Evidence map›Paper›PMID 40165977›Full record

Trial reportFrontiers in immunology2025

Measles-mumps-rubella-vaccination at 6 months of age induces measles-specific T cell responses: a randomized controlled trial.

Søren Buus, Dorthe Maria Vittrup, Jonas Damgård Schmidt, Andreas Jensen, Anette Stryhn, Lone Graff Stensballe

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03780179 (Measles-mumps-rubella Vaccine at 6 Months of Age, Immunology, and Childhood Morbidity in a High-income Setting), which is not on this 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.

NCT03780179 phase4completednot on this map

Measles-mumps-rubella Vaccine at 6 Months of Age, Immunology, and Childhood Morbidity in a High-income Setting

TypeinterventionalSponsorRigshospitalet, DenmarkRan2019 to 2022Enrolled6,540ConditionsMeales-mumps-rubella VaccineArmsMMRvaxpro, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Harnessing Nanocarriers to Advance Vaccine Development.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    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

6 authors.

Søren BuusDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Dorthe Maria VittrupThe Child and Adolescent Department, The Juliane Marie Center, Copenhagen University Hospital, and Mary Elizabeth Hospital, Rigshospitalet, Copenhagen, Denmark.
Jonas Damgård SchmidtDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Andreas JensenThe Child and Adolescent Department, The Juliane Marie Center, Copenhagen University Hospital, and Mary Elizabeth Hospital, Rigshospitalet, Copenhagen, Denmark.
Anette StryhnDepartment of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Lone Graff StensballeThe Child and Adolescent Department, The Juliane Marie Center, Copenhagen University Hospital, and Mary Elizabeth Hospital, Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Measles is a highly contagious viral disease, particularly severe in infants. Protection in early life is provided by maternally transferred antibodies, but this period is shorter in infants of previously vaccinated mothers (PVMs) compared to infants of previously measles-infected mothers (PIMs). Earlier measles-mumps-rubella (MMR) vaccination may compensate for this. To evaluate immune responses, 6-month-old infants were randomized to receive early MMR or placebo. This study reports the cellular immune outcomes and summarizes serological and T-cell responses. Methods: A double-blind, randomized trial involved 6540 Danish infants aged 5-7 months, eligible if birth weight exceeded 1000 grams and gestational age was ≥32 weeks. Participants were randomized 1:1 to receive M-M-RVaxPro or placebo. Blood samples were collected before intervention, four weeks after intervention, and four weeks after routine MMR at 15 months. Peripheral blood mononuclear cells (PBMCs) were prepared, and an IFN-γ specific ELISpot assay measured measles-specific T cells. Results: Among 750 infants (341 MMR, 409 placebo) in the cellular immunogenicity trial, a significant cellular immune response was observed one-month post-intervention in the MMR group compared to placebo (geometric mean ratio [GMR]: 12.3; 95% CI: 6.9-21.9). The cellular conversion rate (CCR) in the MMR group was 45%, comparable to the previously reported seroconversion rate. However, following routine MMR at 15 months, a reduced cellular response was observed in the early MMR group (GMR: 0.6; 95% CI: 0.3-0.9). Post-routine MMR, CCRs were 66% (MMR) and 74% (placebo). The immune conversion rate (ICR, defined as seroconversion and/or T-cell response) reached 99% in both groups post-routine MMR. Conclusion: Early MMR at 6 months elicited significant measles-specific cellular responses, though the CCR was lower than after routine MMR at 15 months. However, when combining serological and cellular responses, 99% of infants achieved immune conversion by 15 months. Early MMR could help reduce measles burden in infants in endemic settings without compromising subsequent immunizations. Clinical trial registration: ClinicalTrials.gov, identifier NCT03780179, EudraCT 2016-001901-18.

Indexed as

MeaslesMeasles-Mumps-Rubella VaccineMeasles virusT-LymphocytesAntibodies, ViralDouble-Blind MethodFemaleHumansImmunity, CellularInfantMaleVaccinationAntibodies, ViralMeasles-Mumps-Rubella Vaccinecellular immune responsesdouble-blind randomized placebo-controlled clinical trial (RCT)early immunizationimmunogenicitymeasles vaccinationMMR

Identifiers

PMID40165977
PMCPMC11955646

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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.