Long-Term Safety and Immunogenicity of AZD1222 (ChAdOx1 nCoV-19): 2-Year Follow-Up from a Phase 3 Study

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Udgivet i:Vaccines vol. 12, no. 8 (2024), p. 883
Hovedforfatter: Shoemaker, Kathryn
Andre forfattere: Soboleva, Karina, Branche, Angela, Shankaran, Shivanjali, Theodore, Deborah A, Bari, Muhammad, Ezeh, Victor, Green, Justin, Kelly, Elizabeth, Lan, Dongmei, Olsson, Urban, Senthilkumar Saminathan, Shankar, Nirmal Kumar, Villegas, Berta, Villafana, Tonya, Falsey, Ann R, Sobieszczyk, Magdalena E
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MDPI AG
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022 |a 2076-393X 
024 7 |a 10.3390/vaccines12080883  |2 doi 
035 |a 3098197633 
045 2 |b d20240101  |b d20241231 
084 |a 231639  |2 nlm 
100 1 |a Shoemaker, Kathryn  |u Biometrics, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA; <email>kathryn.shoemaker@astrazeneca.com</email> (K.S.); <email>dongmei.lan@astrazeneca.com</email> (D.L.) 
245 1 |a Long-Term Safety and Immunogenicity of AZD1222 (ChAdOx1 nCoV-19): 2-Year Follow-Up from a Phase 3 Study 
260 |b MDPI AG  |c 2024 
513 |a Journal Article 
520 3 |a A better understanding of the long-term safety, efficacy, and immunogenicity of COVID-19 vaccines is needed. This phase 3, randomized, placebo-controlled study for AZD1222 (ChAdOx1 nCoV-19) primary-series vaccination enrolled 32,450 participants in the USA, Chile, and Peru between August 2020 and January 2021 (NCT04516746). Endpoints included the 2-year follow-up assessment of safety, efficacy, and immunogenicity. After 2 years, no emergent safety signals were observed for AZD1222, and no cases of thrombotic thrombocytopenia syndrome were reported. The assessment of anti-SARS-CoV-2 nucleocapsid antibody titers confirmed the durability of AZD1222 efficacy for up to 6 months, after which infection rates in the AZD1222 group increased over time. Despite this, all-cause and COVID-19-related mortality remained low through the study end, potentially reflecting the post-Omicron decoupling of SARS-CoV-2 infection rates and severe COVID-19 outcomes. Geometric mean titers were elevated for anti-SARS-CoV-2 neutralizing antibodies at the 1-year study visit and the anti-spike antibodies were elevated at year 2, providing further evidence of increasing SARS-CoV-2 infections over long-term follow-up. Overall, this 2-year follow-up of the AZD1222 phase 3 study confirms that the long-term safety profile remains consistent with previous findings and supports the continued need for COVID-19 booster vaccinations due to waning efficacy and humoral immunity. 
651 4 |a Peru 
651 4 |a United States--US 
651 4 |a Chile 
653 |a Enrollments 
653 |a Infections 
653 |a Antibodies 
653 |a COVID-19 vaccines 
653 |a Severe acute respiratory syndrome coronavirus 2 
653 |a Disease 
653 |a Decoupling 
653 |a Humoral immunity 
653 |a Safety 
653 |a Nucleocapsids 
653 |a Serology 
653 |a Immunity (Disease) 
653 |a Immunogenicity 
653 |a Pandemics 
653 |a Effectiveness 
653 |a Illnesses 
653 |a COVID-19 
653 |a Thrombocytopenia 
653 |a Social 
700 1 |a Soboleva, Karina  |u Clinical Development, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA; <email>karina.soboleva1@astrazeneca.com</email> (K.S.); <email>victor.ezeh@astrazeneca.com</email> (V.E.); 
700 1 |a Branche, Angela  |u Division of Infectious Diseases, Department of Medicine, University of Rochester, Rochester, NY 14627, USA; <email>angela_branche@urmc.rochester.edu</email> 
700 1 |a Shankaran, Shivanjali  |u Division of Infectious Diseases, Rush University Medical Center, Chicago, IL 60612, USA; <email>shivanjali_shankaran@rush.edu</email> 
700 1 |a Theodore, Deborah A  |u Division of Infectious Diseases, Department of Medicine, Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY 10032, USA; <email>dat2132@cumc.columbia.edu</email> (D.A.T.); 
700 1 |a Bari, Muhammad  |u Formerly Patient Safety, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Cambridge CB2 0AA, UK; <email>muhammad.bari@hotmail.com</email> 
700 1 |a Ezeh, Victor  |u Clinical Development, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA; <email>karina.soboleva1@astrazeneca.com</email> (K.S.); <email>victor.ezeh@astrazeneca.com</email> (V.E.); 
700 1 |a Green, Justin  |u Clinical Development, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Cambridge CB2 0AA, UK 
700 1 |a Kelly, Elizabeth  |u Formerly Translational Medicine, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA; <email>beth.j.kelly@gmail.com</email> 
700 1 |a Lan, Dongmei  |u Biometrics, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA; <email>kathryn.shoemaker@astrazeneca.com</email> (K.S.); <email>dongmei.lan@astrazeneca.com</email> (D.L.) 
700 1 |a Olsson, Urban  |u Clinical Development, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, 431 83 Gothenburg, Sweden; <email>urban.x.olsson@astrazeneca.com</email> 
700 1 |a Senthilkumar Saminathan  |u Patient Safety, Chief Medical Office, R&D, AstraZeneca, Bangalore 560045, India; <email>senthilkumar.saminathan@astrazeneca.com</email> (S.S.); <email>nirmalkumar.shankar@astrazeneca.com</email> (N.K.S.) 
700 1 |a Shankar, Nirmal Kumar  |u Patient Safety, Chief Medical Office, R&D, AstraZeneca, Bangalore 560045, India; <email>senthilkumar.saminathan@astrazeneca.com</email> (S.S.); <email>nirmalkumar.shankar@astrazeneca.com</email> (N.K.S.) 
700 1 |a Villegas, Berta  |u Clinical Operations, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Mississauga, ON L4Y 1M4, Canada; <email>berta.villegas@astrazeneca.com</email> 
700 1 |a Villafana, Tonya  |u Clinical Development, Vaccines & Immune Therapies, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD 20878, USA; <email>karina.soboleva1@astrazeneca.com</email> (K.S.); <email>victor.ezeh@astrazeneca.com</email> (V.E.); 
700 1 |a Falsey, Ann R  |u Department of Medicine, Infectious Diseases, University of Rochester School of Medicine and Dentistry, Rochester, New York, NY 14642, USA; <email>ann_falsey@urmc.rochester.edu</email>; Infectious Disease, Rochester Regional Health, Rochester, New York, NY 14617, USA 
700 1 |a Sobieszczyk, Magdalena E  |u Division of Infectious Diseases, Department of Medicine, Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY 10032, USA; <email>dat2132@cumc.columbia.edu</email> (D.A.T.); 
773 0 |t Vaccines  |g vol. 12, no. 8 (2024), p. 883 
786 0 |d ProQuest  |t Biological Science Database 
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