Evidence map›Paper›PMID 35305396›Full record

ArticleEBioMedicine2022

Sub-optimal neutralisation of omicron (B.1.1.529) variant by antibodies induced by vaccine alone or SARS-CoV-2 Infection plus vaccine (hybrid immunity) post 6-months.

Guruprasad R Medigeshi, Gaurav Batra, Deepika Rathna Murugesan, Ramachandran Thiruvengadam, Souvick Chattopadhyay, Bhabatosh Das, Mudita Gosain, Ayushi, Janmejay Singh, Anantharaj Anbalagan and 11 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 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 2 institutions in 1 country.

Guruprasad R MedigeshiTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Gaurav BatraTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Deepika Rathna MurugesanTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Ramachandran ThiruvengadamTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Souvick ChattopadhyayTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Bhabatosh DasTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Mudita GosainTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
AyushiTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Janmejay SinghTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Anantharaj AnbalaganTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Heena ShamanTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Kamal PargaiTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Farha MehdiTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Soon Jyoti DasTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Namrata KahlonESIC Medical College and Hospital, Faridabad, Haryana, India.
Savita SinghTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Pallavi KshetrapalTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Nitya WadhwaTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Anil K PandeyESIC Medical College and Hospital, Faridabad, Haryana, India.
Shinjini BhatnagarTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India.
Pramod Kumar GargTranslational Health Science and Technology Institute, Faridabad, Haryana 120001, India. Electronic address: pgarg@thsti.res.in.
Translational Health Science and Technology Institute · INESIC Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid spread of the omicron SARS-CoV-2 variant despite extensive vaccination suggests immune escape. The neutralising ability of different vaccines alone or with natural SARS-CoV-2 infection against omicron is not well-known.

methodsIn this cross-sectional study, we tested the ability of vaccine and natural infection induced antibodies to neutralise omicron variant in a live virus neutralisation assay in four groups of individuals: (i) ChAdOx1 nCoV-19 vaccination, (ii) ChAdOx1 nCoV-19 vaccination plus prior SARS-CoV-2 infection, (iii) vaccination with inactivated virus vaccine (BBV152), and (iv) BBV152 vaccination plus prior SARS-CoV-2 infection. Primary outcome was fold-change in virus neutralisation titre against omicron compared with ancestral virus.

findingsWe included 80 subjects. The geometric mean titre (GMT) of the 50% focus reduction neutralisation test (FRNT50) was 380·4 (95% CI: 221·1, 654·7) against the ancestral virus with BBV152 vaccination and 379·3 (95% CI: 185·6, 775·2) with ChAdOx1 nCov-19 vaccination alone. GMT for vaccination plus infection groups were 806·1 (95% CI: 478·5, 1357·8) and 1526·2 (95% CI: 853·2, 2730·0), respectively. Against omicron variant, only 5 out of 20 in both BBV152 and ChAdOx1 nCoV-19 vaccine only groups, 6 out of 20 in BBV152 plus prior SARS-CoV-2 infection group, and 9 out of 20 in ChAdOx1 nCoV-19 plus prior SARS-CoV-2 infection group exhibited neutralisation titres above the lower limit of quantification (1:20) suggesting better neutralisation with prior infection. A reduction of 26·6 and 25·7 fold in FRNT50 titres against Omicron compared to ancestral SARS-CoV-2 strain was observed for individuals without prior SARS-CoV-2 infection vaccinated with BBV152 and ChAdOx1 nCoV-19, respectively. The corresponding reduction was 57·1 and 58·1 fold, respectively, for vaccinated individuals with prior infection. The 50% neutralisation titre against omicron demonstrated moderate correlation with serum anti-RBD IgG levels [Spearman r: 0·58 (0·41, 0·71)].

interpretationSignificant reduction in the neutralising ability of both vaccine-induced and vaccine plus infection-induced antibodies was observed for omicron variant which might explain immune escape.

fundingDepartment of Biotechnology, India; Bill & Melinda Gates Foundation, USA.

Indexed as

COVID-19COVID-19 VaccinesChAdOx1 nCoV-19Cross-Sectional StudiesHumansSARS-CoV-2Vaccines, InactivatedChAdOx1 nCoV-19COVID-19 VaccinesVaccines, InactivatedBBV152ChAdOx1 nCoV-19CovaxinCovishieldHybrid immunityLive-virus neutralisationOmicronSARS-CoV-2

Identifiers

PMID35305396
PMCPMC8923830
OpenAlexW4221103003

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.