Immunogenicity and safety of the CoronaVac vaccine in patients with cancer receiving active systemic therapy

Future Oncol. 2021 Nov;17(33):4447-4456. doi: 10.2217/fon-2021-0597. Epub 2021 Aug 3.

Abstract

Aim: To evaluate the immunogenicity and safety of the CoronaVac vaccine in patients with cancer receiving active systemic therapy. Methods: This multicenter, prospective, observational study was conducted with 47 patients receiving active systemic therapy for cancer. CoronaVac was administered as two doses (3 μg/day) on days 0 and 28. Antibody level higher than 1 IU/ml was defined as 'immunogenicity.' Results: The immunogenicity rate was 63.8% (30/47) in the entire patient group, 59.5% (25/42) in those receiving at least one cytotoxic drug and 100% (five of five) in those receiving monoclonal antibody or immunotherapy alone. Age was an independent predictive factor for immunogenicity (odds ratio: 0.830; p = 0.043). Conclusion: More than half of cancer patients receiving active systemic therapy developed immunogenicity.

Keywords: COVID-19; cancer; chemotherapy; immunogenicity; immunotherapy; monoclonal antibody; safety; tumors; vaccine.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antibodies, Viral / blood
  • Antibodies, Viral / immunology
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • COVID-19 / immunology
  • COVID-19 / prevention & control*
  • COVID-19 / virology
  • COVID-19 Vaccines / administration & dosage
  • COVID-19 Vaccines / adverse effects
  • COVID-19 Vaccines / immunology*
  • Double-Blind Method
  • Female
  • Humans
  • Immunogenicity, Vaccine / drug effects
  • Male
  • Middle Aged
  • Neoplasms / drug therapy*
  • Neoplasms / immunology
  • Prospective Studies
  • SARS-CoV-2 / immunology*
  • Vaccines, Inactivated / administration & dosage
  • Vaccines, Inactivated / adverse effects
  • Vaccines, Inactivated / immunology

Substances

  • Antibodies, Viral
  • Antineoplastic Agents
  • COVID-19 Vaccines
  • Vaccines, Inactivated