Evidence map›Paper›PMID 38388170›Full record

ArticleRMD open2024

Immunogenicity and influence on disease activity of recombinant zoster vaccine in patients with rheumatoid arthritis treated with DMARDs.

Shotaro Kojima, Taro Iwamoto, Yoshihisa Kobayashi, Manami Kato, Fumiyoshi Takizawa, Tomoaki Ida, Junya Suzuki, Yosuke Toda, Kazusa Miyachi, Arifumi Iwata and 3 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

13 authors at 3 institutions in 1 country.

Shotaro KojimaDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0002-3442-6953
Taro IwamotoDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan iwamototaro0725@gmail.com.ORCID 0000-0003-1663-3518
Yoshihisa KobayashiDepartment of Internal Medicine, Chiba Aoba Municipal Hospital, Chiba, Japan.ORCID 0000-0002-3645-937X
Manami KatoDepartment of Internal Medicine, Seikeikai Chiba Medical Center, Chiba, Japan.ORCID 0000-0002-0144-9606
Fumiyoshi TakizawaDepartment of Internal Medicine, Seikeikai Chiba Medical Center, Chiba, Japan.ORCID 0000-0002-2074-458X
Tomoaki IdaDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0002-8023-336X
Junya SuzukiDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0001-8719-7624
Yosuke TodaDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0009-0002-6268-3890
Kazusa MiyachiDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0002-8141-8382
Arifumi IwataDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0002-8771-481X
Shunsuke FurutaDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0003-2482-2685
Kei IkedaDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0003-0574-9611
Hiroshi NakajimaDepartment of Allergy and Clinical Immunology, Chiba University Graduate School of Medicine School of Medicine, Chiba, Japan.ORCID 0000-0001-8595-9381
Chiba University · JPTeikyo University Chiba Medical Center · JPChiba Aoba Municipal Hospital · JP

Funding

Chiba University Synergy Institute for Futuristic Mucosal Vaccine Research and Development (cSIMVa), Agency for Medical Research and Development (AMED)-SCARDA 223FA627003H0002
6 · The paper itself

Abstract

objectivesThis study aimed to determine the immunogenicity and the influence on disease activity of an adjuvanted recombinant varicella-zoster virus (VZV) subunit vaccine (RZV) in patients with rheumatoid arthritis (RA) treated with disease-modifying antirheumatic drugs (DMARDs).

methodsThis prospective longitudinal study enrolled 53 patients with RA (aged ≥50 years) treated with DMARDs (conventional synthetic (cs)DMARDs 20, biological (b)DMARDs 23 and targeted synthetic (ts)DMARDs 10) and 10 control individuals. The participants received two intramuscular RZV 2 months apart. VZV-specific CD4

resultsVZV-specific CMI and HI significantly increased in the three DMARDs-treated patients with RA after RZV administration compared with the corresponding prevaccination values (p<0.001-0.014), and the magnitudes and fold-increases of those responses were not significantly different among the three DMARDs-treated patients with RA. Furthermore, the vaccine response rates of CMI and HI were not significantly different between csDMARDs-treated patients and b-DMARDs or ts-DMARDs-treated patients. Meanwhile, no significant increases in disease activity indices or adverse events were observed in these patients during the 6-month follow-up period after the first vaccination. RZV-induced RA flares occurred in two patients (3.8%) but were mild and controllable.

conclusionRZV is robustly immunogenic and has a clinically acceptable safety profile in elderly patients with RA receiving DMARDs.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidHerpes ZosterHerpes Zoster VaccineAgedHerpesvirus 3, HumanHumansLongitudinal StudiesProspective StudiesVaccines, SyntheticAntirheumatic AgentsHerpes Zoster VaccineVaccines, SyntheticAntirheumatic AgentsArthritis, RheumatoidVaccination

Identifiers

PMID38388170
PMCPMC10882334
OpenAlexW4392081848

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.