Evidence map›Paper›PMID 39540209›Full record

ArticleHuman vaccines & immunotherapeutics2024

Substantial reduction in the clinical and economic burden of disease following variant-adapted mRNA COVID-19 vaccines in immunocompromised patients in France.

Amy Lee, Benjamin Davido, Ekkehard Beck, Clarisse Demont, Keya Joshi, Michele Kohli, Michael Maschio, Mathieu Uhart, Nadia El Mouaddin

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Amy LeeQuadrant Health Economics Inc, Cambridge, Ontario, Canada.
Benjamin DavidoMaladies Infectieuses, Hôpital Universitaire Raymond-Poincaré, AP-HP Université Paris Saclay, Garches, France.
Ekkehard BeckHealth Economics and Outcomes Research, Moderna Inc, Cambridge, MA, USA.
Clarisse DemontHealth Economics and Outcomes Research, Moderna France, Paris, France.
Keya JoshiHealth Economics and Outcomes Research, Moderna Inc, Cambridge, MA, USA.
Michele KohliQuadrant Health Economics Inc, Cambridge, Ontario, Canada.
Michael MaschioQuadrant Health Economics Inc, Cambridge, Ontario, Canada.
Mathieu UhartHealth Economics and Outcomes Research, Moderna France, Paris, France.
Nadia El MouaddinHealth Economics and Outcomes Research, Moderna France, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An evaluation was conducted to predict the economic and clinical burden of vaccinating all immunocompromised (IC) individuals aged ≥30 years with mRNA-1273 variant-adapted COVID-19 vaccines versus BNT162b2 variant-adapted vaccines in Fall 2023 and Spring 2024 in France. The number of symptomatic SARS-CoV-2 infections, hospitalizations or deaths due to COVID-19, and long COVID cases, costs and quality-adjusted life years (QALYs) were estimated using a static decision-analytic model. Predicted vaccine effectiveness (VE) were based on real-world data from the original and BA.4/5 variant-adapted vaccines, suggesting higher protection against infection and hospitalization with mRNA-1273 vaccines. VE estimates were combined with COVID-19 incidence and probability of COVID-19 severe outcomes. Uncertainty surrounding VE, vaccine coverage, infection incidence, hospitalization and mortality rates, costs and QALYs were evaluated in sensitivity analyses. In an ideal situation where 100% coverage is achieved, the mRNA-1273 variant-adapted vaccine is predicted to prevent an additional 3,882 infections, 357 hospitalizations, 81 deaths, and 326 long COVID cases when compared to BNT162b2 variant-adapted vaccines in 230,000 IC individuals. This translates to €10.1 million cost-savings from a societal perspective and 645 QALYs gained. Results were consistent across all analyses and most sensitive to variations surrounding VE and coverage. These findings highlight the importance of increasing vaccine coverage, and ability to induce higher levels of protection with mRNA-1273 formulations in this vulnerable population.

Indexed as

2019-nCoV Vaccine mRNA-1273BNT162 VaccineCost of IllnessCOVID-19COVID-19 VaccinesHospitalizationImmunocompromised HostQuality-Adjusted Life YearsSARS-CoV-2AdultAgedCost-Benefit AnalysisFemaleFranceHumansIncidence2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19 VaccinesCOVID-19 hospitalizationCOVID-19 vaccinedecision analysiseconomic modelingFrancevaccine effectiveness

Identifiers

PMID39540209
PMCPMC11572258

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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.