Evidence map›Paper›PMID 38719852›Full record

SynthesisNature communications2024

Predicting vaccine effectiveness for mpox.

Matthew T Berry, Shanchita R Khan, Timothy E Schlub, Adriana Notaras, Mohana Kunasekaran, Andrew E Grulich, C Raina MacIntyre, Miles P Davenport, David S Khoury

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–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.

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

40 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Waning humoral immunity following monkeypox virus infection and vaccination, Canada, 2020 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

9 authors.

Matthew T BerryKirby Institute, University of New South Wales, Sydney, NSW, Australia.
Shanchita R KhanKirby Institute, University of New South Wales, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-0772-6122
Timothy E SchlubKirby Institute, University of New South Wales, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-7746-9649
Adriana NotarasKirby Institute, University of New South Wales, Sydney, NSW, Australia.
Mohana KunasekaranKirby Institute, University of New South Wales, Sydney, NSW, Australia.
Andrew E GrulichKirby Institute, University of New South Wales, Sydney, NSW, Australia.
C Raina MacIntyreKirby Institute, University of New South Wales, Sydney, NSW, Australia.
Miles P DavenportKirby Institute, University of New South Wales, Sydney, NSW, Australia. m.davenport@unsw.edu.au.ORCID http://orcid.org/0000-0002-4751-1831
David S KhouryKirby Institute, University of New South Wales, Sydney, NSW, Australia. dkhoury@kirby.unsw.edu.au.ORCID http://orcid.org/0000-0002-2663-1551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Modified Vaccinia Ankara vaccine developed by Bavarian Nordic (MVA-BN) was widely deployed to prevent mpox during the 2022 global outbreak. This vaccine was initially approved for mpox based on its reported immunogenicity (from phase I/II trials) and effectiveness in animal models, rather than evidence of clinical efficacy. However, no validated correlate of protection after vaccination has been identified. Here we performed a systematic search and meta-analysis of the available data to test whether vaccinia-binding ELISA endpoint titer is predictive of vaccine effectiveness against mpox. We observe a significant correlation between vaccine effectiveness and vaccinia-binding antibody titers, consistent with the existing assumption that antibody levels may be a correlate of protection. Combining this data with analysis of antibody kinetics after vaccination, we predict the durability of protection after vaccination and the impact of dose spacing. We find that delaying the second dose of MVA-BN vaccination will provide more durable protection and may be optimal in an outbreak with limited vaccine stock. Although further work is required to validate this correlate, this study provides a quantitative evidence-based approach for using antibody measurements to predict the effectiveness of mpox vaccination.

Indexed as

Smallpox VaccineVaccine EfficacyAnimalsAntibodies, ViralEnzyme-Linked Immunosorbent AssayHumansMonkeypox virusMpox, MonkeypoxVaccinationVacciniaAntibodies, ViralSmallpox Vaccine

Identifiers

PMID38719852
PMCPMC11078999

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.