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  1. Article: Deep learning-assisted diagnosis of femoral trochlear dysplasia based on magnetic resonance imaging measurements.

    Xu, Sheng-Ming / Dong, Dong / Li, Wei / Bai, Tian / Zhu, Ming-Zhu / Gu, Gui-Shan

    World journal of clinical cases

    2023  Volume 11, Issue 7, Page(s) 1477–1487

    Abstract: Background: Femoral trochlear dysplasia (FTD) is an important risk factor for patellar instability. Dejour classification is widely used at present and relies on standard lateral X-rays, which are not common in clinical work. Therefore, magnetic ... ...

    Abstract Background: Femoral trochlear dysplasia (FTD) is an important risk factor for patellar instability. Dejour classification is widely used at present and relies on standard lateral X-rays, which are not common in clinical work. Therefore, magnetic resonance imaging (MRI) has become the first choice for the diagnosis of FTD. However, manually measuring is tedious, time-consuming, and easily produces great variability.
    Aim: To use artificial intelligence (AI) to assist diagnosing FTD on MRI images and to evaluate its reliability.
    Methods: We searched 464 knee MRI cases between January 2019 and December 2020, including FTD (
    Results: The accuracy, sensitivity, specificity, positive predictive value and negative predictive value of the AI model ranged from 0.74-0.96. All values were superior to junior doctors and intermediate doctors, similar to senior doctors. However, diagnostic time was much lower than that of junior doctors and intermediate doctors.
    Conclusion: The diagnosis of FTD on knee MRI can be aided by AI and can be achieved with a high level of accuracy.
    Language English
    Publishing date 2023-03-12
    Publishing country United States
    Document type Journal Article
    ISSN 2307-8960
    ISSN 2307-8960
    DOI 10.12998/wjcc.v11.i7.1477
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pallamins A-C, ent-labdane and pallavicinin based dimers from the Chinese liverwort Pallavicinia ambigua (mitt.) stephani.

    Li, Yi / Li, Xiao-Bin / Zhou, Jin-Chuan / Xu, Ze-Jun / Zhu, Ming-Zhu / Zong, Yan / Zhang, Jiao-Zhen / Han, Jing-Jing / Tang, Ya-Jie / Lou, Hong-Xiang

    Phytochemistry

    2023  Volume 212, Page(s) 113702

    Abstract: Three unprecedented ent-labdane and pallavicinin based dimers pallamins A-C formed via [4 + 2] Diels-Alder cycloaddition, together with eight biosynthetically related monomers were isolated from Pallavicinia ambigua. Their structures were determined by ... ...

    Abstract Three unprecedented ent-labdane and pallavicinin based dimers pallamins A-C formed via [4 + 2] Diels-Alder cycloaddition, together with eight biosynthetically related monomers were isolated from Pallavicinia ambigua. Their structures were determined by the extensive analysis of HRESIMS and NMR spectra. The absolute configurations of the labdane dimers were determined by single crystal X-ray diffraction of the homologous labdane units, and
    MeSH term(s) Animals ; Diterpenes/pharmacology ; Diterpenes/chemistry ; Hepatophyta/chemistry ; Molecular Structure ; Zebrafish ; China
    Chemical Substances Diterpenes ; labdane ; pallavicinin (156250-64-5)
    Language English
    Publishing date 2023-05-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 208884-8
    ISSN 1873-3700 ; 0031-9422
    ISSN (online) 1873-3700
    ISSN 0031-9422
    DOI 10.1016/j.phytochem.2023.113702
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  3. Article ; Online: Ent-eudesmane sesquiterpenoids from the Chinese liverwort Chiloscyphus polyanthus.

    Zhu, Ming-Zhu / Li, Yi / Zhou, Jin-Chuan / Lv, Dong-Xue / Fu, Xiao-Jie / Liang, Zhen / Yuan, Shuang-Zhi / Han, Jing-Jing / Zhang, Jiao-Zhen / Xu, Ze-Jun / Chang, Wen-Qiang / Lou, Hong-Xiang

    Phytochemistry

    2023  Volume 214, Page(s) 113796

    Abstract: Seven previously undescribed ent-eudesmane sesquiterpenoids (1-7), as well as seven known analogs (8-14), were isolated from the Chinese liverwort Chiloscyphus polyanthus var. rivularis. Their structures were established based on comprehensive ... ...

    Abstract - Seven previously undescribed ent-eudesmane sesquiterpenoids (1-7), as well as seven known analogs (8-14), were isolated from the Chinese liverwort Chiloscyphus polyanthus var. rivularis. Their structures were established based on comprehensive spectroscopy analysis, electronic circular dichroism calculations, as well as biosynthetic considerations. The cytotoxicity against HepG2 (Human hepatocellular carcinomas) cancer cell line, and antifungal activity against Candida albicans SC5314 of all isolated ent-eudesmane sesquiterpenoids were preliminarily tested, results showed that the tested compounds did not display obvious cytotoxicity and antifungal activities under the tested concentration.
    MeSH term(s) Antifungal Agents/pharmacology ; Antifungal Agents/chemistry ; China ; Hepatophyta/chemistry ; Molecular Structure ; Sesquiterpenes/chemistry ; Sesquiterpenes, Eudesmane/pharmacology ; Sesquiterpenes, Eudesmane/chemistry ; Hep G2 Cells/drug effects ; Humans ; Antineoplastic Agents/chemistry ; Antineoplastic Agents/pharmacology
    Chemical Substances Antifungal Agents ; eudesmane (473-11-0) ; Sesquiterpenes ; Sesquiterpenes, Eudesmane ; Antineoplastic Agents
    Language English
    Publishing date 2023-07-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 208884-8
    ISSN 1873-3700 ; 0031-9422
    ISSN (online) 1873-3700
    ISSN 0031-9422
    DOI 10.1016/j.phytochem.2023.113796
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  4. Article ; Online: Pallamins A–C, ent-labdane and pallavicinin based dimers from the Chinese liverwort Pallavicinia ambigua (mitt.) stephani

    Li, Yi / Li, Xiao-Bin / Zhou, Jin-Chuan / Xu, Ze-Jun / Zhu, Ming-Zhu / Zong, Yan / Zhang, Jiao-Zhen / Han, Jing-Jing / Tang, Ya-Jie / Lou, Hong-Xiang

    Phytochemistry. 2023 Aug., v. 212 p.113702-

    2023  

    Abstract: Three unprecedented ent-labdane and pallavicinin based dimers pallamins A–C formed via [4 + 2] Diels-Alder cycloaddition, together with eight biosynthetically related monomers were isolated from Pallavicinia ambigua. Their structures were determined by ... ...

    Abstract Three unprecedented ent-labdane and pallavicinin based dimers pallamins A–C formed via [4 + 2] Diels-Alder cycloaddition, together with eight biosynthetically related monomers were isolated from Pallavicinia ambigua. Their structures were determined by the extensive analysis of HRESIMS and NMR spectra. The absolute configurations of the labdane dimers were determined by single crystal X-ray diffraction of the homologous labdane units, and ¹³C NMR and ECD calculations. Moreover, a preliminary evaluation of the anti-inflammatory activities of the isolated compounds was performed using the zebrafish model. Three of the monomers demonstrated significant anti-inflammatory activity.
    Keywords Danio rerio ; X-ray diffraction ; anti-inflammatory activity ; cycloaddition reactions ; labdane ; models ; mosses and liverworts ; plant biochemistry ; Pallavicinia ambigua ; Pallaviciniaceae ; Diterpene dimers ; [4 + 2] diels-alder cycloaddition ; Theoretical calculations
    Language English
    Dates of publication 2023-08
    Publishing place Elsevier Ltd
    Document type Article ; Online
    ZDB-ID 208884-8
    ISSN 1873-3700 ; 0031-9422
    ISSN (online) 1873-3700
    ISSN 0031-9422
    DOI 10.1016/j.phytochem.2023.113702
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  5. Article ; Online: Photoredox-Catalyzed Cascade Reactions Involving Aryl Radical: Total Synthesis of (±)-Norascyronone A and (±)-Eudesmol.

    Xu, Ze-Jun / Liu, Xu-Yuan / Zhu, Ming-Zhu / Xu, Yu-Liang / Yu, Yue / Xu, Hai-Ruo / Cheng, Ai-Xia / Lou, Hong-Xiang

    Organic letters

    2021  Volume 23, Issue 23, Page(s) 9073–9077

    Abstract: Herein, we have developed two types of photoredox-catalyzed cascade reactions using diaryliodonium salts for the concise synthesis of norascyronone A and β-eudesmol. A rationally designed photoredox-catalyzed arylation/cyclization/Friedel-Crafts cascade ... ...

    Abstract Herein, we have developed two types of photoredox-catalyzed cascade reactions using diaryliodonium salts for the concise synthesis of norascyronone A and β-eudesmol. A rationally designed photoredox-catalyzed arylation/cyclization/Friedel-Crafts cascade reaction of enone was exploited to generate the norascyronone polycyclic skeleton. A visible-light-induced radical cyclization/acyloxy-migration reaction was explored to forge the decalin skeleton of eudesmol, and mechanistic studies indicated the reaction was initiated by one-electron oxidation of the enol ester.
    Language English
    Publishing date 2021-11-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1523-7052
    ISSN (online) 1523-7052
    DOI 10.1021/acs.orglett.1c03319
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  6. Article: Photoredox-Catalyzed Cascade Reactions Involving Aryl Radical: Total Synthesis of (±)-Norascyronone A and (±)-Eudesmol

    Xu, Ze-Jun / Liu, Xu-Yuan / Zhu, Ming-Zhu / Xu, Yu-Liang / Yu, Yue / Xu, Hai-Ruo / Cheng, Ai-Xia / Lou, Hong-Xiang

    Organic letters. 2021 Nov. 19, v. 23, no. 23

    2021  

    Abstract: Herein, we have developed two types of photoredox-catalyzed cascade reactions using diaryliodonium salts for the concise synthesis of norascyronone A and β-eudesmol. A rationally designed photoredox-catalyzed arylation/cyclization/Friedel–Crafts cascade ... ...

    Abstract Herein, we have developed two types of photoredox-catalyzed cascade reactions using diaryliodonium salts for the concise synthesis of norascyronone A and β-eudesmol. A rationally designed photoredox-catalyzed arylation/cyclization/Friedel–Crafts cascade reaction of enone was exploited to generate the norascyronone polycyclic skeleton. A visible-light-induced radical cyclization/acyloxy-migration reaction was explored to forge the decalin skeleton of eudesmol, and mechanistic studies indicated the reaction was initiated by one-electron oxidation of the enol ester.
    Keywords arylation ; chemical structure ; enols ; oxidation
    Language English
    Dates of publication 2021-1119
    Size p. 9073-9077.
    Publishing place American Chemical Society
    Document type Article
    ISSN 1523-7052
    DOI 10.1021/acs.orglett.1c03319
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  7. Article ; Online: Unprecedented 4,9-Seco-Oplopanane and Seven Drimane Sesquiterpenoids from the Chinese Liverwort Lejeunea flava (Sw.) Nees.

    Zhu, Ming-Zhu / Li, Yi / Zhou, Jin-Chuan / Wang, Tian / Qian, Li-Lin / Zhang, Jiao-Zhen / Han, Jing-Jing / Xu, Ze-Jun / Shen, Tao / Lou, Hong-Xiang

    Chemistry & biodiversity

    2022  Volume 19, Issue 9, Page(s) e202200559

    Abstract: An unprecedented 4,9-seco-oplopanane (1), two undescribed drimane epimers (2 and 3), and five known drimane sesquiterpenoids (4-8) were isolated from the Chinese liverwort Lejeunea flava (Sw.) Nees. The structures of the new sesquiterpenoids were ... ...

    Abstract An unprecedented 4,9-seco-oplopanane (1), two undescribed drimane epimers (2 and 3), and five known drimane sesquiterpenoids (4-8) were isolated from the Chinese liverwort Lejeunea flava (Sw.) Nees. The structures of the new sesquiterpenoids were determined using nuclear magnetic resonance spectroscopy, electronic circular dichroism calculations, and single-crystal X-ray diffraction measurements. The inhibitory capacity of the new compounds against nitric oxide production in lipopolysaccharide-induced RAW 264.7 murine macrophages, along with the cytotoxicity of the new compounds against A549 and HepG-2 human cancer cell lines, were discussed.
    MeSH term(s) Anemone ; Animals ; China ; Hepatophyta/chemistry ; Humans ; Lipopolysaccharides/pharmacology ; Mice ; Molecular Structure ; Nitric Oxide ; Polycyclic Sesquiterpenes ; Sesquiterpenes/chemistry ; Sesquiterpenes/pharmacology
    Chemical Substances Lipopolysaccharides ; Polycyclic Sesquiterpenes ; Sesquiterpenes ; drimane ; Nitric Oxide (31C4KY9ESH)
    Language English
    Publishing date 2022-08-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2139001-0
    ISSN 1612-1880 ; 1612-1872
    ISSN (online) 1612-1880
    ISSN 1612-1872
    DOI 10.1002/cbdv.202200559
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  8. Article: [Biosynthetic pathways of Polygonatum cyrtonema polysaccharide and diosgenin based on its transcriptomic data].

    Zhu, Ming-Zhu / Yu, Nian-Jun / Wang, Qiu-Li / Zhou, An / Gu, Xiao / Han, Rong-Chun / Tong, Xiao-Hui / Peng, Dai-Yin

    Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica

    2020  Volume 45, Issue 1, Page(s) 85–91

    Abstract: Polygonatum cyrtonema belongs to the plant family Liliaceae, and its dried rhizome is one of the sources of Chinese traditional medicine of Polygonati Rhizoma. It possesses the dual function as both medicine and food. Its main chemical components are ... ...

    Abstract Polygonatum cyrtonema belongs to the plant family Liliaceae, and its dried rhizome is one of the sources of Chinese traditional medicine of Polygonati Rhizoma. It possesses the dual function as both medicine and food. Its main chemical components are polysaccharides and saponins. In order to understand the biosynthesis pathway of polysaccharides and diosgenin in P. cyrtonema, the corresponding transcriptomic data were obtained by extracting and sequencing the RNA of four parts of P. cyrtonema, namely, leaves, stems, rhizomes and roots. By adopting BGISEQ-500 sequencing platform, 42.03 Gb data were retrieved. Subsequently, the de novo assembly was carried out by Trinity software to obtain 137 233 transcripts, of which 68.13% of unigenes were annotated in seven databases including KEGG, GO, NR, NT, SwissProt, Pfam and KOG. Transcripts that may be involved in the biosynthesis of polysaccharides and diosgenin were analyzed by data mining. With help of qPCR, we validated expression data of four genes that were possibly involved in the biosynthesis of target metabolites. This experiment provides data for the study of biosynthetic pathways of P. cyrtonema secondary metabolites and the clarification of related structural gene functions.
    MeSH term(s) Biosynthetic Pathways ; Diosgenin/metabolism ; Gene Expression Profiling ; Phytochemicals/biosynthesis ; Polygonatum/genetics ; Polygonatum/metabolism ; Polysaccharides/biosynthesis ; Transcriptome
    Chemical Substances Phytochemicals ; Polysaccharides ; Diosgenin (K49P2K8WLX)
    Language Chinese
    Publishing date 2020-04-01
    Publishing country China
    Document type Journal Article
    ZDB-ID 1004649-5
    ISSN 1001-5302 ; 0254-0029
    ISSN 1001-5302 ; 0254-0029
    DOI 10.19540/j.cnki.cjcmm.20191104.109
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  9. Article ; Online: A Phase 3, randomized, non-inferiority study of a heterologous booster dose of SARS CoV-2 recombinant spike protein vaccine in adults.

    Kulkarni, Prasad S / Gunale, Bhagwat / Kohli, Sunil / Lalwani, Sanjay / Tripathy, Srikanth / Kar, Sonali / Raut, Sidram / Kulkarni, Praveen / Apte, Aditi / Bavdekar, Ashish / Bhalla, Hira Lal / Plested, Joyce S / Cloney-Clark, Shane / Zhu, MingZhu / Kalkeri, Raj / Pryor, Melinda / Hamilton, Stephanie / Thakar, Madhuri / Sannidhi, Ranga S /
    Baranwal, Punjita / Bhamare, Chetanraj / Dharmadhikari, Abhijeet / Gupta, Manish / Poonawalla, Cyrus S / Shaligram, Umesh / Kapse, Dhananjay

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 16579

    Abstract: Due to waning immunity following primary immunization with COVID-19 vaccines, booster doses may be required. The present study assessed a heterologous booster of SII-NVX-CoV2373 (spike protein vaccine) in adults primed with viral vector and inactivated ... ...

    Abstract Due to waning immunity following primary immunization with COVID-19 vaccines, booster doses may be required. The present study assessed a heterologous booster of SII-NVX-CoV2373 (spike protein vaccine) in adults primed with viral vector and inactivated vaccines. In this Phase 3, observer-blind, randomized, active controlled study, a total of 372 adults primed with two doses of ChAdOx1 nCoV-19 (n = 186) or BBV152 (n = 186) at least six months ago, were randomized to receive a booster of SII-NVX-CoV2373 or control vaccine (homologous booster of ChAdOx1 nCoV-19 or BBV152). Anti-S IgG and neutralizing antibodies (nAbs) were assessed at days 1, 29, and 181. Non-inferiority (NI) of SII-NVX-CoV2373 to the control vaccine was assessed based on the ratio of geometric mean ELISA units (GMEU) of anti-S IgG and geometric mean titers (GMT) of nAbs (NI margin > 0.67) as well as seroresponse (≥ 2 fold-rise in titers) (NI margin -10%) at day 29. Safety was assessed throughout the study period. In both the ChAdOx1 nCoV-19 prime and BBV152 prime cohorts, 186 participants each received the study vaccines. In the ChAdOx1 nCoV-19 prime cohort, the GMEU ratio was 2.05 (95% CI 1.73, 2.43) and the GMT ratio was 1.89 (95% CI 1.55, 2.32) whereas the difference in the proportion of seroresponse was 49.32% (95% CI 36.49, 60.45) for anti-S IgG and 15% (95% CI 5.65, 25.05) for nAbs on day 29. In the BBV152 prime cohort, the GMEU ratio was 5.12 (95% CI 4.20, 6.24) and the GMT ratio was 4.80 (95% CI 3.76, 6.12) whereas the difference in the proportion of seroresponse was 74.08% (95% CI 63.24, 82.17) for anti-S IgG and 24.71% (95% CI 16.26, 34.62) for nAbs on day 29. The non-inferiority of SII-NVX-CoV2373 booster to the control vaccine for each prime cohort was met. SII-NVX-CoV2373 booster showed significantly higher immune responses than BBV152 homologous booster. On day 181, seroresponse rates were ≥ 70% in all the groups for both nAbs and anti-S IgG. Solicited adverse events reported were transient and mostly mild in severity in all the groups. No causally related SAE was reported. SII-NVX-CoV2373 as a heterologous booster induced non-inferior immune responses as compared to homologous boosters in adults primed with ChAdOx1 nCoV-19 and BBV152. SII-NVX-CoV2373 showed a numerically higher boosting effect than homologous boosters. The vaccine was also safe and well tolerated.
    MeSH term(s) Adult ; Humans ; COVID-19 Vaccines ; ChAdOx1 nCoV-19 ; Spike Glycoprotein, Coronavirus ; COVID-19/prevention & control ; Vaccines ; Antibodies, Neutralizing ; Immunoglobulin G ; Antibodies, Viral ; Immunogenicity, Vaccine
    Chemical Substances BBV152 COVID-19 vaccine (76JZE5DSN6) ; COVID-19 Vaccines ; ChAdOx1 nCoV-19 (B5S3K2V0G8) ; spike protein, SARS-CoV-2 ; Spike Glycoprotein, Coronavirus ; Vaccines ; Antibodies, Neutralizing ; Immunoglobulin G ; Antibodies, Viral
    Language English
    Publishing date 2023-10-03
    Publishing country England
    Document type Randomized Controlled Trial ; Clinical Trial, Phase III ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-43578-w
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  10. Article ; Online: Safety and Immunogenicity of SARS-CoV-2 Recombinant Spike Protein Vaccine in Children and Adolescents in India: A Phase 2-3 Randomized Clinical Trial.

    Gunale, Bhagwat / Kapse, Dhananjay / Kar, Sonali / Bavdekar, Ashish / Kohli, Sunil / Lalwani, Sanjay / Meshram, Sushant / Raut, Abhishek / Kulkarni, Praveen / Samuel, Clarence / Munshi, Renuka / Gupta, Madhu / Plested, Joyce S / Cloney-Clark, Shane / Zhu, MingZhu / Pryor, Melinda / Hamilton, Stephanie / Thakar, Madhuri / Shete, Ashwini /
    Dharmadhikari, Abhijeet / Bhamare, Chetanraj / Shaligram, Umesh / Poonawalla, Cyrus S / Mallory, Raburn M / Glenn, Gregory M / Kulkarni, Prasad S

    JAMA pediatrics

    2023  

    Abstract: Importance: The recombinant COVID-19 vaccine NVX-CoV2373 has demonstrated efficacy of approximately 90% in adults; however, its safety and efficacy in children is unknown.: Objective: To assess the noninferiority of SII-NVX-CoV2373 in children and ... ...

    Abstract Importance: The recombinant COVID-19 vaccine NVX-CoV2373 has demonstrated efficacy of approximately 90% in adults; however, its safety and efficacy in children is unknown.
    Objective: To assess the noninferiority of SII-NVX-CoV2373 in children and adolescents compared to adults and to evaluate its safety in comparison with placebo.
    Design, setting, and participants: This phase 2-3 observer-blind randomized clinical trial was conducted in 2 cohorts, children (aged 2 to 11 years) and adolescents (aged 12 to 17 years) between August 2021 and August 2022. Participants were randomized 3:1 to SII-NVX-CoV2373 or placebo and monitored for 179 days. The participants, study team, and laboratory staff were blinded. This was a multicenter study conducted across 10 tertiary care hospitals in India. Exclusion criteria included previous COVID-19 infection or vaccination, immunocompromised condition, and immunosuppressive medications.
    Interventions: Two doses of 0.5-mL SII-NVX-CoV2373 or placebo were administered intramuscularly on days 1 and 22.
    Main outcomes and measures: Primary outcomes were geometric mean titer ratio of both anti-spike (anti-S) IgG and neutralizing antibodies (NAbs) between both pediatric age groups to that of adults on day 36. Noninferiority was concluded if the lower bound of 95% CI of this ratio was greater than 0.67 for each age group. Both the antibodies were assessed for the index strain and for selected variants at various time points. Solicited adverse events (AEs) were recorded for 7 days after each vaccination, unsolicited AEs were recorded for 35 days, and serious AEs and AEs of special interest were recorded for 179 days.
    Results: A total of 460 children in each age cohort were randomized to receive vaccine or placebo. The mean (SD) age was 6.7 (2.7) years in the child cohort and 14.3 (1.6) years in the adolescent cohort; 231 participants (50.2%) in the child cohort and 218 in the adolescent cohort (47.4%) were female. Both anti-S IgG and NAb titers were markedly higher in the SII-NVX-CoV2373 group than in the placebo group on both day 36 and day 180. The geometric mean titer ratios compared to those in adults were 1.20 (95% CI, 1.08-1.34) and 1.52 (95% CI, 1.38-1.67) for anti-S IgG in adolescents and children, respectively; while for NAbs, they were 1.33 (95% CI, 1.17-1.50) and 1.93 (95% CI, 1.70-2.18) in adolescents and children, respectively, indicating noninferiority. SII-NVX-CoV2373 also showed immune responses against variants studied. Injection site reactions, fever, headache, malaise, and fatigue were common solicited AEs. There were no AEs of special interest and no causally related serious AEs.
    Conclusions and relevance: SII-NVX-CoV2373 was safe and well tolerated in children and adolescents in this study. The vaccine was highly immunogenic and may be used in pediatric vaccination against COVID-19.
    Trial registration: Clinical Trials Registry of India Identifier: CTRI/2021/02/031554.
    Language English
    Publishing date 2023-07-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2023.2552
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