A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA

<h4>Background</h4> Cancer patients have an increased risk of a severe COVID-19 infection with higher mortality rate. This study aimed to analyze the levels of anti-SARS-CoV-2 S-RBD IgG and NAB among cancer patients who were vaccinated with COVID-19 vaccines, either with BNT162b2, mRNA-1...

Full description

Bibliographic Details
Main Authors: Andhika Rachman, Anggraini Iriani, Lugyanti Sukrisman, Wulyo Rajabto, Nadia Ayu Mulansari, Anna Mira Lubis, Rahmat Cahyanur, Findy Prasetyawati, Dimas Priantono, Bayu Bijaksana Rumondor, Rachelle Betsy, Samuel Juanputra
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977046/?tool=EBI
_version_ 1811160115643940864
author Andhika Rachman
Anggraini Iriani
Lugyanti Sukrisman
Wulyo Rajabto
Nadia Ayu Mulansari
Anna Mira Lubis
Rahmat Cahyanur
Findy Prasetyawati
Dimas Priantono
Bayu Bijaksana Rumondor
Rachelle Betsy
Samuel Juanputra
author_facet Andhika Rachman
Anggraini Iriani
Lugyanti Sukrisman
Wulyo Rajabto
Nadia Ayu Mulansari
Anna Mira Lubis
Rahmat Cahyanur
Findy Prasetyawati
Dimas Priantono
Bayu Bijaksana Rumondor
Rachelle Betsy
Samuel Juanputra
author_sort Andhika Rachman
collection DOAJ
description <h4>Background</h4> Cancer patients have an increased risk of a severe COVID-19 infection with higher mortality rate. This study aimed to analyze the levels of anti-SARS-CoV-2 S-RBD IgG and NAB among cancer patients who were vaccinated with COVID-19 vaccines, either with BNT162b2, mRNA-1273, AZD1222/ChAdOx1nCoV-19, or Coronavac/BBIBP-CorV vaccines. <h4>Method</h4> A cross-sectional study was conducted among subjects with either solid or hematological cancers who had received two doses of either mRNA or non-mRNA vaccines within 6 months. The levels of anti-SARS-CoV-2 S-RBD IgG and NAb were analyzed using the Mindray Immunoassay Analyzer CL-900i. Statistical analysis was conducted using mean comparison and regression analysis. <h4>Result</h4> The mRNA-1273 vaccine had the highest median levels of S-RBD IgG and NAb, followed by BNT162b, ChAdOx1nCoV-19, and BBIBP-CorV/Coronavac. The levels of S-RBD IgG and NAb in subjects vaccinated with mRNA vaccines were significantly higher than those of non-mRNA vaccines when grouped based on their characteristics, including age, type of cancer, chemotherapy regimen, and comorbidity (p<0.05). Furthermore, the S-RBD IgG and NAb levels between the subjects vaccinated with non-mRNA vaccines and the subjects vaccinated with mRNA vaccines were significantly different (p<0.05). However, there was no significant difference between the same types of vaccines. This study demonstrated a very strong correlation between the level of S-RBD IgG and the level of NAb (R = 0.962; p<0.001). The level of anti-SARS-CoV-2 S-RBD IgG was consistently higher compared to the level of NAb. <h4>Conclusions</h4> Generally, mRNA vaccines produced significantly higher anti-SARS-CoV-2 S-RBD IgG and NAb levels than non-mRNA vaccines in cancer subjects.
first_indexed 2024-04-10T05:53:15Z
format Article
id doaj.art-c333041d1a3d497294f7a6c77f4f02c3
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-10T05:53:15Z
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-c333041d1a3d497294f7a6c77f4f02c32023-03-04T05:31:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNAAndhika RachmanAnggraini IrianiLugyanti SukrismanWulyo RajabtoNadia Ayu MulansariAnna Mira LubisRahmat CahyanurFindy PrasetyawatiDimas PriantonoBayu Bijaksana RumondorRachelle BetsySamuel Juanputra<h4>Background</h4> Cancer patients have an increased risk of a severe COVID-19 infection with higher mortality rate. This study aimed to analyze the levels of anti-SARS-CoV-2 S-RBD IgG and NAB among cancer patients who were vaccinated with COVID-19 vaccines, either with BNT162b2, mRNA-1273, AZD1222/ChAdOx1nCoV-19, or Coronavac/BBIBP-CorV vaccines. <h4>Method</h4> A cross-sectional study was conducted among subjects with either solid or hematological cancers who had received two doses of either mRNA or non-mRNA vaccines within 6 months. The levels of anti-SARS-CoV-2 S-RBD IgG and NAb were analyzed using the Mindray Immunoassay Analyzer CL-900i. Statistical analysis was conducted using mean comparison and regression analysis. <h4>Result</h4> The mRNA-1273 vaccine had the highest median levels of S-RBD IgG and NAb, followed by BNT162b, ChAdOx1nCoV-19, and BBIBP-CorV/Coronavac. The levels of S-RBD IgG and NAb in subjects vaccinated with mRNA vaccines were significantly higher than those of non-mRNA vaccines when grouped based on their characteristics, including age, type of cancer, chemotherapy regimen, and comorbidity (p<0.05). Furthermore, the S-RBD IgG and NAb levels between the subjects vaccinated with non-mRNA vaccines and the subjects vaccinated with mRNA vaccines were significantly different (p<0.05). However, there was no significant difference between the same types of vaccines. This study demonstrated a very strong correlation between the level of S-RBD IgG and the level of NAb (R = 0.962; p<0.001). The level of anti-SARS-CoV-2 S-RBD IgG was consistently higher compared to the level of NAb. <h4>Conclusions</h4> Generally, mRNA vaccines produced significantly higher anti-SARS-CoV-2 S-RBD IgG and NAb levels than non-mRNA vaccines in cancer subjects.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977046/?tool=EBI
spellingShingle Andhika Rachman
Anggraini Iriani
Lugyanti Sukrisman
Wulyo Rajabto
Nadia Ayu Mulansari
Anna Mira Lubis
Rahmat Cahyanur
Findy Prasetyawati
Dimas Priantono
Bayu Bijaksana Rumondor
Rachelle Betsy
Samuel Juanputra
A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA
PLoS ONE
title A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA
title_full A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA
title_fullStr A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA
title_full_unstemmed A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA
title_short A comparative study of the COVID-19 vaccine efficacy among cancer patients: mRNA versus non-mRNA
title_sort comparative study of the covid 19 vaccine efficacy among cancer patients mrna versus non mrna
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977046/?tool=EBI
work_keys_str_mv AT andhikarachman acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT anggrainiiriani acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT lugyantisukrisman acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT wulyorajabto acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT nadiaayumulansari acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT annamiralubis acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT rahmatcahyanur acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT findyprasetyawati acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT dimaspriantono acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT bayubijaksanarumondor acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT rachellebetsy acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT samueljuanputra acomparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT andhikarachman comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT anggrainiiriani comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT lugyantisukrisman comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT wulyorajabto comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT nadiaayumulansari comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT annamiralubis comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT rahmatcahyanur comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT findyprasetyawati comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT dimaspriantono comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT bayubijaksanarumondor comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT rachellebetsy comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna
AT samueljuanputra comparativestudyofthecovid19vaccineefficacyamongcancerpatientsmrnaversusnonmrna