Evidence map›Paper›PMID 37114577›Full record

Observational studyCancer medicine2023

Clinical efficacy of the first two doses of anti-SARS-CoV-2 mRNA vaccines in solid cancer patients.

Maria Silvia Cona, Agostino Riva, Davide Dalu, Arianna Gabrieli, Cinzia Fasola, Giuseppe Lipari, Giacomo Pozza, Eliana Rulli, Francesca Galli, Lorenzo Ruggieri and 9 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Observational
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

19 authors at 3 institutions in 1 country.

Maria Silvia ConaDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.ORCID 0000-0002-1838-7819
Agostino RivaDepartment of Infectious Diseases, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Davide DaluDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Arianna GabrieliLuigi Sacco Department of Biomedical and Clinical Sciences DIBIC, University of Milan, Milan, Italy.
Cinzia FasolaDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Giuseppe LipariLuigi Sacco Department of Biomedical and Clinical Sciences DIBIC, University of Milan, Milan, Italy.
Giacomo PozzaDepartment of Infectious Diseases, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Eliana RulliLaboratory of Methodology for Clinical Research, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Francesca GalliLaboratory of Methodology for Clinical Research, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Lorenzo RuggieriDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.ORCID 0000-0002-9972-2761
Elsa MaseduDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Gaia ParmaDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Davide ChizzonitiDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Anna GambaroDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Sabrina FerrarioDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Maria AntistaDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Matteo De MonteDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
Maciej S TarkowskiLuigi Sacco Department of Biomedical and Clinical Sciences DIBIC, University of Milan, Milan, Italy.
Nicla La VerdeDepartment of Oncology, Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
ASST Fatebenefratelli Sacco · ITUniversity of Milan · ITMario Negri Institute for Pharmacological Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCancer patients are frail individuals, thus the prevention of SARS-CoV-2 infection is essential. To date, vaccination is the most effective tool to prevent COVID-19. In a previous study, we evaluated the immunogenicity of two doses of mRNA-based vaccines (BNT162b2 or mRNA-1273) in solid cancer patients. We found that seroconversion rate in cancer patients without a previous exposure to SARS-CoV-2 was lower than in healthy controls (66.7% vs. 95%, p = 0.0020). The present study aimed to evaluate the clinical efficacy of the vaccination in the same population.

methodsThis is a single-institution, prospective observational study. Data were collected through a predefined questionnaire through phone call in the period between the second and third vaccine dose. The primary objective was to describe the clinical efficacy of the vaccination, defined as the percentage of vaccinated subjects who did not develop symptomatic COVID-19 within 6 months after the second dose. The secondary objective was to describe the clinical features of patients who developed COVID-19.

resultsFrom January to June 2021, 195 cancer patients were enrolled. Considering that 7 (3.59%) patients tested positive for SARS-CoV-2 and 5 developed symptomatic disease, the clinical efficacy of the vaccination was 97.4%. COVID-19 disease in most patients was mild and managed at home; only one hospitalization was recorded and no patient required hospitalization in the intensive care unit. DISCUSSION: Our study suggests that increasing vaccination coverage, including booster doses, could improve the prevention of infection, hospitalization, serious illness, and death in the frail population of cancer patients.

Indexed as

COVID-19NeoplasmsBNT162 VaccineHumansSARS-CoV-2Treatment OutcomeBNT162 Vaccine

Identifiers

PMID37114577
PMCPMC10315797
OpenAlexW4367298479

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.