Vaccination against SARS-CoV-2 protects from morbidity, mortality and sequelae from COVID19 in patients with cancer

David James PINATO, Daniela FERRANTE, J. Aguilar-Company, M. Bower, R. Salazar, O. Mirallas, A. Sureda, A. Bertuzzi, J. Brunet, M. Lambertini, C. Maluquer, P. Pedrazzoli, F. Biello, A. J. X. Lee, C. C. T. Sng, R. Linan, S. Rossi, M. C. Carmona-Garcia, R. Sharkey, S. EremievG. Rizzo, H. D. Bain, T. Yu, C. A. Cruz, M. Perachino, N. Saoudi-Gonzalez, R. Fort-Culillas, K. Doonga, L. Fox, E. Roldan, F. Zoratto, Gianluca GAIDANO, I. Ruiz-Camps, R. Bruna, A. Patriarca, M. Shawe-Taylor, V. Fusco, C. Martinez-Vila, R. Berardi, M. Filetti, F. Mazzoni, A. Santoro, S. Delfanti, A. Parisi, P. Queirolo, A. Aujayeb, L. Rimassa, A. Prat, J. Tabernero, Alessandra Gennari, A. Cortellini, J. S. Evans, J. Swallow, G. Hanbury, C. Chung, M. Patel, G. Dettorre, D. Ottaviani, A. Chowdhury, C. C. Sng, A. Sinclair, L. Cooper, L. Rogers, K. Belessiotis, C. Murphy, S. Bawany, S. Khalique, R. Andaleeb, Pria A. Dalla, T. Newsom-Davis, S. Dolly, A. Sita-Lumsde, E. Apthorp, E. Jones, Hemelrijck M. Van, C. Moss, B. Russell, N. Diamantis, U. Mukherjee, S. Townsend, A. Jackson, A. Loizidou, M. Piccart, R. Reyes, E. Segui, J. Marco-Hernandez, M. Viladot, Illescas D. Garcia, N. Saoudi, Garcia M. C. Carmona, R. Fort-Culillas, N. Harbeck, R. Wuerstlein, F. Henze, S. Mahner, R. Mesia, E. Felip, A. Plaja, M. Cucurull, F. D'Avanzo, Lorenza Scotti, M. Krengly, A. Marrari, F. Grosso, A. Maconi, M. Betti, B. Vincenzi, G. Tonini, A. Zambelli, C. Tondini, V. Fotia, L. Chiudinelli, M. Franchi, M. Libertini, R. Bertulli, S. Provenzano, D. Generali, S. Grisanti, A. Baggi, V. Tovazzi, C. Ficorella, G. Porzio, M. Saponara, R. Giusti, M. Tucci, L. Cantini, F. Paoloni, A. Guida, S. Bracarda, M. Iglesias, de Torre A. Sanchez, F. Pommeret, E. Colomba

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

Background: Although SARS-CoV-2 vaccines immunogenicity in patients with cancer has been investigated, whether they can significantly improve the severity of COVID-19 in this specific population is undefined. Methods: Capitalizing on OnCovid (NCT04393974) registry data we reported COVID-19 mortality and proxies of COVID-19 morbidity, including post-COVID-19 outcomes, according to the vaccination status of the included patients. Results: 2090 eligible patients diagnosed with COVID-19 between 02/2020 and 11/2021 were included, of whom 1930 (92.3%) unvaccinated, 91 (4.4%) fully vaccinated and 69 (3.3%) partially vaccinated. With the exception of a higher prevalence of patients from the UK (p = 0.0003) and receiving systemic anticancer therapy at COVID-19 diagnosis (p = 0.0082) among fully vaccinated patients, no demographics/oncological features were associated with vaccination status. The 14-days case fatality rate (CFR) (5.5% vs 20.7%, p = 0.0004) and the 28-days CFR (13.2% vs 27.4%, p = 0.0028) demonstrated a significant improvement for fully vaccinated patients in comparison with unvaccinated patients. The receipt of prior full vaccination was also associated with reduced symptomatic COVID-19 (79.1% vs 88.5%, p = 0.0070), need of COVID-19 oriented therapy (34.9% vs 63.2%, p < 0.0001), complications from COVID-19 (28.6% vs 39.4%, p = 0.0379), hospitalizations due to COVID-19 (42.2% vs 52.5%, p = 0.0007) and oxygen therapy requirement (35.7% vs 52%, p = 0.0036). Following Inverse Probability Treatment Weighting (IPTW) procedure no statistically significant difference according to the vaccination status was confirmed; however, all COVID-19 related outcomes were concordantly in favour of full vaccination. Among the 1228 (58.8%) patients who underwent a formal reassessment at participating centres after COVID-19 resolution, fully vaccinated patients experienced less sequelae than unvaccinated patients (6.7% vs 17.2%, p = 0.0320). Conclusions: This analysis provides initial evidence in support of the beneficial effect of SARS-CoV-2 vaccines against morbidity and mortality from COVID-19 in patients with cancer.
Lingua originaleInglese
pagine (da-a)64-74
Numero di pagine11
RivistaEuropean Journal of Cancer
Volume171
DOI
Stato di pubblicazionePubblicato - 2022

Keywords

  • Cancer
  • Clinical efficacy
  • COVID-19
  • Prevention
  • SARS-CoV-2
  • Vaccines

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