Evidence map›Paper›PMID 41455011›Full record

SynthesisImmunologic research2025

Maternal RSV vaccine: a systematic review and meta-analysis of immunogenicity and perinatal safety.

Khaled Saad, Omar Alomari, Gizem Elif Dizdarogulları, Muhammed Edib Mokresh, Wesam M Hussein, Habiba Eyvazova, Ozlem Kaplan, Ghazaleh Kokabi Ghahremanpour, Meryem Hamam, Murat Api and 10 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Immunologic research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

20 authors.

Khaled Saad *Department of Pediatrics, Assiut University, Assiut, 71516, Egypt. ksaad8@yahoo.com.ORCID http://orcid.org/0000-0002-8473-6116
Omar Alomari *Hamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Gizem Elif DizdarogullarıDepartment of Perinatology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Muhammed Edib MokreshHamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Wesam M HusseinChemistry Department, Faculty of Science, Islamic University of Madinah, Madinah, Saudi Arabia.
Habiba EyvazovaHamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Ozlem KaplanHamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Ghazaleh Kokabi GhahremanpourHamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Meryem HamamHamidiye International School of Medicine, University of Health Sciences, Istanbul, Turkey.
Murat ApiDepartment of Gynecologic Oncology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Anas ElgenidiDepartment of Neurology, Cairo University, Cairo, 11652, Egypt.
Amira ElhoufeyDepartment of Community Health Nursing, Alddrab University College, Jazan University, Jazan, Saudi Arabia.
Abdel-Monem M HassanDepartment of Pediatrics, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Mohamad-Hani TemsahDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, 11461, Saudi Arabia.
Ahmad Roshdy AhmadDepartment of Pediatrics, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Abdulelah AlnusayriDepartment of Pediatrics, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Zakaria M Abdel-SadekDepartment of Pediatrics, Faculty of Medicine for Girls, Al-Azhar University, Assiut, Egypt.
Amira ElAshryDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Khalid A AlhasanDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, 11461, Saudi Arabia.
Mohamed Gamil M Abo-ElelaDepartment of Pediatrics, Assiut University, Assiut, 71516, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis assess the immunogenicity and maternal-fetal safety profile of RSV prefusion F (RSVpreF) vaccination during pregnancy. PubMed, Scopus, Embase, Cochrane, and Web of Science databases were searched for relevant studies. Only randomized controlled trials (RCTs) evaluating the safety, efficacy, and immunogenicity of RSVpreF vaccination in pregnant women were included. Six RCTs, involving 17,212 participants, were analyzed. The vaccine significantly boosted maternal anti-RSV neutralizing antibody levels, with a standardized mean difference (SMD) of 1.40 for RSV-A and 1.11 for RSV-B, both with high statistical significance. Infants born to vaccinated mothers had a 49% reduced risk of RSV-associated lower respiratory tract illness within 180 days post-vaccination (OR = 0.51, 95% CI: 0.40-0.64). Preterm birth rates did not differ significantly between the vaccine and placebo groups (OR = 1.09, 95% CI: 0.87-1.37). The vaccine was not associated with increased risks of serious adverse events or perinatal complications. Maternal RSVpreF vaccination significantly elevates neutralizing antibody levels against RSV subtypes A and B without increasing the risk of serious adverse events or preterm delivery. These findings support the safety and immunogenicity of RSV vaccination in pregnant women, reinforcing its potential utility in protecting neonates against RSV-related morbidity.

Indexed as

Pregnancy Complications, InfectiousRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesAntibodies, NeutralizingAntibodies, ViralFemaleHumansImmunogenicity, VaccineInfant, NewbornPregnancyRandomized Controlled Trials as TopicVaccinationAntibodies, NeutralizingAntibodies, ViralRespiratory Syncytial Virus VaccinesMaternal vaccinationRespiratory syncytial virusRSVpreF vaccineRSV prevention

Identifiers

What OpenQuestion holds

Textmetadata
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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.