Evidence map›Paper›PMID 35259002›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Determinants of Neutralizing Antibody Response After SARS CoV-2 Vaccination in Patients With Myeloma.

Ajay K Nooka, Uma Shanmugasundaram, Narayana Cheedarla, Hans Verkerke, Venkata V Edara, Rajesh Valanparambil, Jonathan L Kaufman, Craig C Hofmeister, Nisha S Joseph, Sagar Lonial and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.7field-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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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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

21 authors at 3 institutions in 1 country.

Ajay K NookaDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0003-4165-6869
Uma ShanmugasundaramDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.
Narayana CheedarlaDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA.ORCID 0000-0001-6072-4383
Hans VerkerkeDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA.
Venkata V EdaraEmory Vaccine Center, Emory University, Atlanta, GA.ORCID 0000-0001-9321-7839
Rajesh ValanparambilEmory Vaccine Center, Emory University, Atlanta, GA.ORCID 0000-0002-0888-7246
Jonathan L KaufmanDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0002-5687-6429
Craig C HofmeisterDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0003-4816-1607
Nisha S JosephDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0003-4001-9622
Sagar LonialDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.
Maryam AzeemDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.
Julia ManaloDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0002-9880-2268
Jeffrey M SwitchenkoWinship Cancer Institute, Atlanta, GA.ORCID 0000-0002-5563-9325
Andres ChangDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0001-6679-9060
Susanne L LindermanEmory Vaccine Center, Emory University, Atlanta, GA.ORCID 0000-0003-3297-3774
John D RobackWinship Cancer Institute, Atlanta, GA.ORCID 0000-0001-9952-2252
Kavita M DhodapkarWinship Cancer Institute, Atlanta, GA.ORCID 0000-0003-0587-4172
Rafi AhmedWinship Cancer Institute, Atlanta, GA.ORCID 0000-0002-9591-2621
Mehul S SutharEmory Vaccine Center, Emory University, Atlanta, GA.ORCID 0000-0002-2686-8380
Andrew S NeishWinship Cancer Institute, Atlanta, GA.
Madhav V DhodapkarDepartment of Hematology/Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0002-8249-5988
Emory University · USEmory Healthcare · USPiedmont Cancer Institute · US

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Systems Biological Analysis of Innate and Adaptive Responses to VaccinationU19AI090023 · NIAID · EMORY UNIVERSITY · PI AHMED, RAFI, LI, SHUZHAO · 2010 to 2021
$45.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008169 · NIGMS · EMORY UNIVERSITY · PI GROSS, ROBERT E · 1987 to 2021
$20.3M
Project-004U54CA260563 · NCI · EMORY UNIVERSITY · PI DHODAPKAR, MADHAV V, SANZ, IGNACIO E. · 2020 to 2024
$10.2M
Medical Scientist Training ProgramT32GM142617 · NIGMS · EMORY UNIVERSITY · PI Jason Yustein · 2022 to 2026
$7.0M
HARNESSING HOST RESPONSE TO PREVENT MYELOMAR35CA197603 · NCI · YALE UNIVERSITY · PI DHODAPKAR, MADHAV V · 2016 to 2022
$5.8M
B cells in autoimmunity following checkpoint blockade therapyR01CA238471 · NCI · EMORY UNIVERSITY · PI DHODAPKAR, KAVITA MADHAV, SANZ, IGNACIO E. · 2019 to 2023
$2.3M
B cell depletion to prevent autoimmunityR01AR077926 · NIAMS · EMORY UNIVERSITY · PI DHODAPKAR, KAVITA MADHAV, SANZ, IGNACIO E. · 2020 to 2023
$1.6M
NCI NIH HHS P30 CA138292NCI NIH HHS R01 CA238471NCI NIH HHS R35 CA197603NCI NIH HHS U54 CA260563NIAID NIH HHS HHSN272201400004CNIAID NIH HHS U19 AI090023NIAMS NIH HHS R01 AR077926NIGMS NIH HHS T32 GM008169NIGMS NIH HHS T32 GM142617NIH HHS P51 OD011132
6 · The paper itself

Abstract

purposeVaccine-induced neutralizing antibodies (nAbs) play a critical role in protection from SARS CoV-2. Patients with B-cell malignancies including myeloma are at increased risk of COVID-19-related mortality and exhibit variable serologic response to the vaccine. The capacity of vaccine-induced antibodies in these patients to neutralize SARS CoV-2 or its variants is not known.

methodsSera from 238 patients with multiple myeloma (MM) undergoing SARS CoV-2 vaccination were analyzed. Antibodies against the SARS CoV-2 spike receptor-binding domain (RBD) and viral nucleocapsid were measured to detect serologic response to vaccine and environmental exposure to the virus. The capacity of antibodies to neutralize virus was quantified using pseudovirus neutralization assay and live virus neutralization against the initial SARS CoV-2 strain and the B1.617.2 (Delta) variant.

resultsVaccine-induced nAbs are detectable at much lower rates (54%) than estimated in previous seroconversion studies in MM, which did not monitor viral neutralization. In 33% of patients, vaccine-induced antispike RBD antibodies lack detectable neutralizing capacity, including against the B1.617.2 variant. Induction of nAbs is affected by race, disease, and treatment-related factors. Patients receiving mRNA1273 vaccine (Moderna) achieved significantly greater induction of nAbs compared with those receiving BNT162b2 (Pfizer; 67%

conclusionThese data show that vaccine-induced antibodies in several patients with MM lack detectable virus-neutralizing activity. Vaccine-mediated induction of nAbs is affected by race, disease, vaccine, and treatment characteristics. These data have several implications for the emerging application of booster vaccines in immunocompromised hosts.

Indexed as

COVID-19COVID-19 VaccinesMultiple Myeloma2019-nCoV Vaccine mRNA-1273Antibodies, NeutralizingAntibodies, ViralBNT162 VaccineHumansNeutralization TestsSARS-CoV-2Spike Glycoprotein, CoronavirusVaccination2019-nCoV Vaccine mRNA-1273Antibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID35259002
PMCPMC9462534
OpenAlexW4220704253

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.