Evidence map›Paper›PMID 35248840›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2022

Third dose of SARS-CoV-2 vaccination in hemato-oncological patients and health care workers: immune responses and adverse events - a retrospective cohort study.

Maximilian J Mair, Julia M Berger, Manfred Mitterer, Margaretha Gansterer, Arne C Bathke, Wolfgang Trutschnig, Anna S Berghoff, Thomas Perkmann, Helmuth Haslacher, Wolfgang W Lamm and 6 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19.The Cochrane database of systematic reviews · 2022
    Pooled it
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  9. Observational
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  17. MUW researcher of the month.Wiener klinische Wochenschrift · 2022
    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 4 institutions in 2 countries.

Maximilian J MairDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria. Electronic address: https://twitter.com/@MJ_Mair.
Julia M BergerDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.
Manfred MittererHemato-Oncological Day Hospital Unit, Franz Tappeiner Hospital, 39012 Meran, Merano, Italy.
Margaretha GanstererFaculty of Management and Economics, University of Klagenfurt, 9020 Klagenfurt, Austria.
Arne C BathkeDepartment of Artificial Intelligence and Human Interfaces and Intelligent Data Analytics Lab Salzburg, University of Salzburg, 5020 Salzburg, Austria.
Wolfgang TrutschnigDepartment of Artificial Intelligence and Human Interfaces and Intelligent Data Analytics Lab Salzburg, University of Salzburg, 5020 Salzburg, Austria.
Anna S BerghoffDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.
Thomas PerkmannDepartment of Laboratory Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Helmuth HaslacherDepartment of Laboratory Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Wolfgang W LammDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.
Markus RadererDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.
Selma TobudicDivision of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.
Thorsten FuerederDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.
Thomas BurattiHemato-Oncological Day Hospital Unit, Franz Tappeiner Hospital, 39012 Meran, Merano, Italy.
Dominic FongHemato-Oncological Day Hospital Unit, Franz Tappeiner Hospital, 39012 Meran, Merano, Italy.
Matthias PreusserDivision of Oncology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria. Electronic address: matthias.preusser@meduniwien.ac.at.
Medical University of Vienna · ATKrankenhaus Meran · ITUniversity of Salzburg · ATUniversity of Klagenfurt · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to potentially immune-escaping virus variants and waning immunity, a third SARS-CoV-2 vaccination dose is increasingly recommended. However, data in patients with cancer are limited. PATIENTS AND

methodsWe measured anti-SARS-CoV-2 spike protein antibody levels after the third vaccination dose in 439 patients with cancer and 41 health care workers (HCW) at an academic centre in Austria and a rural community hospital in Italy. Adverse events were retrieved from questionnaires.

resultsOverall, 439 patients and 41 HCW were included. SARS-CoV-2 infections were observed in 62/439 (14.1%) patients before vaccination and in 5/439 (1.1%) patients after ≥1 dose. Longitudinal analysis revealed a decrease of antibody levels between 3 and 6 months after second vaccination in patients with solid tumours (p < 0.001) and haematological malignancies without anti-B cell therapies (p < 0.001). After the third dose, anti-S levels increased compared to the first/second dose. Patients receiving B cell-targeted agents had lower antibody levels than patients with haematological malignancies undergoing other treatments (p < 0.001) or patients with solid tumours (p < 0.001). Moreover, anti-S levels correlated with CD19+ (B cell) and CD56+ (NK cell) counts in peripheral blood. The most frequent adverse events after the third dose were local pain (75/160, 46.9%), fatigue (25/160, 15.6%) and fever/chills (16/160, 10.0%). Patients with cancer had lower anti-S levels than HCW (p = 0.015).

conclusionsThis study in patients with cancer shows improved antibody levels after the third vaccination dose at an acceptable side-effect profile. Lower antibody levels than in controls underline the need for further follow-up studies and dedicated trials.

Indexed as

COVID-19SARS-CoV-2COVID-19 VaccinesHealth PersonnelHumansImmunityRetrospective StudiesVaccinationCOVID-19 VaccinesCancerCOVID-19OncologySARS-CoV-2Vaccination

Identifiers

PMID35248840
PMCPMC8818387
OpenAlexW4210481577

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.