Article title: Efficacy of 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine against acute otitis media and nasopharyngeal carriage in Panamanian children – A randomized controlled trial
Authors: Xavier Saez Llorens, Stella Rowley, Digna Wong, Mirna Rodriguez, Arlene Calvo, Marisol Troitino, Albino Salas, Vielka Vega, Maria Mercedes Castrejon,
Patricia Lommel, Thierry G. Pascal, William P Hausdorff, Dorota Borys, Javier Ruiz-Guinazu, Eduardo Ortega Barrio, Juan Pablo Yarzabal, Lode Schuerman
Journal: Human Vaccines & Immunotherapeutics
Bibliometrics: Volume 13, Number 6, pages 1213-1228
DOI: http://dx.doi.org/10.1080/21645515.2017.1287640
This article originally published with an error in the results section (Nasopharyngeal carriage cohorts), as well as errors in tables 3 and tables 4 and an incorrect reference citation in the title of table 5. These errors do not affect the conclusion of the paper.
Table 3.
Subanalyses of vaccine efficacy (VE) against C-AOM: by age, pre-/post-booster vaccination, episode severity and by sex (intent-to-treat analysis)
| |
First C-AOM episodes |
All C-AOM episodesa |
|||||||||||||
| Number of children |
Follow-up time, person-yearsb |
Incidence, per 100,000 person-years |
VE against first episodes, % (95% CI) |
Number of episodes |
Follow-up time, person-yearsc |
Incidence, per 100,000 person-years |
VE against all episodes, % (95% CI) | ||||||||
| Group | PHiD-CV | Control | PHiD-CV | Control | PHiD-CV | Control | PHiD-CV | Control | PHiD-CV | Control | PHiD-CV | Control | |||
|
Total |
254 |
308 |
9018.3 |
8835.1 |
2816.5 |
3486.1 |
19.0 (4.4, 31.4) |
294 |
343 |
9475.3 |
9412.8 |
3102.8 |
3644.0 |
14.8 (-1.0, 28.2) |
|
| AOM by sexd | |||||||||||||||
| Females | 119 | 140 | 4370.0 | 4329.6 | 2723.1 | 3233.6 | 15.9 (-7.4, 34.1) | 139 | 150 | 4589.7 | 4590.5 | 3028.5 | 3267.6 | 7.6 (-18.4, 27.6) | |
| Male | 135 | 168 | 4648.3 | 4505.5 | 2904.3 | 3728.8 | 21.7 (1.8; 37.6) | 155 | 193 | 4885.6 | 4822.3 | 3172.6 | 4002.2 | 20.5 (-0.3, 37.1) | |
| Age | |||||||||||||||
| 2–11 months | 104 | 141 | 2786.8 | 2762.3 | 3731.9 | 5104.4 | 26.9 (5.9, 43.3) | 115 | 150 | 2824.7 | 2812.6 | 4071.2 | 5333.1 | 23.7 (1.3, 41.0) | |
| 12–23 months | 99 | 122 | 3023.8 | 2956.5 | 3274.0 | 4126.5 | 19.7 (-4.7, 38.4) | 114 | 135 | 3176.7 | 3155.2 | 3588.6 | 4278.7 | 16.1 (-8.1, 34.8) | |
| <24 months | 203 | 263 | 5810.6 | 5718.8 | 3493.6 | 4598.9 | 24.0 (8.7, 36.7) | 229 | 285 | 6001.4 | 5967.8 | 3815.8 | 4775.6 | 20.1 (3.8, 33.6) | |
| 24–35 months | 47 | 42 | 2474.3 | 2390.8 | 1899.6 | 1756.7 | -10.5 (-67.5, 27.1) | 60 | 54 | 2670.3 | 2636.2 | 2246.9 | 2048.4 | -9.7 (-60.4, 25.0) | |
| ≥36 months | 4 | 3 | 733.4 | 725.4 | 545.4 | 413.6 | -33.8 (-497.7, 70.1) | 5 | 4 | 803.6 | 808.8 | 622.2 | 494.6 | -25.3 (-366.5, 66.4) | |
| Pre-/post-booster | |||||||||||||||
| Pre-booster | 124 | 177 | 3967.5 | 3925.8 | 3125.4 | 4508.6 | 30.7 (12.9, 44.9) | 140 | 191 | 4050.2 | 4039.4 | 3456.6 | 4728.4 | 27.0 (7.8, 42.2) | |
| Post-booster | 132 | 123 | 5050.8 | 4909.2 | 2613.4 | 2505.5 | -6.7 (-36.4, 16.6) | 140 | 128 | 5425.1 | 5373.4 | 2580.6 | 2382.1 | -8.5 (-39.0, 15.4) | |
| AOM severity: complete reporting of all symptomse | |||||||||||||||
| Mild | 119 | 120 | 9278.7 | 9202.6 | 1282.5 | 1304.0 | 1.7 (-26.7, 23.7) | 127 | 127 | 9475.3 | 9412.8 | 1340.3 | 1349.2 | 0.7 (-28.5, 23.2) | |
| Moderate | 109 | 131 | 9269.9 | 9156.6 | 1175.8 | 1430.7 | 17.7 (-6.1, 36.2) | 114 | 137 | 9475.3 | 9412.8 | 1203.1 | 1455.5 | 17.3 (-6.9, 36.0) | |
| Severe | 19 | 28 | 9439.5 | 9359.0 | 201.3 | 299.2 | 32.7 (-20.5, 62.4) | 19 | 28 | 9475.3 | 9412.8 | 200.5 | 297.5 | 32.6 (-20.4, 62.3) | |
| AOM severity: including incomplete reporting of symptoms (≥1 symptom)f | |||||||||||||||
| Mild | 158 | 178 | 9198.1 | 9091.3 | 1717.8 | 1957.9 | 12.2 (-8.8, 29.1) | 175 | 191 | 9475.3 | 9412.8 | 1846.9 | 2029.2 | 9.0 (-13.2, 26.8) | |
| Moderate | 126 | 146 | 9237.0 | 9135.0 | 1364.1 | 1598.3 | 14.7 (-8.3, 32.8) | 133 | 154 | 9475.3 | 9412.8 | 1403.6 | 1636.1 | 14.2 (-9.2, 32.5) | |
| Severe | 22 | 28 | 9434.9 | 9359.0 | 233.2 | 299.2 | 22.1 (-36.1, 55.4) | 22 | 28 | 9475.3 | 9412.8 | 232.2 | 297.5 | 22.0 (-36.0, 55.3) | |
AOM, acute otitis media; C-AOM, clinically-confirmed AOM; CI, confidence interval; post-booster, at the time of or after booster vaccination; intent-to-treat analysis, follow-up starting at the time of first vaccination. Vaccine efficacy was calculated as (1 – hazard ratio) x 100 using a Cox (first episodes) or generalized Cox (all episodes) regression model.
aAll C-AOM episodes, including multiple episodes in the same child.
bFollow-up time for first episodes calculated as sum of follow-up periods of each child, censored at the first occurrence of a respective endpoint event.
cFollow-up time for all episodes calculated as sum of follow-up periods of each child, from dose 1 up to end of follow-up.
dPost-hoc analysis
eC-AOM episodes with complete reporting of information for all 5 symptoms (~80% of all reported C-AOM cases) on the clinical/otologic scale developed by Dagan et al.33
fC-AOM episodes with information for at least 1 symptom on the clinical/otologic scale developed by Dagan et al.33; unrecorded symptoms were assumed not to be present in the patient.
Table 4.
Vaccine efficacy (VE) against B-AOM by age and pre-/post-booster vaccination (intent-to-treat cohort)
| |
First B-AOM episodes |
All B-AOM episodesa |
||||||||||||
| Number of children with ≥1 episode |
Follow-up time, person-years |
Incidence, per 100,000 person-years |
VE against first episodes, % (95% CI) |
Number of episodes |
Follow-up time, person-years |
Incidence, per 100,000 person-years |
VE against all episodes, % (95% CI) |
|||||||
| Group | PHiD-CV | Control | PHiD-CV | Control | PHiD-CV | Control | PHiD-CV | Con-trol | PHiD-CV | Control | PHiD-CV | Control | ||
|
Total |
45 |
67 |
9396.9 |
9271.0 |
478.9 |
722.7 |
33.6 (3.2, 54.5) |
47 |
70 |
9475.3 |
9412.8 |
496.0 |
743.7 |
33.3 (2.26, 54.5) |
| Age | ||||||||||||||
| 2–11 months | 20 | 35 | 2817.7 | 2798.3 | 709.8 | 1250.8 | 43.3 (1.7, 67.3) | 21 | 35 | 2824.7 | 2812.6 | 743.4 | 1244.4 | 40.3 (-4.0, 65.7) |
| 12–23 months | 12 | 26 | 3150.1 | 3105.2 | 380.9 | 837.3 | 54.2 (9.3, 76.9) | 13 | 27 | 3176.7 | 3155.2 | 409.2 | 855.7 | 52.1 (6.7, 75.5) |
| <24 months | 32 | 61 | 5967.8 | 5903.5 | 536.2 | 1033.3 | 48.0 (20.3, 66.1) | 34 | 62 | 6001.4 | 5967.8 | 566.5 | 1038.9 | 45.4 (15.8, 64.6) |
| 24–35 months | 13 | 6 | 2637.5 | 2578.6 | 492.9 | 232.7 | -114.0 (-463.0, 18.7) | 13 | 7 | 2670.3 | 2636.2 | 486.8 | 265.5 | -83.3 (-359.1, 26.8) |
| ≥36 months | 0 | 0 | 791.5 | 788.9 | 0.0 | 0.0 | U | 0 | 1 | 803.6 | 808.8 | 0.0 | 123.6 | 100 (-3774.3, 100) |
| Pre-/post-booster | ||||||||||||||
| Pre-booster | 24 | 47 | 4033.0 | 4007.9 | 595.1 | 1172.7 | 49.3 (17.1, 69.0) | 26 | 48 | 4050.2 | 4039.4 | 641.9 | 1188.3 | 46.0 (10.9, 67.3) |
| Post-booster | 19 | 20 | 5363.8 | 5263.2 | 354.2 | 380.0 | 6.0 (-76.2, 49.8) | 19 | 20 | 5425.1 | 5373.4 | 350.2 | 372.2 | 5.8 (-76.0, 49.6) |
AOM, acute otitis media; B-AOM, bacteriologically-confirmed AOM; CI, confidence interval; post-booster, at the time of or after booster vaccination; U, undefined; intent-to-treat analysis, follow-up starting at the time of first vaccination; per-protocol analysis, follow-up starting 2 weeks post-dose 3. Vaccine efficacy was calculated as (1 – hazard ratio) x 100 using a Cox (first episodes) or generalized Cox (all episodes) regression model.
aAll B-AOM episodes, including recurrent episodes in the same child.
The sentence in the results section has been updated from “The number of children from whom nasopharyngeal swabs were taken ranged from … ” to the correct sentence of “The number of children that completed the nasopharyngeal sampling visit ranged from … ”
Below, tables 3 and tables 4 are reproduced in their corrected form. The errors in the results section and all tables have been corrected in the online version.
