Evidence map›Paper›PMID 40815494›Full record

ArticleInfectious diseases and therapy2025

A Cost-Effectiveness Analysis of the Switch to 20-Valent Pneumococcal Conjugate Vaccine from Lower-Valent Pneumococcal Conjugate Vaccines in the French Pediatric Population.

Stéphane Fiévez, An Ta, Lucile Bellier, Emmanuelle Blanc, Jessica Y El Khoury, Maud Beillat, Ayman Sabra, Marine Sivignon, Aleksandar Ilic, Johnna Perdrizet

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Stéphane FiévezAccess and Value Department, Pfizer, Paris, France.
An TaCytel, London, UK.
Lucile BellierPutnam, Paris, France.
Emmanuelle BlancVaccines Department, Pfizer, Paris, France.
Jessica Y El KhouryVaccines Department, Pfizer, Paris, France.
Maud BeillatAccess and Value Department, Pfizer, Paris, France.
Ayman SabraMedical Affairs, Vaccines, Antivirals and Evidence Generation, Pfizer, Paris, France.
Marine SivignonPutnam, Lyon, France.
Aleksandar IlicPfizer UK, Tadworth, UK. aleksandar.ilic@pfizer.com.
Johnna PerdrizetGlobal Value and Evidence, Pfizer Canada, Kirkland, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe pneumococcal conjugate vaccine (PCV) with valency of 20 (PCV20) was approved for pediatric use by the European Commission in 2024. However, PCV20 is not yet implemented into the French infant National Immunization Program (NIP). In this cost-effectiveness analysis, we compared PCV20 under a 3 + 1 schedule to the current standard of care (13-valent PCV [PCV13]) or 15-valent PCV (PCV15), both under a 2 + 1 schedule, for infant vaccination in France.

methodsThe study adopted a multiple-cohort population-level model under the French Collective perspective over a 10-year time horizon. Inputs were sourced from published and unpublished studies conducted in the French population, where available. Clinical outcomes included disease cases (i.e., invasive pneumococcal disease [IPD], inpatient pneumonia, and otitis media [OM]) and deaths. Incremental cost-effectiveness ratios were calculated on the basis of estimated costs and quality-adjusted life years (QALY) for PCV20 3 + 1 versus PCV15 2 + 1 and PCV13 2 + 1 in separate pairwise comparisons.

resultsCompared with PCV13 2 + 1 and PCV15 2 + 1, PCV20 3 + 1 was estimated to be dominant, resulting in improved public health and economic outcomes. PCV20 was predicted to prevent more disease cases versus PCV13 (IPD: 13,510; hospitalized pneumonia: 317,136; hospitalized OM: 66,579) and PCV15 (IPD: 11,187; hospitalized pneumonia: 255,790; hospitalized OM: 53,733) and provide cost-savings of €1,567,052,379 and €1,134,653,266 versus PCV13 and PCV15, respectively.

conclusionsThis study predicted that infant immunization with PCV20 was the most cost-effective option compared with PCV13 and PCV15. These results could help decision-makers implement the optimal PCV strategy in the French pediatric NIP.

Indexed as

Invasive pneumococcal diseaseOtitis mediaPCV13PCV15PCV20Pediatric populationPneumococcal conjugate vaccinePneumococcal diseasePneumoniaPublic health impact

Identifiers

PMID40815494
PMCPMC12425875

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LicenceCC BY-NC
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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.