Evidence map›Paper›PMID 37141401›Full record

Observational studyThe oncologist2023

Humoral Immunity After COVID-19 Vaccination in Chronic Lymphocytic Leukemia and Other Indolent Lymphomas: A Single-Center Observational Study.

Peter G Doukas, Frederique St Pierre, Reem Karmali, Xinlei Mi, Jennifer Boyer, Mariana Nieves, Michael G Ison, Jane N Winter, Leo I Gordon, Shuo Ma

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% 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, 3 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 1 institution in 1 country.

Peter G DoukasDepartment of Medicine, Northwestern Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0001-6242-5395
Frederique St PierreDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Reem KarmaliDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Xinlei MiDepartment of Preventive Medicine and Biostatistics, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Jennifer BoyerDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Mariana NievesDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Michael G IsonDivisions of Infectious Diseases and Organ Transplantation, Northwestern Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0003-3347-9671
Jane N WinterDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Leo I GordonDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
Shuo MaDivision of Hematology and Oncology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-6139-5486
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic lymphocytic leukemia (CLL) and other non-Hodgkin's lymphomas (NHLs) lead to broad immunosuppression, conferring a greater risk for morbidity and mortality from SARS-CoV-2. Our study analyzed antibody (Ab) seropositivity from SARS-CoV-2 vaccination in patients with these cancers.

methodsIn the final analysis, 240 patients were involved, and seropositivity was defined as a positive total or spike protein Ab.

resultsSeropositivity was 50% in CLL, 68% in WM, and 70% in the remaining NHLs. Moderna vaccination led to higher seropositivity compared to Pfizer vaccination across all cancers (64% vs. 49%; P = .022) and specifically CLL patients (59% vs. 43%; P = .029). This difference was not explainable by differences in treatment status or prior anti-CD20 monoclonal Ab therapy. In CLL patients, current or prior cancer therapy led to lower seropositivity compared to treatment-naïve patients (36% vs. 68%; P = .000019). CLL patients treated with Bruton's tyrosine kinase (BTK) inhibitors had better seropositivity after receiving the Moderna vaccination compared to Pfizer (50% vs. 23%; P = .015). Across all cancers, anti-CD20 agents within 1 year led to a lower Ab response compared to greater than one year (13% vs. 40%; P = .022), a difference which persisted after booster vaccination.

conclusionAntibody response is lower in patients with indolent lymphomas compared to the general population. Lower Ab seropositivity was found in patients with a history of anti-leukemic agent therapy or those immunized with Pfizer vaccine. This data suggests that Moderna vaccination may confer a greater degree of immunity against SARS-CoV-2 in patients with indolent lymphomas.

Indexed as

COVID-19Leukemia, Lymphocytic, Chronic, B-CellLymphoma, Non-HodgkinAntibodies, MonoclonalCOVID-19 VaccinesHumansImmunity, HumoralSARS-CoV-2VaccinationAntibodies, MonoclonalCOVID-19 VaccinesBTK inhibitorschronic lymphocytic leukemiaCOVID-19Non-Hodgkin’s lymphomasrituximabvaccination

Identifiers

PMID37141401
PMCPMC10546828
OpenAlexW4368342773

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.