Evidence map›Paper›PMID 41714650›Full record

Trial reportScientific reports2026

Indirect protection and long-term effectiveness of inactivated COVID-19 vaccine: a stepped-wedge randomised trial in Serrana, Brazil.

Marcos Carvalho Borges, Ricardo Palacios, Monica Tilli Reis Pessoa Conde, Gustavo Jardim Volpe, Natasha Nicos Ferreira, Pedro Manoel Marques Garibaldi, Benedito Antonio Lopes Fonseca, Rodrigo Tocantins Calado, Barbara Marques Coutinho, Bruno Belmonte Martinelli Gomes and 15 more

Abstract readClinical Trial, Phase IVRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. 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

25 authors.

Marcos Carvalho BorgesRibeirão Preto Medical School, University of São Paulo, São Paulo, SP, Brazil. marcosborges@fmrp.usp.br.
Ricardo PalaciosInstituto Butantan, São Paulo, SP, Brazil.
Monica Tilli Reis Pessoa CondeInstituto Butantan, São Paulo, SP, Brazil.
Gustavo Jardim VolpeClinical Research Center - S, São Paulo, SP, Brazil.
Natasha Nicos FerreiraClinical Research Center - S, São Paulo, SP, Brazil.
Pedro Manoel Marques GaribaldiClinical Research Center - S, São Paulo, SP, Brazil.
Benedito Antonio Lopes FonsecaRibeirão Preto Medical School, University of São Paulo, São Paulo, SP, Brazil.
Rodrigo Tocantins CaladoRibeirão Preto Medical School, University of São Paulo, São Paulo, SP, Brazil.
Barbara Marques CoutinhoClinical Research Center - S, São Paulo, SP, Brazil.
Bruno Belmonte Martinelli GomesClinical Research Center - S, São Paulo, SP, Brazil.
Cassia Fernanda Sales de Lima DiasClinical Research Center - S, São Paulo, SP, Brazil.
Glenda Renata de MoraesHealth Department, Serrana, SP, Brazil.
Simone Kashima HaddadRibeirão Preto Medical School, University of São Paulo, São Paulo, SP, Brazil.
Erique Jose Farias Peixoto de MirandaInstituto Butantan, São Paulo, SP, Brazil.
Patrícia Emilia BragaInstituto Butantan, São Paulo, SP, Brazil.
Lucas RagiottoInstituto Butantan, São Paulo, SP, Brazil.
João Italo Dias FrançaInstituto Butantan, São Paulo, SP, Brazil.
Marcos Alves de LimaInstituto Butantan, São Paulo, SP, Brazil.
Lucas Bassolli de Oliveira AlvesInstituto Butantan, São Paulo, SP, Brazil.
Juliana de Camargo Vieira TenorioInstituto Butantan, São Paulo, SP, Brazil.
Sandra Coccuzo SampaioInstituto Butantan, São Paulo, SP, Brazil.
Dimas Tadeu CovasRibeirão Preto Medical School, University of São Paulo, São Paulo, SP, Brazil.
Maria Aparecida Alves Leite Dos Santos AlmeidaInstituto Butantan, São Paulo, SP, Brazil.
Eolo Morandi JuniorInstituto Butantan, São Paulo, SP, Brazil.
Fernanda Castro BoulosInstituto Butantan, São Paulo, SP, Brazil.

Funding

Fundação de Apoio à Pesquisa do Estado de São Paulo 2020/10127-1
6 · The paper itself

Abstract

Currently approved vaccines have shown wide ranges of estimated efficacy. Despite the well-known benefits of inactivated virus vaccines, little information on their effectiveness has been robustly provided to monitor their specific impact. A stepped-wedge trial is an approach for assessing vaccine effectiveness and indirect protection in the real world. By the end of the study, all participants can receive the intervention, eliminating the ethical dilemma of placebo, especially during a pandemic. The aim of this study was to assess the effectiveness of an inactivated COVID-19 vaccine in a massive urban population during the uncontrolled COVID-19 epidemic. We evaluated the long-term vaccine effectiveness (VE) of CoronaVac in Serrana, Brazil, using a stepped-wedge randomised trial. An indirect effect was also inferred from the temporal association between increasing vaccine coverage and the concurrent decline in SARS-CoV-2 incidence among participants who were not yet fully vaccinated. The city was divided into 25 subareas, clustered into four groups, and randomised to receive CoronaVac in a two-dose scheme. After 6 months, a booster dose was offered by the Brazilian Immunization Program. Participants were followed for one year, divided into four periods: February-May 2021; May-August 2021; August-November 2021; November 2021-February 2022. Vaccination occurred between February 14 and April 11, 2021. Up to 27,390 participants received the CoronaVac first dose, corresponding to 82.8% of the adult urban population. In the 1

Indexed as

COVID-19COVID-19 VaccinesVaccine EfficacyAdolescentAdultBrazilFemaleHumansImmunization, SecondaryMaleMiddle AgedSARS-CoV-2VaccinationVaccines, InactivatedYoung AdultCOVID-19 VaccinesVaccines, InactivatedCOVID-19SARS-CoV-2Sinovac COVID-19 vaccineStepped wedge randomised trialVaccines

Identifiers

PMID41714650
PMCPMC13018492

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.