Evidence map›Paper›PMID 35064676›Full record

ArticleBritish journal of haematology2022

Immune response to COVID-19 vaccination is attenuated by poor disease control and antimyeloma therapy with vaccine driven divergent T-cell response.

Karthik Ramasamy, Ross Sadler, Sally Jeans, Paul Weeden, Sherin Varghese, Alison Turner, Jemma Larham, Nathanael Gray, Oluremi Carty, Joe Barrett and 10 more

Open access · hybridAbstract 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
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  6. Review
  7. Article
  8. B-cell malignancies and COVID-19: a narrative review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 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

20 authors at 11 institutions in 2 countries.

Karthik RamasamyOxford University Hospitals NHS Trust, Radcliffe Department of Medicine, Oxford University, Oxford, UK.ORCID 0000-0003-3385-3707
Ross SadlerDepartment of Immunology, Churchill Hospital, Oxford University Hospitals NHS, Foundation Trust, Oxford, UK.
Sally JeansThe Botnar Research Centre, Headington, UK.
Paul WeedenThe Botnar Research Centre, Headington, UK.
Sherin VargheseLate Phase Haematology, Oxford University Hospital NHS Foundation Trust, Churchill Hospital, Oxford, UK.
Alison TurnerNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Jemma LarhamOxford University Hospitals NHS Trust, Oxford, UK.
Nathanael GrayNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Oluremi CartyDepartment of Immunology, Churchill Hospital, Oxford University Hospitals NHS, Foundation Trust, Oxford, UK.
Joe BarrettNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Stella BowcockPrincess Royal University Hospital, King's College Hospital Foundation NHS Trust, Kent, UK.ORCID 0000-0002-8195-8960
Udo OppermannNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Gordon CookNIHR Leeds Medtech & In vitro Diagnostics Cooperative, Leeds Teaching Hospitals Trust, Leeds, UK.ORCID 0000-0003-1717-0412
Chara KyriakouDepartment of Haematology, University College London Hospitals NHS Trust, London, UK.
Mark DraysonCollege of Medical and Dental Sciences Medical School, University of Birmingham, Birmingham, UK.
Supratik BasuUniversity of Wolverhampton, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Sally MooreOxford University Hospitals NHS Trust, NHS Foundation Trust, Oxford and Bath Royal United Hospitals, Bath, UK.
Sarah McDonaldMyeloma UK, Beaverbank Business Park, Edinburgh, UK.
Sarah GoodingMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Muhammad K JavaidNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Nuffield Orthopaedic Centre · GBChurchill Hospital · GBOxford University Hospitals NHS Trust · GBBotho University · BWBirmingham Dental Hospital · GBMyeloma UK · GBNIHR Leeds In Vitro Diagnostics Co-operative · GBPrincess Royal University Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Oxford · GBUniversity of Wolverhampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myeloma patients frequently respond poorly to bacterial and viral vaccination. A few studies have reported poor humoral immune responses in myeloma patients to COVID-19 vaccination. Using a prospective study of myeloma patients in the UK Rudy study cohort, we assessed humoral and interferon gamma release assay (IGRA) cellular immune responses to COVID-19 vaccination post second COVID-19 vaccine administration. We report data from 214 adults with myeloma (n = 204) or smouldering myeloma (n = 10) who provided blood samples at least three weeks after second vaccine dose. Positive Anti-spike antibody levels (> 50 iu/ml) were detected in 189/203 (92.7%), positive IGRA responses were seen in 97/158 (61.4%) myeloma patients. Only 10/158 (6.3%) patients were identified to have both a negative IGRA and negative anti-spike protein antibody response. In all, 95/158 (60.1%) patients produced positive results for both anti-spike protein serology and IGRA. After adjusting for disease severity and myeloma therapy, poor humoral immune response was predicted by male gender. Predictors of poor IGRA included anti-CD38/anti-BCMA (B-cell maturation antigen) therapy and Pfizer-BioNTech vaccination. Further work is required to understand the clinical significance of divergent cellular response to vaccination.

Indexed as

COVID-19Multiple MyelomaAdultAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesHumansImmunity, HumoralMaleProspective StudiesSARS-CoV-2T-LymphocytesVaccinationAntibodies, ViralBNT162 VaccineCOVID-19 Vaccines

Identifiers

PMID35064676
PMCPMC9306522
OpenAlexW4206960519

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.