Evidence map›Paper›PMID 37141388›Full record

Trial reportThe Journal of infectious diseases2023

Immunogenicity and Reactogenicity of Messenger RNA Coronavirus Disease 2019 Vaccine Booster Administered by Intradermal or Intramuscular Route in Thai Older Adults.

Prasert Assantachai, Suvimol Niyomnaitham, Wichai Chatthanawaree, Somboon Intalapaporn, Weerasak Muangpaisan, Harisd Phannarus, Rangsimatiti Binda Saichompoo, Unchana Sura-Amonrattana, Patimaporn Wongprompitak, Zheng Quan Toh and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. 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

13 authors at 3 institutions in 2 countries.

Prasert AssantachaiDepartment of Preventive and Social Medicine.
Suvimol NiyomnaithamDepartment of Pharmacology.
Wichai ChatthanawareeDepartment of Preventive and Social Medicine.
Somboon IntalapapornDepartment of Preventive and Social Medicine.
Weerasak MuangpaisanDepartment of Preventive and Social Medicine.
Harisd PhannarusDepartment of Preventive and Social Medicine.
Rangsimatiti Binda SaichompooSiriraj Institute of Clinical Research.
Unchana Sura-AmonrattanaDepartment of Medicine.
Patimaporn WongprompitakDepartment of Immunology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Zheng Quan TohInfection and Immunity, Murdoch Children's Research Institute.
Paul V LicciardiInfection and Immunity, Murdoch Children's Research Institute.
Kanjana SrisutthisamphanNational Center for Genetic Engineering and Biotechnology, National Science Development Agency, Pathum-thani.
Kulkanya ChokephaibulkitSiriraj Institute of Clinical Research.ORCID 0000-0002-0140-4600
Siriraj Hospital · THThe University of Melbourne · AUNational Science and Technology Development Agency · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntradermal (ID) vaccination may alleviate COVID-19 vaccine shortages and vaccine hesitancy.

methodsPersons aged ≥65 years who were vaccinated with 2-dose ChAdOx1 12-24 weeks earlier were randomized to receive a booster vaccination by either ID (20 µg mRNA-1273 or 10 µg BNT162b2) or intramuscular (IM) (100 µg mRNA-1273 or 30 µg BNT162b2) route. Anti-receptor-binding domain (RBD) immunoglobulin G (IgG), neutralizing antibody (NAb), and interferon gamma (IFN-γ)-producing cells were measured at 2-4 weeks following vaccination.

resultsOf 210 participants enrolled, 70.5% were female and median age was 77.5 (interquartile range, 71-84) years. Following booster dose, both ID vaccinations induced 37% lower levels of anti-RBD IgG compared with IM vaccination of the same vaccine. NAb titers against ancestral and Omicron BA.1 were highest following IM mRNA-1273 (geometric mean, 1718 and 617), followed by ID mRNA-1273 (1212 and 318), IM BNT162b2 (713 and 230), and ID BNT162b2 (587 and 148), respectively. Spike-specific IFN-γ responses were similar or higher in the ID groups compared with IM groups. ID route tended to have fewer systemic adverse events (AEs), although more local AEs were reported in the ID mRNA-1273 group.

conclusionsFractional ID vaccination induced lower humoral but comparable cellular immunity compared to IM and may be an alternative for older people. CLINICAL TRIALS REGISTRATION: TCTR20220112002.

Indexed as

COVID-19COVID-19 VaccinesImmunogenicity, Vaccine2019-nCoV Vaccine mRNA-1273AgedAged, 80 and overAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineFemaleHumansImmunization, SecondaryImmunoglobulin GMaleSoutheast Asian PeopleVaccination2019-nCoV Vaccine mRNA-1273Antibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin GCOVID-19 booster vaccinationimmune responsesintradermalmRNA vaccinesolder adults

Identifiers

PMID37141388
PMCPMC10547455
OpenAlexW4368343851

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.