Evidence map›Paper›PMID 35131133›Full record

Trial reportVaccine2022

Efficacy and safety of the BNT162b2 mRNA COVID-19 vaccine in participants with a history of cancer: subgroup analysis of a global phase 3 randomized clinical trial.

Stephen J Thomas, John L Perez, Stephen P Lockhart, Subramanian Hariharan, Nicholas Kitchin, Ruth Bailey, Katherine Liau, Eleni Lagkadinou, Özlem Türeci, Ugur Şahin and 6 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04368728 (A PHASE 1/2/3, PLACEBO-CONTROLLED, RANDOMIZED, OBSERVER-BLIND, DOSE-FINDING STUDY TO EVALUATE THE SAFETY, TOLERABILITY, IMMUNOGENICITY, AND EFFICACY OF SARS-COV-2 RNA VACCINE CANDIDATES AGAINST COVID-19 IN HEALTHY INDIVIDUALS), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
3.1field-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.

NCT04368728 phase2 / phase3completednot on this map

A phase 1/2/3, placebo-controlled, randomized, observer-blind, dose-finding study to evaluate the safety, tolerability, immunogenicity, and efficacy of sars-cov-2 rna vaccine candidates against covid-19 in healthy individuals

TypeinterventionalSponsorBioNTech SERan2020 to 2023Enrolled46,969ConditionsSARS-CoV-2 Infection, COVID-19ArmsBNT162b1, BNT162b2, Placebo, BNT162b2SA
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Vaccines for preventing infections in adults with solid tumours.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Assessing the robustness of COVID-19 vaccine efficacy trials: systematic review and meta-analysis, January 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
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  11. Article
  12. Article
  13. Current Advances in Nanocarriers for Cancer Therapy.International journal of nanomedicine · 2025
    Review
  14. Review
  15. Review
  16. Article
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  18. Review
  19. Article
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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

16 authors at 3 institutions in 3 countries.

Stephen J ThomasState University of New York, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. Electronic address: ThomStep@upstate.edu.
John L PerezPfizer Inc., 500 Arcola Rd., Collegeville, PA 19426, USA. Electronic address: John.Perez@pfizer.com.
Stephen P LockhartPfizer Inc., Horizon Honey Lane, Maidenhead SL6 6RJ, UK. Electronic address: Stephen.P.Lockhart@pfizer.com.
Subramanian HariharanPfizer Inc., 235 East 42nd Street, New York, NY 10017, USA. Electronic address: s.hariharan@pfizer.com.
Nicholas KitchinPfizer Inc., Horizon Honey Lane, Maidenhead SL6 6RJ, UK. Electronic address: Nicholas.Kitchin@pfizer.com.
Ruth BaileyPfizer Inc., Horizon Honey Lane, Maidenhead SL6 6RJ, UK. Electronic address: Ruth.Bailey@pfizer.com.
Katherine LiauPfizer Inc., 10555 Science Center Drive, San Diego, CA 92121, USA. Electronic address: Katherine.F.Liau@pfizer.com.
Eleni LagkadinouBioNTech SE, An der Goldgrube 12, 55131 Mainz, Germany. Electronic address: Eleni.Lagkadinou@biontech.de.
Özlem TüreciBioNTech SE, An der Goldgrube 12, 55131 Mainz, Germany. Electronic address: Oezlem.Tuereci@biontech.de.
Ugur ŞahinBioNTech SE, An der Goldgrube 12, 55131 Mainz, Germany. Electronic address: sahin@uni-mainz.de.
Xia XuPfizer Inc., 500 Arcola Rd., Collegeville, PA 19426, USA. Electronic address: Xia.Xu3@pfizer.com.
Kenneth KouryPfizer Inc., 401 N. Middletown Rd, Pearl River, NY 10965, USA. Electronic address: Kenneth.Koury@pfizer.com.
Samuel S DychterPfizer Inc., 10555 Science Center Drive, San Diego, CA 92121, USA. Electronic address: Samuel.Dychter@pfizer.com.
Claire LuPfizer Inc., 401 N. Middletown Rd, Pearl River, NY 10965, USA. Electronic address: Claire.Lu@pfizer.com.
Teresa C GentileState University of New York, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. Electronic address: GentileT@upstate.edu.
William C GruberPfizer Inc., 401 N. Middletown Rd, Pearl River, NY 10965, USA. Electronic address: Bill.Gruber@pfizer.com.
Pfizer (United States) · USBioNTech (Germany) · DESUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndividuals with an underlying malignancy have high risk of poor COVID-19 outcomes. In clinical trials, COVID-19 vaccines were safe and efficacious against infection, hospitalization, and death, but most trials excluded participants with cancer. We report results from participants with a history of past or active neoplasm (malignant or benign/unknown) and up to 6 months' follow-up post-dose 2 from the placebo-controlled, observer-blinded trial of the 2-dose BNT162b2 mRNA COVID-19 vaccine. PATIENTS AND

methodsBetween July 2020-January 2021, 46,429 participants aged ≥ 12 years were randomized at 152 sites in 6 countries. Healthy participants with pre-existing stable neoplasm could participate; those receiving immunosuppressive therapy were excluded. Data are reported for participants, aged ≥ 16 years for safety and ≥ 12 years for efficacy, who had any history of neoplasm at baseline (data cut-off: March 13, 2021). Adverse-event (AE) data are controlled for follow-up time before unblinding and reported as incidence rates (IRs) per 100 person-years follow-up.

resultsAt baseline, 3813 participants had a history of neoplasm; most common malignancies were breast (n = 460), prostate (n = 362), and melanoma (n = 223). Four BNT162b2 and 71 placebo recipients developed COVID-19 from 7 days post-dose 2; vaccine efficacy was 94.4% (95% CI: 85.2, 98.5) after up to 6 months' follow-up post-dose 2. This compares favorably with vaccine efficacy of 91.1% in the overall trial population after the same follow-up. AEs were reported at IRs of 95.4(BNT162b2) and 48.3 (placebo) per 100 person-years. Most common AEs were reactogenicity events (injection-site pain, fatigue, pyrexia). Three BNT162b2 and 1 placebo recipients withdrew because of vaccine-related AEs. No vaccine-related deaths were reported.

conclusionIn participants with past or active neoplasms, BNT162b2 vaccine has a similar efficacy and safety profile as in the overall trial population. These results can inform BNT162b2 use during the COVID-19 pandemic and future trials in participants with cancer. Clinical trial number: NCT04368728.

Indexed as

COVID-19NeoplasmsAdolescentBNT162 VaccineChildCOVID-19 VaccinesHumansMalePandemicsRNA, MessengerSARS-CoV-2BNT162 VaccineCOVID-19 VaccinesRNA, MessengerBNT162b2COVID-19EfficacyMalignancySafetyVaccine

Identifiers

PMID35131133
PMCPMC8702495
OpenAlexW4200351904

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.