Evidence map›Paper›PMID 40140382›Full record

Trial reportNature communications2025

Effectiveness of a booster dose of aerosolized or intramuscular adenovirus type 5 vectored COVID-19 vaccine in adults: a multicenter, partially randomized, platform trial in China.

Siyue Jia, Yuanbao Liu, Qian He, Hongxing Pan, Zhenglun Liang, Juan Zhou, Yingzi Pan, Sheng Liu, Jingjing Wu, Kun Yang and 10 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05855408 (Effectiveness of a Second COVID-19 Vaccine Booster in Chinese Adults Aged 18 Years or Above), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT05855408 phase4unknown statusnot on this map

Effectiveness of a Second COVID-19 Vaccine Booster in Chinese Adults Aged 18 Years or Above: a Multicenter, Parallel Groups, Partially Randomized, Open-label, Blank-controlled Adaptive Platform Trial

TypeinterventionalSponsorJiangsu Province Centers for Disease Control and PreventionRan2023 to 2024Enrolled10,000ConditionsCOVID-19ArmsIntramuscularly administered Ad5-nCoV vaccine, Aerosolized Ad5-nCoV, DelNS1-2019-nCoV-RBD-OPT1, SYS6006
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. The immunogenicity and safety of adenoviral-based vaccines.Current opinion in allergy and clinical immunology · 2026
    Review
  3. Review
  4. Article
  5. 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

20 authors.

Siyue Jia *Jiangsu Provincial Medical Innovation Center, National Health Commission Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial Academy of Preventive Medicine), Nanjing, China.
Yuanbao Liu *Jiangsu Provincial Medical Innovation Center, National Health Commission Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial Academy of Preventive Medicine), Nanjing, China.
Qian He *Division of Hepatitis and Enterovirus Vaccines, State Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, China.
Hongxing PanJiangsu Provincial Medical Innovation Center, National Health Commission Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial Academy of Preventive Medicine), Nanjing, China.
Zhenglun LiangDivision of Hepatitis and Enterovirus Vaccines, State Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, China.ORCID http://orcid.org/0000-0002-6740-0864
Juan ZhouGaoxin (Gaogang) District Center for Disease Control and Prevention, Taizhou, China.
Yingzi PanWujin Center for Disease Control and Prevention, Changzhou, China.
Sheng LiuGanyu Center for Disease Control and Prevention, Lianyungang, China.
Jingjing WuSucheng Center for Disease Control and Prevention, Suqian, China.
Kun YangThe Affiliated Wuxi Center for Disease Control and Prevention of Nanjing Medical University, Wuxi, China.
Xuanxuan ZhangDivision of Hepatitis and Enterovirus Vaccines, State Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, China.
Yang ZhaoSchool of Public Health, National Vaccine Innovation Platform, Nanjing Medical University, Nanjing, China.
Simin LiSchool of Public Health, Southeast University, Nanjing, China.
Lei ZhangJiangsu Provincial Medical Innovation Center, National Health Commission Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial Academy of Preventive Medicine), Nanjing, China.
Li ChenSchool of Public Health, Southeast University, Nanjing, China.
Aihua YaoSchool of Public Health, Southeast University, Nanjing, China.
Mengyi LuSchool of Public Health, National Vaccine Innovation Platform, Nanjing Medical University, Nanjing, China.
Fengcai ZhuJiangsu Provincial Medical Innovation Center, National Health Commission Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial Academy of Preventive Medicine), Nanjing, China. jszfc@vip.sina.com.ORCID http://orcid.org/0000-0002-1644-0006
Qunying MaoDivision of Hepatitis and Enterovirus Vaccines, State Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, China. maoqunying@126.com.
Jingxin LiJiangsu Provincial Medical Innovation Center, National Health Commission Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial Academy of Preventive Medicine), Nanjing, China. jingxin42102209@126.com.ORCID http://orcid.org/0000-0002-7033-5151

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82173584National Natural Science Foundation of China (National Science Foundation of China) 82222062National Natural Science Foundation of China (National Science Foundation of China) 82341031National Science Foundation of China | Major Research Plan 92269205
6 · The paper itself

Abstract

We conducted a multicenter, partially randomized, platform trial to assess the effectiveness of a booster dose of an aerosolized or intramuscular adenovirus type 5 vectored COVID-19 vaccine (Ad5-nCoV) in Chinese adults (NCT05855408). Between May 23, 2023, and August 28, 2023, 4089 eligible participants were equally randomized to receive either a booster dose of aerosolized Ad5-nCoV via oral inhalation at 0.1 mL (IH Ad5-nCoV, n = 2039) or an intramuscular injection of Ad5-nCoV at 0.5 mL (IM Ad5-nCoV, n = 2050). Additionally, 2008 participants who declined the booster but consented to participate in COVID-19 surveillance were enrolled in the control group. All participants were monitored for symptomatic COVID-19 over a six-month surveillance period for the primary outcome. From 14 days after the vaccination, 14 (15/1000 person-years), 19 (20/1000 person-years), and 34 (37/1000 person-years) COVID-19 cases were confirmed in the IH Ad5-nCoV group, the IM Ad5-nCoV group, and the control group, respectively, which resulted in an adjusted effectiveness of 52.3% (95% CI 10.4 to 74.6) for IH Ad5-nCoV and 37.2% (95% CI -11.2 to 64.5) for IM Ad5-nCoV. The IH Ad5-nCoV booster was associated with a lower incidence of symptomatic COVID-19, but there is no solid evidence that IH Ad5-nCoV was more effective than IM Ad5-nCoV.

Indexed as

COVID-19COVID-19 VaccinesImmunization, SecondarySARS-CoV-2AdenoviridaeAdministration, InhalationAdultAerosolsAgedChinaFemaleGenetic VectorsHumansInjections, IntramuscularMaleMiddle AgedAd5-nCoV vaccineAerosolsCOVID-19 Vaccines

Identifiers

PMID40140382
PMCPMC11947115

What OpenQuestion holds

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Registered trials

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.