Evidence map›Paper›PMID 34272724›Full record

Trial reportBritish journal of haematology2021

COVID-19 elicits an impaired antibody response against SARS-CoV-2 in patients with haematological malignancies.

Francesco Passamonti, Alessandra Romano, Marco Salvini, Francesco Merli, Matteo G Della Porta, Riccardo Bruna, Elisa Coviello, Ilaria Romano, Roberto Cairoli, Roberto Lemoli and 30 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in British journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04352556 (SARS-CoV-2 Infection in Patients With Hematological Malignancies), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04352556 unknown statusnot on this map

SARS-CoV-2 Infection in Patients With Hematological Malignancies: the Italian Hematology Alliance

TypeobservationalSponsorOspedale di Circolo - Fondazione MacchiRan2020 to 2022Enrolled250ConditionsSARS-CoV-2 Infection, Hematological Malignancies
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors at 20 institutions in 1 country.

Francesco PassamontiDipartimento di Medicina e Chirurgia, Università dell'Insubria, Varese, Italy.ORCID 0000-0001-8068-5289
Alessandra RomanoUniversità degli Studi di Catania, Catania, Italy.
Marco SalviniASST Sette Laghi, Ospedale di Circolo of Varese, Varese, Italy.
Francesco MerliHematology, AUSL-IRCCS, Reggio Emilia, Italy.
Matteo G Della PortaDepartment of Biomedical Sciences, Humanitas Clinical and Research Hospital - IRCCS, Humanitas University, Milano, Italy.
Riccardo BrunaDepartment of Translational Medicine, University of Eastern Piedmont and Ospedale Maggiore della Carità, Novara, Italy.
Elisa CovielloOspedale Policlinico San Martino-IRCCS, Genova, Italy.
Ilaria RomanoUniversity of Florence and AOU Careggi, Firenze, Italy.
Roberto CairoliASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Roberto LemoliUniversity of Genoa, Genova, Italy.
Francesca FarinaSan Raffaele, Scientific Institute, Milano, Italy.
Adriano VendittiEmatologia, Dipartimento di Biomedicina e Prevenzione, Università Tor Vergata, Roma, Italy.
Alessandro BuscaStem Cell Transplant Center, AOU Citta' della Salute e della Scienza of Torino, Torino, Italy.
Marco LadettoDip di Medicina Traslazionale, Università del Piemonte Orientale ed AO SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Massimo MassaiaSanta Croce Hospital, Cuneo, Italy.
Antonio PintoIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Napoli, Italy.ORCID 0000-0002-9425-9026
Luca ArcainiDivision of Hematology, Department of Molecular Medicine, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.ORCID 0000-0002-9504-991X
Agostino TafuriDepartment of Clinical and Molecular Medicine, Sapienza, University Hospital Sant'Andrea, University of Rome, Roma, Italy.
Francesco MarchesiHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0001-6353-2272
Nicola FracchiollaFondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Monica BocchiaAzienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.ORCID 0000-0003-3538-3913
Daniele ArmientoUnit of Hematology, Stem Cell Transplantation, University Campus Bio-Medico, Rome, Italy.
Anna CandoniDivision of Hematology, University Hospital of Udine -ASUFC, Udine, Italy.ORCID 0000-0003-4436-1310
Mauro KramperaDepartment of Medicine, University of Verona, Verona, Italy.
Mario LuppiDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Valeria CardinaliUniversity of Perugia, Perugia, Italy.
Sara GalimbertiUniversità di Pisa, Pisa, Italy.
Chiara CattaneoASST-Spedali Civili, Brescia, Italy.
Elettra Ortu La BarberaOspedale Santa Maria Goretti, Latina, Italy.
Roberto MinaUniversità di Torino, Azienda Ospedaliera Città della Salute e della Scienza, Alessandria, Italy.ORCID 0000-0002-8144-541X
Francesco LanzaSanta Maria delle Croci, Ravenna, Italy.ORCID 0000-0002-5189-7167
Giuseppe VisaniAzienda Ospedaliera Ospedali Riuniti Marche Nord, Pesaro, Italy.
Pellegrino MustoDepartment of Emergency and Organ Transplantation, Unit of Hematology and Stem Cell Transplantation, "Aldo Moro" University School of Medicine, AOU Consorziale Policlinico, Bari, Italy.
Luigi PetrucciDivision of Hematology, Department of Translational and Precison Medicine, Sapienza University of Rome, Rome, Italy.
Francesco ZajaUniversità di Trieste, Trieste, Italy.
Paolo A GrossiDipartimento di Medicina e Chirurgia, Università dell'Insubria, Varese, Italy.
Lorenza BertùASST Sette Laghi, Ospedale di Circolo of Varese, Varese, Italy.
Livio PaganoUniversity Cattolica del Sacro Cuore, Roma, Italy.
Paolo CorradiniUniversity of Milan, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.ORCID 0000-0002-9186-1353
ITA-HEMA-COV Investigators*
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITFondazione Audiologica Varese · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Insubria · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHumanitas University · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITOspedale Policlinico San Martino · ITOspedale Santa Maria della Misericordia di Udine · ITOspedale "Santa Maria delle Croci" di Ravenna · ITOspedale Santa Maria Goretti · ITOspedali Riuniti Marche Nord · ITSan Raffaele University of Rome · ITSapienza University of Rome · ITUniversità Campus Bio-Medico · IT

Funding

Associazione Italiana Contro le Leucemie - Linfomi e MielomaFondazione Matarelli, Milano, ItalyMinistero della Salute NET-2018-12365935Ministero dell'Istruzione, dell'Università e della Ricerca 2017WXR7ZT
6 · The paper itself

Abstract

COVID-19 is associated with high mortality in patients with haematological malignancies (HM) and rate of seroconversion is unknown. The ITA-HEMA-COV project (NCT04352556) investigated patterns of seroconversion for SARS-CoV-2 IgG in patients with HMs. A total of 237 patients, SARS-CoV-2 PCR-positive with at least one SARS-CoV-2 IgG test performed during their care, entered the analysis. Among these, 62 (26·2%) had myeloid, 121 (51·1%) lymphoid and 54 (22·8%) plasma cell neoplasms. Overall, 69% of patients (164 of 237) had detectable IgG SARS-CoV-2 serum antibodies. Serologically negative patients (31%, 73 of 237) were evenly distributed across patients with myeloid, lymphoid and plasma cell neoplasms. In the multivariable logistic regression, chemoimmunotherapy [odds ratio (OR), 3·42; 95% confidence interval (CI), 1·04-11·21; P = 0·04] was associated with a lower rate of seroconversion. This effect did not decline after 180 days from treatment withdrawal (OR, 0·35; 95% CI: 0·11-1·13; P = 0·08). This study demonstrates a low rate of seroconversion in HM patients and indicates that treatment-mediated immune dysfunction is the main driver. As a consequence, we expect a low rate of seroconversion after vaccination and thus we suggest testing the efficacy of seroconversion in HM patients.

Indexed as

Antibody FormationAdultAgedAged, 80 and overAntibodies, ViralCOVID-19FemaleHematologic NeoplasmsHumansImmunoglobulin GMaleMiddle AgedSARS-CoV-2SeroconversionYoung AdultAntibodies, ViralImmunoglobulin GCovid-19leukemialymphomamyelomaSARS-CoV-2

Identifiers

PMID34272724
PMCPMC8444788
OpenAlexW3182590535

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.