Humoral response and safety of the BNT162b2 and mRNA-1273 COVID-19 vaccines in allogeneic hematopoietic stem cell transplant recipients : An observational study

Copyright © 2022 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved..

BACKGROUND: The effectiveness of mRNA COVID-19 vaccines and the optimal timing of vaccine administration in allogeneic hematopoietic stem cell transplantation (Allo-HSCT) recipients remains inadequately investigated. We examine the effectiveness and safety of mRNA COVID-19 vaccines in allo-HSCT recipients.

METHOD: This prospective observational study included 44 allo-HSCT recipients and 38 healthy volunteers. The proportion of subjects acquiring anti-S1 IgG antibodies were considered as the primary endpoint. The occurrence of adverse events after vaccination and objective deterioration of chronic graft-versus-host disease (GVHD) were defined as secondary endpoints. In addition, we compared the geometric mean titers (GMT) of anti-S1 antibody titers in subgroups based on time interval between transplantation and vaccination.

RESULTS: A humoral response to the vaccine was evident in 40 (91%) patients and all 38 healthy controls. The GMT of anti-S1 titers in patients and healthy controls were 277 (95% confidence interval [CI]: 120-643) BAU/mL and 532 (95% CI 400-708) BAU/mL, respectively. (p = 0.603). A short time interval between transplantation and vaccination (≤6 months) was associated with low anti-S1 IgG antibody titers. No serious adverse events and deterioration of chronic GVHD were observed. Only one case of new development of mild chronic GVHD was recorded.

CONCLUSION: Messenger RNA COVID-19 vaccines induce humoral responses in allo-HSCT recipients and can be administered safely.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy - 29(2023), 3 vom: 15. März, Seite 274-280

Sprache:

Englisch

Beteiligte Personen:

Nishikubo, Masashi [VerfasserIn]
Shimomura, Yoshimitsu [VerfasserIn]
Maruoka, Hayato [VerfasserIn]
Nasu, Seiko [VerfasserIn]
Nishioka, Tomomi [VerfasserIn]
Sakizono, Kenji [VerfasserIn]
Mitsuyuki, Satoshi [VerfasserIn]
Kubo, Tomoyo [VerfasserIn]
Okada, Naoki [VerfasserIn]
Nakagawa, Daishi [VerfasserIn]
Kamijo, Kimimori [VerfasserIn]
Imoto, Hiroharu [VerfasserIn]
Yamamoto, Ryusuke [VerfasserIn]
Nagai, Yuya [VerfasserIn]
Hiramoto, Nobuhiro [VerfasserIn]
Yoshioka, Satoshi [VerfasserIn]
Yonetani, Noboru [VerfasserIn]
Matsushita, Akiko [VerfasserIn]
Miyakoshi, Chisato [VerfasserIn]
Doi, Asako [VerfasserIn]
Ishikawa, Takayuki [VerfasserIn]

Links:

Volltext

Themen:

2019-nCoV Vaccine mRNA-1273
Allogeneic
Antibodies, Viral
BNT162 Vaccine
COVID-19
COVID-19 Vaccines
EPK39PL4R4
Journal Article
Observational Study
RNA, Messenger
SARS-CoV-2
Transplantation
Vaccine

Anmerkungen:

Date Completed 31.01.2023

Date Revised 02.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jiac.2022.11.010

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349556954