Evidence map›Paper›PMID 41144397›Full record

Trial reportPloS one2025

Antibody response to tetanus, diphtheria, poliomyelitis, hepatitis B, and H. influenzae b vaccines in allogeneic hematopoietic stem cell transplant adult recipients: A multicenter trial.

Olivier Epaulard, Martin Carré, Eric Hermet, Violaine Corbin, Emmanuelle Tavernier, Elisabeth Botelho-Nevers, Etienne Daguindau, Anne-Sophie Brunel, Pierre-Simon Rohrlich, Karine Risso and 5 more

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

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03402776 (Impact of a Fourth Hexavalent Vaccine Dose During Primary Vaccination After Haematopoietic Stem Cell Transplantation), which is not on this map. Not yet cited in PubMed.

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

NCT03402776 phase3unknown statusnot on this map

Impact of a Fourth Hexavalent Vaccine Dose During Primary Vaccination After Haematopoietic Stem Cell Transplantation

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2018 to 2021Enrolled200ConditionsHaemopoietic Stem Cell Transplantation, AllograftArms4th dose of hexavalent vaccine 1 month after the 3rd dose
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Olivier EpaulardUniversité Grenoble Alpes, Infectiologie, CHU Grenoble Alpes, France.ORCID https://orcid.org/0000-0001-8282-9522
Martin CarréUniversité Grenoble Alpes, Hématologie, CHU Grenoble Alpes, France.
Eric HermetHématologie, CHU de Clermont-Ferrand, France.
Violaine CorbinInfectiologie, CHU de Clermont-Ferrand, France.
Emmanuelle TavernierHématologie, CHU de St Etienne, France.
Elisabeth Botelho-NeversInfectiologie, CHU de St Etienne, France.
Etienne DaguindauHématologie, CHU de Besançon, France.
Anne-Sophie BrunelInfectiologie, CHU de Besançon, France.
Pierre-Simon RohrlichHématologie, CHU de Nice, France.
Karine RissoInfectiologie, CHU de Nice, France.
Salomé GalletUniversité Grenoble Alpes, Infectiologie, CHU Grenoble Alpes, France.
Nicolas GonnetUniversité Grenoble Alpes, CIC1406-INSERM, Université Grenoble Alpes, France.
Saber TouatiUniversité Grenoble Alpes, Infectiologie, CHU Grenoble Alpes, France.
Marc ManceauUniversité Grenoble Alpes, CIC1406-INSERM, Université Grenoble Alpes, France.
Anne ThiebaultUniversité Grenoble Alpes, Hématologie, CHU Grenoble Alpes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNational and international guidelines recommend vaccinating hematopoietic stem cell transplant (HSCT) recipients, although relatively few studies have evaluated immunogenicity in adults. We therefore aimed to assess the immune response in adult allogeneic HSCT recipients vaccinated against tetanus, diphtheria, poliomyelitis, hepatitis B, and H. influenzae b.

methodWe conducted a multicenter prospective study. HSCT recipients were included at least 6 months post-transplantation (maximum: 24 months) if blood CD19 + lymphocytes were ≥0.1 G/L and plasma immunoglobulin ≥ 4g/L, and if no immunosuppressive therapy was applied. They received the hexavalent pediatric combination vaccine for tetanus, diphtheria, poliomyelitis, hepatitis B, and H. influenzae b (and pertussis) at months 0, 1, 2, and 12 (in addition to other recommended vaccines). Plasma antibodies against the five valences were quantified at inclusion and 1 month after the third and fourth doses.

resultsWe included 104 HSCT recipients (median age: 58 years [IQR:48-64]). Study vaccination was initiated a median of 11 months [IQR:9-14] after transplantation. Median [IQR] values for CD19 and plasma gammaglobulin at inclusion were 0.3 [0.2-0.6] G/L and 7.9 [6.4-11.1] g/L, respectively. Seroprotection after three doses and after the M12 booster was achieved for 97.2% and 97.5% of participants for tetanus, 100% and 97.5% for diphtheria, 96.6% and 92.7% for poliomyelitis, 78.3% and 84.1% for hepatitis B, and 94.6% and 95.0% for H. influenzae b. Adverse effects were benign.

conclusionVaccination against these five infections initiated during the first year post-allograft is immunogenic and should be performed in every recipient not undergoing immunosuppressive therapy.

trial registrationClinicalTrials.gov NCT03402776.

Indexed as

Antibodies, BacterialAntibody FormationHaemophilus VaccinesHematopoietic Stem Cell TransplantationHepatitis B VaccinesAdultDiphtheriaFemaleHepatitis BHumansMaleMiddle AgedPoliomyelitisProspective StudiesTetanusTransplantation, HomologousAntibodies, BacterialHaemophilus VaccinesHepatitis B Vaccines

Identifiers

PMID41144397
PMCPMC12558451

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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.