Evidence map›Paper›PMID 40257186›Full record

Trial reportHuman vaccines & immunotherapeutics2025

Immunogenicity, safety, and tolerability of a β-glucan-CpG-adjuvanted respiratory syncytial virus vaccine in Japanese healthy participants aged 60 to 80 years: A phase 2, randomized, double-blind, dose-finding study.

Tetsuo Nakayama, Makoto Iwanami, Sachiko Sakakibara, Ryuta Mukasa, Aisaku Ota, Kei Furihata, Yuko Honda, Ken J Ishii

Abstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 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

8 authors.

Tetsuo NakayamaLaboratory of Viral Infection, Ōmura Satoshi Memorial Institute, Kitasato University, Tokyo, Japan.
Makoto IwanamiDevelopment Function Specialty Medicine Clinical Development Department Group II, Daiichi Sankyo Co., Ltd., Tokyo, Japan.
Sachiko SakakibaraPrecision Medicine Function Translational Science Department II Group I, Daichi Sankyo Co., Ltd., Tokyo, Japan.
Ryuta MukasaPrecision Medicine Function Translational Science Department II Group I, Daichi Sankyo Co., Ltd., Tokyo, Japan.
Aisaku OtaData Intelligence Department Biostatistics Group, Daichi Sankyo Co., Ltd., Tokyo, Japan.
Kei FurihataData Intelligence Department Biostatistics Group, Daichi Sankyo Co., Ltd., Tokyo, Japan.
Yuko HondaMedical Safety Department Safety Planning Group III, Daichi Sankyo Co., Ltd., Tokyo, Japan.
Ken J IshiiDivision of Vaccine Science, Department of Microbiology and Immunology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

VN-0200 is an investigational β-glucan-CpG-adjuvanted respiratory syncytial virus (RSV) vaccine (antigen: VAGA-9001a [RSV F glycoprotein], adjuvant: MABH-9002b). This multicenter, randomized, double-blind, dose-finding phase 2 study explored the optimal VN-0200 dose and confirmed its humoral and cellular immunity and safety. In total, 342 healthy Japanese participants aged 60 to 80 years were randomized to one of 10 vaccination groups, each receiving a different combination of VAGA-9001a and MABH-9002a. VN-0200 was administered intramuscularly on Day 1 and Day 29. Geometric mean titer (GMT) and geometric mean fold rise (GMFR) of neutralization activity for anti-RSV subgroups A (RSV/A) and B (RSV/B), anti-VAGA-9001a antibody titer, and VAGA-9001a-specific interferon (IFN)-γ response were evaluated. Safety was monitored throughout the study. GMTs of serum anti-RSV/A neutralization activity increased from baseline to Day 57 and lower limits of the 95% confidence intervals of the corresponding GMFRs were >1.0 relative to baseline in all treatment groups (primary endpoint). Findings were similar for anti-RSV/A (Day 29) and anti-RSV/B (Day 29 and Day 57) neutralization activity, anti-VAGA-9001a antibody titer (Day 29 and Day 57), and VAGA-9001a-specific IFN-γ response (Day 29 and Day 57) (secondary endpoints). There was no clear influence of adjuvant or dose - response relationship of the antigen or adjuvant for any of the study endpoints. There were no serious vaccine-related treatment-emergent adverse events (TEAEs) or vaccine-related TEAEs leading to death. All antigen/adjuvant dose combinations of VN-0200 were well tolerated and elicited an increase in anti-RSV/A and anti-RSV/B neutralization activity from baseline to Day 29 and Day 57.

Indexed as

Adjuvants, ImmunologicAdjuvants, Vaccinebeta-GlucansImmunogenicity, VaccineRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesAgedAged, 80 and overAntibodies, NeutralizingAntibodies, ViralDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsEast Asian PeopleFemaleHealthy VolunteersHumansAdjuvants, ImmunologicAdjuvants, VaccineAntibodies, NeutralizingAntibodies, Viralbeta-GlucansRespiratory Syncytial Virus Vaccinescellular immunityimmunogenicityneutralization antibodyrespiratory syncytial virus vaccineβ-glucan-CpG adjuvant

Identifiers

PMID40257186
PMCPMC12013440

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.