Evidence map›Paper›PMID 34713441›Full record

ArticleBritish journal of haematology2022

Immunogenicity and safety of the BNT162b2 mRNA COVID-19 vaccine in haematopoietic stem cell transplantation recipients.

Noga Shem-Tov, Ronit Yerushalmi, Ivetta Danylesko, Vladislav Litachevsky, Itzchak Levy, Liraz Olmer, Yaniv Lusitg, Abraham Avigdor, Arnon Nagler, Avichai Shimoni and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 7 pooled it
4.4field-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

45 citing papers in PubMed, 7 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Noga Shem-TovDivision of Hematology and Bone-Marrow Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.ORCID 0000-0003-1589-9189
Ronit YerushalmiDivision of Hematology and Bone-Marrow Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.
Ivetta DanyleskoDivision of Hematology and Bone-Marrow Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.
Vladislav LitachevskyThe Infectious Diseases Unit, Sheba Medical Center, Tel-Hashomer, Israel.
Itzchak LevySackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Liraz OlmerBio-statistical and Bio-mathematical Unit, The Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Hashomer, Israel.
Yaniv LusitgSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Abraham AvigdorDivision of Hematology and Bone-Marrow Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.
Arnon NaglerDivision of Hematology and Bone-Marrow Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.ORCID 0000-0002-0763-1265
Avichai ShimoniDivision of Hematology and Bone-Marrow Transplantation, Sheba Medical Center, Tel-Hashomer, Israel.ORCID 0000-0001-8782-6160
Galia RahavSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Tel Aviv University · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immunogenicity and safety of Pfizer-BioNTech BNT162b2 mRNA vaccine in allogeneic haematopoietic stem cell transplantation (HSCT) recipients are unknown. We prospectively followed 152 HSCT recipients who were at least six months following transplantation and with no active acute graft-versus-host disease (GVHD). Blood samples were taken 2-4 weeks after the second vaccination and analyzed for receptor-binding domain (RBD) antibodies and neutralizing antibodies (NA). 272 immunocompetent healthcare workers served as controls. At a median of 28 days after the second vaccination, 118 patients (77·6%) developed RBD immunoglobulin G (IgG) with a geometric mean titre (GMT) of 2·61 [95% CI (confidence interval), 2·16-3·16]. In the control group 269/272 (98·9%) developed RBD IgG, with a GMT of 5·98 (95% CI 5·70-6·28), P < 0·0001. The GMT of NA in HSCT recipients and controls was 116·0 (95% CI 76·5-175·9), and 427·9 (95% CI 354·3-516·7) respectively (P < 0001). Multivariate logistic regression analysis revealed that HSCT recipients with no chronic GVHD and no immunosuppressive therapy at the time of vaccination had significantly higher levels of NA following the second vaccination. Adverse events were minimal and were less common than in healthy controls. In conclusion; the BNT162b2 mRNA vaccination is safe and effective in HSCT recipients, especially those who are immunosuppression-free. A significant fraction developed protecting NA.

Indexed as

Hematopoietic Stem Cell TransplantationImmunogenicity, VaccineAgedAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19FemaleFollow-Up StudiesHumansImmunoglobulin GImmunosuppression TherapyMaleMiddle AgedProspective StudiesSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralBNT162 VaccineImmunoglobulin GCOVID-19haematopoietic stem cell transplantationneutralizing antibodiesvaccination

Identifiers

PMID34713441
PMCPMC8652777
OpenAlexW3209216248

What OpenQuestion holds

Textmetadata
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.