Evidence map›Paper›PMID 36404396›Full record

Observational studyThoracic cancer2023

Safety of anti-SARS-CoV-2 messenger RNA vaccine in lung cancer patients undergoing anticancer chemotherapy: A multicenter, prospective, observational, patient-reported outcome study.

Daijiro Harada, Tomoki Tamura, Kiichiro Ninomiya, Toshio Kubo, Shoichi Kuyama, Sayaka Tachibana, Koji Inoue, Kenichi Chikamori, Kenichiro Kudo, Nobuaki Ochi and 2 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
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

12 authors at 8 institutions in 1 country.

Daijiro HaradaDepartment of Thoracic Oncology, NHO Shikoku Cancer Center, Matsuyama, Japan.ORCID https://orcid.org/0000-0002-5314-2489
Tomoki TamuraDepartment of Respiratory Medicine, NHO Iwakuni Clinical Center, Iwakuni, Japan.ORCID https://orcid.org/0000-0002-2480-9029
Kiichiro NinomiyaDepartment of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Toshio KuboCenter for Clinical Oncology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Shoichi KuyamaDepartment of Respiratory Medicine, NHO Iwakuni Clinical Center, Iwakuni, Japan.
Sayaka TachibanaDepartment of Respiratory Medicine, Ehime Prefectural Central Hospital, Matsuyama, Japan.
Koji InoueDepartment of Respiratory Medicine, Ehime Prefectural Central Hospital, Matsuyama, Japan.
Kenichi ChikamoriDepartment of Medical Oncology, National Hospital Organization Yamaguchi-Ube Medical Center, Ube, Japan.
Kenichiro KudoDepartment of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Okayama, Japan.
Nobuaki OchiGeneral Internal Medicine 4, Kawasaki Medical School, Okayama, Japan.
Yoshinobu MaedaDepartment of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Katsuyuki KiuraDepartment of Allergy and Respiratory Medicine, Okayama University Hospital, Okayama, Japan.
Okayama University · JPEhime Prefectural Central Hospital · JPIwakuni Medical Center · JPKawasaki Medical School · JPNational Hospital Organization · JPNational Sanyo Hospital · JPOkayama University Hospital · JPShikoku Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 incidence is high in patients with cancer. The fatality rate was high for the Delta variant, necessitating infection prevention by vaccination. This study evaluated the safety of a SARS-CoV-2 vaccine in patients with advanced lung cancer receiving anticancer therapy.

methodsWe prospectively enrolled patients receiving anticancer drugs for advanced lung cancer and planning SARS-CoV-2 vaccination. Early side effects within 7 days of vaccination were evaluated using patient-reported outcome (PRO) surveys. Chi-square test and multivariate logistic regression analyses were used.

resultsPost-vaccination PROs were collected from 406 patients (252 were males). The mean age was 72 years. Treatment at the time of initial vaccination included chemotherapy, immune checkpoint inhibitors (ICI), a combination of chemotherapy and ICI, targeted therapy including tyrosine kinase inhibitors, and others in 115, 93, 45, 147, and six cases, respectively. The vaccines administered were BNT162b2 and mRNA273 in 361 and three cases, respectively and unknown in 42 cases. A total of 16.1% of patients developed fever (38°C) after the second mRNA vaccination (95% confidence interval: 12.6%-20.1%). This rate is comparable to data previously reported in 120 patients and slightly higher than that of healthy participants of the BNT162b2 study. Patients receiving treatment with cytotoxic anticancer agents were more likely to have high fever. Multivariate analysis showed no correlation between fever frequency and patient background. No serious initial adverse events due to vaccination were observed.

conclusionsAnti-SARS-CoV-2 mRNA vaccination is safe; however, post-vaccination fever is more common in patients undergoing lung cancer treatment than in healthy individuals.

Indexed as

COVID-19Lung NeoplasmsAgedBNT162 VaccineCOVID-19 VaccinesCytotoxinsFemaleFeverHumansMaleProspective StudiesSARS-CoV-2BNT162 VaccineCOVID-19 VaccinesCytotoxinsanticancer drugsCOVID-19lung cancerSARS-CoV-2vaccine safety

Identifiers

PMID36404396
PMCPMC9870727
OpenAlexW4309507380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.