1. A Retrospective Study of the Safety and Immunogenicity of MVC-COV1901 Vaccine for People Living with HIV.
- Author
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Cheng, Shu-Hsing, Lien, Chia En, Hsieh, Szu-Min, Cheng, Chien-Yu, Liu, Wang-Da, Lo, Ching-Lung, Ko, Wen-Chien, Chen, Yen-Hsu, Huang, Ching-Tai, Chang, Hsiao-Ting, Hwang, Shinn-Jang, Wang, Ning-Chi, Liu, Ming-Che, Lee, Yu-Lin, Tai, I-Chen, Estrada, Josue Antonio Garcia, Lin, Tzou-Yien, and Lee, Wen-Sen
- Subjects
VACCINE immunogenicity ,HIV-positive persons ,RECOMBINANT proteins ,ALUMINUM hydroxide ,IMMUNE response - Abstract
Background: This study aimed to assess the safety and immunogenicity of MVC-COV1901, a recombinant COVID-19 protein vaccine, containing S-2P protein adjuvanted with CpG 1018 and aluminum hydroxide, for people living with HIV (PWH). Methods: A total of 57 PWH of ≥20 years of age who are on stable antiretroviral therapy were compared with 882 HIV-negative participants. Participants received two doses of MVC-COV1901 28 days apart. Results: No vaccine-related serious adverse events (SAEs) were recorded. Seroconversion rates (SCRs) of 100% and 99.8% were achieved in PWH and comparators, respectively, 28 days after the second dose. After adjusting for sex, age, BMI category, and comorbidity, the adjusted GMT ratio of comparator/PWH was 3.2 (95% CI 2.5–4). A higher CD4/CD8 ratio was associated with a higher GMT (R = 0.27, p = 0.039). MVC-COV1901 has shown robust safety but elicited weaker immune responses in PWH. Conclusions: Further investigations may be needed to determine whether PWH require distinct immunization strategies with improved immunogenicity. The main study is registered at ClinicalTrials.gov (NCT04695652). [ABSTRACT FROM AUTHOR]
- Published
- 2023
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