Immune correlates analysis of the mRNA-1273 COVID-19 vaccine efficacy clinical trial.


Journal

Science (New York, N.Y.)
ISSN: 1095-9203
Titre abrégé: Science
Pays: United States
ID NLM: 0404511

Informations de publication

Date de publication:
07 Jan 2022
Historique:
pubmed: 24 11 2021
medline: 15 1 2022
entrez: 23 11 2021
Statut: ppublish

Résumé

In the coronavirus efficacy (COVE) phase 3 clinical trial, vaccine recipients were assessed for neutralizing and binding antibodies as correlates of risk for COVID-19 disease and as correlates of protection. These immune markers were measured at the time of second vaccination and 4 weeks later, with values reported in standardized World Health Organization international units. All markers were inversely associated with COVID-19 risk and directly associated with vaccine efficacy. Vaccine recipients with postvaccination 50% neutralization titers 10, 100, and 1000 had estimated vaccine efficacies of 78% (95% confidence interval, 54 to 89%), 91% (87 to 94%), and 96% (94 to 98%), respectively. These results help define immune marker correlates of protection and may guide approval decisions for messenger RNA (mRNA) COVID-19 vaccines and other COVID-19 vaccines.

Identifiants

pubmed: 34812653
doi: 10.1126/science.abm3425
pii: 10.1126/science.abm3425
pmc: PMC9017870
mid: NIHMS1800809
doi:

Substances chimiques

Antibodies, Neutralizing 0
Antibodies, Viral 0
Spike Glycoprotein, Coronavirus 0
spike protein, SARS-CoV-2 0
2019-nCoV Vaccine mRNA-1273 EPK39PL4R4

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

43-50

Subventions

Organisme : NIAID NIH HHS
ID : UM1 AI069476
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI148575
Pays : United States
Organisme : NIH HHS
ID : S10 OD028685
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI069412
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068614
Pays : United States
Organisme : NIAID NIH HHS
ID : R37 AI054165
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI148684
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068635
Pays : United States
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : NIAID NIH HHS
ID : U01 AI068635
Pays : United States

Commentaires et corrections

Type : UpdateOf
Type : CommentIn

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Auteurs

Peter B Gilbert (PB)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Department of Biostatistics, University of Washington, Seattle, WA, USA.

David C Montefiori (DC)

Department of Surgery and Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA.

Adrian B McDermott (AB)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Youyi Fong (Y)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

David Benkeser (D)

Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Weiping Deng (W)

Moderna, Inc., Cambridge, MA, USA.

Honghong Zhou (H)

Moderna, Inc., Cambridge, MA, USA.

Christopher R Houchens (CR)

Biomedical Advanced Research and Development Authority, Washington, DC, USA.

Karen Martins (K)

Biomedical Advanced Research and Development Authority, Washington, DC, USA.

Lakshmi Jayashankar (L)

Biomedical Advanced Research and Development Authority, Washington, DC, USA.

Flora Castellino (F)

Biomedical Advanced Research and Development Authority, Washington, DC, USA.

Britta Flach (B)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Bob C Lin (BC)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Sarah O'Connell (S)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Charlene McDanal (C)

Department of Surgery and Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA.

Amanda Eaton (A)

Department of Surgery and Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA.

Marcella Sarzotti-Kelsoe (M)

Department of Surgery and Duke Human Vaccine Institute, Duke University Medical Center, Durham, NC, USA.

Yiwen Lu (Y)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Chenchen Yu (C)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Bhavesh Borate (B)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Lars W P van der Laan (LWP)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Nima S Hejazi (NS)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Division of Biostatistics, School of Public Health, University of California Berkeley, Berkeley, CA, USA.

Chuong Huynh (C)

Biomedical Advanced Research and Development Authority, Washington, DC, USA.

Jacqueline Miller (J)

Moderna, Inc., Cambridge, MA, USA.

Hana M El Sahly (HM)

Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA.

Lindsey R Baden (LR)

Brigham and Women's Hospital, Boston, MA, USA.

Mira Baron (M)

Palm Beach Research Center, West Palm Beach, FL, USA.

Luis De La Cruz (L)

Keystone Vitalink Research, Greenville, SC, USA.

Cynthia Gay (C)

Department of Medicine, Division of Infectious Diseases, UNC HIV Cure Center, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.

Spyros Kalams (S)

Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Colleen F Kelley (CF)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine and the Grady Health System, Atlanta, GA, USA.

Michele P Andrasik (MP)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

James G Kublin (JG)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Lawrence Corey (L)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.

Kathleen M Neuzil (KM)

Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.

Lindsay N Carpp (LN)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Rolando Pajon (R)

Moderna, Inc., Cambridge, MA, USA.

Dean Follmann (D)

Biostatistics Research Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Ruben O Donis (RO)

Biomedical Advanced Research and Development Authority, Washington, DC, USA.

Richard A Koup (RA)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

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