Evidence map›Paper›PMID 38016021›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

A Bivalent Omicron-BA.4/BA.5-Adapted BNT162b2 Booster in ≥12-Year-Olds.

Lisa Usdan, Sohil Patel, Hector Rodriguez, Xia Xu, Dung-Yang Lee, Daniel Finn, Hayley Wyper, Francine S Lowry, Federico J Mensa, Claire Lu and 9 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05472038 (AN INTERVENTIONAL, RANDOMIZED, ACTIVE-CONTROLLED, PHASE 1/2/3 STUDY TO INVESTIGATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF BNT162b RNA-BASED VACCINE CANDIDATES IN COVID-19 VACCINE-EXPERIENCED HEALTHY INDIVIDUALS), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT05472038 phase2 / phase3completednot on this map

AN INTERVENTIONAL, RANDOMIZED, ACTIVE-CONTROLLED, PHASE 1/2/3 STUDY TO INVESTIGATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF BNT162b RNA-BASED VACCINE CANDIDATES IN COVID-19 VACCINE-EXPERIENCED HEALTHY INDIVIDUALS

TypeinterventionalSponsorBioNTech SERan2022 to 2024Enrolled1,453ConditionsSARS-CoV-2 Infection, COVID-19ArmsBNT162b5 Bivalent (WT/OMI BA.2), BNT162b2 Bivalent (WT/OMI BA.1), BNT162b2 Bivalent (WT/OMI BA.4/BA.5), BNT162b5 Bivalent (Original/OMI BA.4/BA.5), BNT162b6 Bivalent (Original/OMI BA.4/BA.5)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 19 citations in OpenAlex.

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  5. Molecular mechanisms of SARS-CoV-2 entry: implications for biomedical strategies.Microbiology and molecular biology reviews : MMBR · 2025
    Review
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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

19 authors at 6 institutions in 3 countries.

Lisa UsdanCNS Healthcare, Memphis, Tennessee, USA.
Sohil PatelVaccine Research and Development, Pfizer, Hurley, United Kingdom.
Hector RodriguezAcevedo Clinical Research Associates, Miami, Florida, USA.
Xia XuVaccine Research and Development, Pfizer, Collegeville, Pennsylvania, USA.
Dung-Yang LeeVaccine Research and Development, Pfizer, Collegeville, Pennsylvania, USA.
Daniel FinnKentucky Pediatric/Adult Research, Bardstown, Kentucky, USA.
Hayley WyperVaccine Research and Development, Pfizer, Hurley, United Kingdom.
Francine S LowryVaccine Research and Development, Pfizer, Collegeville, Pennsylvania, USA.
Federico J MensaBioNTech, Mainz, Germany.
Claire LuVaccine Research and Development, Pfizer, Pearl River, New York, USA.
David CooperVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Kenneth KouryVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Annaliesa S AndersonVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Özlem TüreciBioNTech, Mainz, Germany.
Uğur ŞahinBioNTech, Mainz, Germany.
Kena A SwansonVaccine Research and Development, Pfizer, Pearl River, New York, USA.
William C GruberVaccine Research and Development, Pfizer, Pearl River, New York, USA.
Nicholas KitchinVaccine Research and Development, Pfizer, Hurley, United Kingdom.
C4591044 Study Group
Pfizer (United States) · USPfizer (United Kingdom) · GBBioNTech (Germany) · DEClinical Research Associates · USCNS Healthcare · USOhio Pediatric Research Association · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProtection against contemporary severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants requires sequence-adapted vaccines.

methodsIn this ongoing phase 2/3 trial, 12-17-year-olds (n = 108), 18-55-year-olds (n = 313), and >55-year-olds (n = 306) who previously received 3 original BNT162b2 30-µg doses, received a fourth dose (second booster) of 30-µg bivalent original/Omicron-BA.4/BA.5-adapted BNT162b2 (BNT162b2-Omi.BA.4/BA.5). For comparisons with original BNT162b2, participants were selected from another phase 3 trial. Immunologic superiority 1 month after vaccination, with respect to 50% neutralizing titers (lower bound [LB] of 2-sided 95% confidence interval [CI] for geometric mean ratio [GMR], >1), and noninferiority with respect to seroresponse rates (LB of 2-sided 95% CI for rate difference, greater than -5%), for Omicron BA.4/BA.5 were assessed in >55-year-olds versus original BNT162b2 as a second booster. Noninferiority with respect to neutralizing titer level (LB of 2-sided 95% CI for GMR, > 0.67) and seroresponse rate (LB of 2-sided 95% CI for rate difference, greater than -10%) of Omicron BA.4/BA.5 immune response for BNT162b2-Omi.BA.4/BA.5 in 18-55 versus >55-year-olds was assessed.

resultsOne month after vaccination in >55-year-olds, the model-adjusted GMR of Omicron BA.4/BA.5 neutralizing titers for the BNT162b2-Omi.BA.4/BA.5 versus BNT162b2 groups (2.91 [95% CI, 2.45-3.44]) demonstrated the superiority of BNT162b2-Omi.BA.4/BA.5. Adjusted difference in the percentages of >55-year-olds with seroresponse (26.77% [95% CI, 19.59-33.95]) showed noninferiority of BNT162b2-Omi.BA.4/BA.5 to BNT162b2. Noninferiority of BNT162b2-Omi.BA.4/BA.5 in 18-55-year-olds compared with >55-year-olds was met for model-adjusted GMR and seroresponse. Geometric mean titers in 12-17-year-olds increased from baseline to 1 month after vaccination. The BNT162b2-Omi.BA.4/BA.5 safety profile was similar to the profiles for booster doses of bivalent Omicron BA.1-modified BNT162b2 and original BNT162b2 reported in previous studies.

conclusionsBased on immunogenicity and safety data up to 1 month after vaccination in participants who previously received 3 original BNT162b2 doses, a BNT162b2-Omi.BA.4/BA.5 30-µg booster has a favorable benefit-risk profile. CLINICAL TRIALS REGISTRATION: NCT05472038.

Indexed as

Antibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19Immunization, SecondarySARS-CoV-2AdolescentAdultChildCOVID-19 VaccinesFemaleHumansImmunogenicity, VaccineMaleMiddle AgedYoung AdultAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesBNT162b2 vaccineboosterimmunogenicityOmicron variantSARS-CoV-2

Identifiers

PMID38016021
PMCPMC11093671
OpenAlexW4389076953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.