Evidence map›Paper›PMID 37118525›Full record

Observational studyNature aging2023

Strong peak immunogenicity but rapid antibody waning following third vaccine dose in older residents of care homes.

Gokhan Tut, Tara Lancaster, Maria Krutikov, Panagiota Sylla, David Bone, Eliska Spalkova, Christopher Bentley, Umayr Amin, Azar Jadir, Samuel Hulme and 18 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Nature aging, 2023. 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
4.9field-weighted citation impact, top 4% 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, 25 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

28 authors at 5 institutions in 1 country.

Gokhan Tut *Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.ORCID 0000-0002-0655-232X
Tara Lancaster *Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2872-4794
Maria Krutikov *UCL Institute of Health Informatics, London, UK.
Panagiota SyllaInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
David BoneInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Eliska SpalkovaInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Christopher BentleyInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8099-2024
Umayr AminInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.ORCID 0000-0001-9933-8914
Azar JadirInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8449-8584
Samuel HulmeInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Nayandeep KaurInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Elif TutInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Rachel BrutonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Mary Y WuCovid Surveillance Unit, The Francis Crick Institute, London, UK.ORCID 0000-0002-2074-6171
Ruth HarveyWorldwide Influenza Centre, The Francis Crick Institute London, London, UK.
Edward J CarrThe Francis Crick Institute, London, UK.
Crick COVID Immunity Pipeline
Rupert BealeThe Francis Crick Institute, London, UK.
Oliver StirrupHealth Security Agency, London, UK.ORCID 0000-0002-8705-3281
Madhumita ShrotriUCL Institute of Health Informatics, London, UK.ORCID 0000-0001-9791-122X
Borscha AzmiUCL Institute of Health Informatics, London, UK.
Christopher FullerUCL Institute of Health Informatics, London, UK.
Verity BayntonHealth Security Agency, London, UK.
Aidan Irwin-SingerHealth Security Agency, London, UK.
Andrew HaywardHealth Data Research UK, London, UK.
Andrew CopasUCL Institute for Global Health, London, UK.
Laura ShallcrossUCL Institute of Health Informatics, London, UK.ORCID 0000-0003-1713-2555
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK. p.moss@bham.ac.uk.ORCID 0000-0002-6895-1967
The Francis Crick Institute · GBUniversity of Birmingham · GBUniversity College London · GBHealth Data Research UK · GBNIHR Birmingham Biomedical Research Centre · GB

Funding

Wellcome Trust CC2087
6 · The paper itself

Abstract

Third-dose coronavirus disease 2019 vaccines are being deployed widely but their efficacy has not been assessed adequately in vulnerable older people who exhibit suboptimal responses after primary vaccination series. This observational study, which was carried out by the VIVALDI study based in England, looked at spike-specific immune responses in 341 staff and residents in long-term care facilities who received an mRNA vaccine following dual primary series vaccination with BNT162b2 or ChAdOx1. Third-dose vaccination strongly increased antibody responses with preferential relative enhancement in older people and was required to elicit neutralization of Omicron. Cellular immune responses were also enhanced with strong cross-reactive recognition of Omicron. However, antibody titers fell 21-78% within 100 d after vaccine and 27% of participants developed a breakthrough Omicron infection. These findings reveal strong immunogenicity of a third vaccine in one of the most vulnerable population groups and endorse an approach for widespread delivery across this population. Ongoing assessment will be required to determine the stability of immune protection.

Indexed as

COVID-19VaccinesAgedAntibodiesBNT162 VaccineBreakthrough InfectionsCOVID-19 VaccinesHumansAntibodiesBNT162 VaccineCOVID-19 VaccinesVaccines

Identifiers

PMID37118525
PMCPMC10154221
OpenAlexW4317549168

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.