June 30 (Reuters) - The following is a summary of some
recent studies on COVID-19. They include research that warrants
further study to corroborate the findings and that has yet to be
certified by peer review.
Pausing immunosuppression improves COVID-19 booster response
People taking a commonly-used drug for inflammatory
conditions such as rheumatoid arthritis or psoriasis get
weaker-than-average protection from COVID-19 vaccines, but
stopping the drug for two weeks after a booster dose doubled
patients' antibody response in a randomized trial.
UK researchers studied 254 adults receiving methotrexate for
their conditions who were about to get their third dose of a
vaccine from Pfizer/BioNTech, Moderna
, or AstraZeneca. Participants were randomly
assigned to interrupt methotrexate treatment for two-weeks after
the booster, or to continue taking methotrexate as usual. Blood
tests one and three months later showed antibody levels were
more than twice as high among patients who paused methotrexate
for two weeks as among patients who kept taking it. This was
true regardless of methotrexate dose, type of inflammatory
disease, type of vaccine, and whether or not patients had ever
been infected with SARS-CoV-2. Patients' reports of disease
flares were slightly more common in the interruption group, but
there was no difference between the groups in seeking healthcare
input for flares, and there was no impact on quality of life or
general health, the researchers reported on Monday in The Lancet
Respiratory Medicine https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(22)00186-2/fulltext.
"Further research is required to assess whether interruption
in treatment with other similarly acting immunosuppressive drugs
will also enhance vaccine-induced immunity," the researchers
said.
First-trimester COVID-19 vaccine particularly beneficial
Pregnant women getting vaccinated against COVID-19 should
consider the type and timing of vaccination, new research
suggests.
The 158 pregnant women in the study received mRNA vaccines
from Moderna or Pfizer/BioNTech or the adenovirus-based vaccine
from Johnson & Johnson. As reported on Tuesday in Nature
Communications https://www.nature.com/articles/s41467-022-31169-8,
the Moderna shot provided subtle advantages over the Pfizer
shot in antibody levels and function, and both RNA vaccines
induced more potent antibodies than the J&J shot. Immune
responses to the shots were stronger when administered in the
first or third trimester compared to the second trimester, while
the transfer of protective COVID-19 antibodies to the fetus
through the placenta was most efficient following first and
second trimester vaccination.
When unvaccinated women become pregnant, the U.S. Centers
for Disease Control and Prevention advises vaccination as soon
as possible to maximize the amount of time during which the
mother and fetus are protected from COVID-19. The researchers
say their findings show that first-trimester vaccination induces
an immune response as good as or better than responses later in
pregnancy, along with "high transfer efficiency" of antibodies
to the fetus. Furthermore, "maternal and neonatal immunity may
be further enhanced by boosting in the third trimester," the
researchers said.
Click for a Reuters graphic https://tmsnrt.rs/3c7R3Bl on
vaccines in development.
(Reporting by Nancy Lapid; Editing by Bill Berkrot)