Evidence map›Paper›PMID 41295542›Full record

ArticleVaccines2025

Long-Term Immunogenicity of Rabies Pre-Exposure Prophylaxis in Japanese Adult Travelers: Comparison of Dosing Regimens.

Shinji Fukushima, Akira Nishizono, Takehiro Hashimoto, Atsuo Hamada

Erratum issuedAbstract read
In one paragraph

Article in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Shinji FukushimaTravellers' Medical Center, Tokyo Medical University Hospital, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.ORCID 0000-0002-0918-610X
Akira NishizonoDepartment of Microbiology, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita 879-5593, Japan.
Takehiro HashimotoDepartment of Microbiology, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita 879-5593, Japan.
Atsuo HamadaTravellers' Medical Center, Tokyo Medical University Hospital, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.ORCID 0000-0002-0481-9959

Funding

the Research Center for GLOBAL and LOCAL Infectious Diseases, Oita University 2022B07
6 · The paper itself

Abstract

BACKGROUND/

objectivesJapan is a rabies-free country; therefore, pre-exposure prophylaxis (PrEP) is primarily recommended for travelers to rabies-endemic regions. However, no prior studies in Japan have assessed long-term immunogenicity after PrEP vaccination.

methodsThis descriptive study evaluated the long-term persistence of rabies virus-neutralizing antibodies among Japanese adult travelers who had received PrEP. Neutralizing antibody levels were measured using the rabies rapid fluorescent focus inhibition test more than two years post-vaccination.

resultsAmong 97 participants, 86.6% remained seropositive, with a median interval of 4 years since the last vaccination. Individuals who received three or more doses had significantly higher geometric mean titers than those who received only two doses. A notable proportion of those vaccinated with PCECV-KMB, an older subcutaneous formulation, were seronegative after a long interval.

conclusionAntibody levels were strongly influenced by the number of vaccine doses, with reduced persistence in those who received only two. If testing confirms sufficient titers, PrEP booster doses may not be needed. However, for individuals with only two doses, older vaccinations, or those given PCECV-KMB, a risk-based assessment is recommended-especially for travelers to rabies-endemic areas.

Indexed as

anti-rabies antibody levellong-term immunogenicitypre-exposure prophylaxisrabiesrabies vaccine

Identifiers

PMID41295542
PMCPMC12656887

What OpenQuestion holds

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LicenceCC BY
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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.