Evidence map›Paper›PMID 34693234›Full record

ArticleEClinicalMedicine2021

BNT162b2 mRNA COVID-19 vaccination in immunocompromised patients: A prospective cohort study.

Galia Rahav, Yaniv Lustig, Jacob Lavee, Ohad Benjamini, Hila Magen, Tammy Hod, Noga Shem-Tov, Einat Shacham Shmueli, Drorit Merkel, Ziv Ben-Ari and 9 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 16 pooled it
5.0field-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

53 citing papers in PubMed, 16 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Humoral and cellular response of COVID-19 vaccine among solid organ transplant recipients: A systematic review and meta-analysis.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Pooled it
  8. Pooled it
  9. Immunogenicity and efficacy of COVID-19 vaccines in people living with HIV: a systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Pooled it
  14. Pooled it
  15. Pooled it
  16. Pooled it
  17. Review
  18. Review
  19. Article
  20. Article
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

19 authors at 2 institutions in 1 country.

Galia RahavThe Infectious Diseases Unit, Sheba Medical Center, Tel Hashomer, Israel.
Yaniv LustigSackler Faculty of Medicine, Tel-Aviv University, Israel.
Jacob LaveeSackler Faculty of Medicine, Tel-Aviv University, Israel.
Ohad BenjaminiSackler Faculty of Medicine, Tel-Aviv University, Israel.
Hila MagenSackler Faculty of Medicine, Tel-Aviv University, Israel.
Tammy HodSackler Faculty of Medicine, Tel-Aviv University, Israel.
Noga Shem-TovSackler Faculty of Medicine, Tel-Aviv University, Israel.
Einat Shacham ShmueliSackler Faculty of Medicine, Tel-Aviv University, Israel.
Drorit MerkelSackler Faculty of Medicine, Tel-Aviv University, Israel.
Ziv Ben-AriSackler Faculty of Medicine, Tel-Aviv University, Israel.
Rebecca HalperinThe Infectious Diseases Unit, Sheba Medical Center, Tel Hashomer, Israel.
Victoria IndenbaumCentral Virology Laboratory, Ministry of Health and Sheba Medical Center, Tel-Hashomer, Israel.
Liraz OlmerBio-statistical and Bio-mathematical Unit, The Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Israel. Israel.
Amit HuppertBio-statistical and Bio-mathematical Unit, The Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Israel. Israel.
Eytan MorDepartment of Surgery and Transplantation B, Sheba Medical Center, Tel-Hashomer, Israel.
Gili Regev-YochaySackler Faculty of Medicine, Tel-Aviv University, Israel.
Carmit CohenThe Infection Prevention & Control Unit, Sheba Medical Center, Tel Hashomer, Israel.
Anat Wieder- FinesodThe Infectious Diseases Unit, Sheba Medical Center, Tel Hashomer, Israel.
Itzchak LevyThe Infectious Diseases Unit, Sheba Medical Center, Tel Hashomer, Israel.
Tel Aviv University · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrials of the Pfizer-BioNTech BNT162b2 mRNA vaccine showed 95% efficacy in preventing symptomatic disease; however, the trials excluded immunocompromised patients (ICPs). We aim at analyzing antibody response in ICPs.

methodsA prospective cohort study was conducted at Sheba Medical Center, Israel, between January and April 2020, in 1274 participants who received the vaccine, including 1002 ICPs and 272 immunocompetent healthcare workers (HCWs). Antibodies were measured two-four weeks after vaccination by SARS-CoV-2 anti-receptor binding domain IgG antibodies (RBD IgG) and pseudo-virus neutralization assays. Multivariable logistic regression analyses were used to identify factors associated with vaccine-induced antibody response. Adverse events (AEs) were monitored.

findingsRBD-IgG antibodies were detected in 154/156 (98.7%) of patients with HIV, 75/90 (83.3%) with solid malignancies, 149/187 (79.7%) with myeloma, 83/111 (74.8%) following hematopoietic stem cell transplants, 25/36 (69.4%) following liver transplantation, 26/43 (60.5%) with myelodysplastic syndrome, 96/188 (51.0%) with chronic lymphocytic leukemia/non-Hodgkin's lymphoma, 50/110 (45.5%) following kidney transplantation, 15/80 (18.8%) following heart transplantation, and 269/272 (98.9%) in controls. There was a significant correlation

interpretationAntibody response to the Pfizer-BioNTech vaccine was highly variable among different ICPs; thus, individual recommendations should be provided for the different immunosuppression states.

Identifiers

PMID34693234
PMCPMC8520708
OpenAlexW3206807960

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.