Evidence map›Paper›PMID 35661561›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2023

Immunogenicity and safety of a third dose of anti-SARS-CoV-2 BNT16b2 vaccine in liver transplant recipients.

Pierluigi Toniutto, Annarosa Cussigh, Sara Cmet, Davide Bitetto, Ezio Fornasiere, Elisa Fumolo, Martina Fabris, Federica D'Aurizio, Carlo Fabris, Lucrezia Grillone and 3 more

Open access · greenAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. COVID‑19 vaccination in liver transplant recipients (Review).Experimental and therapeutic medicine · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Third dose of mRNA COVID-19 vaccine and response: Correspondence.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
  15. Vaccination against SARS-CoV-2 in liver transplant recipients: The game is still long and the outcome is uncertain.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
  16. Review
  17. Review
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Pierluigi ToniuttoHepatology and Liver Transplantation Unit, Department of Specialized Medicine, Udine University Hospital, Udine, Italy.ORCID https://orcid.org/0000-0002-2566-3041
Annarosa CussighClinical Pathology, Udine University Hospital, Udine, Italy.
Sara CmetClinical Pathology, Udine University Hospital, Udine, Italy.
Davide BitettoHepatology and Liver Transplantation Unit, Department of Specialized Medicine, Udine University Hospital, Udine, Italy.
Ezio FornasiereHepatology and Liver Transplantation Unit, Department of Specialized Medicine, Udine University Hospital, Udine, Italy.
Elisa FumoloHepatology and Liver Transplantation Unit, Department of Specialized Medicine, Udine University Hospital, Udine, Italy.
Martina FabrisClinical Pathology, Udine University Hospital, Udine, Italy.
Federica D'AurizioClinical Pathology, Udine University Hospital, Udine, Italy.
Carlo FabrisHepatology and Liver Transplantation Unit, Department of Specialized Medicine, Udine University Hospital, Udine, Italy.
Lucrezia GrilloneDepartment of Medical Area (DAME), Udine University Hospital, Udine, Italy.
Assunta SartorMicrobiology Unit, Department of Laboratory Medicine, Udine University Hospital, Udine, Italy.
Francesco CurcioClinical Pathology, Udine University Hospital, Udine, Italy.
Edmondo FalletiHepatology and Liver Transplantation Unit, Department of Specialized Medicine, Udine University Hospital, Udine, Italy.
University of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsA strategy to improve the low rate of anti-SARS-CoV-2 mRNA vaccine-induced immunogenicity in liver transplant recipients (LTs) is urgently needed.

methodsWe analysed the rate of positive (≥0.8 U/ml) anti-SARS-CoV-2 receptor domain-binding protein (RBD) antibody response 2 months after a third dose of the BNT16b2 vaccine in 107 LTs who completed the second vaccine dose 7 months earlier.

resultsA positive anti-SARS-CoV-2-s-RBD antibody response after the third vaccine dose was detected in 98 (91.6%) LTs compared to 82 (76.6%) after the second vaccine dose (p = .003). The median of anti-SARS-CoV-2 RBD antibody titres increased from 22.9 U/ml 6 months after the second to 3500 U/ml 2 months after the third vaccine dose (p < .001). Fourteen (14.3%) responder patients presented antibody titres <100 U/ml, 57 (58.2%) between 100 and 9999 U/ml and 27 (27.6%) ≥10 000 U/ml. Seropositivity after the second dose was maintained after the third dose. Independent predictors of antibody response failure after the third vaccine dose were taking a higher daily dose of mycophenolate mofetil (MMF, p < .001) and had a lower (<60 ml/min/1.73 m

conclusionsThe third dose of the BNT16b2 vaccine increased the number of LTs who developed a positive anti-SARS-CoV-2 s-RBD antibody response. A proportion of patients remained unresponsive, mainly for modifiable factors, such as the use of MMF or multiple immunosuppressants.

Indexed as

COVID-19Liver TransplantationAntibodies, ViralHumansImmunosuppressive AgentsMycophenolic AcidSARS-CoV-2Transplant RecipientsAntibodies, ViralImmunosuppressive AgentsMycophenolic AcidCOVID-19immunosuppressionliver transplantationmRNA vaccinemycophenolate mofetil

Identifiers

PMID35661561
PMCPMC9348042
OpenAlexW4282021039

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.