Evidence map›Paper›PMID 39711948›Full record

ReviewTherapeutic advances in vaccines and immunotherapy2024

From setbacks to success: lessons from the journey of RSV vaccine development.

Victor M Cnossen, Rogier P van Leeuwen, Natalie I Mazur, Charlotte Vernhes, Wouter Ten Voorde, Jacobus Burggraaf, Saco J de Visser, Meta Roestenberg, Ingrid M C Kamerling

Abstract readReview
In one paragraph

Review in Therapeutic advances in vaccines and immunotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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.

Victor M CnossenCentre for Human Drug Research, Zernikedreef 8, 2333 CL Leiden, The Netherlands.ORCID https://orcid.org/0009-0007-5529-2839
Rogier P van LeeuwenCentre for Human Drug Research, Leiden, The Netherlands.
Natalie I MazurUniversity Medical Centre Utrecht, Utrecht, The Netherlands.
Charlotte VernhesVaccines Europe, European Federation of Pharmaceutical Industries and Associations, Brussels, Belgium.
Wouter Ten VoordeCentre for Human Drug Research, Leiden, The Netherlands.
Jacobus BurggraafCentre for Human Drug Research, Leiden, The Netherlands.
Saco J de VisserCentre for Future Affordable & Sustainable Therapy Development (FAST), The Hague, The Netherlands.
Meta RoestenbergCentre for Human Drug Research, Leiden, The Netherlands.
Ingrid M C KamerlingCentre for Human Drug Research, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory syncytial virus (RSV) causes high worldwide infant mortality, as well as a high disease burden in the elderly. Efforts in vaccine development over the past 60 years have recently delivered three approved vaccines and two monoclonal antibodies (mAbs). Looking back at the eventful history of RSV vaccine development, several factors can be identified that have hampered the developmental pathway, including the occurrence of enhanced RSV disease (ERD) in the first vaccine attempt and the difficulty in characterizing and stabilizing the pre-fusion F protein as a vaccine target. Moreover, the need for large trials to test vaccine efficacy, usually done late in development, and the lack of a correlate of protection (CoP) result in significant uncertainties in RSV vaccine development. The use of controlled human infection models (CHIMs) may provide a solution for some of these problems: through swift, cost-efficient and closely monitored assessment of vaccine safety and efficacy in early clinical phases, vaccines can either 'fail fast' or show results supporting further investments. Moreover, CHIMs facilitate the assessment of disease and could assist in the identification of a CoP supporting late-stage development. Although some factors may affect translatability to real-world vaccine efficacy, CHIMs can support the clinical development pathway in various ways. We advocate for, and demonstrate, a conceptual and rational design of RSV vaccine development. Assessing protective efficacy early on would result in the most cost-efficient pathway and identification of target populations should be done as early as possible. For RSV, elderly individuals and people in low- and middle-income countries are high-impact populations for RSV prevention. While RSV immunization is now available in certain regions, global access is not accomplished yet, and worldwide prevention does not seem within reach. Quick and cost-effective assessments of candidates currently in the pipeline could contribute to future successes in the battle against RSV.

Indexed as

clinical developmentcontrolled human infection modelRSVtherapeuticvaccine

Identifiers

PMID39711948
PMCPMC11660060

What OpenQuestion holds

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LicenceCC BY-NC
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.