Evidence map›Paper›PMID 41369147›Full record

ArticleHuman vaccines & immunotherapeutics2025

Commentary: Beneficial non-specific effects of measles vaccine: Fact or fiction?

Peter Aaby, Sebastian Nielsen, Frederik Schaltz-Buchholzer, Cesario Martins, Christine S Benn

Abstract read
In one paragraph

Article 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 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. 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

5 authors.

Peter AabyBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.ORCID 0000-0001-8331-1389
Sebastian NielsenBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
Frederik Schaltz-BuchholzerBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
Cesario MartinsBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
Christine S BennBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A PLOS One review has claimed that randomized controlled trials (RCTs) show no beneficial nonspecific effects (NSEs) of measles vaccine (MV). Since this claim contradicts previous meta-analyses, we examined the contradictory views. RCTs of MV in low-income countries have mainly tested standard-titer-measles vaccine (STMV) vs high-titer-measles-vaccine (HTMV) (1980-90s) and two-dose vs one-dose of STMV (2000-10s). The PLOS One review claimed no NSEs in the RCTs of two-dose MV. The negative effect of HTMV was considered a specific effect due to an excessive vaccine dose. However, this does not explain why the negative effects only applied to females. Taking subsequent vaccinations into consideration in our reanalysis, one dose of STMV/HTMV versus control vaccine in the age interval 4-9 months, before controls received routine MV, was associated with a mortality ratio of 0.61 (0.37-0.99). After 9 months, randomization to STMV compared with HTMV-followed-by-a-non-live-vaccine had an MR of 0.72 (0.55-0.95), significantly better for females. Most RCTs in low-income countries experience interactions with vaccine campaigns and subsequent routine vaccinations. When these interactions are considered, the RCTs selected by the PLOS One review do show beneficial NSEs. NSEs are still critical factors to take into consideration in planning of vaccination policy.

Indexed as

MeaslesMeasles VaccineChild MortalityChild, PreschoolFemaleHealth PolicyHumansInfantInfant MortalityMaleMass VaccinationMeta-Analysis as TopicRandomized Controlled Trials as TopicSex FactorsSystematic Reviews as TopicMeasles VaccineHigh-titer measles vaccinemeasles infectionnonspecific effects of vaccinessex-differential vaccine effectsstandard-titer measles vaccine

Identifiers

PMID41369147
PMCPMC12698044

What OpenQuestion holds

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LicenceCC BY-NC
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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.