Abstract | OBJECTIVE: METHOD: We designed a large prospective observational study recruiting 228 patients with ARDs in a tertiary rheumatology centre in Taiwan. Altogether, 142 received biological or targeted synthetic DMARDs and 86 received only conventional synthetic (cs) DMARDs. Serum levels of immunoglobulin G antibody against SARS-CoV-2 spike proteins were measured 2-6 weeks after COVID-19 vaccination with mRNA-1273 (Moderna®) or ChAdOx1 nCoV-19 (Oxford/AstraZeneca®). The immunomodulatory therapies were not modified before or after vaccination. RESULTS: Overall, 194 patients (85.09%) exhibited antibodies (758.33 ± 808.43 ng/mL) but 34 patients did not (103.24 ± 41.08 ng/mL). Patients with systemic lupus erythematosus or rheumatoid arthritis had significantly lower humoral responses to COVID-19 vaccination than those with other ARDs (p < 0.05). There was no significant difference in immunogenicity among patients on different csDMARD treatments. Compared to patients treated with only csDMARDs, those on rituximab or abatacept therapy had significantly lower immune response to the vaccination (p = 0.008 and p = 0.035, respectively). Patients who were treated with anti-tumour necrosis factor-α or interleukin-6 inhibitor exhibited higher titres of vaccination antibodies than those treated with direct lymphocyte inhibitors. CONCLUSIONS:
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Authors | H-T Liao, H-Y Tung, C-T Chou, H-C Tsai, Y-N Yen, C-Y Tsai |
Journal | Scandinavian journal of rheumatology
(Scand J Rheumatol)
Vol. 51
Issue 6
Pg. 500-505
(11 2022)
ISSN: 1502-7732 [Electronic] England |
PMID | 35638589
(Publication Type: Observational Study, Journal Article)
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Chemical References |
- COVID-19 Vaccines
- ChAdOx1 nCoV-19
- 2019-nCoV Vaccine mRNA-1273
- Abatacept
- Immunosuppressive Agents
- Rituximab
- Antirheumatic Agents
- Antibodies, Viral
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Topics |
- Humans
- SARS-CoV-2
- COVID-19 Vaccines
(therapeutic use)
- ChAdOx1 nCoV-19
- 2019-nCoV Vaccine mRNA-1273
- COVID-19
(prevention & control)
- Abatacept
(therapeutic use)
- Immunosuppressive Agents
(therapeutic use)
- Rituximab
(therapeutic use)
- Antirheumatic Agents
- Autoimmune Diseases
(drug therapy, chemically induced)
- Arthritis, Rheumatoid
(drug therapy, metabolism)
- Vaccination
- Respiratory Distress Syndrome
- Antibodies, Viral
- Rheumatic Diseases
(drug therapy)
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