Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors

Patients with solid tumors have been a risk group since the beginning of the SARS‐CoV‐2 pandemic due to more significant complications, hospitalizations or deaths. The immunosuppressive state of cancer treatments or the tumor itself could influence the development of post‐vaccination antibodies. Thi...

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Main Authors: Eudald Felip, Edwards Pradenas, Margarita Romeo, Silvia Marfil, Benjamin Trinité, Víctor Urrea, Ainhoa Hernández, Ester Ballana, Marc Cucurull, Lourdes Mateu, Marta Massanella, Bonaventura Clotet, Teresa Morán, Julià Blanco
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Molecular Oncology
Subjects:
Online Access:https://doi.org/10.1002/1878-0261.13359
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author Eudald Felip
Edwards Pradenas
Margarita Romeo
Silvia Marfil
Benjamin Trinité
Víctor Urrea
Ainhoa Hernández
Ester Ballana
Marc Cucurull
Lourdes Mateu
Marta Massanella
Bonaventura Clotet
Teresa Morán
Julià Blanco
author_facet Eudald Felip
Edwards Pradenas
Margarita Romeo
Silvia Marfil
Benjamin Trinité
Víctor Urrea
Ainhoa Hernández
Ester Ballana
Marc Cucurull
Lourdes Mateu
Marta Massanella
Bonaventura Clotet
Teresa Morán
Julià Blanco
author_sort Eudald Felip
collection DOAJ
description Patients with solid tumors have been a risk group since the beginning of the SARS‐CoV‐2 pandemic due to more significant complications, hospitalizations or deaths. The immunosuppressive state of cancer treatments or the tumor itself could influence the development of post‐vaccination antibodies. This study prospectively analyzed 89 patients under chemotherapy and/or immunotherapy, who received two doses of the mRNA‐1237 vaccine, and were compared with a group of 26 non‐cancer individuals. Information on adverse events and neutralizing antibodies against the ancestral strain of SARS‐CoV‐2 (WH1) have been analyzed. Local reactions accounted for 65%, while systemic reactions accounted for 46% of oncologic individuals/cancer patients. Regarding the response to vaccination, 6.7% of cancer patients developed low neutralizing antibody levels. Lower levels of neutralizing antibodies between cancer and non‐cancer groups were significant in individuals without previous SARS‐CoV‐2 infection, but not in previously infected individuals. We also observed that patients receiving chemotherapy or chemoimmunotherapy have significantly lower levels of neutralizing antibodies than non‐cancer individuals. In conclusion, our study confirms the importance of prioritizing cancer patients receiving anticancer treatment in SARS‐CoV‐2 vaccination programs.
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spelling doaj.art-cb23f6b2bc0042d091babfcdf72a34a22023-03-30T08:40:48ZengWileyMolecular Oncology1574-78911878-02612023-04-0117468669410.1002/1878-0261.13359Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumorsEudald Felip0Edwards Pradenas1Margarita Romeo2Silvia Marfil3Benjamin Trinité4Víctor Urrea5Ainhoa Hernández6Ester Ballana7Marc Cucurull8Lourdes Mateu9Marta Massanella10Bonaventura Clotet11Teresa Morán12Julià Blanco13IrsiCaixa AIDS Research Institute Badalona SpainIrsiCaixa AIDS Research Institute Badalona SpainMedical Oncology Department, Catalan Institute of Oncology – Badalona Badalona Applied Research Group in Oncology (B‐ARGO) SpainIrsiCaixa AIDS Research Institute Badalona SpainIrsiCaixa AIDS Research Institute Badalona SpainIrsiCaixa AIDS Research Institute Badalona SpainMedical Oncology Department, Catalan Institute of Oncology – Badalona Badalona Applied Research Group in Oncology (B‐ARGO) SpainIrsiCaixa AIDS Research Institute Badalona SpainMedical Oncology Department, Catalan Institute of Oncology – Badalona Badalona Applied Research Group in Oncology (B‐ARGO) SpainInfectious Diseases Department Hospital Universitari Germans Trias i Pujol Badalona SpainIrsiCaixa AIDS Research Institute Badalona SpainIrsiCaixa AIDS Research Institute Badalona SpainMedical Oncology Department, Catalan Institute of Oncology – Badalona Badalona Applied Research Group in Oncology (B‐ARGO) SpainIrsiCaixa AIDS Research Institute Badalona SpainPatients with solid tumors have been a risk group since the beginning of the SARS‐CoV‐2 pandemic due to more significant complications, hospitalizations or deaths. The immunosuppressive state of cancer treatments or the tumor itself could influence the development of post‐vaccination antibodies. This study prospectively analyzed 89 patients under chemotherapy and/or immunotherapy, who received two doses of the mRNA‐1237 vaccine, and were compared with a group of 26 non‐cancer individuals. Information on adverse events and neutralizing antibodies against the ancestral strain of SARS‐CoV‐2 (WH1) have been analyzed. Local reactions accounted for 65%, while systemic reactions accounted for 46% of oncologic individuals/cancer patients. Regarding the response to vaccination, 6.7% of cancer patients developed low neutralizing antibody levels. Lower levels of neutralizing antibodies between cancer and non‐cancer groups were significant in individuals without previous SARS‐CoV‐2 infection, but not in previously infected individuals. We also observed that patients receiving chemotherapy or chemoimmunotherapy have significantly lower levels of neutralizing antibodies than non‐cancer individuals. In conclusion, our study confirms the importance of prioritizing cancer patients receiving anticancer treatment in SARS‐CoV‐2 vaccination programs.https://doi.org/10.1002/1878-0261.13359adverse reactionsanticancer therapycancerCOVID‐19moderna vaccineneutralizing antibodies
spellingShingle Eudald Felip
Edwards Pradenas
Margarita Romeo
Silvia Marfil
Benjamin Trinité
Víctor Urrea
Ainhoa Hernández
Ester Ballana
Marc Cucurull
Lourdes Mateu
Marta Massanella
Bonaventura Clotet
Teresa Morán
Julià Blanco
Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors
Molecular Oncology
adverse reactions
anticancer therapy
cancer
COVID‐19
moderna vaccine
neutralizing antibodies
title Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors
title_full Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors
title_fullStr Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors
title_full_unstemmed Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors
title_short Impact of chemotherapy and/or immunotherapy on neutralizing antibody response to SARS‐CoV‐2 mRNA‐1237 vaccine in patients with solid tumors
title_sort impact of chemotherapy and or immunotherapy on neutralizing antibody response to sars cov 2 mrna 1237 vaccine in patients with solid tumors
topic adverse reactions
anticancer therapy
cancer
COVID‐19
moderna vaccine
neutralizing antibodies
url https://doi.org/10.1002/1878-0261.13359
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