Evidence map›Paper›PMID 39772033›Full record

ArticleVaccines2024

Comparison of ELISA Versus FAMA Titers in Children After Chemotherapy and Hematopoietic Stem Cell Transplantation Who Received the Live Attenuated MAV/06 Strain Varicella Vaccine.

Bin Ahn, Kyu Ri Kang, Ye Ji Kim, Yoon Kyung Cho, Suejung Jo, Jae Won Yoo, Jae Wook Lee, Nack-Gyun Chung, Bin Cho, Dae Chul Jeong and 2 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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Bin AhnVaccine Bio Research Institute, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0002-3806-4275
Kyu Ri KangVaccine Bio Research Institute, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0001-9135-1890
Ye Ji KimVaccine Bio Research Institute, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.
Yoon Kyung ChoVaccine Bio Research Institute, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0003-1377-4446
Suejung JoDepartment of Pediatrics, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.
Jae Won YooDepartment of Pediatrics, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0001-7970-1691
Jae Wook LeeDepartment of Pediatrics, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0002-0735-0287
Nack-Gyun ChungDepartment of Pediatrics, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0003-4855-390X
Bin ChoDepartment of Pediatrics, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.
Dae Chul JeongDepartment of Pediatrics, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.
Jin Han KangVaccine Bio Research Institute, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.
Hyun Mi KangVaccine Bio Research Institute, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0003-0513-8407

Funding

GC Biopharma No grant number
6 · The paper itself

Abstract

backgroundVaricella can lead to severe complications in immunocompromised children, including those undergoing hematopoietic stem cell transplantation (HSCT) or chemotherapy. Preventing primary varicella zoster virus (VZV) infection is crucial in these populations to mitigate morbidity and mortality. This study aimed to evaluate the immunogenicity and safety of the live attenuated MAV/06 varicella vaccine in pediatric patients post-HSCT and post-chemotherapy. Additionally, it sought to compare fluorescent-antibody-to-membrane-antigen (FAMA) and enzyme-linked immunosorbent assay (ELISA) titers to establish effective cut-off levels for protection against varicella.

methodsThe FAMA assay was conducted at the Vaccine Bio Research Institute, and a VARICELLA-ZOSTER ELISA (Vircell, Granada, Spain) kit, which relies on lysate from whole cells infected with VZV, was used to determine VZV IgG. A prospective cohort study was conducted with 76 pediatric patients under 18 years old who tested negative for VZV IgG via ELISA. Patients post-HSCT and post-chemotherapy were included. Participants received the MAV/06 varicella vaccine, and serologic responses were evaluated using ELISA and FAMA.

resultsThe median age of participants was 9.8 years, with acute lymphoid leukemia and acute myeloid leukemia being the most common underlying disease. Post-dose 1, the seropositive rate was 56.1% by ELISA and 97.2% by FAMA. Based on the FAMA seropositive cut-off ≥1:4, post-dose 1 geometric mean titers (GMTs) of seropositive patients in the post-HSCT group were 14.7 (95% CI, 11.3-19.1) versus 20.2 (95% CI, 13.0-31.3) in the post-chemotherapy group (

conclusionThe MAV/06 varicella vaccine is immunogenic in pediatric patients post-HSCT and post-chemotherapy, particularly when administered in a two-dose schedule using a cut-off FAMA titer of <1:16.

Indexed as

hematopoietic stem cell transplantationimmunogenicityMAV/06varicella zoster virus

Identifiers

PMID39772033
PMCPMC11679963

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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.