Evidence map›Paper›PMID 34994776›Full record

Observational studyJAMA oncology2022

SARS-CoV-2 Antibody Response to 2 or 3 Doses of the BNT162b2 Vaccine in Patients Treated With Anticancer Agents.

Charlotte Fenioux, Luis Teixeira, Slim Fourati, Giovanna Melica, Jean Daniel Lelievre, Sebastien Gallien, Gérard Zalcman, Jean Michel Pawlotsky, Christophe Tournigand

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in JAMA oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  5. Predictive factors of delayed viral clearance of asymptomatic Omicron-related COVID-19 screened positive in patients with cancer receiving active anticancer treatment.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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  11. Impact of the COVID-19 pandemic on the diagnosis and treatment of onco-hematologic patients: a discussion paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
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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

9 authors at 4 institutions in 1 country.

Charlotte FeniouxUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Luis TeixeiraUniversity de Paris, AP-HP, Hôpital Saint-Louis, Breast Disease Center, INSERM U976, Paris, France.
Slim FouratiUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Giovanna MelicaUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Jean Daniel LelievreUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Sebastien GallienUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Gérard ZalcmanUniversité de Paris, AP-HP, Hôpital Bichat-Claude Bernard, Service d'oncologie thoracique and CIC INSERM 1425, Paris, France.
Jean Michel PawlotskyUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Christophe TournigandUniversity Paris Est Créteil, INSERM U955, IMRB, Créteil, France.
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRHôpital Saint-Louis · FRInstitut Mondor de Recherche Biomédicale · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importancePatients with solid cancer are more susceptible to develop SARS-CoV-2 infection and severe complications; the immunogenicity in patients treated with anticancer agents remains unknown.

objectiveTo assess the immune humoral response to 2 or 3 doses of the BNT162b2 (BioNTech; Pfizer) vaccine in patients treated with anticancer agents. DESIGN, SETTING, AND

participantsA prospective observational cohort study was conducted between February 1 and May 31, 2021. Adults treated with anticancer agents who received 2 or 3 doses of vaccine were included; of these, individuals with a weak humoral response 1 month after the second dose received a third injection.

interventionsQuantitative serologic testing of antibodies specific for SARS-CoV-2 was conducted before vaccination and during follow-up. MAIN OUTCOMES AND MEASURES: Humoral response was evaluated with a threshold of anti-SARS-CoV-2 spike protein antibody levels at 1000 arbitrary units (AU)/mL to neutralize less-sensitive COVID-19 variants.

resultsAmong 163 patients (median [range] age, 66 [27-89] years, 86 men [53%]) with solid tumors who received 2 or 3 doses of vaccine, 122 individuals (75%) were treated with chemotherapy, 15 with immunotherapy (9%), and 26 with targeted therapies (16%). The proportions of patients with an anti-S immunoglobulin G titer greater than 1000 AU/mL were 15% (22 of 145) at the time of the second vaccination and 65% (92 of 142) 28 days after the second vaccination. Humoral response decreased 3 months after the second dose. Treatment type was associated with humoral response; in particular, time between vaccine and chemotherapy did not interfere with the humoral response. Among 36 patients receiving a third dose of vaccine, a serologic response greater than 1000 AU/mL occurred in 27 individuals (75%). CONCLUSIONS AND RELEVANCE: The results of this cohort study appear to support the use of a third vaccine dose among patients with active cancer treatment for solid tumors.

Indexed as

Antineoplastic AgentsCOVID-19NeoplasmsAdultAgedAntibodies, ViralAntibody FormationBNT162 VaccineCohort StudiesCOVID-19 VaccinesFemaleHumansMaleProspective StudiesSARS-CoV-2Antibodies, ViralAntineoplastic AgentsBNT162 VaccineCOVID-19 Vaccines

Identifiers

PMID34994776
PMCPMC8742219
OpenAlexW4205661945

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.