Evidence map›Paper›PMID 37232430›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2023

A Randomized Controlled Trial to Compare Immunogenicity to Cell-Based Versus Live-Attenuated Influenza Vaccines in Children.

Katherine V Williams, Zhu-Nan Li, Bo Zhai, John F Alcorn, Mary Patricia Nowalk, Min Z Levine, Sara S Kim, Brendan Flannery, Krissy Moehling Geffel, Amanda Jaber Merranko and 5 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03982069 (Immunological Response to Influenza Vaccination in Children, Adolescents, and Young Adults), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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.

NCT03982069 phase4completednot on this map

Immunological Response to Influenza Vaccination in Children, Adolescents, and Young Adults: A RCT of FluMist vs. Flucelvax

TypeinterventionalSponsorRichard Zimmerman MDRan2019 to 2020Enrolled465ConditionsInfluenza, Human, Immune ResponseArmsFluMist live attenuated influenza vaccine, Flucelvax inactivated influenza vaccine
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

15 authors at 3 institutions in 1 country.

Katherine V WilliamsDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Zhu-Nan LiNational Center Immunizations and Respiratory Disease, Center for Disease Control and Prevention, Atlanta, Georgia, USA.
Bo ZhaiDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
John F AlcornDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-5997-7711
Mary Patricia NowalkDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Min Z LevineNational Center Immunizations and Respiratory Disease, Center for Disease Control and Prevention, Atlanta, Georgia, USA.
Sara S KimNational Center Immunizations and Respiratory Disease, Center for Disease Control and Prevention, Atlanta, Georgia, USA.
Brendan FlanneryNational Center Immunizations and Respiratory Disease, Center for Disease Control and Prevention, Atlanta, Georgia, USA.
Krissy Moehling GeffelDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Amanda Jaber MerrankoFalk Pharmacy, University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania, USA.
Mark CollinsDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Michael SusickDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Karen S ClarkeDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Richard K ZimmermanDepartment of Family Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Judith M MartinDepartment of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh · USNational Center for Immunization and Respiratory Diseases · USUniversity of Pittsburgh Medical Center · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
NRSA Training CoreTL1TR001858 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RADOMSKI, THOMAS, RUBIO, DORIS M · 2016 to 2025
$11.1M
Outpatient VE for seasonal flu, pandemic flu and RSV in a large, diverse networkU01IP001035 · IP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZIMMERMAN, RICHARD K · 2016 to 2020
$7.8M
ACL HHS U01IP001035CDC HHS 5U01IP001035NCATS NIH HHS KL2 TR001856NCATS NIH HHS TL1 TR001858NCATS NIH HHS UL1 TR001857NCIRD CDC HHS U01 IP001035NIH HHS UL1TR001857
6 · The paper itself

Abstract

backgroundFew studies have focused on the immune response to more recent influenza vaccine formulations such as cell-cultured inactivated influenza vaccine (ccIIV4) or live-attenuated influenza vaccine (LAIV4) in older children and young adults, or differences in immunoglobulin response using newer antibody landscape technology.

methodsParticipants ages 4-21 were randomized to receive ccIIV4 (n = 112) or LAIV4 (n = 118). A novel high-throughput multiplex influenza antibody detection assay was used to provide detailed IgG, IgA, and IgM antibody isotypes, along with hemagglutination inhibition levels (HAI), measured pre- and 28 days post-vaccination.

resultsThe HAI and immunoglobulin isotype response to ccIIV4 was greater than LAIV4, with significant increases in IgG but not IgA or IgM. The youngest participants had the highest LAIV4 response. Prior LAIV4 vaccination was associated with a higher response to current season ccIIV4. Cross-reactive A/Delaware/55/2019(H1N1)pdm09 antibodies were present pre-vaccination and increased in response to ccIIV4, but not LAIV4. Immunoglobulin assays strongly correlated with and confirmed the findings of HAI titers to measure immune response.

conclusionsAge and prior season vaccination may play a role in the immune response in children and young adults to ccIIV4 and LAIV4. While immunoglobulin isotypes provide high-level antigen-specific information, HAI titers alone can provide a meaningful representation of day 28 post-vaccination response. CLINICAL TRIALS NO: NCT03982069.

Indexed as

Influenza A Virus, H1N1 SubtypeInfluenza, HumanInfluenza VaccinesAntibodies, ViralChildHemagglutination Inhibition TestsHumansImmunoglobulin GVaccines, AttenuatedVaccines, InactivatedYoung AdultAntibodies, ViralImmunoglobulin GInfluenza VaccinesVaccines, AttenuatedVaccines, Inactivatedcell-culture-based inactivated influenza vaccineegg-based live-attenuated influenza vaccinehemagglutination inhibition assayinfluenzainfluenza vaccineMIADArandomized controlled trial

Identifiers

PMID37232430
PMCPMC10312301
OpenAlexW4378348737

What OpenQuestion holds

Textmetadata
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.