Evidence map›Paper›PMID 40767533›Full record

ArticleJournal of medical virology2025

Modeling Antibody Kinetics Post-mRNA Booster Vaccination and Protection Durations Against SARS-CoV-2 Infection.

Luis J Ponce, Yuqian Wang, Ananya Singh, Hoong Kai Chua, Marc Chen, Pei Xiang Hor, Chiew Yee Loh, Xuan Ying Poh, Suma Rao, Po Ying Chia and 9 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Review
  2. Review
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Luis J PonceLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Yuqian WangLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Ananya SinghLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Hoong Kai ChuaSchool of Biological Sciences, Nanyang Technological University, Singapore, Singapore.ORCID https://orcid.org/0009-0000-2988-7766
Marc ChenLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Pei Xiang HorA*STAR Infectious Diseases Labs (A*STAR ID Labs), Agency for Science, Technology, and Research (A*STAR), Singapore, Singapore.
Chiew Yee LohA*STAR Infectious Diseases Labs (A*STAR ID Labs), Agency for Science, Technology, and Research (A*STAR), Singapore, Singapore.
Xuan Ying PohNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Suma RaoNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Po Ying ChiaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Sean W X OngNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Tau Hong LeeNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Ray J H LinNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Clarissa LimNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Jefanie TeoNational Center for Infectious Diseases (NCID), Singapore, Singapore.
Yun Shan GohA*STAR Infectious Diseases Labs (A*STAR ID Labs), Agency for Science, Technology, and Research (A*STAR), Singapore, Singapore.
Keisuke EjimaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID https://orcid.org/0000-0002-1185-3987
on behalf of the NCID Study Group
on behalf of the COVID‐19 Cohort Study Group

Funding

This study was supported in part by the Ministry of Education, Singapore, under the Academic Research Fund Tier 1 Seed Award (RLMOE100201900000001) (to KE), a Singapore Ministry of Education startup grant (LKCMedicine-SUG, #022487-00001) (to KE), JST, PRESTO (JPMJPR23R3) (to KE), and LKCMedicine-SUG, #022388-00001) (to LR). This study was also funded by the Biomedical Research Council (BMRC), A*CRUSE (Vaccine monitoring project), A*ccelerate GAP-funded project (ACCL/19-GAP064-R20H-H) from the Agency of Science, Technology, and Research (A*STAR), Singapore National Medical Research Council COVID-19 Research Fund (COVID19RF-001; COVID19RF-0011; COVID19RF-0018; and COVID19RF-060), US Food and Drug Administration (#75F40120C00085), and A*STAR COVID-19 Research funding (H/20/04/g1/006), A*STAR Career Development Fund award (SC35/22-805100; #222D800035) and TF IPC Ltd under the grant titled "Temasek Foundation Infectious Diseases Programme for Surveillance and Diseases X Resilience". The study does not necessarily represent the views of the funding agencies listed above.
6 · The paper itself

Abstract

Understanding the dynamics of SARS-CoV-2 antibody levels post-booster vaccination is important to inform their durations of protection. Longitudinal antibody data was collected on the day of booster vaccination, as well as 28, 180, and 360 days after. Using nonlinear mixed effects models, we mapped the kinetics of binding IgA and IgG against wild-type (WT) and Omicron BA.1 spike proteins. Furthermore, we analyzed the association between antibody levels and risk of SARS-CoV-2 vaccine breakthrough infection through survival analyzes, and predicted durations of protection against infection. We found that the antibody response waned more rapidly following the Pfizer/BioNTech BNT162b2 booster compared to the Moderna mRNA-1273 booster. However, individuals boosted with the Pfizer vaccine exhibited a steeper rebound in antibody levels after infection. Faster postinfection antibody growth rates were observed in the elderly, females, and those with late infections. High antibody levels for WT IgG and BA.1 IgA at day 28 post-booster were associated with reduced infection risk; hazard ratios were 0.47 (95% CI [0.22, 0.98]) and 0.36 (95% CI [0.17, 0.78]), respectively, compared to low levels. Time-varying antibody levels showed better survival model fits. At medium COVID-19 case incidence (621 cases per million per day), a binding BA.1 IgA response of at least 20% is needed to sustain 80% protection against infection over 155 days post-booster. Our estimates of protection durations against SARS-CoV-2 infection post-booster vaccination may help inform the ideal frequency of boosters.

Indexed as

Antibodies, ViralCOVID-19COVID-19 VaccinesImmunization, SecondarySARS-CoV-22019-nCoV Vaccine mRNA-1273AdultAgedBNT162 VaccineFemaleHumansImmunoglobulin AImmunoglobulin GKineticsMaleMiddle Aged2019-nCoV Vaccine mRNA-1273Antibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin AImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID‐19 breakthrough infectionsCOVID‐19 vaccinesimmunoglobulin Aimmunoglobulin GSARS‐CoV‐2survival analysis

Identifiers

PMID40767533
PMCPMC12327169

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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.