Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants

Abstract As part of a multicenter study evaluating homologous and heterologous COVID-19 booster vaccines, we assessed the magnitude, breadth, and short-term durability of binding and pseudovirus-neutralizing antibody (PsVNA) responses following a single booster dose of NVX-CoV2373 in adults primed w...

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Main Authors: Kirsten E. Lyke, Robert L. Atmar, Clara Dominguez Islas, Christine M. Posavad, Meagan E. Deming, Angela R. Branche, Christine Johnston, Hana M. El Sahly, Srilatha Edupuganti, Mark J. Mulligan, Lisa A. Jackson, Richard E. Rupp, Christina A. Rostad, Rhea N. Coler, Martín Bäcker, Angelica C. Kottkamp, Tara M. Babu, David Dobrzynski, Judith M. Martin, Rebecca C. Brady, Robert W. Frenck, Kumaravel Rajakumar, Karen Kotloff, Nadine Rouphael, Daniel Szydlo, Rahul PaulChoudhury, Janet I. Archer, Sonja Crandon, Brian Ingersoll, Amanda Eaton, Elizabeth R. Brown, M. Juliana McElrath, Kathleen M. Neuzil, David S. Stephens, Diane J. Post, Bob C. Lin, Leonid Serebryannyy, John H. Beigel, David C. Montefiori, Paul C. Roberts, the DMID 21-0012 Study Group
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:npj Vaccines
Online Access:https://doi.org/10.1038/s41541-023-00693-z
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author Kirsten E. Lyke
Robert L. Atmar
Clara Dominguez Islas
Christine M. Posavad
Meagan E. Deming
Angela R. Branche
Christine Johnston
Hana M. El Sahly
Srilatha Edupuganti
Mark J. Mulligan
Lisa A. Jackson
Richard E. Rupp
Christina A. Rostad
Rhea N. Coler
Martín Bäcker
Angelica C. Kottkamp
Tara M. Babu
David Dobrzynski
Judith M. Martin
Rebecca C. Brady
Robert W. Frenck
Kumaravel Rajakumar
Karen Kotloff
Nadine Rouphael
Daniel Szydlo
Rahul PaulChoudhury
Janet I. Archer
Sonja Crandon
Brian Ingersoll
Amanda Eaton
Elizabeth R. Brown
M. Juliana McElrath
Kathleen M. Neuzil
David S. Stephens
Diane J. Post
Bob C. Lin
Leonid Serebryannyy
John H. Beigel
David C. Montefiori
Paul C. Roberts
the DMID 21-0012 Study Group
author_facet Kirsten E. Lyke
Robert L. Atmar
Clara Dominguez Islas
Christine M. Posavad
Meagan E. Deming
Angela R. Branche
Christine Johnston
Hana M. El Sahly
Srilatha Edupuganti
Mark J. Mulligan
Lisa A. Jackson
Richard E. Rupp
Christina A. Rostad
Rhea N. Coler
Martín Bäcker
Angelica C. Kottkamp
Tara M. Babu
David Dobrzynski
Judith M. Martin
Rebecca C. Brady
Robert W. Frenck
Kumaravel Rajakumar
Karen Kotloff
Nadine Rouphael
Daniel Szydlo
Rahul PaulChoudhury
Janet I. Archer
Sonja Crandon
Brian Ingersoll
Amanda Eaton
Elizabeth R. Brown
M. Juliana McElrath
Kathleen M. Neuzil
David S. Stephens
Diane J. Post
Bob C. Lin
Leonid Serebryannyy
John H. Beigel
David C. Montefiori
Paul C. Roberts
the DMID 21-0012 Study Group
author_sort Kirsten E. Lyke
collection DOAJ
description Abstract As part of a multicenter study evaluating homologous and heterologous COVID-19 booster vaccines, we assessed the magnitude, breadth, and short-term durability of binding and pseudovirus-neutralizing antibody (PsVNA) responses following a single booster dose of NVX-CoV2373 in adults primed with either Ad26.COV2.S, mRNA-1273, or BNT162b2 vaccines. NVX-CoV2373 as a heterologous booster was immunogenic and associated with no safety concerns through Day 91. Fold-rises in PsVNA titers from baseline (Day 1) to Day 29 were highest for prototypic D614G variant and lowest for more recent Omicron sub-lineages BQ.1.1 and XBB.1. Peak humoral responses against all SARS-CoV-2 variants were lower in those primed with Ad26.COV2.S than with mRNA vaccines. Prior SARS CoV-2 infection was associated with substantially higher baseline PsVNA titers, which remained elevated relative to previously uninfected participants through Day 91. These data support the use of heterologous protein-based booster vaccines as an acceptable alternative to mRNA or adenoviral-based COVID-19 booster vaccines. This trial was conducted under ClinicalTrials.gov: NCT04889209.
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spelling doaj.art-25f04fdb644f4573b07bd819954db49f2023-12-03T09:14:12ZengNature Portfolionpj Vaccines2059-01052023-07-018111010.1038/s41541-023-00693-zImmunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variantsKirsten E. Lyke0Robert L. Atmar1Clara Dominguez Islas2Christine M. Posavad3Meagan E. Deming4Angela R. Branche5Christine Johnston6Hana M. El Sahly7Srilatha Edupuganti8Mark J. Mulligan9Lisa A. Jackson10Richard E. Rupp11Christina A. Rostad12Rhea N. Coler13Martín Bäcker14Angelica C. Kottkamp15Tara M. Babu16David Dobrzynski17Judith M. Martin18Rebecca C. Brady19Robert W. Frenck20Kumaravel Rajakumar21Karen Kotloff22Nadine Rouphael23Daniel Szydlo24Rahul PaulChoudhury25Janet I. Archer26Sonja Crandon27Brian Ingersoll28Amanda Eaton29Elizabeth R. Brown30M. Juliana McElrath31Kathleen M. Neuzil32David S. Stephens33Diane J. Post34Bob C. Lin35Leonid Serebryannyy36John H. Beigel37David C. Montefiori38Paul C. Roberts39the DMID 21-0012 Study GroupCenter for Vaccine Development and Global Health, University of Maryland School of MedicineDepartments of Medicine and Molecular Virology & Microbiology, Baylor College of MedicineVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterCenter for Vaccine Development and Global Health, University of Maryland School of MedicineDepartment of Medicine, Division of Infectious Diseases, University of RochesterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterDepartments of Medicine and Molecular Virology & Microbiology, Baylor College of MedicineDepartment of Medicine, Emory University School of MedicineNYU Langone Vaccine Center and Division of Infectious Diseases and Immunology, Department of Medicine, NYU Grossman School of MedicineKaiser Permanente Washington Health Research InstituteSealy Institute for Vaccine Sciences, University of Texas Medical BranchDepartment of Pediatrics and Center for Childhood Infections and Vaccines, Emory University School of Medicine and Children’s Healthcare of AtlantaSeattle Children’s Research Institute, University of Washington School of MedicineNYU Langone Hospital—Long Island Vaccine Center Research Clinic and Division of Infectious Disease, Department of Medicine, NYU Long Island School of MedicineNYU Langone Vaccine Center and Division of Infectious Diseases and Immunology, Department of Medicine, NYU Grossman School of MedicineDepartment of Medicine, University of WashingtonDepartment of Medicine, Division of Infectious Diseases, University of RochesterDepartment of Pediatrics, University of Pittsburgh School of MedicineCincinnati Children’s Hospital Medical Center, Division of Infectious Diseases, University of Cincinnati College of MedicineCincinnati Children’s Hospital Medical Center, Division of Infectious Diseases, University of Cincinnati College of MedicineDepartment of Pediatrics, University of Pittsburgh School of MedicineCenter for Vaccine Development and Global Health, University of Maryland School of MedicineDepartment of Medicine, Emory University School of MedicineStatistical Center for HIV/AIDS Research and Prevention (SCHARP), Fred Hutchinson Cancer Research CenterStatistical Center for HIV/AIDS Research and Prevention (SCHARP), Fred Hutchinson Cancer Research CenterFHI360Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of HealthStatistical Center for HIV/AIDS Research and Prevention (SCHARP), Fred Hutchinson Cancer Research CenterDepartment of Surgery, Duke University Medical CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterCenter for Vaccine Development and Global Health, University of Maryland School of MedicineDepartment of Medicine, Emory University School of MedicineDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of HealthVaccine Immunology Program, Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of HealthVaccine Immunology Program, Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of HealthDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of HealthDepartment of Surgery, Duke University Medical CenterDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of HealthAbstract As part of a multicenter study evaluating homologous and heterologous COVID-19 booster vaccines, we assessed the magnitude, breadth, and short-term durability of binding and pseudovirus-neutralizing antibody (PsVNA) responses following a single booster dose of NVX-CoV2373 in adults primed with either Ad26.COV2.S, mRNA-1273, or BNT162b2 vaccines. NVX-CoV2373 as a heterologous booster was immunogenic and associated with no safety concerns through Day 91. Fold-rises in PsVNA titers from baseline (Day 1) to Day 29 were highest for prototypic D614G variant and lowest for more recent Omicron sub-lineages BQ.1.1 and XBB.1. Peak humoral responses against all SARS-CoV-2 variants were lower in those primed with Ad26.COV2.S than with mRNA vaccines. Prior SARS CoV-2 infection was associated with substantially higher baseline PsVNA titers, which remained elevated relative to previously uninfected participants through Day 91. These data support the use of heterologous protein-based booster vaccines as an acceptable alternative to mRNA or adenoviral-based COVID-19 booster vaccines. This trial was conducted under ClinicalTrials.gov: NCT04889209.https://doi.org/10.1038/s41541-023-00693-z
spellingShingle Kirsten E. Lyke
Robert L. Atmar
Clara Dominguez Islas
Christine M. Posavad
Meagan E. Deming
Angela R. Branche
Christine Johnston
Hana M. El Sahly
Srilatha Edupuganti
Mark J. Mulligan
Lisa A. Jackson
Richard E. Rupp
Christina A. Rostad
Rhea N. Coler
Martín Bäcker
Angelica C. Kottkamp
Tara M. Babu
David Dobrzynski
Judith M. Martin
Rebecca C. Brady
Robert W. Frenck
Kumaravel Rajakumar
Karen Kotloff
Nadine Rouphael
Daniel Szydlo
Rahul PaulChoudhury
Janet I. Archer
Sonja Crandon
Brian Ingersoll
Amanda Eaton
Elizabeth R. Brown
M. Juliana McElrath
Kathleen M. Neuzil
David S. Stephens
Diane J. Post
Bob C. Lin
Leonid Serebryannyy
John H. Beigel
David C. Montefiori
Paul C. Roberts
the DMID 21-0012 Study Group
Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants
npj Vaccines
title Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants
title_full Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants
title_fullStr Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants
title_full_unstemmed Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants
title_short Immunogenicity of NVX-CoV2373 heterologous boost against SARS-CoV-2 variants
title_sort immunogenicity of nvx cov2373 heterologous boost against sars cov 2 variants
url https://doi.org/10.1038/s41541-023-00693-z
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