Evidence map›Paper›PMID 40000399›Full record

Trial reportPediatric blood & cancer2025

Phase II Study of Responses to Vaccination in Pediatric Cancer Survivors Following Standard-of-Care Non-HSCT Chemotherapy.

Sophie Junak, Peter G Steinherz, Tanya Trippett, Julianne Ruggiero, Nicole Zakak, Yasmin Khakoo, Neerav Shukla, Ira J Dunkel, Nancy A Kernan

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Pediatric blood & cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Sophie JunakDivision of Nursing, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-7652-1182
Peter G SteinherzDepartment of Pediatrics, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Tanya TrippettDepartment of Pediatrics, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Julianne RuggieroDivision of Nursing, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Nicole ZakakDivision of Nursing, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Yasmin KhakooDepartment of Pediatrics, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Neerav ShuklaDepartment of Pediatrics, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ira J DunkelDepartment of Pediatrics, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-8091-6067
Nancy A KernanDepartment of Pediatrics, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Alexander Reza Pediatric Leukemia FundMike Ockrent Leukemia FundMSK Geri & ME FundNCI NIH HHS P30 CA008748NIHNINR NIH HHS T32 NR007969Society of Memorial Sloan Kettering
6 · The paper itself

Abstract

introductionSurvivors of childhood cancer exhibit variable humoral immunity to vaccine-preventable diseases (VPDs) following cancer treatment. An increasing number of children are surviving a cancer diagnosis, making it imperative to document the extent to which survivors are at risk for VPDs and their response to vaccinations.

methodsThis Phase II prospective study included 65 pediatric patients diagnosed with cancer and treated with intensive chemotherapy without transplantation. Serum vaccine antibody concentrations were determined for 12 VPDs: tetanus, diphtheria, pertussis, polio, Haemophilus influenzae, pneumococcus, hepatitis B, meningococcus A, measles, mumps, rubella, and varicella following completion of cancer treatment and after vaccination.

resultsMany patients lacked protective antibody levels to VPDs at the end of treatment. After vaccination, 87%-100% of patients had protective antibody titers against inactivated vaccines. The percentage of patients protected against the live attenuated vaccines was lower: measles (79%), mumps (83%), rubella (85%), and varicella (82%). Differences in response rates to vaccinations were not statistically significant for age (<7 vs. ≥7 years of age), diagnosis (hematologic disease vs. solid tumor), the time between the end of treatment and vaccination (3-6 vs. >6 months for inactivated vaccines), or between absolute lymphocyte count or CD4

conclusionFor pediatric cancer survivors, a single dose of inactivated vaccines given 3 months following the end of treatment protects against these VPDs without the need for assessment of serostatus after inoculation. For live attenuated vaccines, patients require two inoculations for protection, and we recommend an assessment of serostatus to inform patients and providers of their risk for acquiring one of these communicable VPDs.

Indexed as

Cancer SurvivorsNeoplasmsVaccinationVaccine-Preventable DiseasesAdolescentAntibodies, ViralChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMalePrognosisProspective StudiesStandard of CareAntibodies, ViralVaccines, AttenuatedVaccines, Inactivatedcancer survivorchildhumoral immunityvaccination

Identifiers

PMID40000399
PMCPMC12767686

What OpenQuestion holds

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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.