Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial

Antibody persistence and safety up to 12 months of heterologous orally administered adenovirus type-5 vector-based COVID-19 vaccine (Ad5-nCoV) in individuals who were primed with two-dose inactivated SARS-CoV-2 vaccine (CoronaVac) previously, has not been reported yet. This randomized, open-label, s...

Full description

Saved in:
Bibliographic Details
Main Authors: Lairun Jin, Rong Tang, Shipo Wu, Xiling Guo, Haitao Huang, Lihua Hou, Xiaoqin Chen, Tao Zhu, Jinbo Gou, Jin Zhong, Hongxing Pan, Lunbiao Cui, Yin Chen, Xin Xia, Jialu Feng, Xue Wang, Qi Zhao, XiaoYu Xu, Zhuopei Li, Xiaoyin Zhang, Wei Chen, Jingxin Li, Fengcai Zhu
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Emerging Microbes and Infections
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2022.2155251
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849312900571725824
author Lairun Jin
Rong Tang
Shipo Wu
Xiling Guo
Haitao Huang
Lihua Hou
Xiaoqin Chen
Tao Zhu
Jinbo Gou
Jin Zhong
Hongxing Pan
Lunbiao Cui
Yin Chen
Xin Xia
Jialu Feng
Xue Wang
Qi Zhao
XiaoYu Xu
Zhuopei Li
Xiaoyin Zhang
Wei Chen
Jingxin Li
Fengcai Zhu
author_facet Lairun Jin
Rong Tang
Shipo Wu
Xiling Guo
Haitao Huang
Lihua Hou
Xiaoqin Chen
Tao Zhu
Jinbo Gou
Jin Zhong
Hongxing Pan
Lunbiao Cui
Yin Chen
Xin Xia
Jialu Feng
Xue Wang
Qi Zhao
XiaoYu Xu
Zhuopei Li
Xiaoyin Zhang
Wei Chen
Jingxin Li
Fengcai Zhu
author_sort Lairun Jin
collection DOAJ
description Antibody persistence and safety up to 12 months of heterologous orally administered adenovirus type-5 vector-based COVID-19 vaccine (Ad5-nCoV) in individuals who were primed with two-dose inactivated SARS-CoV-2 vaccine (CoronaVac) previously, has not been reported yet. This randomized, open-label, single-centre trial included Chinese adults who have received two-dose CoronaVac randomized to low-dose or high-dose aerosolised Ad5-nCoV group, or CoronaVac group. In this report, we mainly evaluated the geometric mean titres (GMTs) of neutralizing antibodies (NAbs) against live wild-type SARS-CoV-2 virus and omicron BA.4/5 pseudovirus at 12 months after the booster dose and the incidence of serious adverse events (SAEs) till month 12. Of 419 participants, all were included in the safety analysis and 120 (28.64%) were included in the immunogenicity analysis. Serum NAb GMT against live wild-type SARS-CoV-2 was 204.36 (95% CI 152.91, 273.14) in the low-dose group and 171.38 (95% CI 121.27, 242.19) in the high-dose group at month 12, significantly higher than the GMT in the CoronaVac group (8.00 [95% CI 4.22, 15.17], p < 0.0001). Serum NAb GMT against omicron BA.4/5 pseudovirus was 40.97 (95% CI 30.15, 55.67) in the low-dose group and 35.08 (95% CI 26.31, 46.77) in the high-dose group at month 12, whereas the GMT in the CoronaVac group was below the lower limit of detection. No vaccine-related SAEs were observed. Orally administered aerosolised Ad5-nCoV following two-dose CoronaVac priming has a good safety profile and is persistently more immunogenic than three-dose CoronaVac within 12 months after the booster dose.Trial registration: ClinicalTrials.gov identifier: NCT05043259..
format Article
id doaj-art-952e19af7a5242b6bd29e417ed9ab9af
institution Kabale University
issn 2222-1751
language English
publishDate 2023-12-01
publisher Taylor & Francis Group
record_format Article
series Emerging Microbes and Infections
spelling doaj-art-952e19af7a5242b6bd29e417ed9ab9af2025-08-20T03:52:56ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512023-12-0112110.1080/22221751.2022.2155251Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trialLairun Jin0Rong Tang1Shipo Wu2Xiling Guo3Haitao Huang4Lihua Hou5Xiaoqin Chen6Tao Zhu7Jinbo Gou8Jin Zhong9Hongxing Pan10Lunbiao Cui11Yin Chen12Xin Xia13Jialu Feng14Xue Wang15Qi Zhao16XiaoYu Xu17Zhuopei Li18Xiaoyin Zhang19Wei Chen20Jingxin Li21Fengcai Zhu22School of Public Health, Southeast University, Nanjing, People’s Republic of ChinaNational Health Commission (NHC) Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, People’s Republic of ChinaBeijing Institute of Biotechnology, Academy of Military Medical Sciences, Beijing, People’s Republic of ChinaNational Health Commission (NHC) Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, People’s Republic of ChinaCansino Biologics Inc., Tianjin, People’s Republic of ChinaBeijing Institute of Biotechnology, Academy of Military Medical Sciences, Beijing, People’s Republic of ChinaDonghai County Center for Disease Control and Prevention, Lianyungang, Jiangsu, People’s Republic of ChinaCansino Biologics Inc., Tianjin, People’s Republic of ChinaCansino Biologics Inc., Tianjin, People’s Republic of ChinaDonghai County Center for Disease Control and Prevention, Lianyungang, Jiangsu, People’s Republic of ChinaNational Health Commission (NHC) Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, People’s Republic of ChinaNational Health Commission (NHC) Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, People’s Republic of ChinaNational Health Commission (NHC) Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, People’s Republic of ChinaSchool of Public Health, Nanjing Medical University, Nanjing, People’s Republic of ChinaSchool of Public Health, Nanjing Medical University, Nanjing, People’s Republic of ChinaCansino Biologics Inc., Tianjin, People’s Republic of ChinaCansino Biologics Inc., Tianjin, People’s Republic of ChinaVazyme Biotech Co., Ltd, Nanjing, People’s Republic of ChinaSchool of Public Health, Nanjing Medical University, Nanjing, People’s Republic of ChinaSchool of Public Health, Southeast University, Nanjing, People’s Republic of ChinaBeijing Institute of Biotechnology, Academy of Military Medical Sciences, Beijing, People’s Republic of ChinaNational Health Commission (NHC) Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, People’s Republic of ChinaSchool of Public Health, Southeast University, Nanjing, People’s Republic of ChinaAntibody persistence and safety up to 12 months of heterologous orally administered adenovirus type-5 vector-based COVID-19 vaccine (Ad5-nCoV) in individuals who were primed with two-dose inactivated SARS-CoV-2 vaccine (CoronaVac) previously, has not been reported yet. This randomized, open-label, single-centre trial included Chinese adults who have received two-dose CoronaVac randomized to low-dose or high-dose aerosolised Ad5-nCoV group, or CoronaVac group. In this report, we mainly evaluated the geometric mean titres (GMTs) of neutralizing antibodies (NAbs) against live wild-type SARS-CoV-2 virus and omicron BA.4/5 pseudovirus at 12 months after the booster dose and the incidence of serious adverse events (SAEs) till month 12. Of 419 participants, all were included in the safety analysis and 120 (28.64%) were included in the immunogenicity analysis. Serum NAb GMT against live wild-type SARS-CoV-2 was 204.36 (95% CI 152.91, 273.14) in the low-dose group and 171.38 (95% CI 121.27, 242.19) in the high-dose group at month 12, significantly higher than the GMT in the CoronaVac group (8.00 [95% CI 4.22, 15.17], p < 0.0001). Serum NAb GMT against omicron BA.4/5 pseudovirus was 40.97 (95% CI 30.15, 55.67) in the low-dose group and 35.08 (95% CI 26.31, 46.77) in the high-dose group at month 12, whereas the GMT in the CoronaVac group was below the lower limit of detection. No vaccine-related SAEs were observed. Orally administered aerosolised Ad5-nCoV following two-dose CoronaVac priming has a good safety profile and is persistently more immunogenic than three-dose CoronaVac within 12 months after the booster dose.Trial registration: ClinicalTrials.gov identifier: NCT05043259..https://www.tandfonline.com/doi/10.1080/22221751.2022.2155251COVID-19 vaccinesbooster doselong-term immunityheterologousorally administration
spellingShingle Lairun Jin
Rong Tang
Shipo Wu
Xiling Guo
Haitao Huang
Lihua Hou
Xiaoqin Chen
Tao Zhu
Jinbo Gou
Jin Zhong
Hongxing Pan
Lunbiao Cui
Yin Chen
Xin Xia
Jialu Feng
Xue Wang
Qi Zhao
XiaoYu Xu
Zhuopei Li
Xiaoyin Zhang
Wei Chen
Jingxin Li
Fengcai Zhu
Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial
Emerging Microbes and Infections
COVID-19 vaccines
booster dose
long-term immunity
heterologous
orally administration
title Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial
title_full Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial
title_fullStr Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial
title_full_unstemmed Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial
title_short Antibody persistence and safety after heterologous boosting with orally aerosolised Ad5-nCoV in individuals primed with two-dose CoronaVac previously: 12-month analyses of a randomized controlled trial
title_sort antibody persistence and safety after heterologous boosting with orally aerosolised ad5 ncov in individuals primed with two dose coronavac previously 12 month analyses of a randomized controlled trial
topic COVID-19 vaccines
booster dose
long-term immunity
heterologous
orally administration
url https://www.tandfonline.com/doi/10.1080/22221751.2022.2155251
work_keys_str_mv AT lairunjin antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT rongtang antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT shipowu antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT xilingguo antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT haitaohuang antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT lihuahou antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT xiaoqinchen antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT taozhu antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT jinbogou antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT jinzhong antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT hongxingpan antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT lunbiaocui antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT yinchen antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT xinxia antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT jialufeng antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT xuewang antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT qizhao antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT xiaoyuxu antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT zhuopeili antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT xiaoyinzhang antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT weichen antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT jingxinli antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial
AT fengcaizhu antibodypersistenceandsafetyafterheterologousboostingwithorallyaerosolisedad5ncovinindividualsprimedwithtwodosecoronavacpreviously12monthanalysesofarandomizedcontrolledtrial