Evidence map›Paper›PMID 38090729›Full record

ArticleIJID regions2024

Safety of AZD1222 COVID-19 vaccine and low Incidence of SARS-CoV-2 infection in Botswana following ChAdOx1(AZD1222) vaccination: A single-arm open-label interventional study - final study results.

Joseph Makhema, Emily Shava, Alane Izu, Tendani Gaolathe, Lesego Kuate, Adam Walker, Lucy Carty, Panayiotis Georgiou, Coulson Kgathi, Wonderful T Choga and 18 more

Open access · goldAbstract read
In one paragraph

Article in IJID regions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

28 authors at 6 institutions in 4 countries.

Joseph MakhemaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Emily ShavaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Alane IzuSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Tendani GaolatheBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Lesego KuateDepartment of Health Systems Management, Clinical Services, Ministry of Health Botswana, Gaborone, Botswana.
Adam WalkerMedical Evidence, Vaccine and Immune Therapies, BioPharmaceuticals Medicine, AstraZeneca, Cambridge, UK.
Lucy CartyMedical and Payer Evidence Statistics, BioPharmaceuticals Medicine, AstraZeneca, Cambridge, UK.
Panayiotis GeorgiouLate Development, Vaccines and Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.
Coulson KgathiBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Wonderful T ChogaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Tumalano SekotoBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Ngozana SeonyatsengBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Tuelo MogashoaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Comfort N MaphorisaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Terence MohammedBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Tshenolo NtalabgweBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Tshepho T FrankBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Boitumelo MatlhakuBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Ame DiphokoBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Thandie PhindelaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Agripa KaundaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Poloko KgariBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Thomas KanyakulaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Gape PalalaniBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Isabella PhakediBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Mompati MmalaneBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Sylvia TaylorInfection Evidence Strategy, Vaccine and Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Sikhulile MoyoBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Botswana Harvard AIDS Institute Partnership · BWAstraZeneca (United Kingdom) · GBHarvard University · USUniversity of Botswana · BWMinistry of Health · BWSouth African Medical Research Council · ZA

Funding

Viral Diversity an Innovative Biomarker for Refining Estimates of HIV IncidenceK43TW012350 · FIC · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI Sikhulile Moyo · 2022 to 2026
$682k
FIC NIH HHS K43 TW012350
6 · The paper itself

Abstract

Objectives: We report the final analysis of the single-arm open-label study evaluating the safety and COVID-19 incidence after AZD1222 vaccination in Botswana conducted between September 2021 and August 2022. Methods: The study included three groups of adults (>18 years), homologous AZD1222 primary series and booster (AZ2), heterologous primary series with one dose AZD1222, and AZD1222 booster (HPS), and primary series other than AZD1222 and AZD1222 booster (OPS). We compared the incidence of AEs in participants with and without prior COVID-19 infection using an exact test for rate ratios. Results: Among 10,894 participants, 9192 (84.4%) were enrolled at first vaccine dose, 521 (4.8%) at second vaccine, and 1181 (10.8%) at the booster vaccine. Of 10,855 included in the full analysis set, 1700 received one dose of AZD1222; 5377 received two doses; 98 received a heterologous series including one AZD1222 and a booster; 30 in the HPS group; 1058 in the OPS group; and 2592 in the AZ2 group. No laboratory-confirmed COVID-19 hospitalizations or deaths were reported. The incidence of laboratory-confirmed symptomatic COVID infection for the AZ2 group was 6.22 (95% confidence interval: 2.51-12.78) per 1000 participant-years (1000-PY) and 3.5 (95% confidence interval: 0.42-12.57) per 1000-PY for AZ2+booster group. Most adverse events were mild, with higher incidence in participants with prior COVID-19 infection. Individuals with prior COVID-19 exposure exhibited higher binding antibody responses. No differences in outcomes were observed by HIV status. Conclusion: AZD1222 is safe, effective, and immunogenic for people living with and without HIV.

Indexed as

Antibody responsesAstraZenecaAZD 1222BotswanaCOVID-19 vaccination

Identifiers

PMID38090729
PMCPMC10714336
OpenAlexW4388562895

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.