Across rheumatic diseases

Safety and immunogenicity of a third COVID-19 vaccination in patients with immune-mediated inflammatory diseases compared with healthy controls

Ann Rheum DisPublished Clinical trial

Authors' conclusion

Our clinical trial data support the immunogenicity and safety of a third COVID-19 vaccination in patients with IMIDs.

Study context

Population
Immunosuppressed patients with immune-mediated inflammatory diseases (IMIDs) and healthy controls receiving a third COVID-19 mRNA vaccination
Participants
60 vs 48
Comparison
Third mRNA COVID-19 vaccination in patients with IMIDs vs healthy controls
  • IMIDsn = 60
  • Healthy controls (HCs)n = 48reference
Outcome
Anti-RBD antibody levels >1500 BAU/mL in patients with IMIDs vs HCs

Main finding

As reported in the abstract

Anti-RBD antibodies >1500 BAU/mL after third vaccination

P = 0.101

Further findings

OutcomeP value
Anti-RBD and neutralising antibody levels after third vaccinationIMIDs vs HCs · anti-RBD levels significantly lower in IMIDsP = 0.002
Anti-RBD and neutralising antibody levels after third vaccinationIMIDs vs HCs · neutralising antibody levels significantly lower in IMIDsP = 0.016

Fold increase in antibody levels, week 0 to 4

Higher in patients with IMIDs

Antibody levels by disease-modifying anti-rheumatic drugs (DMARD) therapy

bDMARD or bDMARD + csDMARD combination associated with reduced antibody levels

Cellular immune response to wild type and Omicron peptide stimulation

Enhanced after the third vaccination

Safety

Serious adverse events attributed to third vaccination · week 4

No serious adverse event attributed to the third vaccination
  • Reactogenicity recorded for 7 days

Original publication

Safety and immunogenicity of a third COVID-19 vaccination in patients with immune-mediated inflammatory diseases compared with healthy controls. Ann Rheum Dis. Published 15 September 2022. doi:10.1136/ard-2022-222682

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