Evidence map›Paper›PMID 37858591›Full record

ReviewThe Lancet. Global health2023

Clinical and regulatory development strategies for Shigella vaccines intended for children younger than 5 years in low-income and middle-income countries.

Birgitte K Giersing, Richard Isbrucker, David C Kaslow, Marco Cavaleri, Norman Baylor, Diadié Maiga, Patricia B Pavlinac, Mark S Riddle, Gagandeep Kang, Calman A MacLennan

Open access · goldAbstract readReview
In one paragraph

Review in The Lancet. Global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Shigellosis.Lancet (London, England) · 2025
    Review
  10. Article
  11. Article
  12. TheVaccines · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. 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

10 authors at 8 institutions in 6 countries.

Birgitte K GiersingDepartment of Immunization, Vaccines and Biologicals, World Health Organization, Geneva, Switzerland. Electronic address: giersingb@who.int.
Richard IsbruckerNorms and Standards for Biologicals, World Health Organization, Geneva, Switzerland.
David C KaslowEssential Medicines and PATH Center for Vaccines Innovation and Access, PATH, Seattle, WA, USA.
Marco CavaleriOffice of Health Threats and Vaccine Strategy, European Medicines Agency, Amsterdam, Netherlands.
Norman BaylorBiologics Consulting Group, Alexandria, VA, USA.
Diadié MaigaVaccine Regulation, World Health Organization, Regional Office for Africa, Brazzaville, Republic of the Congo.
Patricia B PavlinacGlobal Center for Integrated Health of Women, Adolescents, and Children (Global WACh), Department of Global Health and Department of Epidemiology, University of Washington, Seattle, WA, USA.
Mark S RiddleDepartment of Internal Medicine (Community Faculty), University of Nevada, Reno, NV, USA.
Gagandeep KangDepartment of Gastrointestinal Sciences, CMC Vellore, Vellore, India.
Calman A MacLennanEnterics, Diagnostics, Genomics & Epidemiology, Global Health, Bill & Melinda Gates Foundation, Seattle, WA, USA.
Bill & Melinda Gates Foundation · USCentre for Global Health Research · CAChristian Medical College & Hospital · INEuropean Medicines Agency · NLProgram for Appropriate Technology in Health · USUniversity of Nevada, Reno · USWorld Health Organization · CHWorld Health Organization Regional Office for Africa · CG

Funding

World Health Organization 001
6 · The paper itself

Abstract

Shigellosis causes considerable public health burden, leading to excess deaths as well as acute and chronic consequences, particularly among children living in low-income and middle-income countries (LMICs). Several Shigella vaccine candidates are advancing in clinical trials and offer promise. Although multiple target populations might benefit from a Shigella vaccine, the primary strategic goal of WHO is to accelerate the development and accessibility of safe, effective, and affordable Shigella vaccines that reduce mortality and morbidity in children younger than 5 years living in LMICs. WHO consulted with regulators and policy makers at national, regional, and global levels to evaluate pathways that could accelerate regulatory approval in this priority population. Special consideration was given to surrogate efficacy biomarkers, the role of controlled human infection models, and the establishment of correlates of protection. A field efficacy study in children younger than 5 years in LMICs is needed to ensure introduction in this priority population.

Indexed as

Dysentery, BacillaryShigella VaccinesChildDeveloping CountriesHumansShigella Vaccines

Identifiers

PMID37858591
PMCPMC10603611
OpenAlexW4387693423

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.