Evidence map›Paper›PMID 39340105›Full record

ArticleVaccines2024

An Application of an Initial Full Value of Vaccine Assessment Methodology to Measles-Rubella MAPs for Use in Low- and Middle-Income Countries.

Melissa Ko, Collrane Frivold, Mercy Mvundura, Adam Soble, Christopher Gregory, Hans Christiansen, Mateusz Hasso-Agopsowicz, Han Fu, Mark Jit, Shan Hsu and 9 more

Abstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

19 authors.

Melissa KoMMGH Consulting GmbH, 1211 Geneva, Switzerland.ORCID 0000-0002-2695-1547
Collrane FrivoldPATH, Seattle, WA 98121, USA.ORCID 0000-0002-2000-5429
Mercy MvunduraPATH, Seattle, WA 98121, USA.ORCID 0000-0002-7711-9558
Adam SobleMMGH Consulting GmbH, 1211 Geneva, Switzerland.
Christopher GregoryUNICEF, New York, NY 10038, USA.
Hans ChristiansenUNICEF, 2100 Copenhagen, Denmark.
Mateusz Hasso-AgopsowiczWorld Health Organization, 1211 Geneva, Switzerland.ORCID 0000-0003-4137-4685
Han FuLondon School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
Mark JitLondon School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
Shan HsuPATH, Seattle, WA 98121, USA.
Jessica Joyce MistilisPATH, Seattle, WA 98121, USA.ORCID 0000-0002-1448-278X
Tiziana ScarnaGavi, The Vaccine Alliance, 1211 Geneva, Switzerland.
Kristen EarleThe Bill and Melinda Gates Foundation, Seattle, WA 98121, USA.
Marion Menozzi-ArnaudGavi, The Vaccine Alliance, 1211 Geneva, Switzerland.
Birgitte GiersingWorld Health Organization, 1211 Geneva, Switzerland.
Courtney JarrahianPATH, Seattle, WA 98121, USA.ORCID 0000-0003-3046-6891
Ahmadu YakubuUNICEF, New York, NY 10038, USA.
Stefano MalvoltiMMGH Consulting GmbH, 8049 Zurich, Switzerland.ORCID 0000-0003-0146-1127
Jean-Pierre AmorijUNICEF, 2100 Copenhagen, Denmark.

Funding

Al Waleed Philanthropies 43317323World Health Organization 001
6 · The paper itself

Abstract

Measles and rubella micro-array patches (MR-MAPs) are a promising innovation to address limitations of the current needle and syringe (N&S) presentation due to their single-dose presentation, ease of use, and improved thermostability. To direct and accelerate further research and interventions, an initial full value vaccine assessment (iFVVA) was initiated prior to MR-MAPs entering phase I trials to quantify their value and identify key data gaps and challenges. The iFVVA utilized a mixed-methods approach with rapid assessment of literature, stakeholder interviews and surveys, and quantitative data analyses to (i) assess global need for improved MR vaccines and how MR-MAPs could address MR problem statements; (ii) estimate costs and benefits of MR-MAPs; (iii) identify the best pathway from development to delivery; and (iv) identify outstanding areas of need where stakeholder intervention can be helpful. These analyses found that if MR-MAPs are broadly deployed, they can potentially reach an additional 80 million children compared to the N&S presentation between 2030-2040. MR-MAPs can avert up to 37 million measles cases, 400,000 measles deaths, and 26 million disability-adjusted life years (DALYs). MR-MAPs with the most optimal product characteristics of low price, controlled temperature chain (CTC) properties, and small cold chain volumes were shown to be cost saving for routine immunization (RI) in low- and middle-income countries (LMICs) compared to N&S. Uncertainties about price and future vaccine coverage impact the potential cost-effectiveness of introducing MR-MAPs in LMICs, indicating that it could be cost-effective in 16-81% of LMICs. Furthermore, this iFVVA highlighted the importance of upfront donor investment in manufacturing set-up and clinical studies and the critical influence of an appropriate price to ensure country and manufacturer financial sustainability. To ensure that MR-MAPs achieve the greatest public health benefit, MAP developers, vaccine manufacturers, donors, financiers, and policy- and decision-makers will need close collaboration and open communications.

Indexed as

cost-effectivenesscostingdemand estimationdiscounted cash flowmodelingpublic health impact assessmentvaccinesvalue proposition

Identifiers

PMID39340105
PMCPMC11435702

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.