Evidence map›Paper›PMID 38537255›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

A Phase 2 Clinical Trial to Evaluate the Safety, Reactogenicity, and Immunogenicity of Different Prime-Boost Vaccination Schedules of 2013 and 2017 A(H7N9) Inactivated Influenza Virus Vaccines Administered With and Without AS03 Adjuvant in Healthy US Adults.

Christina A Rostad, Robert L Atmar, Emmanuel B Walter, Sharon Frey, Jeffery L Meier, Amy C Sherman, Lilin Lai, Rachel Tsong, Carol M Kao, Vanessa Raabe and 18 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03589807 (A Phase II Study to Assess the Safety, Reactogenicity and Immunogenicity of Different Prime-Boost Vaccination Schedules of 2013 and 2017 A/H7N9 Inactivated Influenza Vaccines Administered Intramuscularly With or Without AS03 Adjuvant in Healthy Adults 19-50 Years of Age), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-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.

NCT03589807 phase2completednot on this map

A Phase II Study to Assess the Safety, Reactogenicity and Immunogenicity of Different Prime-Boost Vaccination Schedules of 2013 and 2017 A/H7N9 Inactivated Influenza Vaccines Administered Intramuscularly With or Without AS03 Adjuvant in Healthy Adults 19-50 Years of Age

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2018 to 2020Enrolled180ConditionsAvian Influenza, Influenza ImmunisationArmsA/H7N9, AS03, Influenza Virus Vaccine, Monovalent A/H7N9 A/Shanghai/2/2013, Phosphate Buffered Saline (PBS) diluent
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. A Phase 1/2 Dose-Ranging Safety and Immunogenicity Study of mRNA-Based Candidate Pandemic Influenza Vaccines in Healthy Adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Influenza.Nature reviews. Disease primers · 2026
    Review
  8. Review
  9. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  10. Future Goals and Long-term Vision of the Infectious Diseases Clinical Research Consortium/Vaccine and Treatment Evaluation Unit Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  11. Historical Advances in Clinical Trial Design and Expanding Representation as the New Frontier for Innovation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  12. Vaccine Treatment and Evaluation Units: Why Support a "Ready Base" of Clinical Trial Sites?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  13. 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

28 authors at 7 institutions in 1 country.

Christina A RostadDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0001-8439-0592
Robert L AtmarDepartments of Medicine and Molecular Virology & Microbiology, Baylor College of Medicine, Houston, Texas, USA.
Emmanuel B WalterDepartment of Pediatrics and Duke Human Vaccine Institute, Duke University, Durham, North Carolina, USA.
Sharon FreyCenter for Vaccine Development, Saint Louis University, St. Louis, Missouri, USA.
Jeffery L MeierDepartment of Internal Medicine, University of Iowa, Iowa City, Iowa, USA.
Amy C ShermanHope Clinic, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Lilin LaiHope Clinic, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Rachel TsongEmmes, Inc., Rockville, Maryland, USA.
Carol M KaoDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Vanessa RaabeHope Clinic, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Hana M El SahlyDepartments of Medicine and Molecular Virology & Microbiology, Baylor College of Medicine, Houston, Texas, USA.
Wendy A KeitelDepartments of Medicine and Molecular Virology & Microbiology, Baylor College of Medicine, Houston, Texas, USA.
Jennifer A WhitakerDepartments of Medicine and Molecular Virology & Microbiology, Baylor College of Medicine, Houston, Texas, USA.
Michael J SmithDepartment of Pediatrics and Duke Human Vaccine Institute, Duke University, Durham, North Carolina, USA.
Kenneth E SchmaderDepartment of Medicine-Geriatrics, Duke University and GRECC, Durham VA Health Care System, Durham, North Carolina, USA.
Geeta K SwamyDepartment of Obstetrics and Gynecology and Duke Human Vaccine Institute, Duke University, Durham, North Carolina, USA.
Getahun AbateCenter for Vaccine Development, Saint Louis University, St. Louis, Missouri, USA.
Patricia WinokurDepartment of Internal Medicine, University of Iowa, Iowa City, Iowa, USA.
Wendy BuchananDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland, USA.
Kaitlyn CrossEmmes, Inc., Rockville, Maryland, USA.
Ashley WegelEmmes, Inc., Rockville, Maryland, USA.
Yongxian XuHope Clinic, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Inci YildirimDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Satoshi KamidaniDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Nadine RouphaelHope Clinic, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Paul C RobertsDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland, USA.
Mark J MulliganHope Clinic, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Evan J AndersonDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Emory University · USBaylor College of Medicine · USDuke University · USEmmes (United States) · USNational Institutes of Health · USSaint Louis University · USUniversity of Iowa · US

Funding

Vaccine and Treatment Evaluation Unit at Saint Louis University - DMID 20-0034UM1AI148685 · NIAID · SAINT LOUIS UNIVERSITY · PI Daniel F. Hoft · 2020 to 2026
$34.6M
Establishment of the New York University Vaccine and Treatment Evaluation Unit (NYU VTEU) - DMID 21-0012UM1AI148574 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Angelica Cifuentes Kottkamp, Anoma Nellore · 2020 to 2026
$23.9M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Administration for Strategic Preparedness and ResponseBARDA HHSO100201600004IChildren's Healthcare of AtlantaDuke UniversityEmory University School of MedicineGeorgia Research AllianceNational Institute of Allergy and Infectious DiseasesNCATS NIH HHS UL1 TR002537NIAID NIH HHS HHSN272201000017CNIAID NIH HHS HHSN272201300007CNIAID NIH HHS HHSN272201300015CNIAID NIH HHS HHSN272201300015INIAID NIH HHS HHSN272201300017CNIAID NIH HHS HHSN272201300017INIAID NIH HHS HHSN272201300018CNIAID NIH HHS HHSN272201300018INIAID NIH HHS HHSN272201300020INIAID NIH HHS HHSN272201300021INIAID NIH HHS UM1 AI148574NIAID NIH HHS UM1 AI148685NIH HHS HHSN272201300018INYU Grossman School of MedicineSaint Louis University HHSN2722013000017IUniversity of Iowa and National Center for Advancing Translational SciencesUS Department of Health and Human Services
6 · The paper itself

Abstract

introductionA surge of human influenza A(H7N9) cases began in 2016 in China from an antigenically distinct lineage. Data are needed about the safety and immunogenicity of 2013 and 2017 A(H7N9) inactivated influenza vaccines (IIVs) and the effects of AS03 adjuvant, prime-boost interval, and priming effects of 2013 and 2017 A(H7N9) IIVs.

methodsHealthy adults (n = 180), ages 19-50 years, were enrolled into this partially blinded, randomized, multicenter phase 2 clinical trial. Participants were randomly assigned to 1 of 6 vaccination groups evaluating homologous versus heterologous prime-boost strategies with 2 different boost intervals (21 vs 120 days) and 2 dosages (3.75 or 15 μg of hemagglutinin) administered with or without AS03 adjuvant. Reactogenicity, safety, and immunogenicity measured by hemagglutination inhibition and neutralizing antibody titers were assessed.

resultsTwo doses of A(H7N9) IIV were well tolerated, and no safety issues were identified. Although most participants had injection site and systemic reactogenicity, these symptoms were mostly mild to moderate in severity; injection site reactogenicity was greater in vaccination groups receiving adjuvant. Immune responses were greater after an adjuvanted second dose, and with a longer interval between prime and boost. The highest hemagglutination inhibition geometric mean titer (95% confidence interval) observed against the 2017 A(H7N9) strain was 133.4 (83.6-212.6) among participants who received homologous, adjuvanted 3.75 µg + AS03/2017 doses with delayed boost interval.

conclusionsAdministering AS03 adjuvant with the second H7N9 IIV dose and extending the boost interval to 4 months resulted in higher peak antibody responses. These observations can broadly inform strategic approaches for pandemic preparedness. Clinical Trials Registration. NCT03589807.

Indexed as

Antibodies, ViralImmunization, SecondaryInfluenza A Virus, H7N9 SubtypeInfluenza, HumanInfluenza VaccinesVaccines, InactivatedAdjuvants, ImmunologicAdjuvants, VaccineAdultalpha-TocopherolAntibodies, NeutralizingDrug CombinationsFemaleHealthy VolunteersHemagglutination Inhibition TestsHumansAdjuvants, ImmunologicAdjuvants, Vaccinealpha-TocopherolAntibodies, NeutralizingAntibodies, ViralAS03 adjuvantDrug CombinationsInfluenza VaccinesPolysorbatesSqualeneVaccines, Inactivated2013 H7N92017 H7N9antibodyavian influenzaboost

Identifiers

PMID38537255
PMCPMC11175706
OpenAlexW4393215990

What OpenQuestion holds

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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.