Immunogenicity and Safety of COVID-19 Vaccines in Patients with Lung Cancer: Results of a Systematic Review and Meta-Analysis
- Zhizhao Zhang 1,2, Yahui Wang 1,3, Jing Zhao 1,2, Lei Liu 1,2, Pancen Ran 1,3, Yang Shu 1,3, Wei Xu 1,4, Guobin Fu 1,5,3,4
- Zhizhao Zhang 1,2, Yahui Wang 1,3, Jing Zhao 1,2
- 1Department of Oncology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
- 2College of Clinical Medicine, Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan, China.
- 3Department of Oncology, The Second Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
- 4Department of Oncology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
- 5Department of Oncology, The Third Affiliated Hospital of Shandong First Medical University (Affiliated Hospital of Shandong Academy of Medical Sciences), Jinan, China.
- 0Department of Oncology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
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View abstract on PubMed
Summary
This summary is machine-generated.COVID-19 vaccination in lung cancer patients shows comparable safety to healthy individuals but results in significantly lower antibody titers. Continued protective measures are essential for this vulnerable population.
Area Of Science
- Immunology
- Oncology
- Vaccinology
Background
- The COVID-19 pandemic presents a significant global health challenge.
- Vaccination is crucial for reducing transmission and protecting individuals.
- Assessing the immunogenicity and safety of COVID-19 vaccines in high-risk groups like lung cancer patients is critical.
Purpose Of The Study
- To evaluate the safety and immunogenicity of COVID-19 vaccinations in patients with lung cancer.
- To compare antibody responses and adverse events in lung cancer patients versus healthy controls.
Main Methods
- A systematic literature search was performed in PubMed, EMBASE, and Web of Science (Jan 2021-Nov 2022).
- Included studies involved at least 30 lung cancer patients on active therapy and healthy controls, assessing anti-SARS-CoV-2-spike IgG titers and adverse events post-vaccination.
- Eight studies comprising 1,220 lung cancer patients and 599 controls met the inclusion criteria.
Main Results
- Lung cancer patients exhibited significantly lower IgG titers against the SARS-CoV-2-spike protein compared to healthy controls (p = 0.002).
- The safety profiles were comparable between lung cancer patients and healthy individuals, with similar rates of local and systemic adverse reactions after both vaccine doses.
Conclusions
- Lung cancer patients demonstrate a markedly reduced antibody titer post-COVID-19 vaccination compared to healthy individuals.
- Despite vaccination, lung cancer patients remain at risk for COVID-19 fatalities.
- Enhanced protective measures are imperative for vaccinated lung cancer patients to mitigate COVID-19 risks.
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