Evidence map›Paper›PMID 37160970›Full record

ArticleNPJ vaccines2023

A protective, single-visit TB vaccination regimen by co-administration of a subunit vaccine with BCG.

Karin Dijkman, Thomas Lindenstrøm, Ida Rosenkrands, Rikke Søe, Joshua S Woodworth, Cecilia S Lindestam Arlehamn, Rasmus Mortensen

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 23 citations in OpenAlex.

  1. HowVaccines · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. RNA vaccines: The dawn of a new age for tuberculosis?Human vaccines & immunotherapeutics · 2025
    Review
  8. Review
  9. Virulence hierarchies within theProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
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  19. Article
  20. Review
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

7 authors at 2 institutions in 3 countries.

Karin Dijkman *Department of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark.
Thomas Lindenstrøm *Department of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-7162-8124
Ida RosenkrandsDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark.
Rikke SøeDepartment of Vaccine Development, Statens Serum Institut, Copenhagen, Denmark.
Joshua S WoodworthDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-0771-9056
Cecilia S Lindestam ArlehamnCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-7302-8002
Rasmus MortensenDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark. rjm@ssi.dk.ORCID http://orcid.org/0000-0003-0177-3032
Statens Serum Institut · DKLa Jolla Institute for Immunology · US

Funding

A dual function TB subunit vaccine designed for non-interference with BCG and post-exposure activityR01AI135721 · NIAID · STATENS SERUM INSTITUTE · PI MORTENSEN, RASMUS SKAARUP · 2018 to 2022
$3.5M
NIAID NIH HHS R01 AI135721
6 · The paper itself

Abstract

The only licensed tuberculosis (TB) vaccine, Bacillus Calmette Guerin (BCG), fails to reliably protect adolescents and adults from pulmonary TB, resulting in ~1.6 million deaths annually. Protein subunit vaccines have shown promise against TB in clinical studies. Unfortunately, most subunit vaccines require multiple administrations, which increases the risk of loss to follow-up and necessitates more complex and costly logistics. Given the well-documented adjuvant effect of BCG, we hypothesized that BCG co-administration could compensate for a reduced number of subunit vaccinations. To explore this, we developed an expression-optimized version of our H107 vaccine candidate (H107e), which does not cross-react with BCG. In the CAF®01 adjuvant, a single dose of H107e induced inferior protection compared to three H107e/CAF®01 administrations. However, co-administering a single dose of H107e/CAF®01 with BCG significantly improved protection, which was equal to BCG co-administered with three H107e/CAF®01 doses. Importantly, combining BCG with a single H107e/CAF®01 dose also increased protection in previously BCG-primed animals. Overall, a single dose of H107e/CAF®01 with BCG induced long-lived immunity and triggered BCG-specific Th17 responses. These data support co-administration of BCG and subunit vaccines in both BCG naïve and BCG-primed individuals as an improved TB vaccine strategy with reduced number of vaccination visits.

Identifiers

PMID37160970
PMCPMC10169149
OpenAlexW4376121533

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.