Evidence map›Paper›PMID 40333311›Full record

ArticleVaccines2025

Neutralizing Antibody Response to the AreXvy Respiratory Syncytial Virus Vaccine in Lung Transplant Recipients: Assessment Against Reference and Seasonal Strains.

Liran Levy, Dafna Yahav, Mark Benzimra, Yael Bezalel, Tomer Hoffman, Neta Shirin, Tomer Sinai, Menucha Jurkowicz, Ofir Deri, Noa Matalon and 6 more

Abstract read
In one paragraph

Article in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

16 authors.

Liran LevyInstitute of Pulmonary Medicine, Sheba Medical Center, Ramat Gan 5262000, Israel.ORCID 0000-0001-6368-8015
Dafna YahavSheba Lung Transplant Program, Sheba Medical Center, Ramat Gan 5262000, Israel.
Mark BenzimraInstitute of Pulmonary Medicine, Sheba Medical Center, Ramat Gan 5262000, Israel.
Yael BezalelInstitute of Pulmonary Medicine, Sheba Medical Center, Ramat Gan 5262000, Israel.
Tomer HoffmanSheba Lung Transplant Program, Sheba Medical Center, Ramat Gan 5262000, Israel.ORCID 0000-0003-3535-6835
Neta ShirinFaculty of Medical & Health Sciences, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel.
Tomer SinaiCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel.
Menucha JurkowiczCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel.
Ofir DeriInstitute of Pulmonary Medicine, Sheba Medical Center, Ramat Gan 5262000, Israel.ORCID 0000-0002-3357-1008
Noa MatalonInstitute of Pulmonary Medicine, Sheba Medical Center, Ramat Gan 5262000, Israel.
Milton SauteSheba Lung Transplant Program, Sheba Medical Center, Ramat Gan 5262000, Israel.
Yaniv LustigCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel.
Eyal NachumDepartment of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Ramat Gan 5266202, Israel.
Michael PeledInstitute of Pulmonary Medicine, Sheba Medical Center, Ramat Gan 5262000, Israel.
Ital NemetCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel.
Michal MandelboimCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel.

Funding

The G. Baum Foundation, Tel-Aviv Clinic for TB & Lung Disease NA
6 · The paper itself

Abstract

backgroundRespiratory Syncytial Virus (RSV) is a significant cause of morbidity and mortality among lung transplant (LTx) recipients. Therapeutic options are limited, emphasizing the importance of prevention. The Arexvy

methodsA single-center retrospective cohort study, including all LTx recipients who were vaccinated with Arexvy in February 2024. Baseline and follow-up serum samples (1, 3, and 6 months post-vaccination) were analyzed for antibody responses using a commercial RSV ELISA kit and micro-neutralization assays against historical reference RSV A/B ATCC strains and seasonal RSV strains. Adverse events were documented.

resultsA total of 28 recipients received the vaccine. Twenty-one (75%) were male, and the median age was 62 years (interquartile range [IQR], 53-67). The median time from transplant was 486 days (IQR, 243-966). Vaccination elicited strong immunogenic responses, demonstrating a twofold increase in ELISA-determined antibody levels at one month post-vaccination, which were sustained for six months. At one month, 67% of recipients had antibody levels exceeding the cutoff threshold. Micro-neutralization assays showed a significant increase in neutralizing antibodies against all tested variants (RSV A/B ATCC and seasonal RSV A/B), with titers remaining at least twofold higher than pre-vaccination levels. No serious adverse events were observed.

conclusionsOur findings demonstrate a sustained antibody response to the Arexvy

Indexed as

Arexvyimmunogenicitylung transplantrespiratory syncytial virus (RSV)vaccine

Identifiers

PMID40333311
PMCPMC12031295

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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.