Evidence map›Paper›PMID 35998623›Full record

Trial reportMed (New York, N.Y.)2022

Safety and immunogenicity of anti-SARS-CoV-2 heterologous scheme with SOBERANA 02 and SOBERANA Plus vaccines: Phase IIb clinical trial in adults.

María Eugenia Toledo-Romani, Mayra García-Carmenate, Leslyhana Verdecia-Sánchez, Suzel Pérez-Rodríguez, Meybis Rodriguez-González, Carmen Valenzuela-Silva, Beatriz Paredes-Moreno, Belinda Sanchez-Ramirez, Raúl González-Mugica, Tays Hernández-Garcia and 25 more

Open access · bronzeAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Med (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.0field-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.

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

20 citing papers in PubMed, 30 citations in OpenAlex.

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  5. Molecular mechanisms of SARS-CoV-2 entry: implications for biomedical strategies.Microbiology and molecular biology reviews : MMBR · 2025
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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

35 authors at 8 institutions in 4 countries.

María Eugenia Toledo-Romani"Pedro Kourí" Tropical Medicine Institute, Av "Novia del Mediodía", Kv 6 1/2, La Lisa, Havana 11400, Cuba.
Mayra García-Carmenate"19 de Abril" Polyclinic, Tulipan St. between Panorama y Oeste, Nuevo Vedado, Plaza de la Revolución, Havana 10400, Cuba.
Leslyhana Verdecia-SánchezClinic #1, 21 St. and 190, La Lisa, Havana, Cuba.
Suzel Pérez-Rodríguez"19 de Abril" Polyclinic, Tulipan St. between Panorama y Oeste, Nuevo Vedado, Plaza de la Revolución, Havana 10400, Cuba.
Meybis Rodriguez-GonzálezFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Carmen Valenzuela-SilvaCybernetics, Mathematics and Physics Institute, 15th St. #55, Vedado, Plaza de la Revolución, Havana 10400, Cuba.
Beatriz Paredes-MorenoFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Belinda Sanchez-RamirezCenter of Molecular Immunology, 15th Avenue and 216 St, Siboney, Playa, Havana, Cuba.
Raúl González-MugicaFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Tays Hernández-GarciaCenter of Molecular Immunology, 15th Avenue and 216 St, Siboney, Playa, Havana, Cuba.
Ivette Orosa-VázquezCenter of Molecular Immunology, 15th Avenue and 216 St, Siboney, Playa, Havana, Cuba.
Marianniz Díaz-HernándezCenter of Molecular Immunology, 15th Avenue and 216 St, Siboney, Playa, Havana, Cuba.
María Teresa Pérez-GuevaraNational Civil Defense Research Laboratory, San José de las Lajas, Mayabeque, Cuba.
Juliet Enriquez-PuertasNational Civil Defense Research Laboratory, San José de las Lajas, Mayabeque, Cuba.
Enrique Noa-RomeroNational Civil Defense Research Laboratory, San José de las Lajas, Mayabeque, Cuba.
Ariel Palenzuela-DiazCentre for Immunoassays, 134 St. and 25, Cubanacán, Playa, Havana 11600 Cuba.
Gerardo Baro-RomanCentre for Immunoassays, 134 St. and 25, Cubanacán, Playa, Havana 11600 Cuba.
Ivis Mendoza-HernándezNational Clinical Trials Coordinating Center, 5th Avenue and 62, Miramar, Playa, Havana, Cuba.
Yaima MuñozNational Clinical Trials Coordinating Center, 5th Avenue and 62, Miramar, Playa, Havana, Cuba.
Yanet Gómez-MaceoClinic #1, 21 St. and 190, La Lisa, Havana, Cuba.
Bertha Leysi Santos-Vega"19 de Abril" Polyclinic, Tulipan St. between Panorama y Oeste, Nuevo Vedado, Plaza de la Revolución, Havana 10400, Cuba.
Sonsire Fernandez-CastilloFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba. Electronic address: sfernandez@finlay.edu.cu.
Yanet Climent-RuizFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Laura Rodríguez-NodaFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Darielys Santana-MederosFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Yanelda García-VegaCenter of Molecular Immunology, 15th Avenue and 216 St, Siboney, Playa, Havana, Cuba.
Guang-Wu ChenChengdu Olisynn Biotech. Co. Ltd., Chengdu 610041, People's Republic of China; State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China.
Delaram DoroudPasteur Institute of Iran, No. 69, Pasteur Avenue, Tehran 1316943551, Islamic Republic of Iran.
Alireza BiglariPasteur Institute of Iran, No. 69, Pasteur Avenue, Tehran 1316943551, Islamic Republic of Iran.
Tammy Boggiano-AyoCenter of Molecular Immunology, 15th Avenue and 216 St, Siboney, Playa, Havana, Cuba.
Yury Valdés-BalbínFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Daniel G RiveraLaboratory of Synthetic and Biomolecular Chemistry, Faculty of Chemistry, University of Havana, Havana 10400, Cuba.
Dagmar García-RiveraFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba.
Vicente Vérez-BencomoFinlay Vaccine Institute, 21st Avenue Nº 19810 Between 198 and 200 St, Atabey, Playa, Havana, Cuba. Electronic address: vicente_verez@finlay.edu.cu.
SOBERANA Research Group
Finlay Institute · CUCenter of Molecular Immunology (Cuba) · CUPolyclinic General Hospital · GRCuban Neuroscience Center · CUPasteur Institute of Iran · IRInstituto de Medicina Tropical “Pedro Kourí” · CUSichuan University · CNUniversity of Havana · CU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSOBERANA 02 has been evaluated in phase I and IIa studies comparing homologous versus heterologous schedule (this one, including SOBERANA Plus). Here, we report results of immunogenicity, safety, and reactogenicity of SOBERANA 02 in a two- or three-dose heterologous scheme in adults.

methodPhase IIb was a parallel, multicenter, adaptive, double-blind, randomized, and placebo-controlled trial. Subjects (n = 810) aged 19-80 years were randomized to receive two doses of SARS-CoV-2 RBD conjugated to tetanus toxoid (SOBERANA 02) and a third dose of dimeric RBD (SOBERANA Plus) 28 days apart; two production batches of active ingredients of SOBERANA 02 were evaluated. Primary outcome was the percentage of seroconverted subjects with ≥4-fold the anti-RBD immunoglobulin G (IgG) concentration. Secondary outcomes were safety, reactogenicity, and neutralizing antibodies.

findingsSeroconversion rate in vaccinees was 76.3% after two doses and 96.8% after the third dose of SOBERANA Plus (7.3% in the placebo group). Neutralizing IgG antibodies were detected against D614G and variants of concern (VOCs) Alpha, Beta, Delta, and Omicron. Specific, functional antibodies were detected 7-8 months after the third dose. The frequency of serious adverse events (AEs) associated with vaccination was very low (0.1%). Local pain was the most frequent AE.

conclusionsTwo doses of SOBERANA 02 were safe and immunogenic in adults. The heterologous combination with SOBERANA Plus increased neutralizing antibodies, detectable 7-8 months after the third dose. TRIAL REGISTRY: https://rpcec.sld.cu/trials/RPCEC00000347

fundingThis work was supported by Finlay Vaccine Institute, BioCubaFarma, and the Fondo Nacional de Ciencia y Técnica (FONCI-CITMA-Cuba, contract 2020-20).

Indexed as

COVID-19VaccinesAdultAntibodies, NeutralizingHumansImmunoglobulin GSARS-CoV-2Antibodies, NeutralizingImmunoglobulin GVaccinesconjugate vaccineCOVID-19heterologous schedulephase IIb clinical trialrecombinant RBDTranslation to patients

Identifiers

PMID35998623
PMCPMC9359498
OpenAlexW4292230050

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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.