Pediatric rheumatology

Meningococcal ACWY conjugate vaccine immunogenicity in adolescents with primary or secondary immune deficiencies, a prospective observational cohort study

Pediatr Rheumatol Online JPublished Prospective observational cohort study

Authors' conclusion

The MenACWY conjugate vaccine was less immunogenic in adolescent patients with primary or secondary immunodeficiency compared to healthy controls

Study context

Population
Adolescents aged 14–18 years with primary or secondary immune deficiency (incl. SLE, MCTD, vasculitis, uveitis, 22Q11 syndrome, sickle cell disease, stem cell transplantation for bone marrow failure), vaccinated in the 2018–19 catch-up campaign during the IMD-W outbreak in the Netherlands
Participants
69 vs 75
Exposure
Adolescents with primary or secondary immune deficiency vs healthy, age-matched controls after a single dose of MenACWY-TT vaccine
  • Patientsn = 69
  • Healthy controlsn = 75reference
Outcome
MenACWY-PS-specific IgG GMCs
Follow-up
Before and 3-6, 12, and 24 months after vaccination
Methodological detailsaged-matched healthy controls
  • Aged-matched healthy controls

Main finding

As reported in the abstract

12 months postvaccination

Adjusted GMC ratio (serogroup A)

0.26

95% CI 0.15–0.47

Patients

Adjusted GMC ratio (serogroup W)

0.22

95% CI 0.10–0.49

Patients

Observational data: associations, not effects.

Safety

No serious adverse events reported by study participants

Original publication

Meningococcal ACWY conjugate vaccine immunogenicity in adolescents with primary or secondary immune deficiencies, a prospective observational cohort study. Pediatr Rheumatol Online J. Published 20 July 2023. doi:10.1186/s12969-023-00846-3

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