Evidence map›Paper›PMID 37792377›Full record

ArticleJAMA network open2023

Estimated Effectiveness of a Primary Cycle of Protein Recombinant Vaccine NVX-CoV2373 Against COVID-19.

Alberto Mateo-Urdiales, Chiara Sacco, Daniele Petrone, Antonino Bella, Flavia Riccardo, Martina Del Manso, Marco Bressi, Andrea Siddu, Silvio Brusaferro, Anna Teresa Palamara and 4 more

Open access · goldAbstract read
In one paragraph

Article in JAMA network open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. New COVID-19 vaccination recommendations in Spain: Optimizing for next seasons.Enfermedades infecciosas y microbiologia clinica · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Observational
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 at 2 institutions in 2 countries.

Alberto Mateo-UrdialesDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Chiara SaccoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Daniele PetroneDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Antonino BellaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Flavia RiccardoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Martina Del MansoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Marco BressiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Andrea SidduGeneral Directorate of Prevention, Ministero della Salute, Rome, Italy.
Silvio BrusaferroOffice of the President, Istituto Superiore di Sanità, Rome, Italy.
Anna Teresa PalamaraDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Giovanni RezzaGeneral Directorate of Prevention, Ministero della Salute, Rome, Italy.
Patrizio PezzottiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Massimo FabianiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Italian National COVID-19 Integrated Surveillance System and the Italian COVID-19 vaccines registry
Istituto Superiore di Sanità · ITMinistero della Salute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Protein recombinant vaccine NVX-CoV2373 (Novavax) against COVID-19 was authorized for its use in adults in late 2021, but evidence on its estimated effectiveness in a general population is lacking. Objective: To estimate vaccine effectiveness of a primary cycle with NVX-CoV2373 against SARS-CoV-2 infection and symptomatic COVID-19. Design, Setting, and Participants: Retrospective cohort study linking data from the national vaccination registry and the COVID-19 surveillance system in Italy during a period of Omicron predominance. All adults starting a primary vaccination with NVX-CoV2373 between February 28 and September 4, 2022, were included, with follow-up ending on September 25, 2022. Data were analyzed in February 2023. Exposures: Partial (1 dose only) vaccination and full vaccination (2 doses) with NVX-CoV-2373. Main Outcomes and Measures: Notified SARS-CoV-2 infection and symptomatic COVID-19. Poisson regression models were used to estimate effectiveness against both outcomes. Adjusted estimated vaccine effectiveness was calculated as (1 - incidence rate ratio) × 100. Results: The study included 20 903 individuals who started the primary cycle during the study period. Median (IQR) age of participants was 52 (39-61) years, 10 794 (51.6%) were female, and 20 592 participants (98.5%) had no factors associated with risk for severe COVID-19. Adjusted estimated vaccine effectiveness against notified SARS-CoV-2 infection in those partially vaccinated with NVX-CoV2373 was 23% (95% CI, 13%-33%) and was 31% (95% CI, 22%-39%) in those fully vaccinated. Estimated vaccine effectiveness against symptomatic COVID-19 was 31% (95% CI, 16%-44%) in those partially vaccinated and 50% (95% CI, 40%-58%) in those fully vaccinated. Estimated effectiveness during the first 4 months after completion of the primary cycle decreased against SARS-CoV-2 infection but remained stable against symptomatic COVID-19. Conclusions and Relevance: This cohort study found that, in an Omicron-dominant period, protein recombinant vaccine NVX-CoV2373 was associated with protection against SARS-CoV-2 infection and symptomatic COVID-19. The use of this vaccine could remain an important element in reducing the impact of the SARS-CoV-2 pandemic.

Indexed as

COVID-19AdultCohort StudiesCOVID-19 VaccinesFemaleHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2Vaccines, SyntheticCOVID-19 VaccinesNVX-CoV2373 adjuvated lipid nanoparticleVaccines, Synthetic

Identifiers

PMID37792377
PMCPMC10551773
OpenAlexW4387326503

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.