Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis

Research output: Contribution to journalReviewResearchpeer-review

Standard

Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis. / Johansen, Helle Krogh; Gøtzsche, Peter C.

In: Cochrane Database of Systematic Reviews, Vol. 2015, No. 8, CD001399, 2015, p. 1-19.

Research output: Contribution to journalReviewResearchpeer-review

Harvard

Johansen, HK & Gøtzsche, PC 2015, 'Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis', Cochrane Database of Systematic Reviews, vol. 2015, no. 8, CD001399, pp. 1-19. https://doi.org/10.1002/14651858.CD001399.pub4

APA

Johansen, H. K., & Gøtzsche, P. C. (2015). Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis. Cochrane Database of Systematic Reviews, 2015(8), 1-19. [CD001399]. https://doi.org/10.1002/14651858.CD001399.pub4

Vancouver

Johansen HK, Gøtzsche PC. Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis. Cochrane Database of Systematic Reviews. 2015;2015(8):1-19. CD001399. https://doi.org/10.1002/14651858.CD001399.pub4

Author

Johansen, Helle Krogh ; Gøtzsche, Peter C. / Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis. In: Cochrane Database of Systematic Reviews. 2015 ; Vol. 2015, No. 8. pp. 1-19.

Bibtex

@article{73e67628b0254d69bb9a497b61a25796,
title = "Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis",
abstract = "BACKGROUND: Chronic pulmonary infection in cystic fibrosis results in progressive lung damage. Once colonisation of the lungs with Pseudomonas aeruginosa occurs, it is almost impossible to eradicate. Vaccines, aimed at reducing infection with Pseudomonas aeruginosa, have been developed. This is an update of a previously published review.OBJECTIVES: To assess the effectiveness of vaccination against Pseudomonas aeruginosa in cystic fibrosis.SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register using the terms vaccines AND pseudomonas (last search 30 March 2015). We previously searched PubMed using the terms vaccin* AND cystic fibrosis (last search 30 May 2013).SELECTION CRITERIA: Randomised trials (published or unpublished) comparing Pseudomonas aeruginosa vaccines (oral, parenteral or intranasal) with control vaccines or no intervention in cystic fibrosis.DATA COLLECTION AND ANALYSIS: The authors independently selected trials, assessed them and extracted data.MAIN RESULTS: Six trials were identified. Two trials were excluded since they were not randomised and one old, small trial because it was not possible to assess whether is was randomised. The three included trials comprised 483, 476 and 37 patients, respectively. No data have been published from one of the large trials, but the company stated in a press release that the trial failed to confirm the results from an earlier study and that further clinical development was suspended. In the other large trial, relative risk for chronic infection was 0.91 (95{\%} confidence interval 0.55 to 1.49), and in the small trial, the risk was also close to one. In the large trial, one patient was reported to have died in the observation period. In that trial, 227 adverse events (4 severe) were registered in the vaccine group and 91 (1 severe) in the control group. In this large trial of a vaccine developed against flagella antigens, antibody titres against the epitopes contained in the vaccine were higher in the vaccine group compared to the placebo group (P < 0.0001).AUTHORS' CONCLUSIONS: Vaccines against Pseudomonas aeruginosa cannot be recommended.",
keywords = "Cystic Fibrosis, Humans, Pseudomonas Infections, Pseudomonas Vaccines, Pseudomonas aeruginosa, Randomized Controlled Trials as Topic",
author = "Johansen, {Helle Krogh} and G{\o}tzsche, {Peter C}",
year = "2015",
doi = "10.1002/14651858.CD001399.pub4",
language = "English",
volume = "2015",
pages = "1--19",
journal = "Cochrane Database of Systematic Reviews",
issn = "1361-6137",
publisher = "Wiley",
number = "8",

}

RIS

TY - JOUR

T1 - Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis

AU - Johansen, Helle Krogh

AU - Gøtzsche, Peter C

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Chronic pulmonary infection in cystic fibrosis results in progressive lung damage. Once colonisation of the lungs with Pseudomonas aeruginosa occurs, it is almost impossible to eradicate. Vaccines, aimed at reducing infection with Pseudomonas aeruginosa, have been developed. This is an update of a previously published review.OBJECTIVES: To assess the effectiveness of vaccination against Pseudomonas aeruginosa in cystic fibrosis.SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register using the terms vaccines AND pseudomonas (last search 30 March 2015). We previously searched PubMed using the terms vaccin* AND cystic fibrosis (last search 30 May 2013).SELECTION CRITERIA: Randomised trials (published or unpublished) comparing Pseudomonas aeruginosa vaccines (oral, parenteral or intranasal) with control vaccines or no intervention in cystic fibrosis.DATA COLLECTION AND ANALYSIS: The authors independently selected trials, assessed them and extracted data.MAIN RESULTS: Six trials were identified. Two trials were excluded since they were not randomised and one old, small trial because it was not possible to assess whether is was randomised. The three included trials comprised 483, 476 and 37 patients, respectively. No data have been published from one of the large trials, but the company stated in a press release that the trial failed to confirm the results from an earlier study and that further clinical development was suspended. In the other large trial, relative risk for chronic infection was 0.91 (95% confidence interval 0.55 to 1.49), and in the small trial, the risk was also close to one. In the large trial, one patient was reported to have died in the observation period. In that trial, 227 adverse events (4 severe) were registered in the vaccine group and 91 (1 severe) in the control group. In this large trial of a vaccine developed against flagella antigens, antibody titres against the epitopes contained in the vaccine were higher in the vaccine group compared to the placebo group (P < 0.0001).AUTHORS' CONCLUSIONS: Vaccines against Pseudomonas aeruginosa cannot be recommended.

AB - BACKGROUND: Chronic pulmonary infection in cystic fibrosis results in progressive lung damage. Once colonisation of the lungs with Pseudomonas aeruginosa occurs, it is almost impossible to eradicate. Vaccines, aimed at reducing infection with Pseudomonas aeruginosa, have been developed. This is an update of a previously published review.OBJECTIVES: To assess the effectiveness of vaccination against Pseudomonas aeruginosa in cystic fibrosis.SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register using the terms vaccines AND pseudomonas (last search 30 March 2015). We previously searched PubMed using the terms vaccin* AND cystic fibrosis (last search 30 May 2013).SELECTION CRITERIA: Randomised trials (published or unpublished) comparing Pseudomonas aeruginosa vaccines (oral, parenteral or intranasal) with control vaccines or no intervention in cystic fibrosis.DATA COLLECTION AND ANALYSIS: The authors independently selected trials, assessed them and extracted data.MAIN RESULTS: Six trials were identified. Two trials were excluded since they were not randomised and one old, small trial because it was not possible to assess whether is was randomised. The three included trials comprised 483, 476 and 37 patients, respectively. No data have been published from one of the large trials, but the company stated in a press release that the trial failed to confirm the results from an earlier study and that further clinical development was suspended. In the other large trial, relative risk for chronic infection was 0.91 (95% confidence interval 0.55 to 1.49), and in the small trial, the risk was also close to one. In the large trial, one patient was reported to have died in the observation period. In that trial, 227 adverse events (4 severe) were registered in the vaccine group and 91 (1 severe) in the control group. In this large trial of a vaccine developed against flagella antigens, antibody titres against the epitopes contained in the vaccine were higher in the vaccine group compared to the placebo group (P < 0.0001).AUTHORS' CONCLUSIONS: Vaccines against Pseudomonas aeruginosa cannot be recommended.

KW - Cystic Fibrosis

KW - Humans

KW - Pseudomonas Infections

KW - Pseudomonas Vaccines

KW - Pseudomonas aeruginosa

KW - Randomized Controlled Trials as Topic

U2 - 10.1002/14651858.CD001399.pub4

DO - 10.1002/14651858.CD001399.pub4

M3 - Review

C2 - 26298311

VL - 2015

SP - 1

EP - 19

JO - Cochrane Database of Systematic Reviews

JF - Cochrane Database of Systematic Reviews

SN - 1361-6137

IS - 8

M1 - CD001399

ER -

ID: 161658229