Evidence map›Paper›PMID 39395130›Full record

ArticleGeroScience2025

Broad immunogenicity to prior SARS-CoV-2 strains and JN.1 variant elicited by XBB.1.5 vaccination in nursing home residents.

Yasin Abul, Clare Nugent, Igor Vishnepolskiy, Tiffany Wallace, Evan Dickerson, Laurel Holland, Iva Esparza, Mandi Winkis, Kazi Tanvee Wali, Philip A Chan and 25 more

Abstract read
In one paragraph

Article in GeroScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Yasin AbulCenter On Innovation in Long-Term Services & Supports, Providence Veterans Administration Medical Center, Providence, RI, USA. yasin_abul@brown.edu.ORCID 0000-0001-7062-6920
Clare NugentDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Igor VishnepolskiyCenter On Innovation in Long-Term Services & Supports, Providence Veterans Administration Medical Center, Providence, RI, USA.
Tiffany WallaceDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Evan DickersonDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Laurel HollandDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Iva EsparzaDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Mandi WinkisDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Kazi Tanvee WaliDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Philip A ChanDivision of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Rosa R BaierBrown University School of Public Health, Providence, RI, USA.
Amy ReckerBrown University School of Public Health, Providence, RI, USA.
Matthew KaczynskiDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Shreya KamojjalaDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Alexander PraleaDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Hailee RiceDivision of Geriatrics and Palliative Medicine, Rhode Island Hospital, Providence, RI, USA.
Olubunmi OsiasDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Oladayo A OyebanjiCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Olajide OlagunjuCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Yi CaoRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Chia Jung LiRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Alex RoedererRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Walther M PfeiferEast Side Clinical Laboratory, East Providence, RI, USA.
Jürgen BoschCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Christopher L KingCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Aman NandaDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Lynn McNicollDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Nadia MujahidDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Sakeena RazaDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Rohit TyagiDivision of Geriatrics and Palliative Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Brigid M WilsonCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Elizabeth M WhiteBrown University School of Public Health, Providence, RI, USA.
David H Canaday *Case Western Reserve University School of Medicine, Cleveland, OH, USA. dxc44@case.edu.
Stefan Gravenstein *Center On Innovation in Long-Term Services & Supports, Providence Veterans Administration Medical Center, Providence, RI, USA.
Alejandro B Balazs *Ragon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.

Funding

Non-inferiority study of adjuvanted vs. high dose flu vaccine in residents of long term careR01AI129709 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI CANADAY, DAVID H, GRAVENSTEIN, STEFAN · 2018 to 2021
$4.7M
Early Drivers of Humoral Immunity to SARS-CoV-2 InfectionsU01CA260539 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KING, CHRISTOPHER L · 2020 to 2024
$3.4M
Foundation for the National Institutes of Health AI129709-03S1NCCDPHP CDC HHS 200-2016-91773NCI NIH HHS U01 CA260539NIAID NIH HHS R01 AI129709
6 · The paper itself

Abstract

SARS-CoV-2 vaccination has reduced hospitalization and mortality for nursing home residents (NHRs) but emerging variants and waning immunity challenge vaccine effectiveness. This study assesses the immunogenicity of the most recent XBB.1.5 monovalent vaccine to variant strains among NHRs. Participants were subset of a longitudinal study of consented NHRs and Healthcare workers (HCWs) who have received serial blood draws to assess immunogenicity with each SARS-CoV-2 mRNA vaccine dose. We report data on participants who received the XBB.1.5 monovalent vaccine post-FDA approval in Fall 2023. NHRs were categorized by whether they had an interval SARS-CoV-2 infection between their first bivalent vaccine dose and their XBB.1.5 monovalent vaccination. The sample included 61 NHRs [median age 76 (IQR 68-86), 51% female] and 28 HCWs [median age 45 (IQR 31-58), 46% female). After XBB.1.5 vaccination, a robust geometric mean fold rise (GMFR) in XBB.1.5-specific neutralizing antibody titers was observed:17.3 (95% confidence interval [CI] 9.3, 32.4) and NHRs with interval infection and 11.3 (95% CI 5, 25.4) in those without and 13.6 (95% CI 8.4,22) in HCWs. For JN.1-specific titers, GMFRs were 14.9 (95% CI 7.9, 28) and 6.5 (95% CI 3.3, 13.1) in NHRs with and without interval infection, and 11.4 (95% CI 6.2, 20.9) in HCWs. NHRs with interval SARS-CoV-2 infection had higher titers across all analyzed strains analyzed. The XBB.1.5 vaccine significantly elevates Omicron-specific neutralizing antibody titers to XBB.1.5 and JN.1 strains in both NHRs and HCWs with more pronounced in those previously infected with SARS-CoV-2 since bivalent vaccination.

Indexed as

COVID-19COVID-19 VaccinesImmunogenicity, VaccineNursing HomesSARS-CoV-2AdultAgedAged, 80 and overAntibodies, NeutralizingAntibodies, ViralFemaleHumansLongitudinal StudiesMaleMiddle AgedVaccinationAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesCOVID-19JN.1 variantNursing homesOlder adultsSARS-CoV-2XBB.1.5 monovalent vaccine

Identifiers

PMID39395130
PMCPMC11978566

What OpenQuestion holds

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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.