Evidence map›Paper›PMID 36251630›Full record

ArticlePloS one2022

Immunogenicity and reactogenicity of a third dose of BNT162b2 vaccine for COVID-19 after a primary regimen with BBIBP-CorV or BNT162b2 vaccines in Lima, Peru.

Natalia Vargas-Herrera, Manuel Fernández-Navarro, Nestor E Cabezudo, Percy Soto-Becerra, Gilmer Solís-Sánchez, Stefan Escobar-Agreda, Javier Silva-Valencia, Luis Pampa-Espinoza, Ricardo Bado-Pérez, Lely Solari and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 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

11 authors at 3 institutions in 2 countries.

Natalia Vargas-HerreraCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0002-0948-0114
Manuel Fernández-NavarroCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0003-3637-2052
Nestor E CabezudoMeasles and Rubella National Reference Laboratory, Centro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.
Percy Soto-BecerraInstituto de Evaluación de Tecnologías en Salud e Investigación (IETSI), Seguro Social de Salud del Peru (ESSALUD), Lima, Peru.
Gilmer Solís-SánchezOficina General de Investigación y Transferencia Tecnológica, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0001-7084-088X
Stefan Escobar-AgredaCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.
Javier Silva-ValenciaCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.
Luis Pampa-EspinozaCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.
Ricardo Bado-PérezCentro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud - Perú, Lima, Peru.
Lely SolariCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.
Roger V Araujo-CastilloCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0002-3740-1962
Instituto Nacional de Salud · PEEsSALUD · PEMinisterio de Salud · BO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe administration of a third (booster) dose of COVID-19 vaccines in Peru initially employed the BNT162b2 (Pfizer) mRNA vaccine. The national vaccination program started with healthcare workers (HCW) who received BBIBP-CorV (Sinopharm) vaccine as primary regimen and elderly people previously immunized with BNT162b2. This study evaluated the reactogenicity and immunogenicity of the "booster" dose in these two groups in Lima, Peru.

methodsWe conducted a prospective cohort study, recruiting participants from November to December of 2021 in Lima, Peru. We evaluated immunogenicity and reactogenicity in HCW and elderly patients previously vaccinated with either two doses of BBIBP-CorV (heterologous regimen) or BTN162b2 (homologous regimen). Immunogenicity was measured by anti-SARS-CoV-2 IgG antibody levels immediately before boosting dose and 14 days later. IgG geometric means (GM) and medians were obtained, and modeled using ANCOVA and quantile regressions.

resultsThe GM of IgG levels increased significantly after boosting: from 28.5±5.0 AU/mL up to 486.6±1.2 AU/mL (p<0.001) which corresponds to a 17-fold increase. The heterologous vaccine regimen produced higher GM of post-booster anti-SARS-CoV-2 IgG levels, eliciting a 13% increase in the geometric mean ratio (95%CI: 1.02-1.27) and a median difference of 92.3 AU/ml (95%CI: 24.9-159.7). Both vaccine regimens were safe and well tolerated. Previous COVID-19 infection was also associated with higher pre and post-booster IgG GM levels.

conclusionAlthough both boosting regimens were highly immunogenic, two doses of BBIBP-CorV boosted with BTN162b2 produced a stronger IgG antibody response than the homologous BNT162b2 regimen in the Peruvian population. Additionally, both regimens were mildly reactogenic and well-tolerated.

Indexed as

COVID-19COVID-19 VaccinesAgedAntibodies, ViralBNT162 VaccineHumansImmunization, SecondaryImmunogenicity, VaccineImmunoglobulin GmRNA VaccinesPeruProspective StudiesVaccines, SyntheticAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin GmRNA VaccinesVaccines, Synthetic

Identifiers

PMID36251630
PMCPMC9576087
OpenAlexW4306630473

What OpenQuestion holds

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LicenceCC BY
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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.