Evidence map›Paper›PMID 34601285›Full record

Observational studyEuropean journal of cancer (Oxford, England : 1990)2021

COVID-19 vaccines in adult cancer patients with solid tumours undergoing active treatment: Seropositivity and safety. A prospective observational study in Italy.

Luigi Cavanna, Chiara Citterio, Claudia Biasini, Serena Madaro, Nicoletta Bacchetta, Anna Lis, Gabriele Cremona, Monica Muroni, Patrizia Bernuzzi, Giuliana Lo Cascio and 10 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in European journal of cancer (Oxford, England : 1990), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 6 pooled it
4.2field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 6 syntheses or guidelines pooled it, 52 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

20 authors at 2 institutions in 1 country.

Luigi CavannaOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy. Electronic address: l.cavanna@ausl.pc.it.
Chiara CitterioOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Claudia BiasiniOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Serena MadaroOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Nicoletta BacchettaOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Anna LisOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Gabriele CremonaOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Monica MuroniOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Patrizia BernuzziOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Giuliana Lo CascioClinical Pathology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Roberta SchiavoClinical Pathology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Martina MuttiOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Maristella TassiClinical Pathology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Maria MarianoClinical Pathology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Serena TrubiniClinical Pathology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Giulia BandieramonteClinical Pathology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Raffaella MaestriOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Patrizia MordentiOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Elisabetta MarazziOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Daniele VallisaOncology and Hematology Department, Piacenza General Hospital, Via Taverna 49, 29121 Piacenza, Italy.
Ospedaliera di Piacenza · ITAzienda Unità Sanitaria Locale Piacenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with cancer are presumed a frail group at high risk of contracting coronavirus disease (COVID-19), and vaccination represents a cornerstone in addressing the COVID-19 pandemic. However, data on COVID-19 vaccination in cancer patients are fragmentary and poor.

methodsAn observational study was conducted to evaluate the seropositivity rate and safety of a two-dose regimen of the BNT162b2 or messenger RNA-1273 vaccine in adult patients with solid cancer undergoing active anticancer treatment or whose treatment had been terminated within 6 months of the start of the study. The control group was composed of healthy volunteers. Serum samples were evaluated for SARS-COV-2 antibodies before vaccinations and 2-6 weeks after the administration of the second vaccine dose. Primary end-point: seropositivity rate. Secondary end-points: safety, factors influencing seroconversion, IgG titers of patients versus healthy volunteers, COVID-19 infection.

resultsBetween 20th March 2021 and 12th June 2021, 293 consecutive patients with cancer-solid tumours underwent a program of COVID-19 vaccinations; of these, 2 patients refused vaccination, 13 patients did not receive the second dose of the vaccine because of cancer progression, and 21 patients had COVID-19 antibodies at baseline and were excluded. The 257 evaluable patients had a median age of 65 years (range 28-86), 66.15% with metastatic disease. Primary end-point: seropositivity rate in patients was 75.88% versus 100% in the control group. Secondary end-points: no Grade 3-4 side-effects, no COVID-19 infections were reported. Patients median IgG titer was significantly lower than in the control group; male sex and active anticancer therapy influenced negative seroconversion. BNT162b2 or messenger RNA-1273 vaccines were immunogenic in cancer patients, showing good safety profile.

Indexed as

AdultAgedAged, 80 and overAntibodies, ViralBNT162 VaccineCOVID-19COVID-19 VaccinesFemaleHumansImmunogenicity, VaccineItalyMaleMiddle AgedNeoplasmsPandemicsProspective StudiesAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesAntibodiesAnticancer treatmentCancer patientsCOVID-19SARS-COV-2SeroconversionVaccine

Identifiers

PMID34601285
PMCPMC8410513
OpenAlexW3198365285

What OpenQuestion holds

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Registered trials

None linked

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.