Evidence map›Paper›PMID 38860591›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2024

Bivalent Omicron BA.4/BA.5 BNT162b2 Vaccine in 6-Month- to <12-Year-Olds.

Lawrence D Sher, Justice K Boakye-Appiah, Sungeen Hill, Emily Wasserman, Xia Xu, Yvonne Maldonado, Emmanuel B Walter, Flor M Muñoz, Grant C Paulsen, Janet A Englund and 20 more

2 registry-linked trialsAbstract readClinical Trial, Phase IClinical Trial, Phase IIEquivalence Trial
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04816643 phase3completednot on this map

A phase 1, open-label dose-finding study to evaluate safety, tolerability, and immunogenicity and phase 2/3 placebo-controlled, observer-blinded safety, tolerability, and immunogenicity study of a sars-cov-2 rna vaccine candidate against covid-19 in healthy children

TypeinterventionalSponsorBioNTech SERan2021 to 2023Enrolled11,837ConditionsSARS-CoV-2 Infection, COVID-19ArmsBiological/Vaccine: BNT162b2 10mcg, BNT162b2 20mcg, BNT162b2 30mcg, Placebo, Biological/Vaccine: BNT162b2 3mcg
NCT05543616 phase3completednot on this map

A MASTER PHASE 1/2/3 PROTOCOL TO INVESTIGATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF VARIANT-ADAPTED BNT162b2 RNA-BASED VACCINE CANDIDATE(S) IN HEALTHY CHILDREN

TypeinterventionalSponsorBioNTech SERan2022 to 2026Enrolled4,338ConditionsSARS-CoV-2 Virus, Severe Acute Respiratory Syndrome Coronavirus 2, COVID-19ArmsBivalent BNT162b2 (original/Omicron BA.4/BA.5) 3 microgram dose, Bivalent BNT162b2 (original/Omicron BA.4/BA.5) 6 microgram dose, Bivalent BNT162b2 (original/Omicron BA.4/BA.5) 10 microgram dose, Variant-adapted BNT162b2 (Omicron XBB.1.5) 3 microgram dose, Variant-adapted BNT162b2 (Omicron XBB.1.5) 6 microgram dose
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. A novel and safe SmartCapFrontiers in immunology · 2025
    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

30 authors.

Lawrence D SherPeninsula Research Associates, Rolling Hills Estates, California, USA.
Justice K Boakye-AppiahVaccine Research and Development, Pfizer Ltd, Hurley, UK.
Sungeen HillVaccine Research and Development, Pfizer Ltd, Hurley, UK.
Emily WassermanVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Xia XuVaccine Research and Development, Pfizer Inc, Collegeville, Pennsylvania, USA.
Yvonne MaldonadoPediatric Infectious Disease, Stanford University School of Medicine, Palo Alto, California, USA.ORCID 0000-0002-5664-5583
Emmanuel B WalterDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Flor M MuñozPediatrics Infectious Disease, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-0457-7689
Grant C PaulsenDepartment of Pediatrics, University of Cincinnati College of Medicine and Division of Pediatric Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Janet A EnglundDepartment of Pediatrics, Seattle Children's Hospital, Seattle, Washington, USA.ORCID 0000-0003-1134-4178
Kawsar R TalaatInternational Health, Johns Hopkins University, Baltimore, Maryland, USA.
Elizabeth D BarnettDepartment of Pediatrics, Boston Medical Center, BU Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Satoshi KamidaniThe Center for Childhood Infections and Vaccines of Children's Healthcare of Atlanta and the Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0001-6829-0700
Shelly SendersSenders Pediatrics, South Euclid, Ohio, USA.
Eric A F SimõesDepartment of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.
Kelly BelangerVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Vrunda ParikhVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Hua MaVaccine Research and Development, Pfizer Inc, Collegeville, Pennsylvania, USA.
Xingbin WangVaccine Research and Development, Pfizer Inc, Collegeville, Pennsylvania, USA.
Claire LuVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
David CooperVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Kenneth KouryVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Annaliesa S AndersonVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Özlem TüreciBioNTech, Mainz, Germany.
Uğur ŞahinBioNTech, Mainz, Germany.
Kena A SwansonVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
William C GruberVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Alejandra GurtmanVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Nicholas KitchinVaccine Research and Development, Pfizer Ltd, Hurley, UK.
Charu SabharwalVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the future epidemiology and evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) uncertain, the use of safe and effective coronavirus disease 2019 (COVID-19) vaccines in pediatric populations remains important.

methodsWe report data from two open-label substudies of an ongoing phase 1/2/3 master study (NCT05543616) investigating the safety and immunogenicity of a variant-adapted bivalent COVID-19 vaccine encoding ancestral and Omicron BA.4/BA.5 spike proteins (bivalent BNT162b2). The open-label groups presented here evaluate dose 4 with bivalent BNT162b2 in 6-month- to <12-year-olds who previously received three original (monovalent) BNT162b2 doses. In 6-month- to <5-year-olds, primary immunogenicity objectives were to demonstrate superiority (neutralizing titer) and noninferiority (seroresponse rate) to Omicron BA.4/BA.5 and noninferiority (neutralizing titer and seroresponse rate) to SARS-CoV-2 ancestral strains in participants who received bivalent BNT162b2 dose 4 compared with a matched group who received three doses of original BNT162b2 in the pivotal pediatric study (NCT04816643). In 5- to <12-year-olds, primary immunogenicity comparisons were descriptive. Reactogenicity and safety following vaccination were evaluated.

resultsIn 6-month- to <5-year-olds, dose 4 with bivalent BNT162b2 met predefined immunogenicity superiority and noninferiority criteria against Omicron BA.4/BA.5 and ancestral strains when compared with dose 3 of original BNT162b2. In 5- to <12-year-olds, bivalent BNT162b2 induced robust Omicron BA.4/BA.5 and ancestral strain neutralizing titers comparable with dose 3 of original BNT162b2. The safety profile for dose 4 of bivalent BNT162b2 given as dose 4 was consistent with that of original BNT162b2 in 6-month- to <12-year-olds. Reactogenicity events were generally mild to moderate. No adverse events led to discontinuation.

conclusionsThese safety and immunogenicity data support a favorable benefit-risk profile for a variant-adapted BNT162b2 in children <12 years old.

Indexed as

BNT162 VaccineCOVID-19COVID-19 VaccinesImmunogenicity, VaccineSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralChildChild, PreschoolFemaleHumansInfantMaleSpike Glycoprotein, CoronavirusVaccine EfficacyAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesSpike Glycoprotein, CoronaviruschildrenCOVID-19immunogenicitysafetyvaccination

Identifiers

PMID38860591
PMCPMC11344470

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.