Evidence map›Paper›PMID 38399692›Full record

ArticleMicroorganisms2024

Efficacy Evaluation of an Intradermally Delivered Enterotoxigenic

Ramiro L Gutiérrez, Chad K Porter, Clayton Harro, Kawsar Talaat, Mark S Riddle, Barbara DeNearing, Jessica Brubaker, Milton Maciel, Renee M Laird, Steven Poole and 4 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
8.0field-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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Recent progress in enterotoxigenicInfection and immunity · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

14 authors at 4 institutions in 1 country.

Ramiro L GutiérrezNaval Medical Research Command, Silver Spring, MD 20910, USA.ORCID 0000-0001-6950-1370
Chad K PorterNaval Medical Research Command, Silver Spring, MD 20910, USA.
Clayton HarroCenter for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21224, USA.
Kawsar TalaatCenter for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21224, USA.
Mark S RiddleNaval Medical Research Command, Silver Spring, MD 20910, USA.
Barbara DeNearingCenter for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21224, USA.
Jessica BrubakerCenter for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21224, USA.
Milton MacielNaval Medical Research Command, Silver Spring, MD 20910, USA.
Renee M LairdNaval Medical Research Command, Silver Spring, MD 20910, USA.
Steven PooleNaval Medical Research Command, Silver Spring, MD 20910, USA.
Subra ChakrabortyDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Nicole MaierPATH, Washington, DC 20001, USA.
David A SackCenter for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21224, USA.ORCID 0000-0002-9338-5119
Stephen J SavarinoNaval Medical Research Command, Silver Spring, MD 20910, USA.
Johns Hopkins University · USNaval Medical Research Command · USHenry M. Jackson Foundation · USProgram for Appropriate Technology in Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnterotoxigenic

methodsThree cohorts of healthy adult subjects were enrolled and given three doses of 25 μg CfaE + 100 ng LTR192G vaccine intradermally at 3-week intervals. Approximately 28 days after the last vaccination, vaccinated and unvaccinated subjects were admitted as inpatients and challenged with approximately 2 × 10

resultsA total of 52 volunteers received all three vaccinations; 41 vaccinated and 43 unvaccinated subjects were challenged and assessed for moderate-to-severe diarrhea. Naïve attack rates varied from 45.5% to 64.7% across the cohorts yielding an overall efficacy estimate of 27.8% (95% confidence intervals: -7.5-51.6%). In addition to reducing moderate-severe diarrhea rates, the vaccine significantly reduced loose stool output and overall ETEC disease severity.

conclusionsThis is the first study to demonstrate protection against ETEC challenge after intradermal vaccination with an ETEC adhesin. Further examination of the challenge methodology is necessary to address the variability in naïve attack rate observed among the three cohorts in the present study.

Indexed as

CfaEefficacyenterotoxigenic E. coliH10407intradermalLTR192G antigen/adjuvantvaccine

Identifiers

PMID38399692
PMCPMC10892241
OpenAlexW4391312530

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.