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  1. Article ; Online: Slow Waning of Antibodies Following BNT162b2 as a Third Dose in Adults Who Had Previously Received 2 Doses of Inactivated Vaccine.

    Cowling, Benjamin J / Cheng, Samuel M S / Martín-Sánchez, Mario / Au, Niki Y M / Chan, Karl C K / Li, John K C / Fung, Lison W C / Luk, Leo L H / Tsang, Leo C H / Ip, Dennis K M / Poon, Leo L M / Leung, Gabriel M / Peiris, J S Malik / Leung, Nancy H L

    The Journal of infectious diseases

    2022  Volume 227, Issue 2, Page(s) 251–255

    Abstract: We administered BNT162b2 as a third dose to 314 adults aged ≥30 years who had previously received 2 doses of inactivated vaccine. We collected blood samples before the third dose and again after 1 month and 6 months, and found robust antibody responses ... ...

    Abstract We administered BNT162b2 as a third dose to 314 adults aged ≥30 years who had previously received 2 doses of inactivated vaccine. We collected blood samples before the third dose and again after 1 month and 6 months, and found robust antibody responses to the ancestral strain at 6 months after receipt of BNT162b2. Antibody responses to Omicron BA.2 by live virus neutralization were weaker after the third dose and had declined to a low level by 6 months.
    MeSH term(s) Adult ; Humans ; BNT162 Vaccine ; Vaccines, Inactivated ; Antibodies ; Antibodies, Viral
    Chemical Substances BNT162 Vaccine ; Vaccines, Inactivated ; Antibodies ; Antibodies, Viral
    Language English
    Publishing date 2022-09-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jiac380
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Immunogenicity of a Third Dose of BNT162b2 to Ancestral Severe Acute Respiratory Syndrome Coronavirus 2 and the Omicron Variant in Adults Who Received 2 Doses of Inactivated Vaccine.

    Leung, Nancy H L / Cheng, Samuel M S / Martín-Sánchez, Mario / Au, Niki Y M / Ng, Yvonne Y / Luk, Leo L H / Chan, Karl C K / Li, John K C / Leung, Yonna W Y / Tsang, Leo C H / Chaothai, Sara / Kwan, Kelvin K H / Ip, Dennis K M / Poon, Leo L M / Leung, Gabriel M / Peiris, J S Malik / Cowling, Benjamin J

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2022  Volume 76, Issue 3, Page(s) e299–e307

    Abstract: Background: Limited data exist on antibody responses to mixed vaccination strategies that involve inactivated coronavirus disease 2019 (COVID-19) vaccines, particularly in the context of emerging variants.: Methods: We conducted an open-label trial ... ...

    Abstract Background: Limited data exist on antibody responses to mixed vaccination strategies that involve inactivated coronavirus disease 2019 (COVID-19) vaccines, particularly in the context of emerging variants.
    Methods: We conducted an open-label trial of a third vaccine dose of a messenger RNA (mRNA) vaccine (BNT162b2, Fosun Pharma/BioNTech) in adults aged ≥30 years who had previously received 2 doses of inactivated COVID-19 vaccine. We collected blood samples before administering the third dose and 28 days later and tested for antibodies to the ancestral virus using a binding assay (enzyme-linked immunosorbent assay [ELISA]), a surrogate virus neutralization test (sVNT), and a live virus plaque reduction neutralization test (PRNT). We also tested for antibodies against the Omicron variant using live-virus PRNT.
    Results: In 315 participants, a third dose of BNT162b2 substantially increased antibody titers on each assay. Mean ELISA levels increased from an optical density of 0.3 to 2.2 (P < .001), and mean sVNT levels increased from an inhibition of 17% to 96% (P < .001). In a random subset of 20 participants, the geometric mean PRNT50 titers rose substantially, by 45-fold from day 0 to day 28 against the ancestral virus (P < .001) and by 11-fold against the Omicron variant (P < .001). In daily monitoring, post-vaccination reactions subsided within 7 days for more than 99% of participants.
    Conclusions: A third dose of COVID-19 vaccine with an mRNA vaccine substantially improved antibody levels against the ancestral virus and the Omicron variant with a well-tolerated safety profile in adults who had received 2 doses of inactivated vaccine 6 months earlier.
    Clinical trials registration: NCT05057182.
    MeSH term(s) Adult ; Humans ; Antibodies, Neutralizing ; Antibodies, Viral ; BNT162 Vaccine ; COVID-19/prevention & control ; COVID-19 Vaccines ; Immunogenicity, Vaccine ; RNA, Messenger ; SARS-CoV-2 ; Vaccines, Inactivated
    Chemical Substances Antibodies, Neutralizing ; Antibodies, Viral ; BNT162 Vaccine ; COVID-19 Vaccines ; RNA, Messenger ; Vaccines, Inactivated
    Language English
    Publishing date 2022-06-06
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciac458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Comparative antibody and cell-mediated immune responses, reactogenicity, and efficacy of homologous and heterologous boosting with CoronaVac and BNT162b2 (Cobovax): an open-label, randomised trial.

    Leung, Nancy H L / Cheng, Samuel M S / Cohen, Carolyn A / Martín-Sánchez, Mario / Au, Niki Y M / Luk, Leo L H / Tsang, Leo C H / Kwan, Kelvin K H / Chaothai, Sara / Fung, Lison W C / Cheung, Alan W L / Chan, Karl C K / Li, John K C / Ng, Yvonne Y / Kaewpreedee, Prathanporn / Jia, Janice Z / Ip, Dennis K M / Poon, Leo L M / Leung, Gabriel M /
    Peiris, J S Malik / Valkenburg, Sophie A / Cowling, Benjamin J

    The Lancet. Microbe

    2023  Volume 4, Issue 9, Page(s) e670–e682

    Abstract: Background: Few trials have compared homologous and heterologous third doses of COVID-19 vaccination with inactivated vaccines and mRNA vaccines. The aim of this study was to assess immune responses, safety, and efficacy against SARS-CoV-2 infection ... ...

    Abstract Background: Few trials have compared homologous and heterologous third doses of COVID-19 vaccination with inactivated vaccines and mRNA vaccines. The aim of this study was to assess immune responses, safety, and efficacy against SARS-CoV-2 infection following homologous or heterologous third-dose COVID-19 vaccination with either one dose of CoronaVac (Sinovac Biotech; inactivated vaccine) or BNT162b2 (Fosun Pharma-BioNTech; mRNA vaccine).
    Methods: This is an ongoing, randomised, allocation-concealed, open-label, comparator-controlled trial in adults aged 18 years or older enrolled from the community in Hong Kong, who had received two doses of CoronaVac or BNT162b2 at least 6 months earlier. Participants were randomly assigned, using a computer-generated sequence, in a 1:1 ratio with allocation concealment to receive a (third) dose of CoronaVac or BNT162b2 (ancestral virus strain), stratified by types of previous COVID-19 vaccination (homologous two doses of CoronaVac or BNT162b2). Participants were unmasked to group allocation after vaccination. The primary endpoint was serum neutralising antibodies against the ancestral virus at day 28 after vaccination in each group, measured as plaque reduction neutralisation test (PRNT
    Findings: We enrolled participants from Nov 12, 2021, to Jan 27, 2022. We vaccinated 219 participants who previously received two doses of CoronaVac, including 101 randomly assigned to receive CoronaVac (CC-C) and 118 randomly assigned to receive BNT162b2 (CC-B) as their third dose; and 232 participants who previously received two doses of BNT162b2, including 118 randomly assigned to receive CoronaVac (BB-C) and 114 randomly assigned to receive BNT162b2 (BB-B) as their third dose. The PRNT
    Interpretation: Similar levels of incidence of, presumably, omicron BA.2 infections were observed in each group despite very weak antibody responses to BA.2 in the recipients of a CoronaVac third dose. Further research is warranted to identify appropriate correlates of protection for inactivated COVID-19 vaccines.
    Funding: Health and Medical Research Fund, Hong Kong.
    Translation: For the Chinese translation of the abstract see Supplementary Materials section.
    MeSH term(s) Adult ; Humans ; COVID-19 Vaccines/adverse effects ; BNT162 Vaccine ; COVID-19/prevention & control ; SARS-CoV-2 ; Antibodies ; Immunity
    Chemical Substances sinovac COVID-19 vaccine ; COVID-19 Vaccines ; BNT162 Vaccine ; Antibodies
    Language English
    Publishing date 2023-08-04
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ISSN 2666-5247
    ISSN (online) 2666-5247
    DOI 10.1016/S2666-5247(23)00216-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: BNT162b2 vaccine boosts neutralizing antibodies to ancestral SARS-CoV-2 & Omicron variant in adults who previously received two doses of inactivated vaccine

    Leung, Nancy H. L. / Cheng, Samuel M. S. / Martin-Sanchez, Mario / Au, Niki Y. M. / Ng, Yvonne Y. / Luk, Leo L. H. / Chan, Karl C. K. / Li, John K. C. / Leung, Yonna W. Y. / Tsang, Leo C. H. / Chaothai, Sara / Kwan, Kelvin K. H. / Ip, Dennis K. M. / Poon, Leo L. M. / Leung, Gabriel M. / Peiris, Malik / Cowling, Benjamin J.

    medRxiv

    Abstract: Limited data exist on antibody responses to mixed vaccination strategies involving inactivated COVID-19 vaccines, particularly in the context of emerging variants. We conducted an open label trial and administered a third vaccine dose of an mRNA vaccine ( ...

    Abstract Limited data exist on antibody responses to mixed vaccination strategies involving inactivated COVID-19 vaccines, particularly in the context of emerging variants. We conducted an open label trial and administered a third vaccine dose of an mRNA vaccine (BNT162b2, BioNTech/Fosun Pharma) in adults aged ≥30 years who had previously received two doses of an inactivated COVID-19 vaccine. We collected blood samples prior to administering the third dose and 28 days later, and tested for antibodies to the ancestral virus using a binding assay (ELISA), a surrogate virus neutralization test (sVNT) and a live virus plaque reduction neutralization test (PRNT), and to the Omicron variant using PRNT. A third dose of BNT162b2 substantially increased antibody titers on each assay. Mean ELISA levels increased from an optical density (OD) of 0.3 to 2.1 (p<0.01), and mean sVNT levels increased from an inhibition of 17% to 96% (p<0.01). In a random subset of 20 participants, the geometric mean PRNT50 titers rose very substantially by at least 27 fold from Day 0 to Day 28 against the ancestral virus (p<0.01) and rose by at least 14 fold against the Omicron variant (p<0.01). In daily monitoring, post-vaccination reactions subsided within 7 days for over 99% of participants. In conclusion, a third dose of COVID-19 vaccination with an mRNA vaccine substantially improved antibody levels against the ancestral virus and against the Omicron variant with well-tolerated safety profile, in adults who had received two doses of inactivated vaccine 6 months earlier.
    Keywords covid19
    Language English
    Publishing date 2022-01-21
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2022.01.20.22269586
    Database COVID19

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  5. Article ; Online: Homologous and heterologous boosting with CoronaVac and BNT162b2: a randomized trial (the Cobovax study)

    Leung, Nancy H. L. / Cheng, Samuel M. S. / Cohen, Carolyn A. / Martín-Sánchez, Mario / Au, Niki Y. M. / Luk, Leo L. H. / Tsang, Leo C. H. / Kwan, Kelvin K. H. / Chaothai, Sara / Fung, Lison W. C. / Cheung, Alan W. L. / Chan, Karl C. K. / Li, John K. C. / Ng, Yvonne Y. / Kaewpreedee, Prathanporn / Jia, Janice Z. / Ip, Dennis K. M. / Poon, Leo L. M. / Leung, Gabriel M. /
    Peiris, J. S. Malik / Valkenburg, Sophie A. / Cowling, Benjamin J.

    medRxiv

    Abstract: Background: There are few trials comparing homologous and heterologous third doses of COVID-19 vaccination with inactivated vaccines and mRNA vaccines. Methods: We conducted an open-label randomized trial in adults >=18 years of age who received two ... ...

    Abstract Background: There are few trials comparing homologous and heterologous third doses of COVID-19 vaccination with inactivated vaccines and mRNA vaccines. Methods: We conducted an open-label randomized trial in adults >=18 years of age who received two doses of inactivated vaccine (CoronaVac) or mRNA vaccine (BNT162b2) >=6 months earlier, randomised in 1:1 ratio to receive a third dose of either vaccine. We compared the reactogenicity, immunogenicity and cell-mediated immune responses, and assessed vaccine efficacy against infections during follow-up. Results: We enrolled 219 adults who previously received two doses of CoronaVac and randomised to CoronaVac ("CC-C", n=101) or BNT162b2 ("CC-B", n=118) third dose; and 232 adults who previously received BNT162b2 and randomised to CoronaVac ("BB-C", n=118) or BNT162b2 ("BB-B", n=114). There were more frequent reports of mild reactions in recipients of third-dose BNT162b2, which generally subsided within 7 days. Antibody responses against the ancestral virus, Omicron BA.1 and BA.2 subvariant by surrogate neutralization and PRNT50 were stronger for the recipients of a third dose of BNT162b2 over CoronaVac irrespective of prior vaccine type. CD4+ T cells boost only occurred in CoronaVac-primed arms. We did not identify differences in CD4+ and CD8+ T cell responses between arms. When Omicron BA.2 was circulating, we identified 58 infections with cumulative incidence of 15.3% and 15.4% in the CC-C and CC-B (p=0.93), and 16.7% and 14.0% in the BB-C and BB-B arms, respectively (p=0.56). Conclusions: Similar levels of incidence of infection in each arm suggest all third dose combinations may provide similar degrees of protection against prevalent Omicron BA.2 infection, despite very weak antibody responses to BA.2 in the recipients of a CoronaVac third dose. Further research is warranted to identify appropriate correlates of protection for inactivated COVID-19 vaccines.
    Keywords covid19
    Language English
    Publishing date 2022-08-28
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2022.08.25.22279158
    Database COVID19

    Kategorien

  6. Article ; Online: Homologous and heterologous boosting with CoronaVac and BNT162b2: a randomized trial (the Cobovax study)

    Leung, Nancy H. L. / Cheng, Samuel M. S. / Cohen, Carolyn A. / Martin-Sanchez, Mario / Au, Niki Y. M. / Luk, Leo L. H. / Tsang, Leo C. H. / Kwan, Kelvin K. H. / Chaothai, Sara / Fung, Lison W. C. / Cheung, Alan W. L. / Chan, Karl C. K. / Li, John K. C. / Ng, Yvonne Y. / Kaewpreedee, Prathanporn / Jia, Janice Z. / Ip, Dennis K. M. / Poon, Leo L. M. / Leung, Gabriel M. /
    Peiris, Malik / Valkenburg, Sophie A. / Cowling, Benjamin J.

    medRxiv

    Abstract: Background: There are few trials comparing homologous and heterologous third doses of COVID-19 vaccination with inactivated vaccines and mRNA vaccines. Methods: We conducted an open-label randomized trial in adults >=18 years of age who received two ... ...

    Abstract Background: There are few trials comparing homologous and heterologous third doses of COVID-19 vaccination with inactivated vaccines and mRNA vaccines. Methods: We conducted an open-label randomized trial in adults >=18 years of age who received two doses of inactivated vaccine (CoronaVac) or mRNA vaccine (BNT162b2) >=6 months earlier, randomised in 1:1 ratio to receive a third dose of either vaccine. We compared the reactogenicity, immunogenicity and cell-mediated immune responses, and assessed vaccine efficacy against infections during follow-up. Results: We enrolled 219 adults who previously received two doses of CoronaVac and randomised to CoronaVac ("CC-C", n=101) or BNT162b2 ("CC-B", n=118) third dose; and 232 adults who previously received BNT162b2 and randomised to CoronaVac ("BB-C", n=118) or BNT162b2 ("BB-B", n=114). There were more frequent reports of mild reactions in recipients of third-dose BNT162b2, which generally subsided within 7 days. Antibody responses against the ancestral virus, Omicron BA.1 and BA.2 subvariant by surrogate neutralization and PRNT50 were stronger for the recipients of a third dose of BNT162b2 over CoronaVac irrespective of prior vaccine type. CD4+ T cells boost only occurred in CoronaVac-primed arms. We did not identify differences in CD4+ and CD8+ T cell responses between arms. When Omicron BA.2 was circulating, we identified 58 infections with cumulative incidence of 15.3% and 15.4% in the CC-C and CC-B (p=0.93), and 16.7% and 14.0% in the BB-C and BB-B arms, respectively (p=0.56). Conclusions: Similar levels of incidence of infection in each arm suggest all third dose combinations may provide similar degrees of protection against prevalent Omicron BA.2 infection, despite very weak antibody responses to BA.2 in the recipients of a CoronaVac third dose. Further research is warranted to identify appropriate correlates of protection for inactivated COVID-19 vaccines.
    Keywords covid19
    Language English
    Publishing date 2022-08-28
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2022.08.25.22279158
    Database COVID19

    Kategorien

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