Evidence map›Paper›PMID 40213556›Full record

ArticleFrontiers in immunology2025

Improved antibody breadth with an extended primary dose interval of COVID-19 vaccine is overcome by boosters.

Jessica I Ahmed, Samantha J Krosta, Mandy N Reimer, Winnie Cheung, Christine Mesa, Carmen Lopez, Rayeil J Chua, Farah Alsattari, Alyssia Robinson, Kathy Manguiat and 17 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. 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
–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

1 citing paper in PubMed.

  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

27 authors.

Jessica I Ahmed *Division of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Samantha J Krosta *Division of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Mandy N ReimerDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Winnie CheungDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Christine MesaDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Carmen LopezDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Rayeil J ChuaDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Farah AlsattariDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Alyssia RobinsonDivision of Mycobacteriology, Vector-borne and Prion Diseases, Public Health Agency of Canada, Winnipeg, MB, Canada.
Kathy ManguiatDivision of Mycobacteriology, Vector-borne and Prion Diseases, Public Health Agency of Canada, Winnipeg, MB, Canada.
Naima JahanDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada.
Bernard AbrenicaDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Angela HarrisDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Karla CacheroDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Rissa FabiaDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Jonathan WalkerDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Myo Minn OoDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada.
Derek SteinDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada.
Hezhao JiDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Ruey-Chyi SuDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Paul J McLarenDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Lyle R McKinnonDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
T Blake BallDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Heidi WoodDivision of Mycobacteriology, Vector-borne and Prion Diseases, Public Health Agency of Canada, Winnipeg, MB, Canada.
John KimDivision of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Sandra A Kiazyk *Division of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.
Catherine M Card *Division of Sexually-Transmitted and Blood-Borne Infections, Public Health Agency of Canada, Winnipeg, MB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: During rollout of mRNA-based COVID-19 vaccines, several jurisdictions extended the interval between the first and second doses to prioritize wider population access to limited vaccine supply. This study evaluated the effects of an extended dose interval on development of antibody and cell-mediated responses following the primary dose series and a subsequent booster dose. Methods: Blood samples were collected from mRNA COVID-19 vaccine recipients at baseline and longitudinally after each dose. Samples were analyzed for SARS-CoV-2-specific antibody titers, neutralizing antibodies and memory T cell responses. Results: An extended dose interval was associated with improved breadth of neutralizing antibody responses against both ancestral and early SARS-CoV-2 variants, but not Omicron variants. Dose interval had no impact on the development of antigen-specific memory T cell responses, the memory or T helper phenotypes of responding T cells or cytokine production. The effects of the primary dose interval on immune outcomes were no longer evident after a third dose of mRNA vaccine. Discussion: An extended primary dose interval resulted in short-term benefits to humoral immunity but these were transient in the context of subsequent exposures. However, in addition to the public health benefits of wider population access to vaccines, the short-term immunological benefits of extending the dose interval may have been sustained in the absence of boosters. These findings underscore the importance of evaluating dosing intervals during the development of future vaccine candidates.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCOVID-19COVID-19 VaccinesImmunization, SecondarySARS-CoV-2AdultFemaleHumansImmunization ScheduleImmunologic MemoryMaleMemory T CellsMiddle AgedAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesantibodyboosterbreadthCOVID-19dose intervalmRNA vaccineneutralizationT cell

Identifiers

PMID40213556
PMCPMC11983636

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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.