Evidence map›Paper›PMID 39776178›Full record

ArticleThe Journal of infectious diseases2025

High-Dose Inactivated Influenza Vaccine Inconsistently Improves Heterologous Antibody Responses in an Older Human Cohort.

W Zane Billings, Yang Ge, Jessica H Knight, Hayley Hemme, Savannah M Hammerton, Amanda L Skarlupka, Wangnan Cao, Ye Shen, Justin Bahl, Paul G Thomas and 2 more

Abstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

12 authors.

W Zane BillingsDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0002-0184-6134
Yang GeDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0001-5100-0703
Jessica H KnightDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0001-5764-7495
Hayley HemmeDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0009-0002-6609-1390
Savannah M HammertonDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0003-2231-3510
Amanda L SkarlupkaCenter for Vaccines and Immunology, University of Georgia, Athens.ORCID 0000-0002-3654-9076
Wangnan CaoSchool of Public Health, Peking University, Beijing, China.ORCID 0000-0002-6163-2760
Ye ShenDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0002-6662-0048
Justin BahlDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0001-7572-4300
Paul G ThomasDepartment of Immunology, St Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0001-7955-0256
Ted M RossCenter for Vaccines and Immunology, University of Georgia, Athens.ORCID 0000-0003-1947-7469
Andreas HandelDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia.ORCID 0000-0002-4622-1146

Funding

COVID Supplement - COMPONENT A OF THE COLLABORATIVE INFLUENZA VACCINE INNOVATION CENTERS (CIVICS) PROGRAM TO DESIGN AND EVALUATE INNOVATIVE INFLUENZA VACCINE APPROACHES,75N93019C00052 · NIAID · UNIVERSITY OF GEORGIA · PI ROSS, TED · 2019 to 2025
$74.6M
NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00018 · NIAID · UNIVERSITY OF GEORGIA · PI TOMPKINS, S. MARK · 2021 to 2025
$21.6M
Drivers of individual variation in influenza vaccine response and protection from infectionR01AI170116 · NIAID · UNIVERSITY OF CHICAGO · PI Sarah Cobey, John S Tsang · 2022 to 2026
$7.2M
DYNAMICS AND EVOLUTION OF IMMUNE RESPONSES TO INFLUENZA VIRUSESU01AI150747 · NIAID · EMORY UNIVERSITY · PI AHMED, RAFI, ANTIA, RUSTOM NOSHIR · 2020 to 2024
$5.9M
Refining Predictive Models for Neglected and Emerging Infectious DiseasesR35GM146612 · NIGMS · UNIVERSITY OF GEORGIA · PI Ye Shen · 2022 to 2026
$1.9M
Georgia Research AllianceNIAID NIH HHS 75N93019C00052NIAID NIH HHS 75N93021C00018NIAID NIH HHS R01 AI170116NIAID NIH HHS U01 AI150747NIGMS NIH HHS R35 GM146612NIH HHS 75N93019C00052NIH HHS 75N93021C00018NIH HHS NU50CK000626NIH HHS R01AI170116NIH HHS R35GM146612NIH HHS U01AI150747
6 · The paper itself

Abstract

backgroundOlder adults often mount a weak immune response to standard inactivated influenza vaccines. To induce a stronger response and better protection, a high-dose (HD) version of the inactivated Fluzone vaccine is recommended for individuals >65 years of age. While better immunogenicity and protection against the vaccine strain have been shown, it is not known if the HD vaccine also induces a robust antibody response to heterologous strains.

methodsWe fit bayesian multilevel regression models to hemagglutination inhibition antibody data from an influenza vaccine cohort spanning the influenza seasons of 2013-2014 to 2021-2022. We used this model to estimate the average causal effect of obtaining the HD vaccine relative to the standard-dose vaccine.

resultsWe show that while there is generally a benefit derived from the HD vaccine, the impact is small and inconsistent. For some strains, the HD vaccine might even result in less robust heterologous responses.

conclusionsWe suggest that further increases in dose might be worth investigating to help induce a stronger broad response.

Indexed as

Antibodies, ViralAntibody FormationImmunity, HeterologousInfluenza, HumanInfluenza VaccinesAgedAged, 80 and overBayes TheoremCohort StudiesFemaleHemagglutination Inhibition TestsHumansMaleVaccines, InactivatedAntibodies, ViralInfluenza VaccinesVaccines, Inactivatedcohort studyheterologous responseshigh-dose influenza vaccinehumoral immunityinfluenza vaccines

Identifiers

PMID39776178
PMCPMC13011883

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Registered trials

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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.