Evidence map›Paper›PMID 42099605›Full record

Trial reportFrontiers in immunology2026

Cellular immune responses 12 months after fractional or standard dose BNT162b2 booster vaccination in Mongolian adults.

Nadia Mazarakis, Zheng Quan Toh, Tsetsegsaikhan Batmunkh, Jeremy Anderson, Leanne Quah, Yan Yung Ng, Otgonjargal Amraa, Tsogjargal Burentogtokh, Sarantsetseg Jigjidsuren, Bolor Altangerel and 14 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

24 authors.

Nadia MazarakisInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Zheng Quan TohInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Tsetsegsaikhan BatmunkhNational Centre for Communicable Diseases, Ulaanbaatar, Mongolia.
Jeremy AndersonInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Leanne QuahInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Yan Yung NgInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Otgonjargal AmraaNational Centre for Communicable Diseases, Ulaanbaatar, Mongolia.
Tsogjargal BurentogtokhGeneral Laboratory of Clinical Pathology, First Central Hospital of Mongolia, Ulaanbaatar, Mongolia.
Sarantsetseg JigjidsurenGeneral Laboratory of Clinical Pathology, First Central Hospital of Mongolia, Ulaanbaatar, Mongolia.
Bolor AltangerelOnoshmed Clinical Laboratory, Ulaanbaatar, Mongolia.
Narantuya NamjilOnoshmed Clinical Laboratory, Ulaanbaatar, Mongolia.
Khaliunaa MashbaatarNational Centre for Communicable Diseases, Ulaanbaatar, Mongolia.
Rachael CarissaInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Skyy LuuInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Kerryn A MooreInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Eleanor F G NealInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Cattram NguyenInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Shuo LiInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
John HartInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Lien Anh Ha DoInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Frances JusticeInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Kim MulhollandInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Claire von MollendorfInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Paul V LicciardiInfection, Immunity, and Global Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the role of booster doses in sustaining protection against emerging SARS-CoV-2 variants, global uptake remains low, highlighting the need for dose-sparing strategies that maintain durable immunity. We conducted a randomized controlled trial in Mongolian adults to examine long-term cellular immune responses to standard and fractional doses of BNT162b2 given as a third dose. A total of 601 participants, primed with ChAdOx1-S, BBIBP-CorV, or Gam-COVID-Vac, were randomized (1:1) to receive 15 μg (fractional dose) or 30 μg (standard dose) of BNT162b2. A subset of participants (N = 256) were enrolled for cell-mediated immunity analysis (n = 101 ChAdOx1-S primed, n = 117 BBIBP-CorV primed, n = 38 Gam-COVID-Vac primed). Antibodies were measured for binding anti-Spike IgG and neutralizing antibodies, and T-cell responses were measured using activation-induced marker (AIM), intracellular cytokine staining (ICS), and IFN-γ against SARS-CoV-2 Spike-specific wild-type and JN.1, and followed-up for 12 months. At 12 months post-vaccination, wild-type and JN.1 IgG levels were sustained and remained approximately 1.7-2.7-fold higher than baseline levels, and neutralizing antibodies were maintained (89% inhibition) for each priming stratum and standard and fractional dose groups. Across all study visits, total AIM CD4mem (expressing CD69+, OX40+, or CD137+) and CD8mem (CD69+CD137+), total ICS CD4mem and CD8mem (IL-2+, TNF-α+, or IFN-γ+), and ELISpot IFN-γ remained similar by study arm and priming strata for wild-type and JN.1 responses. CD4mem AIM responses peaked 6 months post-vaccination; by 12 months, responses to wild-type were maintained, whereas JN.1 responses had declined to day 28 levels or lower. For memory T-cell ICS responses, durability was maintained over 12 months post-vaccination for both wild-type and JN.1 responses. Overall, fractional booster dosing produced comparable and robust long-term humoral and cellular immune responses to a standard dose, including against the JN.1 variant.

Indexed as

BNT162 VaccineCOVID-19COVID-19 VaccinesImmunity, CellularImmunization, SecondarySARS-CoV-2AdultAntibodies, NeutralizingAntibodies, ViralChAdOx1 nCoV-19FemaleHumansImmunoglobulin GMaleMiddle AgedSpike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineChAdOx1 nCoV-19COVID-19 VaccinesGam-COVID-Vac vaccineImmunoglobulin GSpike Glycoprotein, CoronavirusVaccines, Syntheticcellular immune responseCOVID-19immunologylongitudinalvaccine

Identifiers

PMID42099605
PMCPMC13144050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.