Quantifying how single dose Ad26.COV2.S vaccine efficacy depends on Spike sequence features

© 2024. The Author(s)..

In the ENSEMBLE randomized, placebo-controlled phase 3 trial (NCT04505722), estimated single-dose Ad26.COV2.S vaccine efficacy (VE) was 56% against moderate to severe-critical COVID-19. SARS-CoV-2 Spike sequences were determined from 484 vaccine and 1,067 placebo recipients who acquired COVID-19. In this set of prespecified analyses, we show that in Latin America, VE was significantly lower against Lambda vs. Reference and against Lambda vs. non-Lambda [family-wise error rate (FWER) p < 0.05]. VE differed by residue match vs. mismatch to the vaccine-insert at 16 amino acid positions (4 FWER p < 0.05; 12 q-value ≤ 0.20); significantly decreased with physicochemical-weighted Hamming distance to the vaccine-strain sequence for Spike, receptor-binding domain, N-terminal domain, and S1 (FWER p < 0.001); differed (FWER ≤ 0.05) by distance to the vaccine strain measured by 9 antibody-epitope escape scores and 4 NTD neutralization-impacting features; and decreased (p = 0.011) with neutralization resistance level to vaccinee sera. VE against severe-critical COVID-19 was stable across most sequence features but lower against the most distant viruses.

Errataetall:

UpdateOf: Res Sq. 2023 May 31;:. - PMID 37398105

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Nature communications - 15(2024), 1 vom: 11. März, Seite 2175

Sprache:

Englisch

Beteiligte Personen:

Magaret, Craig A [VerfasserIn]
Li, Li [VerfasserIn]
deCamp, Allan C [VerfasserIn]
Rolland, Morgane [VerfasserIn]
Juraska, Michal [VerfasserIn]
Williamson, Brian D [VerfasserIn]
Ludwig, James [VerfasserIn]
Molitor, Cindy [VerfasserIn]
Benkeser, David [VerfasserIn]
Luedtke, Alex [VerfasserIn]
Simpkins, Brian [VerfasserIn]
Heng, Fei [VerfasserIn]
Sun, Yanqing [VerfasserIn]
Carpp, Lindsay N [VerfasserIn]
Bai, Hongjun [VerfasserIn]
Dearlove, Bethany L [VerfasserIn]
Giorgi, Elena E [VerfasserIn]
Jongeneelen, Mandy [VerfasserIn]
Brandenburg, Boerries [VerfasserIn]
McCallum, Matthew [VerfasserIn]
Bowen, John E [VerfasserIn]
Veesler, David [VerfasserIn]
Sadoff, Jerald [VerfasserIn]
Gray, Glenda E [VerfasserIn]
Roels, Sanne [VerfasserIn]
Vandebosch, An [VerfasserIn]
Stieh, Daniel J [VerfasserIn]
Le Gars, Mathieu [VerfasserIn]
Vingerhoets, Johan [VerfasserIn]
Grinsztejn, Beatriz [VerfasserIn]
Goepfert, Paul A [VerfasserIn]
de Sousa, Leonardo Paiva [VerfasserIn]
Silva, Mayara Secco Torres [VerfasserIn]
Casapia, Martin [VerfasserIn]
Losso, Marcelo H [VerfasserIn]
Little, Susan J [VerfasserIn]
Gaur, Aditya [VerfasserIn]
Bekker, Linda-Gail [VerfasserIn]
Garrett, Nigel [VerfasserIn]
Truyers, Carla [VerfasserIn]
Van Dromme, Ilse [VerfasserIn]
Swann, Edith [VerfasserIn]
Marovich, Mary A [VerfasserIn]
Follmann, Dean [VerfasserIn]
Neuzil, Kathleen M [VerfasserIn]
Corey, Lawrence [VerfasserIn]
Greninger, Alexander L [VerfasserIn]
Roychoudhury, Pavitra [VerfasserIn]
Hyrien, Ollivier [VerfasserIn]
Gilbert, Peter B [VerfasserIn]

Links:

Volltext

Themen:

Ad26COVS1
Amino Acids
Antibodies, Neutralizing
Antibodies, Viral
JT2NS6183B
Journal Article

Anmerkungen:

Date Completed 13.03.2024

Date Revised 25.03.2024

published: Electronic

UpdateOf: Res Sq. 2023 May 31;:. - PMID 37398105

Citation Status MEDLINE

doi:

10.1038/s41467-024-46536-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369573765