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  6. Phase 1/2 Trial Of Sars-cov-2 Vaccine Chadox1 Ncov-19 With A Booster Dose Induces Multifunctional Antibody Responses.

Phase 1/2 trial of SARS-CoV-2 vaccine ChAdOx1 nCoV-19 with a booster dose induces multifunctional antibody responses.

Jordan R Barrett1, Sandra Belij-Rammerstorfer1, Christina Dold2

  • 1The Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Nature Medicine
|December 18, 2020

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View abstract on PubMed

Summary
This summary is machine-generated.

A booster dose of the ChAdOx1 nCoV-19 vaccine is safe and enhances antibody responses, including neutralizing antibodies and Fc-mediated functions. This supports a two-dose vaccine regimen for severe acute respiratory syndrome coronavirus 2 prevention.

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Area of Science:

  • Immunology
  • Vaccinology
  • Virology

Background:

  • Over 190 vaccines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are in development.
  • Neutralizing antibodies against the spike protein are crucial, but other antibody functions may also be important for protection.
  • Previous studies reported early immunogenicity and safety of the ChAdOx1 nCoV-19 (AZD1222) vaccine in healthy adults.

Purpose of the Study:

  • To assess the safety and immunogenicity of a homologous booster dose of the ChAdOx1 nCoV-19 vaccine.
  • To compare full-dose and half-dose booster regimens.
  • To explore humoral and cellular immune responses following prime-boost vaccination.

Main Methods:

  • Phase 1/2 randomized controlled trial subgroups received full-dose or half-dose ChAdOx1 nCoV-19 booster vaccines 56 days post-prime.
  • Comparison with previously reported data from a 28-day interval prime-boost group and a MenACWY comparator vaccine group.
  • Systems serology was used to analyze antibody titers, Fc-mediated functions (neutrophil/monocyte phagocytosis, complement activation, NK cell activation), and T cell responses.

Main Results:

  • Booster doses of ChAdOx1 nCoV-19 were safe and better tolerated than priming doses.
  • A full-dose booster significantly enhanced anti-spike neutralizing antibody titers and Fc-mediated antibody functions compared to a half-dose boost.
  • T cell responses did not increase with either booster dose.

Conclusions:

  • A booster dose of the ChAdOx1 nCoV-19 vaccine is safe and immunogenic, substantially enhancing functional antibody responses.
  • The findings support a two-dose vaccine regimen for SARS-CoV-2 prevention.
  • Further evaluation in Phase 3 trials is warranted.