1. Humoral response after the fourth dose of the SARS-CoV-2 vaccine in the CKD spectrum
- Author
-
Borja, Quiroga, María José, Soler, Alberto, Ortiz, Carlos Jesús, Jarava Mantecón, Virginia Olinda, Gomes Pérez, Antoni, Bordils, José, Lacueva, Antonio José, Marin Franco, Pablo, Delgado Conde, Patricia, Muñoz Ramos, Carmen, Calderón González, Juan Manuel, Cazorla López, Jinny, Sanchez-Rodriguez, Ana, Sánchez Horrillo, Tania Raquel, Monzón Vázquez, Alba, Leyva, José, Rojas, Ron T, Gansevoort, Patricia, de Sequera, María Teresa Jaldo, Rodríguez, Rafael Lucena, Valverde, Marta Puerta, Carretero, Mayra Ortega, Díaz, Daniel Gaitán, Tocora, Esther Rodriguez, Suárez, Alfredo José Sáenz, Santolaya, Patricia Arribas, Cobo, Tamar, Talavan, Raquel Cerrajero, Calero, Carolina, Gracia-Iguacel, Emilio, González-Parra, Mónica, Pereira, Catalina, Martin-Cleary, Ana, Ramos-Verde, Martín, Giorgi, Carmen, Sánchez, Yohana Gil, Giraldo, Ana Sánchez, Horrillo, Pablo Ruano, Suárez, Antonio Fernández, Perpén, Andrés Fernández, Ramos, Laura Salanova, Villanueva, Alejandra, Cortiñas, Pablo A Díez, Arias, Alicia Cabrera, Cárdenas, Antonio, de Santos, Almudena, Núñez, Guillermina Barril, Cuadrado, Loreto Mariscal, de Gante, Raquel, Repollet, Concepción Redondo, Polo, Francesc, Moreso, María Antonieta, Azancot, Natalia, Ramos, Oriol Bestard Nestor, Toapanta, Ignacio, Cidraque, Sheila, Bermejo, Irene, Agraz, Oreto, Prat, Carlota, Medina, Emma, Pardo, Alejandro, Saiz, Maria Antònia Munar, Vila, Secundino Cigarrán, Guldris, Nicolás Menéndez, Granados, María Jesús Corton, Cabo, Walter López, Alarcón, Soledad Pizarro, Sánchez, Simona, Alexandru, Laura García Puente, Suarez, Saul Pampa, Saico, Marisol Poma, Tapia, Rocío, Zamora, Rosa Sánchez, Hernández, Laura Rodríguez, Osorio, Nuria, García-Fernández, Paloma Leticia Martin, Moreno, Noelia Ania, González, Ana Sabalza, Ortiz, María Nieves Bastida, Iñarrea, Sagrario Soriano, Cabrera, Raquel Ojeda, López, Cayetana Moyano, Peregrí, Maria Luisa Agüera, Morales, Maria Dolores Navarro, Cabello, Auxiliadora, Mazuecos, Teresa, García, Carlos, Narváez, Cristhian, Orellana, María Gabriela Sánchez, Márquez, Carolina Lancho, Novillo, Pedro Luis Quirós, Ganga, Fernando Vallejo, Carrión, Antonio Luis García, Herrera, Natalia Blanco, Castro, Rosa María Ruiz-Calero, Cendrero, María Victoria Martín, Hidalgo-Barquero, Román Hernández, Gallego, Álvaro, Alvarez, Eva Vázquez, Leo, José Luis Pizarro, León, Manuel Antonio Martínez, García, Benaldina García, Jiménez, Virginia Olinda Gómez, Pérez, Juan, de Dios Ramiro Moya, Diana López, Espinosa, Alejandro Jiménez, Herrador, Manuel Navarro, Zurita, Leonardo Díaz, Álvarez, Álvaro González, Martínez, Sandra Báez, Arroyo, Raquel Reina, Fernández, Marlyn Janella Suárez, Vargas, Rocío Calurano, Casero, Gustavo, Useche, Amparo Bernat, García, Ana Beatriz Muñoz, Díaz, Carmen Santamaría, de Miguel, Ángel, Palacios, Brenda, Henningsmeyer, Esther Orero, Calve, José Lacueva, Moya, Yurika, Sato, Marta Serra, Marín, Sandra, Tejedor, Shaida Martínez, Vaquera, Manuel Carnerero, di Riso, Irene, Torres, Georgina, Alfaro, Olga, Halauko, Fouad E L, Rifai, Ana Dolores, Martínez, Pablo Justo, Ávila, Christian Alfaro, Sánchez, Marta Sanz, Sainz, José María Baltar, Martín, Laura, Del Río García, José Luis Pérez, Canga, Paola Milena Villabón, Ochoa, Laura Muñiz, Pacios, Lina León, Machado, Augusto Quiroz, Morales, Ignacio Manzur, Cavalotti, Itziar Navarro, Zorita, Sol Otero, López, Sara Outon, González, Carlos Soto, Montañez, Auxiliadora Bajo, Rubio, Gloria, Del Peso Gilsanz, Marta Ossorio, Gonzalez, Rafael Sánchez, Villanueva, Maria Ovidia Lopez, Oliva, Jesús Calviño, Varela, Alba García, Enríquez, Carmen Cobelo, Casas, Pablo Otero, Alonso, Lourdes González, Tabares, José María Lamas, Barreiro, Luisa Palomares, Solla, Arginino, Gándara, Walfred Nájera, de la Garza, Francisco Fernández, Fleming, María Gloria Rodríguez, Goyanes, Cintia Caramés, Feijoo, María Mercedes Moreiras, Plaza, Cristina Bayón, Juan, Gabriel de Arriba, de la Fuente, Katia Pérez, Del Valle, Francisco Javier Pérez, Contreras, Noelia Balibrea, Lara, Dioné González, Ferri, Eduardo Muñoz, de Bustillo Llorente, Enriqueta González, Rodríguez, Virginia Lopez, De La Manzanara Perez, Marta Calvo, Arevalo, Jose Antonio Herrero, Calvo, María Rosario Llópez, Carratalá, Leyre María Martin, Rodríguez, Marisa Serrano, Salazar, Begoña Bravo, Prieto, José María Portolés, Pérez, Antonio Gil, Paraíso, Emma, Huarte, M, Lanau, Rodrigo Avellaneda, Campos, José Manuel, Ubé, Isabel Berdud, Godoy, Esther Torres, Aguilera, Rolando Tello, Alea, Margie Soledad, Del Rosario Saldaña, Mercedes, Salgueira, Nuria, Aresté, María, de Los Ángeles Rodríguez, Rocío, Collantes, Ana Isabel, Martínez, María Jesús, Moyano, Elena Jiménez, Víbora, Sandra Castellano, Gash, Lara Ruíz, Martínez, María Cinta Aguilar, Cervera, María Teresa Rodrigo, De Tomas, Beatriz Azcue, Prieto, Carmen, Toyos, José Molina, Del Rio, Adriana Restrepo, Acosta, Amagoia Celayeta, Zamacona, Ma Isabel Jimeno, Martin, Saioa Bilbao, Ortega, Ma Isabel Gallardo, Ruiz, Ainhoa Hernando, Rubio, Paula Garcia, Ledesma, Alvaro Goyoaga, Alvarez, Esteban, Poch, David, Cucchiari, José Broseta, Monzo, Beatriz Escamilla, Cabrera, Aurelio Pastor Rodríguez, Hernández, María Sagrario García, Rebollo, Juana Margarita Rufino, Hernández, Alejandra Yugueros, González, Juan Carlos, Alonso, Amparo Martínez, Más, Manuel, Calvé, Marina Garces, Cardona, Vanesa Canto, Balaguer, José Ignacio Minguela, Pesquera, Eva Cotilla, de la Rosa, David Rodríguez, Santarelli, Alba Santos, Garcia, Antonio Cabezas, Martin-Caro, Inmaculada Martinez, Santamaria, Michal, Cervienka, Ana María Urraca, de la Pisa, Lidia Sendino, Monzon, Karina Ampuero, Anachuri, Esther Hernández, Garcia, Victoria Oviedo, Gomez, Raquel Santana, Estupiñán, Francisco Valga, Amado, Patricia Pérez, Borges, Marta Durán, Beloso, Fernanda Arroyo, Alonso, Noemí Pérez, Felpete, Ana Meizoso, Ameneiro, Mónica Cunha, Mera, Beatriz Gil, Casares, Sofía Zarraga, Larrondo, Naroa Maruki, Kareaga, Ainhoa Inza San Salvador, Del Valle, Ana Rosa Muñoz, García, Blanca Villacorta, Linaza, Nuria, Del Toro Espinosa, Paola Estupiñan, Perico, José Manuel Sánchez, Oliva, Joaquín, Manrique, Itziar, Castaño, Carolina, Purroi, Nerea, Gómez, Cristina, Mansilla, Ane, Utzurrum, Manuel Ramírez, de Arellano Serna, Luis Guirado, Perich, María Muñiz, Rincón, Jesús Grande, Villoria, and Alfonso Pobes Martínez, De Salinas
- Subjects
kidney transplant ,Transplantation ,Nephrology ,SARS-CoV-2 ,CKD ,COVID-19 ,dialysis ,vaccines - Abstract
Background There is scarce evidence on the fourth dose of severe acute respiratory syndrome coronavirus 2 vaccines in chronic kidney disease (CKD) patients. We evaluated the humoral response and effectivity of the fourth dose in the CKD spectrum: non-dialysis CKD (ND-CKD), haemodialysis (HD), peritoneal dialysis (PD) and kidney transplant (KT) recipients. Methods This is a prespecified analysis of the prospective, observational, multicentric SENCOVAC study. In patients with CKD who had received a complete initial vaccination and one or two boosters and had anti-Spike antibody determinations 6 and 12 months after the initial vaccination, we analysed factors associated with persistent negative humoral response and higher anti-Spike antibody titres as well as the efficacy of vaccination on coronavirus disease 2019 (COVID-19) severity. Results Of 2186 patients (18% KT, 8% PD, 69% HD and 5% ND-CKD), 30% had received a fourth dose. The fourth dose increased anti-Spike antibody titres in HD (P = .001) and ND-CKD (P = .014) patients and seroconverted 72% of previously negative patients. Higher anti-Spike antibody titres at 12 months were independently associated with repeated exposure to antigen (fourth dose, previous breakthrough infections), previous anti-Spike antibody titres and not being a KT recipient. Breakthrough COVID-19 was registered in 137 (6%) patients, 5% of whom required admission. Admitted patients had prior titres Conclusions A fourth vaccine dose increased anti-Spike antibody titres or seroconverted many CKD patients, but those with the highest need for a vaccine booster (i.e. those with lower pre-booster antibody titres or KT recipients) derived the least benefit in terms of antibody titres. Admission for breakthrough COVID-19 was associated with low anti-Spike antibody titres.
- Published
- 2023