Evidence map›Paper›PMID 39786918›Full record

Trial reportJCI insight2025

Randomized trial of same- versus opposite-arm coadministration of inactivated influenza and SARS-CoV-2 mRNA vaccines.

Wen Shi Lee, Kevin J Selva, Jennifer Audsley, Helen E Kent, Arnold Reynaldi, Timothy E Schlub, Deborah Cromer, David S Khoury, Heidi Peck, Malet Aban and 11 more

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  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

21 authors.

Wen Shi LeeDepartment of Microbiology and Immunology and.
Kevin J SelvaDepartment of Microbiology and Immunology and.
Jennifer AudsleyDepartment of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Helen E KentDepartment of Microbiology and Immunology and.
Arnold ReynaldiKirby Institute, University of New South Wales, Kensington, New South Wales, Australia.
Timothy E SchlubSydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Deborah CromerKirby Institute, University of New South Wales, Kensington, New South Wales, Australia.
David S KhouryKirby Institute, University of New South Wales, Kensington, New South Wales, Australia.
Heidi PeckWHO Collaborating Centre for Reference and Research on Influenza, Royal Melbourne Hospital, Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Malet AbanWHO Collaborating Centre for Reference and Research on Influenza, Royal Melbourne Hospital, Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Mai Ngoc VuDepartment of Microbiology and Immunology and.
Ming Zm ZhengDepartment of Microbiology and Immunology and.
Amy W ChungDepartment of Microbiology and Immunology and.
Marios KoutsakosDepartment of Microbiology and Immunology and.
Hyon-Xhi TanDepartment of Microbiology and Immunology and.
Adam K WheatleyDepartment of Microbiology and Immunology and.
Jennifer A JunoDepartment of Microbiology and Immunology and.
Steven RockmanDepartment of Microbiology and Immunology and.
Miles P DavenportKirby Institute, University of New South Wales, Kensington, New South Wales, Australia.
Ian BarrWHO Collaborating Centre for Reference and Research on Influenza, Royal Melbourne Hospital, Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Stephen J KentDepartment of Microbiology and Immunology and.

Funding

Immunity in the Nose to inFLUENza: Correlates of Efficacy (INFLUENCE)UH2AI176172 · NIAID · IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE · PI THWAITES, RYAN · 2023 to 2024
$702k
NIAID NIH HHS UH2 AI176172
6 · The paper itself

Abstract

BACKGROUNDThe immunogenicity of current influenza vaccines needs improvement. Inactivated influenza and COVID-19 mRNA vaccines can be coadministered, but randomized controlled trial data are lacking on whether the 2 vaccines are more immunogenic if given in the same arm or opposite arms. Murine studies suggest mRNA vaccines can adjuvant influenza vaccines when coformulated and codelivered.METHODSWe randomly assigned 56 adults to receive the Afluria quadrivalent inactivated influenza and Moderna monovalent SARS-CoV-2 XBB.1.5 mRNA vaccines, either in opposite arms or both in the same arm at the same site. The primary endpoint was the difference in median combined serum hemagglutination inhibition titer to the H1, H3, and B-Vic vaccine influenza strains after vaccination.RESULTSWe found no significant difference in hemagglutination inhibition antibody levels between the groups (P = 0.30), with the same-arm group having a 1.26-fold higher titer than the opposite-arm group. There were no differences in analyses of antibodies against individual influenza strains or in nasal or saliva antibody levels. While both binding and neutralizing antibody titers against SARS-CoV-2 were not significantly different between groups postvaccination, there was a higher fold-change in BA.5 and ancestral strain neutralizing antibodies in the opposite-arm group.CONCLUSIONInfluenza vaccination is equivalently immunogenic if given in the same arm or opposite arms as the SARS-CoV-2 vaccine, but it may be preferable to administer the SARS-CoV-2 vaccine at a different site from influenza vaccines.TRIAL REGISTRATIONAustralian New Zealand Clinical Trials Registry ACTRN12624000445572.FUNDINGAustralian National Health and Medical Research Council, Australian Medical Research Future Fund, and National Institutes of Health (UH2AI176172).

Indexed as

COVID-19COVID-19 VaccinesInfluenza, HumanInfluenza VaccinesSARS-CoV-2AdultAgedAntibodies, NeutralizingAntibodies, ViralFemaleHemagglutination Inhibition TestsHumansImmunogenicity, VaccineMaleMiddle AgedmRNA VaccinesAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesInfluenza VaccinesmRNA VaccinesVaccines, InactivatedClinical trialsInfluenzaVaccines

Identifiers

PMID39786918
PMCPMC11949032

What OpenQuestion holds

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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.