Immune responses to SARS-CoV-2 variants after two and three doses of vaccine in B-cell malignancies: UK PROSECO Study
Immune responses to SARS-CoV-2 variants after two and three doses of vaccine in B-cell malignancies: UK PROSECO Study
Patients with hematological malignancies are at increased risk of severe COVID-19 outcomes due to compromised immune responses, but the insights of these studies have been compromised due to intrinsic limitations in study design. Here we present the PROSECO prospective observational study ( NCT04858568 ) on 457 patients with lymphoma that received two or three COVID-19 vaccine doses. We show undetectable humoral responses following two vaccine doses in 52% of patients undergoing active anticancer treatment. Moreover, 60% of patients on anti-CD20 therapy had undetectable antibodies following full vaccination within 12 months of receiving their anticancer therapy. However, 70% of individuals with indolent B-cell lymphoma displayed improved antibody responses following booster vaccination. Notably, 63% of all patients displayed antigen-specific T-cell responses, which increased after a third dose irrespective of their cancer treatment status. Our results emphasize the urgency of careful monitoring of COVID-19-specific immune responses to guide vaccination schemes in these vulnerable populations.
552-564
Lim, Sean H.
1afe5aa1-61a4-4a7b-927f-5e671f885196
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Joseph-Pietras, Debora
3002f7ea-3689-40c3-8949-9da8f0753c91
Johnson, Marina
5942281a-061e-4889-a809-31dbd3d9cb55
Campbell, Nicola
dc81f433-c6de-4f77-b057-0d3a7801cbce
Kelly, Adam
f1934867-f5b4-4894-9336-4f6f878206c2
Jeffrey, Danielle
6dd0239c-4d4a-4531-8e25-42a7b1176a4f
Turaj, Anna H
fbbc48ea-28cf-4db7-ae4a-c16ce7b3857a
Rolfvondenbaumen, Kate
206e27f4-1edd-4c0b-994d-6a1a795a3a2d
Galloway, Celine
f15ad067-08ef-4628-97cc-37de1667a642
Wynn, Thomas
7c905c8f-9384-4676-824d-833f17826f78
Coleman, Adam R.
49cf504d-6f2b-422b-9c3a-17eb5d5d6a85
Ward, Benjamin
9fccc941-0af9-450f-903e-ff3f5e6a59fe
Long, Karen
8ad2b0f5-7e1b-4e0b-82cc-ece35c1cd3eb
Coleman, Helen
04977f63-d8b2-4f0d-89d9-0aea9adccc57
Mundy, Carina
1bffb68e-f8ca-4b3d-b79e-da5ff38583c4
Bates, Andrew T.
5877b837-be10-4c77-a2c7-c422fe0b3aaf
Ayres, Diana
6c8aea51-d05d-4b28-9731-b29785d86221
Lown, Robert
74f3fa03-c54a-4fda-8989-34524b75b201
Falconer, Janlyn
12765cea-9096-439a-bb43-0aa6d06ea999
Brake, Oliver
75d5ca16-0664-4981-9456-f9defc20b073
Batchelor, James
e53c36c7-aa7f-4fae-8113-30bfbb9b36ee
Willimott, Victoria
4889fc95-6610-423f-bfc9-8a9617f8fc32
Bowzyk Al-Naeeb, Anna
1c8e649e-b52c-4c2e-bf6c-67be469ed507
Robinson, Lisa
2d9555b5-1771-4acd-b28b-ef04252ee885
O'Callaghan, Ann
891da9cd-d65b-4292-b936-ae5c95830052
Collins, Graham P
450338cb-2bb0-4cef-90a7-7bcd47a12e2f
Menne, Tobias
c6321e46-2fc2-456e-a7aa-b39104d08eb6
Faust, Saul N
f97df780-9f9b-418e-b349-7adf63e150c1
Fox, Christopher P
9ddc7032-e310-491d-a1b9-85d724d0bb50
Ahearne, Matthew
0a31f292-03ba-4d74-b485-321222dcb84b
Johnson, Peter W M
3f6068ce-171e-4c2c-aca9-dc9b6a37413f
Davies, Andrew J
0fe6a40a-10d1-4ade-a7e6-d1dceb2470af
Goldblatt, David
a619ffcc-2507-409c-9f95-8fe500d08b1d
24 March 2022
Lim, Sean H.
1afe5aa1-61a4-4a7b-927f-5e671f885196
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Joseph-Pietras, Debora
3002f7ea-3689-40c3-8949-9da8f0753c91
Johnson, Marina
5942281a-061e-4889-a809-31dbd3d9cb55
Campbell, Nicola
dc81f433-c6de-4f77-b057-0d3a7801cbce
Kelly, Adam
f1934867-f5b4-4894-9336-4f6f878206c2
Jeffrey, Danielle
6dd0239c-4d4a-4531-8e25-42a7b1176a4f
Turaj, Anna H
fbbc48ea-28cf-4db7-ae4a-c16ce7b3857a
Rolfvondenbaumen, Kate
206e27f4-1edd-4c0b-994d-6a1a795a3a2d
Galloway, Celine
f15ad067-08ef-4628-97cc-37de1667a642
Wynn, Thomas
7c905c8f-9384-4676-824d-833f17826f78
Coleman, Adam R.
49cf504d-6f2b-422b-9c3a-17eb5d5d6a85
Ward, Benjamin
9fccc941-0af9-450f-903e-ff3f5e6a59fe
Long, Karen
8ad2b0f5-7e1b-4e0b-82cc-ece35c1cd3eb
Coleman, Helen
04977f63-d8b2-4f0d-89d9-0aea9adccc57
Mundy, Carina
1bffb68e-f8ca-4b3d-b79e-da5ff38583c4
Bates, Andrew T.
5877b837-be10-4c77-a2c7-c422fe0b3aaf
Ayres, Diana
6c8aea51-d05d-4b28-9731-b29785d86221
Lown, Robert
74f3fa03-c54a-4fda-8989-34524b75b201
Falconer, Janlyn
12765cea-9096-439a-bb43-0aa6d06ea999
Brake, Oliver
75d5ca16-0664-4981-9456-f9defc20b073
Batchelor, James
e53c36c7-aa7f-4fae-8113-30bfbb9b36ee
Willimott, Victoria
4889fc95-6610-423f-bfc9-8a9617f8fc32
Bowzyk Al-Naeeb, Anna
1c8e649e-b52c-4c2e-bf6c-67be469ed507
Robinson, Lisa
2d9555b5-1771-4acd-b28b-ef04252ee885
O'Callaghan, Ann
891da9cd-d65b-4292-b936-ae5c95830052
Collins, Graham P
450338cb-2bb0-4cef-90a7-7bcd47a12e2f
Menne, Tobias
c6321e46-2fc2-456e-a7aa-b39104d08eb6
Faust, Saul N
f97df780-9f9b-418e-b349-7adf63e150c1
Fox, Christopher P
9ddc7032-e310-491d-a1b9-85d724d0bb50
Ahearne, Matthew
0a31f292-03ba-4d74-b485-321222dcb84b
Johnson, Peter W M
3f6068ce-171e-4c2c-aca9-dc9b6a37413f
Davies, Andrew J
0fe6a40a-10d1-4ade-a7e6-d1dceb2470af
Goldblatt, David
a619ffcc-2507-409c-9f95-8fe500d08b1d
Lim, Sean H., Stuart, Beth, Joseph-Pietras, Debora, Johnson, Marina, Campbell, Nicola, Kelly, Adam, Jeffrey, Danielle, Turaj, Anna H, Rolfvondenbaumen, Kate, Galloway, Celine, Wynn, Thomas, Coleman, Adam R., Ward, Benjamin, Long, Karen, Coleman, Helen, Mundy, Carina, Bates, Andrew T., Ayres, Diana, Lown, Robert, Falconer, Janlyn, Brake, Oliver, Batchelor, James, Willimott, Victoria, Bowzyk Al-Naeeb, Anna, Robinson, Lisa, O'Callaghan, Ann, Collins, Graham P, Menne, Tobias, Faust, Saul N, Fox, Christopher P, Ahearne, Matthew, Johnson, Peter W M, Davies, Andrew J and Goldblatt, David
(2022)
Immune responses to SARS-CoV-2 variants after two and three doses of vaccine in B-cell malignancies: UK PROSECO Study.
Nature cancer, 3 (5), .
(doi:10.1101/2021.12.08.21266760).
Abstract
Patients with hematological malignancies are at increased risk of severe COVID-19 outcomes due to compromised immune responses, but the insights of these studies have been compromised due to intrinsic limitations in study design. Here we present the PROSECO prospective observational study ( NCT04858568 ) on 457 patients with lymphoma that received two or three COVID-19 vaccine doses. We show undetectable humoral responses following two vaccine doses in 52% of patients undergoing active anticancer treatment. Moreover, 60% of patients on anti-CD20 therapy had undetectable antibodies following full vaccination within 12 months of receiving their anticancer therapy. However, 70% of individuals with indolent B-cell lymphoma displayed improved antibody responses following booster vaccination. Notably, 63% of all patients displayed antigen-specific T-cell responses, which increased after a third dose irrespective of their cancer treatment status. Our results emphasize the urgency of careful monitoring of COVID-19-specific immune responses to guide vaccination schemes in these vulnerable populations.
Text
s43018-022-00364-3
- Version of Record
More information
Accepted/In Press date: 10 March 2022
e-pub ahead of print date: 24 March 2022
Published date: 24 March 2022
Additional Information:
Funding Information:
S.H.L., N.C., M.J., D.J.P., A.O., H.C., C.M., A.K., A.R.C., A.H.T., K.L., D.J., B.W., T.W., A.T.B., K.R., B.S., C.G., D.A., J.F., O.B., J.B., V.M., A.B.A.-N., L.R., T.M., P.W.M.J. and D.G. declare no competing interests. C.F. receives consultancy fees from AstraZeneca and participates in an advisory board for AstraZeneca. M.A. receives research funding from Pfizer. G.P.C. receives research funding from Pfizer and participates in advisory boards for AstraZeneca and Pfizer. R.L. reports receiving speaker fees and honoraria from Janssen. A.J.D. reports receiving research funding and honoraria from AstraZeneca and Janssen. S.N.F. participates in advisory boards related to vaccines or grants for contract commercial clinical trials that were paid to S.N.F.’s institution (with no personal payment of any kind) from AstraZeneca/Medimmune, Sanofi, Pfizer, Seqirus, Merck, GSK, J&J, Merck and Valneva, outside the submitted work.
Funding Information:
The PROSECO study is funded by the Blood Cancer UK Vaccine Research Collaborative, which is led by Blood Cancer UK in partnership with Myeloma UK, Anthony Nolan and the British Society for Haematology (21009) to S.H.L. and supported by Cancer Research UK Advanced Clinician Scientist Fellowship to S.H.L. (A27179), the Cancer Research UK/National Institute for Health Research (NIHR) Southampton Experimental Cancer Medicine Center to A.J.D. (A25141), the NIHR Southampton Clinical Research Facility (Southampton Research Biorepository) and NIHR Southampton Biomedical Research Center. D.G. receives support from the NIHR Great Ormond Street Biomedical Research Center. G.P.C. acknowledges support from the NIHR Oxford Biomedical Research Center and CRUK Experimental Cancer Medicines Center. We thank members of the Blood Cancer UK Vaccine Task Force for their advice. We thank J. Wilbur at Meso Scale Discovery for technical support and provision of laboratory reagents. We sincerely thank all the participating sites’ research staff for their hard work and we also thank the research participants.
Publisher Copyright:
© 2022, The Author(s).
Copyright:
Copyright 2022 Elsevier B.V., All rights reserved.
Identifiers
Local EPrints ID: 456562
URI: http://eprints.soton.ac.uk/id/eprint/456562
ISSN: 2662-1347
PURE UUID: fe7e9f0f-6bb5-4e9b-9348-db909e038e0f
Catalogue record
Date deposited: 05 May 2022 16:33
Last modified: 17 Mar 2024 03:14
Export record
Altmetrics
Contributors
Author:
Debora Joseph-Pietras
Author:
Marina Johnson
Author:
Nicola Campbell
Author:
Adam Kelly
Author:
Danielle Jeffrey
Author:
Anna H Turaj
Author:
Kate Rolfvondenbaumen
Author:
Celine Galloway
Author:
Thomas Wynn
Author:
Adam R. Coleman
Author:
Karen Long
Author:
Helen Coleman
Author:
Carina Mundy
Author:
Andrew T. Bates
Author:
Diana Ayres
Author:
Robert Lown
Author:
Janlyn Falconer
Author:
Oliver Brake
Author:
Victoria Willimott
Author:
Anna Bowzyk Al-Naeeb
Author:
Lisa Robinson
Author:
Ann O'Callaghan
Author:
Graham P Collins
Author:
Tobias Menne
Author:
Christopher P Fox
Author:
Matthew Ahearne
Author:
David Goldblatt
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics