China.
Luis BarretoCanSino Biologics Inc., Tianjin, China.
Vitalina DzutsevaNPO Petrovax Pharm LLC, Moscow, Russia.ORCID 0000-0002-5630-755X
National Medical Research Center for Hematology · RUCanSino (China) · CNFirst Pavlov State Medical University of St. Petersburg · RUNovosibirsk State Medical University · RUResearch Institute of Influenza · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine the immunogenicity, efficacy, reactogenicity, and safety of a single dose of recombinant adenovirus type-5 vectored COVID-19 vaccine (Ad5-nCoV, 5 × 1010 viral particles per 0.5 mL dose), we conducted a single-dose, randomised, double-blind, placebo-controlled, parallel group (3:1 Ad5-nCoV:placebo), phase 3 trial (Prometheus).

methodsFrom 11-September-2020 to 05-May-2021, across six sites in the Russian Federation, 496 participants were injected with either placebo or Ad5-nCoV expressing the full-length spike (S) protein from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

resultsSeroconversion (the primary endpoint) rates of 78.5% (95% CI: 73.9; 82.6) against receptor binding domain (RBD), 90.6% (95% CI: 87.2; 93.4) against S protein and 59.0% (95% CI: 53.3; 64.6) seroconversion of neutralising antibodies against SARS-CoV-2 at 28 days post-vaccination were observed. Geometric mean titres (GMTs) were also elevated for antibodies against the RBD (405 [95% CI: 366; 449]) and S protein (677 [95% CI: 608; 753]) compared to the GMT of neutralising antibodies against SARS-CoV-2 (16.7 [95% CI: 15.3; 18.3]). Using an IFN-γ ELISpot assay after stimulating the cells with recombinant S protein ectodomain we showed that the Ad5-nCoV vaccine induced the most robust cellular immune response on Days 14 and 28. Up to Day 28, the primary and all secondary endpoints of the Ad5-nCoV vaccine were statistically significant compared with the placebo (р<0.001). Systemic reactions were reported in 113 of 496 (22.8%) participants (Ad5-nCoV, 26.9%; Placebo, 10.5%), and local reactions were reported in 108 (21.8%) participants (Ad5-nCoV, 28.5%; Placebo, 1.6%). These were generally mild and resolved within 7 days after vaccination. Of the six serious adverse events reported, none of the events were vaccine related. There were no deaths or premature withdrawals.

conclusionA single-dose of Ad5-nCoV vaccine induced a marked specific humoral and cellular immune response with a favourable safety profile.

trial registrationTrial registration: ClinicalTrials.gov: NCT04540419.

Indexed as

Adenoviridae InfectionsCOVID-19AdenoviridaeAdultAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesDouble-Blind MethodHumansImmunogenicity, VaccineSARS-CoV-2Ad5-nCoV vaccineAntibodies, NeutralizingAntibodies, ViralCOVID-19 Vaccines

Identifiers

PMID36888640
PMCPMC9994755
OpenAlexW4323532810

What OpenQuestion holds

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LicenceCC BY
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.