Lupus & antiphospholipid syndrome

Evidence of immune response to BNT162b2 COVID-19 vaccine in systemic lupus erythematosus patients treated with Belimumab

LupusPublished Prospective observational study

Authors' conclusion

BLM does not impair humoral response to primary BNT162b2 SARS-CoV-2 vaccination. During the follow-up, a decline in antibody levels is evident and the third dose is crucial to increase the specific immune response. Finally, we observed a recall T-cell response to the Spike antigen 6 months after the first vaccination cycle.

Study context

Population
Patients with systemic lupus erythematosus (SLE) treated with Belimumab (BLM)12F
Participants
12 patients
Outcome
Humoral (anti-Spike IgG) and cell-mediated response after three doses of BNT162b2 SARS-CoV-2 vaccine
Follow-up
1 and 6 months after second dose (T1, T2); 6 months after booster (T3)

Main finding

As reported in the abstract

Humoral response: anti-Spike IgG levels · T1, T2, T3

T1: median anti-Spike IgG, BAU/mL (IQR 1390)

1610

T2 (6 months after second dose, day of third dose): significant reduction in median anti-Spike IgG, BAU/mL (IQR 94); p = 0.0009

214

T3 (6 months after booster): significant increase in median anti-Spike IgG, BAU/mL (IQR 1316; p = 0.005)

1440

Observational data: associations, not effects.

Further findings

Virus-specific CD4 + T-cell response · 6 months after primary vaccination

Patients mounting a virus-specific CD4 + T-cell response (almost)
60%

Original publication

Evidence of immune response to BNT162b2 COVID-19 vaccine in systemic lupus erythematosus patients treated with Belimumab. Lupus. Published 6 January 2023. doi:10.1177/09612033221151012

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