Evidence map›Paper›PMID 38324766›Full record

ArticleThe Journal of infectious diseases2024

Human Cytomegalovirus mRNA-1647 Vaccine Candidate Elicits Potent and Broad Neutralization and Higher Antibody-Dependent Cellular Cytotoxicity Responses Than the gB/MF59 Vaccine.

Xintao Hu, Krithika P Karthigeyan, Savannah Herbek, Sarah M Valencia, Jennifer A Jenks, Helen Webster, Itzayana G Miller, Megan Connors, Justin Pollara, Caroline Andy and 10 more

2 registry-linked trialsAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–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.

NCT00133497 phase2completednot on this map

A Randomized, Double-Blind, Placebo-Controlled, Phase II Study to Assess the Safety and Efficacy of the Cytomegalovirus gB/MF59 Vaccine in Preventing Systemic Cytomegalovirus Infection in Healthy Adolescent Females

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2006 to 2013Enrolled409ConditionsCytomegalovirus InfectionsArmsMF-59, Placebo, CMV gB vaccine
NCT03382405 phase1completednot on this map

A Phase 1, Randomized, Observer-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Cytomegalovirus Vaccines mRNA-1647 and mRNA-1443 When Administered to Healthy Adults

TypeinterventionalSponsorModernaTX, Inc.Ran2017 to 2020Enrolled181ConditionsCytomegalovirus InfectionArmsmRNA-1647, mRNA-1443, Placebo
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Towards mRNA therapeutics 2.0.Nature reviews. Drug discovery · 2026
    Review
  3. Cytomegalovirus Vaccines in Transplantation: History, Hurdles, and Hope.Transplant infectious disease : an official journal of the Transplantation Society · 2026
    Review
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  19. Immunology of RNA-based vaccines: The critical interplay between inflammation and expression.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  20. 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

20 authors.

Xintao HuDepartment of Pediatrics, Weill Cornell Medicine, New York, New York.
Krithika P KarthigeyanDepartment of Pediatrics, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-1808-6688
Savannah HerbekDepartment of Pediatrics, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-9394-3769
Sarah M ValenciaDuke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina.
Jennifer A JenksDuke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0002-6865-5615
Helen WebsterDuke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina.
Itzayana G MillerDepartment of Pediatrics, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-9199-8985
Megan ConnorsDepartment of Pediatrics, Weill Cornell Medicine, New York, New York.
Justin PollaraDuke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina.
Caroline AndyDepartment of Population Health Sciences, Weill Cornell Medicine, New York, New York.
Linda M GerberDepartment of Population Health Sciences, Weill Cornell Medicine, New York, New York.
Emmanuel B WalterDuke Human Vaccine Institute, Duke University Medical Center, Durham, North Carolina.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
David I BernsteinDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
Jacob HouModerna, Inc, Cambridge, Massachusetts.
Matthew KochModerna, Inc, Cambridge, Massachusetts.
Lori PantherModerna, Inc, Cambridge, Massachusetts.
Andrea CarfiModerna, Inc, Cambridge, Massachusetts.
Kai WuModerna, Inc, Cambridge, Massachusetts.
Sallie R PermarDepartment of Pediatrics, Weill Cornell Medicine, New York, New York.

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Antibody and viral determinants of protection against CMV infection following gB/MF59 vaccinationR21AI136556 · NIAID · DUKE UNIVERSITY · PI KOELLE, KATHARINA V, PERMAR, SALLIE R. · 2018 to 2019
$449k
Moderna Therapeutics OA22BEA4NIAID NIH HHS R21 AI136556NIGMS NIH HHS T32 GM145449NIH HHS 5R21 AI136556
6 · The paper itself

Abstract

backgroundMF59-adjuvanted gB subunit (gB/MF59) vaccine demonstrated approximately 50% efficacy against human cytomegalovirus (HCMV) acquisition in multiple clinical trials, suggesting that efforts to improve this vaccine design might yield a vaccine suitable for licensure.

methodsA messenger RNA (mRNA)-based vaccine candidate encoding HCMV gB and pentameric complex (PC), mRNA-1647, is currently in late-stage efficacy trials. However, its immunogenicity has not been compared to the partially effective gB/MF59 vaccine. We assessed neutralizing and Fc-mediated immunoglobulin G (IgG) effector antibody responses induced by mRNA-1647 in both HCMV-seropositive and -seronegative vaccinees from a first-in-human clinical trial through 1 year following third vaccination using a systems serology approach. Furthermore, we compared peak anti-gB antibody responses in seronegative mRNA-1647 vaccinees to that of seronegative gB/MF59 vaccine recipients.

resultsmRNA-1647 vaccination elicited and boosted HCMV-specific IgG responses in seronegative and seropositive vaccinees, respectively, including neutralizing and Fc-mediated effector antibody responses. gB-specific IgG responses were lower than PC-specific IgG responses. gB-specific IgG and antibody-dependent cellular phagocytosis responses were lower than those elicited by gB/MF59. However, mRNA-1647 elicited higher neutralization and antibody-dependent cellular cytotoxicity (ADCC) responses.

conclusionsOverall, mRNA-1647 vaccination induced polyfunctional and durable HCMV-specific antibody responses, with lower gB-specific IgG responses but higher neutralization and ADCC responses compared to the gB/MF59 vaccine. CLINICAL TRIALS REGISTRATION: NCT03382405 (mRNA-1647) and NCT00133497 (gB/MF59).

Indexed as

Adjuvants, ImmunologicCytomegalovirusCytomegalovirus InfectionsCytomegalovirus VaccinesmRNA VaccinesPolysorbatesSqualeneAntibodies, NeutralizingAntibodies, ViralAntibody-Dependent Cell CytotoxicityHumansImmunoglobulin GRNA, MessengerViral Envelope ProteinsAdjuvants, ImmunologicAntibodies, NeutralizingAntibodies, ViralCytomegalovirus Vaccinesglycoprotein B, SimplexvirusImmunoglobulin GMF59 oil emulsionmRNA-1647 cytomegalovirus vaccinemRNA VaccinesPolysorbatesRNA, MessengerSqualeneViral Envelope ProteinsdurabilitygB/MF59 vaccinehuman cytomegalovirusmRNA-1647 vaccinepentametric complex

Identifiers

PMID38324766
PMCPMC11326847

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.