Analysis of immunization time, amplitude, and adverse events of seven different vaccines against SARS-CoV-2 across four different countries
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Abstract
Scarce information exists in relation to the comparison of seroconversion and adverse events following immunization (AEFI) with different SARS-CoV-2 vaccines. Our aim was to correlate the magnitude of the antibody response to vaccination with previous clinical conditions and AEFI.
Methods
A multicentric comparative study where SARS-CoV-2 spike 1-2 IgG antibodies IgG titers were measured at baseline, 21-28 days after the first and second dose (when applicable) of the following vaccines: BNT162b2 mRNA, mRNA-1273, Gam-COVID-Vac, Coronavac, ChAdOx1-S, Ad5-nCoV and Ad26.COV2. Mixed model and Poisson generalized linear models were performed.
Results
We recruited 1867 individuals [52 (SD 16.8) years old, 52% men]. All vaccines enhanced anti-S1 and anti-S2 IgG antibodies over time (p<0.01). The highest increase after the first and second dose was observed in mRNA-1273 (p<0.001). There was an effect of previous SARS-CoV-2 infection; and an interaction of age with previous SARS-CoV-2 infection, Gam-COVID-Vac and ChAdOx1-S (p<0.01). There was a negative correlation of Severe or Systemic AEFI (AEs) of naïve SARS-CoV-2 subjects with age and sex (p<0.001); a positive interaction between the delta of antibodies with Gam-COVID-Vac (p=0.002). Coronavac, Gam-COVID-Vac and ChAdOx1-S had less AEs compared to BNT162b (p<0.01). mRNA-1273 had the highest number of AEFIs. The delta of the antibodies showed an association with AEFIs in previously infected individuals (p<0.001).
Conclusions
The magnitude of seroconversion is predicted by age, vaccine type and SARS-CoV-2 exposure. AEs are correlated with age, sex, and vaccine type. The delta of the antibody response only correlates with AEs in patients previously exposed to SARS-CoV-2.
Registration number
ClinicalTrials.gov , identifier NCT05228912.
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SciScore for 10.1101/2022.03.11.22272153: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: The study was approved by each local Institutional Review Board and conducted per the Code of Ethics of the World Medical Association (Declaration of Helsinki) for experiments that involve humans.
Consent: On the vaccination day, the research team invited any subject who planned to receive any vaccine scheme, explained the project and asked to sign the informed consent.Sex as a biological variable The inclusion criteria were volunteers of both genders, any age, who consented to participate, planned to conclude the immunization regimen of any vaccine, and agreed to be followed up for the duration of the study. Randomization not detected. Blinding not detected. Power Analysis A sample size of … SciScore for 10.1101/2022.03.11.22272153: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: The study was approved by each local Institutional Review Board and conducted per the Code of Ethics of the World Medical Association (Declaration of Helsinki) for experiments that involve humans.
Consent: On the vaccination day, the research team invited any subject who planned to receive any vaccine scheme, explained the project and asked to sign the informed consent.Sex as a biological variable The inclusion criteria were volunteers of both genders, any age, who consented to participate, planned to conclude the immunization regimen of any vaccine, and agreed to be followed up for the duration of the study. Randomization not detected. Blinding not detected. Power Analysis A sample size of 1870 patients was calculated, according to the primary aim, by using a mixed model formula with an alpha of 0.05, power of 90%, the effect size of 0.15, and k=7. Table 2: Resources
Antibodies Sentences Resources To determine the amount of specific anti-S1 and anti-S2 IgG antibodies against SARS-CoV-2 in plasma samples, the laboratory personnel used a chemiluminescence immunoassay (CLIA) developed by DiaSorin, which had a sensitivity of 97.4% (95% CI, 86.8-99.5) and a specificity of 98.5% (95% CI, 97.5-99.2). 86.8-99.5suggested: (GenWay Biotech Inc. Cat# GWB-868995, RRID:AB_10516413)Anti-S1 and anti-S2 IgG antibodies against SARS-CoV-2 were measured at baseline, 21-28 days post-first dose (S1), and 21-28 days post-second dose if applicable. Anti-S1suggested: Noneanti-S2 IgGsuggested: NoneSARS-CoV-2suggested: NoneSoftware and Algorithms Sentences Resources 4.0.3 and Python v. 3.8.3. Pythonsuggested: (IPython, RRID:SCR_001658)Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:As a limitation of our study, we recognize that we had a small sample size in some vaccine groups such as Ad5-nCoV; however, to the best of our knowledge, there is no other study where this type of vaccine has been compared to other types of vaccines in a real-world setting. It will be of interest to follow the IgG titers for a longer period and to evaluate the effect of heterologous combinations of these vaccines. This comparative study of vaccine types shows positive immunogenicity and seroconversion of BNT162b2 mRNA, mRNA-1273, Gam-COVID-Vac, Coronavac, ChAdOx1-S, Ad5-nCoV, and Ad26.COV2. The highest IgG response was for the mRNA vector vaccines and the lower for the inactivated vaccine. Women and young individuals developed more AEs. In the naïve SARS-CoV-2 cohort, the vaccines Gam-COVID-Vac, Coronavac, and ChAdOx1-S were related to fewer AEs after the second dose of BNT162b mRNA. For patients who received Gam-COVID-Vac, higher antibody levels after the second dose were related to a greater number of AEs. In people previously exposed to SARS-CoV-2, those receiving Gam-COVID-Vac showed a greater number of AEs than BNT162b mRNA, while subjects receiving Coronavac showed significantly fewer events when compared to BNT162b mRNA. In general, an increase in antibody levels was related to AEs.
Results from TrialIdentifier: We found the following clinical trial numbers in your paper:
Identifier Status Title NCT05228912 Recruiting Immunization of 7 Different Vaccines Against SARS-COV-2 Acro… Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
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Results from scite Reference Check: We found no unreliable references.
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