Evidence map›Paper›PMID 37631897›Full record

ArticleVaccines2023

Immunogenicity of Mix-and-Match CoronaVac/BNT162b2 Regimen versus Homologous CoronaVac/CoronaVac Vaccination: A Single-Blinded, Randomized, Parallel Group Superiority Trial.

Samar Samoud, Jihene Bettaieb, Mariem Gdoura, Ghassen Kharroubi, Feriel Ben Ghachem, Imen Zamali, Ahlem Ben Hmid, Sadok Salem, Ahmed Adel Gereisha, Mongi Dellagi and 12 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  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

22 authors at 4 institutions in 1 country.

Samar SamoudDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Jihene BettaiebDepartment of Medical Epidemiology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Mariem GdouraDepartment of Clinical Virology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Ghassen KharroubiDepartment of Medical Epidemiology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Feriel Ben GhachemVaccination Center of Ariana City, Ariana Regional Health Directorate, Ariana 2080, Tunisia.
Imen ZamaliDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.ORCID 0000-0002-0438-6807
Ahlem Ben HmidDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Sadok SalemDepartment of Medical Epidemiology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Ahmed Adel GereishaDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Mongi DellagiDepartment of Medical Epidemiology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Nahed HoggaDepartment of Clinical Virology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Adel GharbiDepartment of Medical Epidemiology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Amor BaccoucheDepartment of Medical Epidemiology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Manel GharbiDepartment of Clinical Virology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Chadha KhemissiDepartment of Clinical Virology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Ghada AkiliVaccination Center of Ariana City, Ariana Regional Health Directorate, Ariana 2080, Tunisia.
Wissem SlamaVaccination Center of Ariana City, Ariana Regional Health Directorate, Ariana 2080, Tunisia.
Nabila ChaiebVaccination Center of Ariana City, Ariana Regional Health Directorate, Ariana 2080, Tunisia.
Yousr GalaiDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Hechmi LouzirDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.
Henda TrikiLaboratory of Transmission, Control and Immunobiology of Infections (LR11IPT02), Institut Pasteur de Tunis, University of Tunis El Manar, Tunis 1068, Tunisia.
Melika Ben AhmedDepartment of Clinical Immunology, Pasteur Institute of Tunis, Tunis 1002, Tunisia.ORCID 0000-0002-3179-1648
Tunis University · TNInstitut Pasteur de Tunis · TNInstitut Supérieur des Études Technologiques en Communications de Tunis · TNUniversity of Monastir · TN

Funding

Institut Pasteur de Tunis No number available
6 · The paper itself

Abstract

(1) Background: This study aimed to compare the immunogenicity of the mix-and-match CoronaVac/BNT162b2 vaccination to the homologous CoronaVac/CoronaVac regimen. (2) Methods: We conducted a simple-blinded randomized superiority trial to measure SARS-CoV-2 neutralization antibodies and anti-spike receptor binding domain (RBD) IgG concentrations in blood samples of participants who had received the first dose of CoronaVac vaccine followed by a dose of BNT162b2 or CoronaVac vaccine. The primary endpoint for immunogenicity was the serum-neutralizing antibody level with a percentage of inhibition at 90% at 21-35 days after the boost. A difference of 25% between groups was considered clinically relevant. (3) Results: Among the 240 eligible participants, the primary endpoint data were available for 100 participants randomly allocated to the mix-and-match group versus 99 participants randomly allocated to the homologous dose group. The mix-and-match regimen elicited significantly higher levels of neutralizing antibodies (median level of 96%, interquartile range (IQR) (95-97) versus median level of 94%, IQR (81-96) and anti-spike IgG antibodies (median level of 13,460, IQR (2557-29,930) versus median level of 1190, IQR (347-4964) compared to the homologous group. Accordingly, the percentage of subjects with a percentage of neutralizing antibodies > 90% was significantly higher in the mix-and-match group (90.0%) versus the homologous (60.6%). Interestingly, no severe events were reported within 30 days after the second dose of vaccination in both groups. (4) Conclusions: Our data showed the superiority of the mix-and-match CoronaVac/BNT162b2 vaccination compared to the CoronaVac/CoronaVac regimen in terms of immunogenicity, thus constituting a proof-of-concept study supporting the use of inactivated vaccines in a mix-and-match strategy while ensuring good immunogenicity and safety.

Indexed as

BNT162b2CoronaVacCOVID-19immunogenicitytolerance

Identifiers

PMID37631897
PMCPMC10459159
OpenAlexW4385603100

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.