Evidence map›Paper›PMID 42069790›Full record

ArticleNPJ vaccines2026

A TRAC-478-adjuvanted recombinant N1 neuraminidase influenza virus vaccine induces balanced and broadly protective immune responses.

Irene Hoxie, Kirill Vasilev, Jordan Clark, Hardik Amin, Garazi Peña Alzua, Disha Bhavsar, Eduard Puente-Massaguer, Karthik Siram, Kristopher Short, Rebekah Tee and 3 more

Abstract read
In one paragraph

Article in NPJ vaccines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Irene HoxieDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA.
Kirill VasilevDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA.
Jordan ClarkDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA.
Hardik AminCenter for Translational Medicine, University of Montana, Missoula, MT, USA.
Garazi Peña AlzuaDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA.
Disha BhavsarDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA.
Eduard Puente-MassaguerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA.
Karthik SiramCenter for Translational Medicine, University of Montana, Missoula, MT, USA.
Kristopher ShortCenter for Translational Medicine, University of Montana, Missoula, MT, USA.
Rebekah TeeCenter for Translational Medicine, University of Montana, Missoula, MT, USA.
David BurkhartInimmune Corp., Missoula, MT, USA.
Jay T EvansCenter for Translational Medicine, University of Montana, Missoula, MT, USA.
Florian KrammerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai (ISMMS), New York, NY, USA. florian.krammer@mssm.edu.

Funding

Fundación Ramón Areces BEVP33P01S12168NIAID NIH HHS HHSN272201800048CODCDC CDC HHS 75N93019C00051
6 · The paper itself

Abstract

Licensed influenza vaccines primarily target the variable hemagglutinin protein and provide inadequate cross-protection against mismatched or drifted viral strains. One promising approach to enhance the breadth of protection is to target the viral neuraminidase by incorporating a stable, recombinant neuraminidase protein with an effective adjuvant. We evaluated an intramuscular recombinant neuraminidase vaccine (N1-MPP) adjuvanted with a lipidated toll-like receptor (TLR)7/8 agonist (INI-4001), a synthetic TLR4 agonist (INI-2002), or both (TRAC-478) delivered as aqueous, liposomal, or squalene oil-in-water emulsions in mice. TLR agonists offset the Th2 bias of squalene emulsions and boosted antibody responses. Combining ligands synergistically amplified CD4⁺ immunity-increasing polyfunctional cytokine-producing T cells in lungs and spleen-while promoting Th1 cytokine production and antibody class switching. Aqueous and emulsion TRAC-478 N1-MPP induced high titers of cross-reactive, functional antibodies that exhibited strong ADCC activity and conferred protection in passive-transfer experiments. TRAC-478 N1-MPP vaccination protected against both H5N1 clade 1 and clade 2.3.4.4b viruses and recent H1N1 isolates, supporting the further development of N1-MPP adjuvanted with TRAC-478 emulsion as a stand-alone vaccine or potentially as a supplement for current vaccination regimens to improve protection against both seasonal influenza virus and strains with pandemic potential.

Identifiers

PMID42069790
PMCPMC13342080

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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.