Evidence map›Paper›PMID 37896806›Full record

Trial reportViruses2023

Stochastic Interventional Vaccine Efficacy and Principal Surrogate Analyses of Antibody Markers as Correlates of Protection against Symptomatic COVID-19 in the COVE mRNA-1273 Trial.

Ying Huang, Nima S Hejazi, Bryan Blette, Lindsay N Carpp, David Benkeser, David C Montefiori, Adrian B McDermott, Youyi Fong, Holly E Janes, Weiping Deng and 34 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 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

44 authors at 15 institutions in 1 country.

Ying HuangVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
Nima S HejaziVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.ORCID 0000-0002-7127-2789
Bryan BletteDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA 19104, USA.
Lindsay N CarppVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.ORCID 0000-0003-0333-5925
David BenkeserDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
David C MontefioriDepartment of Surgery, Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27710, USA.
Adrian B McDermottVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Youyi FongVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
Holly E JanesVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
Weiping DengModerna, Inc., Cambridge, MA 02139, USA.
Honghong ZhouModerna, Inc., Cambridge, MA 02139, USA.
Christopher R HouchensBiomedical Advanced Research and Development Authority, Washington, DC 20201, USA.
Karen MartinsBiomedical Advanced Research and Development Authority, Washington, DC 20201, USA.
Lakshmi JayashankarBiomedical Advanced Research and Development Authority, Washington, DC 20201, USA.
Britta FlachVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Bob C LinVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Sarah O'ConnellVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Charlene McDanalDepartment of Surgery, Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27710, USA.
Amanda EatonDepartment of Surgery, Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27710, USA.
Marcella Sarzotti-KelsoeDepartment of Surgery, Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC 27710, USA.
Yiwen LuVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
Chenchen YuVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
Avi KennyDepartment of Biostatistics, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0002-9465-7307
Marco CaroneDepartment of Biostatistics, University of Washington, Seattle, WA 98195, USA.
Chuong HuynhBiomedical Advanced Research and Development Authority, Washington, DC 20201, USA.
Jacqueline MillerModerna, Inc., Cambridge, MA 02139, USA.
Hana M El SahlyDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, USA.
Lindsey R BadenBrigham and Women's Hospital, Boston, MA 02115, USA.
Lisa A JacksonKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USA.
Thomas B CampbellDivision of Infectious Diseases, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-2325-4674
Jesse ClarkDepartment of Medicine, Division of Infectious Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.ORCID 0000-0001-5862-6530
Michele P AndrasikVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
James G KublinVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.ORCID 0000-0003-1279-3741
Lawrence CoreyVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.
Kathleen M NeuzilCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Rolando PajonModerna, Inc., Cambridge, MA 02139, USA.
Dean FollmannBiostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Ruben O DonisBiomedical Advanced Research and Development Authority, Washington, DC 20201, USA.
Richard A KoupVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Peter B GilbertVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA 98109, USA.ORCID 0000-0002-2662-9427
On Behalf Of The Immune Assays
Moderna Inc
Coronavirus Vaccine Prevention Network CoVPN/Coronavirus Efficacy Cove
United States Government Usg/CoVPN Biostatistics Teams
Fred Hutch Cancer Center · USNational Institutes of Health · USBiomedical Advanced Research and Development Authority · USUniversity of Washington · USDuke Medical Center · USModerna Therapeutics (United States) · USBaylor College of Medicine · USBrigham and Women's Hospital · USEmory University · USHarvard University · USKaiser Permanente Washington Health Research Institute · USUniversity of California, Los Angeles · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Maryland, Baltimore · USUniversity of Pennsylvania · US

Funding

SDMC: HIV Vaccine Trials NetworkUM1AI068635 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Peter B. Gilbert, Yunda Huang · 2011 to 2026
$385.9M
Leadership for HIV/AIDS Clinical Trials Networks; HIV Vaccine Trials NetworkU01AI068635 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SELF, STEVEN G. · 2006 to 2010
$53.8M
UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
Statistical Methods in HIV Vaccine Efficacy TrialsR37AI054165 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Peter B. Gilbert · 2010 to 2026
$6.7M
Accelerating biomarker development through novel statistical methods for analyzing phase III/IV studiesR01CA277133 · NCI · FRED HUTCHINSON CANCER CENTER · PI Ying Huang · 2023 to 2026
$1.6M
NCI NIH HHS R01 CA277133NIAID NIH HHS R37 AI054165NIAID NIH HHS U01 AI068635NIAID NIH HHS UM1 AI068635NIAID NIH HHS UM1 AI069424
6 · The paper itself

Abstract

The COVE trial randomized participants to receive two doses of mRNA-1273 vaccine or placebo on Days 1 and 29 (D1, D29). Anti-SARS-CoV-2 Spike IgG binding antibodies (bAbs), anti-receptor binding domain IgG bAbs, 50% inhibitory dilution neutralizing antibody (nAb) titers, and 80% inhibitory dilution nAb titers were measured at D29 and D57. We assessed these markers as correlates of protection (CoPs) against COVID-19 using stochastic interventional vaccine efficacy (SVE) analysis and principal surrogate (PS) analysis, frameworks not used in our previous COVE immune correlates analyses. By SVE analysis, hypothetical shifts of the D57 Spike IgG distribution from a geometric mean concentration (GMC) of 2737 binding antibody units (BAU)/mL (estimated vaccine efficacy (VE): 92.9% (95% CI: 91.7%, 93.9%)) to 274 BAU/mL or to 27,368 BAU/mL resulted in an overall estimated VE of 84.2% (79.0%, 88.1%) and 97.6% (97.4%, 97.7%), respectively. By binary marker PS analysis of Low and High subgroups (cut-point: 2094 BAU/mL), the ignorance interval (IGI) and estimated uncertainty interval (EUI) for VE were [85%, 90%] and (78%, 93%) for Low compared to [95%, 96%] and (92%, 97%) for High. By continuous marker PS analysis, the IGI and 95% EUI for VE at the 2.5th percentile (519.4 BAU/mL) vs. at the 97.5th percentile (9262.9 BAU/mL) of D57 Spike IgG concentration were [92.6%, 93.4%] and (89.2%, 95.7%) vs. [94.3%, 94.6%] and (89.7%, 97.0%). Results were similar for other D29 and D57 markers. Thus, the SVE and PS analyses additionally support all four markers at both time points as CoPs.

Indexed as

2019-nCoV Vaccine mRNA-1273COVID-19Antibodies, NeutralizingAntibodies, ViralHumansImmunoglobulin GVaccine Efficacy2019-nCoV Vaccine mRNA-1273Antibodies, NeutralizingAntibodies, ViralImmunoglobulin Gbinding antibody assayimmune correlates of protectionmodified treatment policyneutralizing antibody assayprincipal stratificationprincipal surrogateSARS-CoV-2stochastic interventionstochastic interventional vaccine efficacy

Identifiers

PMID37896806
PMCPMC10612023
OpenAlexW4387231169

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.