Evidence map›Paper›PMID 39082700›Full record

SynthesisThe Journal of infectious diseases2025

Effectiveness of MenB-4C Vaccine Against Gonorrhea: A Systematic Review and Meta-analysis.

Winston E Abara, Robert D Kirkcaldy, Kyle T Bernstein, Eboni Galloway, Emily R Learner

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Plasmids inClinical microbiology reviews · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Repurposing epetraborole to combatAntimicrobial agents and chemotherapy · 2026
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. CommensalAnnual review of microbiology · 2025
    Review
  16. Article
  17. Article
  18. PreclinicalFrontiers in immunology · 2025
    Article
  19. Article
  20. Review
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

5 authors.

Winston E AbaraDivision of STD Prevention.ORCID 0000-0002-4679-0154
Robert D KirkcaldyCenter for Scientific Education and Leadership, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Kyle T BernsteinCenter for Scientific Education and Leadership, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Eboni GallowayDivision of STD Prevention.
Emily R LearnerDivision of STD Prevention.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThere is no licensed vaccine against gonorrhea, but Neisseria meningitidis serogroup B outer membrane vesicle-based vaccines, such as MenB-4C, may offer cross-protection against gonorrhea. This systematic review and meta-analysis synthesized the published literature on MenB-4C vaccine effectiveness against gonorrhea.

methodsWe conducted a literature search of electronic databases (PubMed, Medline, Embase, Global Health, Scopus, Google Scholar, CINAHL, and Cochrane Library) to identify peer-reviewed articles published in English from 1 January 2013 to 11 September 2024 that reported MenB-4C vaccine effectiveness estimates against gonorrhea and gonorrhea/chlamydia coinfection and the duration of MenB-4C vaccine-induced protection. We estimated pooled MenB-4C vaccine effectiveness (≥1 dose) against gonorrhea using the DerSimonian-Laird random effects model.

resultsEight articles met our eligibility criteria. Receipt of ≥1 dose of MenB-4C vaccine was 23% to 47% effective against gonorrhea. Two doses of MenB-4C vaccine were 33% to 40% effective against gonorrhea, and 1 dose of MenB-4C vaccine was 26% effective. MenB-4C vaccine effectiveness against gonorrhea/chlamydia coinfection was mixed, with 2 studies reporting effectiveness estimates of 32% and 44% and 2 other studies showing no protective effect. MenB-4C vaccine effectiveness against gonorrhea was comparable in people with HIV (44%) and people without HIV (23%-47%). Pooled MenB-4C vaccine effectiveness (≥1 dose) against gonorrhea was 32.4%. One study concluded that MenB-4C vaccine effectiveness against gonorrhea may wane approximately 36 months postvaccination.

conclusionsMenB-4C vaccine is moderately effective against gonorrhea in various populations. Prospective clinical trials that assess the efficacy of MenB-4C against gonorrhea, gonorrhea/chlamydia coinfection, and duration of protection are warranted to strengthen this evidence.

Indexed as

GonorrheaMeningococcal VaccinesNeisseria meningitidis, Serogroup BVaccine EfficacyChlamydia InfectionsCoinfectionHumansMaleNeisseria gonorrhoeaeMeningococcal VaccinesgonorrheaMenB-4C vaccineOuter membrane vesicle serogroup B meningococcal vaccineSTI vaccinevaccine effectiveness

Identifiers

PMID39082700
PMCPMC11782638

What OpenQuestion holds

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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.