Evidence map›Paper›PMID 40240559›Full record

ArticleCommunications medicine2025

Efficacy of monoclonal antibodies and maternal vaccination for prophylaxis of respiratory syncytial virus disease.

Nele Plock, Jeffrey R Sachs, Xiaowei Zang, Jos Lommerse, Kalpit A Vora, Andrew W Lee, S Y Amy Cheung, Brian M Maas

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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  5. [Epidemiology, Mechanisms, and Clinical Challenges of Respiratory Syncytial Virus Co-infections in Children].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  6. Article
  7. Review
  8. Article
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  11. 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

8 authors.

Nele PlockCertara, Radnor, PA, USA.ORCID http://orcid.org/0000-0002-2025-4441
Jeffrey R SachsMerck & Co., Inc., Rahway, NJ, USA.ORCID http://orcid.org/0000-0001-5725-558X
Xiaowei ZangMerck & Co., Inc., Rahway, NJ, USA. xiaowei.zang@merck.com.ORCID http://orcid.org/0000-0002-8319-5303
Jos LommerseCertara, Radnor, PA, USA.
Kalpit A VoraMerck & Co., Inc., Rahway, NJ, USA.ORCID http://orcid.org/0000-0001-9844-634X
Andrew W LeeMerck & Co., Inc., Rahway, NJ, USA.
S Y Amy CheungCertara, Radnor, PA, USA.
Brian M MaasMerck & Co., Inc., Rahway, NJ, USA.ORCID http://orcid.org/0000-0002-2410-4379

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is a leading cause of respiratory tract infection in infants and young children. The level of serum neutralizing antibodies (SNAs) is often used as a measure of protection against respiratory syncytial virus (RSV) infection.

methodsA qualified, model-based, meta-analysis efficacy prediction framework was used to understand the maternal vaccination-induced fold-increase in SNA titers necessary to achieve, over several study observation periods and study populations, similar protection to that of the monoclonal antibody clesrovimab (MK-1654).

resultsSimulations indicated that 3-month and 6-month efficacy comparable to that predicted for passive immunization (clesrovimab) would require a maternal vaccine to increase SNA titers by 30- and 60-fold, respectively, higher than observed increases reported to date. Efficacy of maternal vaccination was predicted (for vaccines similar to those with published data) to be substantially lower for preterm infants compared to full-term infants, and substantially less over 6 months than over 3 months. Efficacy of passive immunization was predicted to be similar or higher in preterm infants than full-term infants and was similar for 3- and 6-month observation periods.

conclusionsModeling can be used to reliably predict the efficacy of maternal vaccination for preventing RSV in infants. Passive immunization (e.g., with clesrovimab) is likely to provide more protection for preterm infants and for infants born outside the RSV season than that provided by current maternal vaccines. Maternal vaccination may provide partial protection from RSV disease to full-term infants born just prior to or during the RSV season.

Identifiers

PMID40240559
PMCPMC12003833

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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.