Evidence map›Paper›PMID 36402595›Full record

Trial reportClinical therapeutics2022

Immunogenicity and Safety of SpikoGen, an Adjuvanted Recombinant SARS-CoV-2 Spike Protein, as a Heterologous Third Booster Dose in Kidney Transplant Patients: A Single-arm Clinical Trial.

Mohsen Nafar, Narges Mostafaloo, Ahmad Firouzan, Fatemeh Poorrezagholi, Fariba Samadian, Nooshin Dalili, Saghar Barati, Nassim Anjidani, Hamidreza Kafi, Ramin Shahpari and 3 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
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

13 authors at 1 institution in 1 country.

Mohsen NafarChronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Narges MostafalooDepartment of Nephrology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ahmad FirouzanChronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fatemeh PoorrezagholiChronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fariba SamadianChronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nooshin DaliliChronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saghar BaratiMedical Department, Orchid Pharmed Company, Tehran, Iran.
Nassim AnjidaniMedical Department, Orchid Pharmed Company, Tehran, Iran.
Hamidreza KafiMedical Department, Orchid Pharmed Company, Tehran, Iran.
Ramin ShahpariMedical Department, Orchid Pharmed Company, Tehran, Iran.
Mahdiye BayatMedical Department, Orchid Pharmed Company, Tehran, Iran.
Soha KianipourMedical Department, Orchid Pharmed Company, Tehran, Iran.
Shiva SamavatUrology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: shsamavat@gmail.com.
Shahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies have found that immunocompromised patients have suboptimal responses to COVID-19 vaccines, leading to approval of a need for booster doses in this population. SpikoGen® is a subunit recombinant spike protein vaccine combined with Advax-CpG55.2™ adjuvant to protect against COVID-19. Previous clinical trials found this vaccine to be tolerable, immunogenic, and efficacious in reducing the risk of COVID-19, including severe disease. However, the effects of this vaccine have not been assessed in immunocompromised patients. This study sought to assess the immunogenicity and safety of the SpikoGen vaccine as a third booster dose in patients undergoing kidney transplant who were receiving immunosuppressive therapy and had received their primary vaccination based on an inactivated whole virus platform (Sinopharm).

methodsThis single-arm trial was performed with 43 patients undergoing kidney transplant. The participants received a single booster dose of the SpikoGen vaccine 1 to 3 months after primary vaccination with 2 doses of the Sinopharm vaccine. Immunogenicity assessments were performed at baseline and 30 days after the booster dose. The primary outcomes were seroconversion rates of anti-S

findingsThe SpikoGen vaccine induced positive humoral and cellular responses 30 days after the booster dose in those patients who were seropositive or seronegative after 2 primary doses of the Sinopharm vaccine. Thirty days after the SpikoGen vaccine booster, seroconversion rates were 35.29% (95% CI, 19.75%-53.51%) to anti-S IMPLICATIONS: A single booster dose of SpikoGen vaccine given 1 to 3 months after primary vaccination with 2 doses of Sinopharm vaccine induced positive humoral and cellular immune responses in immunosuppressed patients undergoing renal transplant, thereby achieving spike antibody levels predictive of protection. This study was performed as a single-center study, and it will be important for future large multicenter studies to extend these results to other immunocompromised patient groups.

Indexed as

COVID-19Kidney TransplantationAdjuvants, ImmunologicAntibodies, NeutralizingCOVID-19 VaccinesHumansSARS-CoV-2Spike Glycoprotein, CoronavirusVaccines, SubunitAdjuvants, ImmunologicAntibodies, NeutralizingCOVID-19 VaccinesSARS-CoV-2 recombinant spike protein with delta inulin and CpG-ODN adjuvant vaccineSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Vaccines, SubunitBooster doseCOVID-19Kidney transplantSARS-CoV-2SpikoGen

Identifiers

PMID36402595
PMCPMC9595368
OpenAlexW4307296254

What OpenQuestion holds

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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.