Evidence map›Paper›PMID 40269252›Full record

ArticleCommunications medicine2025

Effect of heterologous intranasal iNCOVACC

Venkateshwar Rao Akula, Amit Suresh Bhate, Chandrasekhar S Gillurkar, Jitendra Singh Kushwaha, Ajeet Pratap Singh, Chandramani Singh, Anil Kumar Pandey, Shivaraj K K, Sanjay K Rai, Krishna Mohan Vadrevu and 1 more

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
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  6. Article
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  8. Developing the next-generation of adenoviral vector vaccines.Human vaccines & immunotherapeutics · 2025
    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

11 authors.

Venkateshwar Rao AkulaSt. Theresa Hospital, Hyderabad, Telangana, India.
Amit Suresh BhateJeevan Rekha Hospital, Belgavi, Karnataka, India.
Chandrasekhar S GillurkarGillurkar Multispeciality Hospital, Nagpur, Maharashtra, India.
Jitendra Singh KushwahaPrakhar Hospital, Kanpur, Uttar Pradesh, India.
Ajeet Pratap SinghRana Hospital, Gorakhpur, Uttar Pradesh, India.
Chandramani SinghAll India Institute of Medical Sciences, Patna, Bihar, India.
Anil Kumar PandeyESIC Medical College & Hospital, Faridabad, Haryana, India.ORCID http://orcid.org/0000-0002-4885-8191
Shivaraj K KVagus Super Speciality Hospital, Bangalore, Karnataka, India.
Sanjay K RaiAll India Institute of Medical Sciences, New Delhi, India.
Krishna Mohan VadrevuBharat Biotech International Limited, Hyderabad, India. kmohan@bharatbiotech.com.ORCID http://orcid.org/0009-0002-2477-4580
BBV154 Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to waning immunity and emerging variants, protection following primary intramuscular Covid-19 vaccinations is decreasing, so health agencies have been proposing heterologous booster vaccinations. Here, we report immunogenicity and safety evaluation of heterologous booster vaccination with an intranasal, adenovirus vectored SARS-CoV-2 vaccine (BBV154) in healthy adults, who were previously primed with two doses of either Covaxin® or Covishield™. We compare results with use of a homologous booster vaccination combination.

methodsThis was a randomized, open-label phase 3 trial conducted to evaluate immunogenicity and safety of a booster dose of intranasal BBV154 vaccine or intramuscular EUA approved Covid-19 vacines in India. Healthy participants of ≥18 years age with no history of SARS-CoV-2 infection, who received two doses of Covaxin

resultsIn this phase 3 trial, a total of 875 participants were randomized into 5 Groups in a ratio of 2:1:2:1:1 to receive either booster dose of BBV154 or Covaxin or Covishield. Based on per-protocol population, at Day 56, neutralization antibody titres were 564.1 (479·1, 664·1), 578.1 (436·9, 764·9), 655.5 (533·3, 805·8), 625.4 (474·7, 824·0), 650.1 (519·7, 813·1) for Group 1 to 5 respectively. This study was conducted, whilst the Omicron variant was prevalent. There were varying levels of severity of infection across different study sites with varied baseline antibody titers. Consequently, the average neutralization (PRNT

conclusionsThese findings demonstrate that impact of booster across different cohorts is governed by infection status of the individual and geographical diversity, thus necessitating large cohorts, well distributed studies before Covid-19 booster effects are interpreted.

Identifiers

PMID40269252
PMCPMC12019531

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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.