Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages

Abstract The SARS-CoV-2 Omicron (B.1.1.529) Variant of Concern (VOC) and its sub-lineages (including BA.2, BA.4, BA.5, BA.2.12.1) contain spike mutations that confer high level resistance to neutralizing antibodies induced by vaccination with ancestral spike or infection with previously circulating...

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Main Authors: Jinal N. Bhiman, Simone I. Richardson, Bronwen E. Lambson, Prudence Kgagudi, Nonkululeko Mzindle, Haajira Kaldine, Carol Crowther, Glenda Gray, Linda-Gail Bekker, Novavax trial clinical lead author group, Vivek Shinde, Chijioke Bennett, Gregory M. Glenn, Shabir A. Madhi, Penny L. Moore
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-27698-x
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author Jinal N. Bhiman
Simone I. Richardson
Bronwen E. Lambson
Prudence Kgagudi
Nonkululeko Mzindle
Haajira Kaldine
Carol Crowther
Glenda Gray
Linda-Gail Bekker
Novavax trial clinical lead author group
Vivek Shinde
Chijioke Bennett
Gregory M. Glenn
Shabir A. Madhi
Penny L. Moore
author_facet Jinal N. Bhiman
Simone I. Richardson
Bronwen E. Lambson
Prudence Kgagudi
Nonkululeko Mzindle
Haajira Kaldine
Carol Crowther
Glenda Gray
Linda-Gail Bekker
Novavax trial clinical lead author group
Vivek Shinde
Chijioke Bennett
Gregory M. Glenn
Shabir A. Madhi
Penny L. Moore
author_sort Jinal N. Bhiman
collection DOAJ
description Abstract The SARS-CoV-2 Omicron (B.1.1.529) Variant of Concern (VOC) and its sub-lineages (including BA.2, BA.4, BA.5, BA.2.12.1) contain spike mutations that confer high level resistance to neutralizing antibodies induced by vaccination with ancestral spike or infection with previously circulating variants. The NVX-CoV2373 vaccine, a protein nanoparticle vaccine containing the ancestral spike sequence, has value in countries with constrained cold-chain requirements. Here we report neutralizing titers following two or three doses of NVX-CoV2373. We show that after two doses, Omicron sub-lineages BA.1 and BA.4/BA.5 were resistant to neutralization by 72% (21/29) and 59% (17/29) of samples respectively. However, after a third dose of NVX-CoV2373, we observed high titers against Omicron BA.1 (GMT: 1,197) and BA.4/BA.5 (GMT: 582), with responses similar in magnitude to those triggered by three doses of an mRNA vaccine. These data are of particular relevance as BA.4/BA.5 is dominating in multiple locations, and highlight the potential utility of the NVX-CoV2373 vaccine as a booster in resource-limited environments.
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spelling doaj.art-6e50f56803a24a00a13ebf541e441d6d2023-01-22T12:13:27ZengNature PortfolioScientific Reports2045-23222023-01-011311510.1038/s41598-023-27698-xNovavax NVX-COV2373 triggers neutralization of Omicron sub-lineagesJinal N. Bhiman0Simone I. Richardson1Bronwen E. Lambson2Prudence Kgagudi3Nonkululeko Mzindle4Haajira Kaldine5Carol Crowther6Glenda Gray7Linda-Gail Bekker8Novavax trial clinical lead author groupVivek Shinde9Chijioke Bennett10Gregory M. Glenn11Shabir A. Madhi12Penny L. Moore13National Institute for Communicable Diseases of the National Health Laboratory ServicesNational Institute for Communicable Diseases of the National Health Laboratory ServicesNational Institute for Communicable Diseases of the National Health Laboratory ServicesNational Institute for Communicable Diseases of the National Health Laboratory ServicesNational Institute for Communicable Diseases of the National Health Laboratory ServicesNational Institute for Communicable Diseases of the National Health Laboratory ServicesNational Institute for Communicable Diseases of the National Health Laboratory ServicesThe South African Medical Research CouncilInstitute of Infectious Disease and Molecular Medicine, University of Cape TownNovavax, Inc.Novavax, Inc.Novavax, Inc.South Africa Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Science, University of the WitwatersrandNational Institute for Communicable Diseases of the National Health Laboratory ServicesAbstract The SARS-CoV-2 Omicron (B.1.1.529) Variant of Concern (VOC) and its sub-lineages (including BA.2, BA.4, BA.5, BA.2.12.1) contain spike mutations that confer high level resistance to neutralizing antibodies induced by vaccination with ancestral spike or infection with previously circulating variants. The NVX-CoV2373 vaccine, a protein nanoparticle vaccine containing the ancestral spike sequence, has value in countries with constrained cold-chain requirements. Here we report neutralizing titers following two or three doses of NVX-CoV2373. We show that after two doses, Omicron sub-lineages BA.1 and BA.4/BA.5 were resistant to neutralization by 72% (21/29) and 59% (17/29) of samples respectively. However, after a third dose of NVX-CoV2373, we observed high titers against Omicron BA.1 (GMT: 1,197) and BA.4/BA.5 (GMT: 582), with responses similar in magnitude to those triggered by three doses of an mRNA vaccine. These data are of particular relevance as BA.4/BA.5 is dominating in multiple locations, and highlight the potential utility of the NVX-CoV2373 vaccine as a booster in resource-limited environments.https://doi.org/10.1038/s41598-023-27698-x
spellingShingle Jinal N. Bhiman
Simone I. Richardson
Bronwen E. Lambson
Prudence Kgagudi
Nonkululeko Mzindle
Haajira Kaldine
Carol Crowther
Glenda Gray
Linda-Gail Bekker
Novavax trial clinical lead author group
Vivek Shinde
Chijioke Bennett
Gregory M. Glenn
Shabir A. Madhi
Penny L. Moore
Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages
Scientific Reports
title Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages
title_full Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages
title_fullStr Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages
title_full_unstemmed Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages
title_short Novavax NVX-COV2373 triggers neutralization of Omicron sub-lineages
title_sort novavax nvx cov2373 triggers neutralization of omicron sub lineages
url https://doi.org/10.1038/s41598-023-27698-x
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