Adaptive immunity and neutralizing antibodies against SARS-CoV-2 variants of concern following vaccination in patients with cancer: the CAPTURE study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-10-27

AUTHORS

Annika Fendler, Scott T. C. Shepherd, Lewis Au, Katalin A. Wilkinson, Mary Wu, Fiona Byrne, Maddalena Cerrone, Andreas M. Schmitt, Nalinie Joharatnam-Hogan, Benjamin Shum, Zayd Tippu, Karolina Rzeniewicz, Laura Amanda Boos, Ruth Harvey, Eleanor Carlyle, Kim Edmonds, Lyra Del Rosario, Sarah Sarker, Karla Lingard, Mary Mangwende, Lucy Holt, Hamid Ahmod, Justine Korteweg, Tara Foley, Jessica Bazin, William Gordon, Taja Barber, Andrea Emslie-Henry, Wenyi Xie, Camille L. Gerard, Daqi Deng, Emma C. Wall, Ana Agua-Doce, Sina Namjou, Simon Caidan, Mike Gavrielides, James I. MacRae, Gavin Kelly, Kema Peat, Denise Kelly, Aida Murra, Kayleigh Kelly, Molly O’Flaherty, Lauren Dowdie, Natalie Ash, Firza Gronthoud, Robyn L. Shea, Gail Gardner, Darren Murray, Fiona Kinnaird, Wanyuan Cui, Javier Pascual, Simon Rodney, Justin Mencel, Olivia Curtis, Clemency Stephenson, Anna Robinson, Bhavna Oza, Sheima Farag, Isla Leslie, Aljosja Rogiers, Sunil Iyengar, Mark Ethell, Christina Messiou, David Cunningham, Ian Chau, Naureen Starling, Nicholas Turner, Liam Welsh, Nicholas van As, Robin L. Jones, Joanne Droney, Susana Banerjee, Kate C. Tatham, Mary O’Brien, Kevin Harrington, Shreerang Bhide, Alicia Okines, Alison Reid, Kate Young, Andrew J. S. Furness, Lisa Pickering, Charles Swanton, Sonia Gandhi, Steve Gamblin, David L. V. Bauer, George Kassiotis, Sacheen Kumar, Nadia Yousaf, Shaman Jhanji, Emma Nicholson, Michael Howell, Susanna Walker, Robert J. Wilkinson, James Larkin, Samra Turajlic

ABSTRACT

Coronavirus disease 2019 (COVID-19) antiviral response in a pan-tumor immune monitoring (CAPTURE) (NCT03226886) is a prospective cohort study of COVID-19 immunity in patients with cancer. Here we evaluated 585 patients following administration of two doses of BNT162b2 or AZD1222 vaccines, administered 12 weeks apart. Seroconversion rates after two doses were 85% and 59% in patients with solid and hematological malignancies, respectively. A lower proportion of patients had detectable titers of neutralizing antibodies (NAbT) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VOC) versus wild-type (WT) SARS-CoV-2. Patients with hematological malignancies were more likely to have undetectable NAbT and had lower median NAbT than those with solid cancers against both SARS-CoV-2 WT and VOC. By comparison with individuals without cancer, patients with hematological, but not solid, malignancies had reduced neutralizing antibody (NAb) responses. Seroconversion showed poor concordance with NAbT against VOC. Previous SARS-CoV-2 infection boosted the NAb response including against VOC, and anti-CD20 treatment was associated with undetectable NAbT. Vaccine-induced T cell responses were detected in 80% of patients and were comparable between vaccines or cancer types. Our results have implications for the management of patients with cancer during the ongoing COVID-19 pandemic. More... »

PAGES

1305-1320

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  • Journal

    TITLE

    Nature Cancer

    ISSUE

    12

    VOLUME

    2

    Author Affiliations

  • Cancer Dynamics Laboratory, the Francis Crick Institute, London, UK
  • Skin and Renal Units, the Royal Marsden NHS Foundation Trust, London, UK
  • Wellcome Center for Infectious Disease Research in Africa, University of Cape Town, Observatory, Cape Town, Republic of South Africa
  • High Throughput Screening Laboratory, the Francis Crick Institute, London, UK
  • Department of Infectious Disease, Imperial College London, London, UK
  • Worldwide Influenza Centre, the Francis Crick Institute, London, UK
  • Haemato-oncology Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Structural Biology of Disease Processes Laboratory, the Francis Crick Institute, London, UK
  • Flow Cytometry Scientific Technology Platform, the Francis Crick Institute, London, UK
  • Safety, Health & Sustainability, the Francis Crick Institute, London, UK
  • Scientific Computing Scientific Technology Platform, the Francis Crick Institute, London, UK
  • Metabolomics Scientific Technology Platform, the Francis Crick Institute, London, UK
  • Department of Bioinformatics and Biostatistics, the Francis Crick Institute, London, UK
  • Department of Pathology, the Royal Marsden NHS Foundation Trust, London, UK
  • Translational Cancer Biochemistry Laboratory, the Institute of Cancer Research, London, UK
  • Clinical Trials Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Lung Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Breast Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Gastrointestinal Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Department of Radiology, the Royal Marsden NHS Foundation Trust, London, UK
  • Neuro-oncology Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Clinical Oncology Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Sarcoma Unit, the Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London, UK
  • Palliative Medicine, the Royal Marsden NHS Foundation Trust, London, UK
  • Gynaecology Unit, the Royal Marsden NHS Foundation Trust, London, UK
  • Anaesthetics, Perioperative Medicine and Pain Department, the Royal Marsden NHS Foundation Trust, London, UK
  • Targeted Therapy Team, The Institute of Cancer Research, London, UK
  • Acute Oncology Service, the Royal Marsden NHS Foundation Trust, London, UK
  • Uro-oncology Unit, the Royal Marsden NHS Foundation Trust, Surrey, UK
  • University College London Cancer Institute, London, UK
  • UCL Queen Square Institute of Neurology, London, UK
  • RNA Virus Replication Laboratory, the Francis Crick Institute, London, UK
  • Retroviral Immunology Laboratory, the Francis Crick Institute, London, UK
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/s43018-021-00274-w

    DOI

    http://dx.doi.org/10.1038/s43018-021-00274-w

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1142180682

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34950880


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