Evidence map›Paper›PMID 37475057›Full record

Observational studyPediatric rheumatology online journal2023

Meningococcal ACWY conjugate vaccine immunogenicity in adolescents with primary or secondary immune deficiencies, a prospective observational cohort study.

Milou Ohm, Joeri W van Straalen, Gerrie de Joode-Smink, Joris van Montfrans, Marije Bartels, Joanne G van Wildenbeest, Caroline A Lindemans, Roos Aw Wennink, Joke H de Boer, Elisabeth Am Sanders and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Pediatric rheumatology online journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Milou Ohm *Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.ORCID http://orcid.org/0000-0003-1417-0564
Joeri W van Straalen *Department of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Gerrie de Joode-SminkDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Joris van MontfransDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Marije BartelsDepartment of Pediatric Hematology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Joanne G van WildenbeestDepartment of Pediatric Infectious Diseases, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Caroline A LindemansDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Roos Aw WenninkDepartment of Ophthalmology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Joke H de BoerDepartment of Ophthalmology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Elisabeth Am SandersCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Frans M Verduyn-LunelDepartment of Medical Microbiology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Guy Am BerbersCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Nico M WulffraatDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.
Marc H A JansenDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands. m.h.a.jansen@umcutrecht.nl.ORCID http://orcid.org/0000-0001-6969-8759

Funding

Ministerie van Volksgezondheid, Welzijn en Sport Ministerie van Volksgezondheid, Welzijn en SportUniversitair Medisch Centrum Utrecht Universitair Medisch Centrum Utrecht
6 · The paper itself

Abstract

backgroundImmunization with meningococcal ACWY conjugate vaccine induces protective antibodies against invasive meningococcal disease (IMD) caused by serogroups A, C, W and Y. We studied MenACWY-TT vaccine immunogenicity in adolescents with a heterogenous group of primary and secondary immune deficiency including patients with systemic lupus erythematosus, mixed connective tissue disease, vasculitis, uveitis, 22Q11 syndrome, sickle cell disease, and patients who underwent stem cell transplantation for bone marrow failure.

findingsWe enrolled 69 individuals aged 14-18 years diagnosed with a primary or secondary immune deficiency in a prospective observational cohort study. All patients received a single dose of MenACWY-TT vaccine during the catch-up campaign 2018-19 because of the IMD-W outbreak in the Netherlands. Capsular polysaccharide-specific (PS) IgG concentrations against MenACWY were measured before and 3-6, 12, and 24 months after vaccination. Overall, geometric mean concentrations (GMCs) of MenACWY-PS-specific IgG were lower in patients compared to data from healthy, aged-matched controls (n = 75) reaching significance at 12 months postvaccination for serogroup A and W (adjusted GMC ratios 0.26 [95% CI: 0.15-0.47] and 0.22 [95% CI: 0.10-0.49], respectively). No serious adverse events were reported by study participants.

conclusionsThe MenACWY conjugate vaccine was less immunogenic in adolescent patients with primary or secondary immunodeficiency compared to healthy controls, urging the need for further surveillance of these patients and supporting considerations for booster MenACWY conjugate vaccinations in these patient groups.

Indexed as

Meningococcal InfectionsMeningococcal VaccinesAdolescentAntibodies, BacterialHumansImmunogenicity, VaccineImmunoglobulin GProspective StudiesVaccines, ConjugateAntibodies, BacterialImmunoglobulin GMeningococcal VaccinesVaccines, ConjugateAdolescentsAntibody responsesAutoimmune diseaseImmunocompromisedImmunodeficiencyInflammatory diseaseMenACWY conjugate vaccination

Identifiers

PMID37475057
PMCPMC10360259

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.