Article
Author: Núñez, Sebastián A ; Páez Córdoba, Federico ; Corradetti, Santiago ; Pitocco, Lucila ; Manenti, Alessandro ; Bues, Florencia ; Rios Medrano, Mayra ; Lombardo, Mónica E ; Geffner, Jorge ; Pueblas Castro, Celeste ; Fascetto Cassero, Clara G ; Rodriguez, Juan Manuel ; Fló, Juan ; Prado, Lineia ; Bianchi, Alejandra ; Fulgenzi, Fabiana ; Vega, Julio C ; Wood, Cristian ; Salvatori, Melina ; Garrido, Rosa M ; Uriarte, Ignacio Leandro ; Perez Marc, Gonzalo ; Christmann, Analía ; Pasquevich, Karina A ; Montes de Oca, Federico ; Marchionatti, Carla ; Bonvehí, Pablo ; Mykietiuk, Analía ; Estrada, Tatiana ; Coria, Lorena M ; Bruno, Miriam ; Montomoli, Emanuele ; López Castelo, Rocío ; Bruno, Laura ; Saposnik, Lucas ; Zadoff, Romina ; Corral, Gonzalo ; Alzogaray, María F ; Roldán, Oscar ; Demaría, Agostina ; Ceballos, Ana ; Trias Uriarte, Virgina ; Yerino, Gustavo A ; Smith Casabella, Tomás ; Cahn, Florencia ; Di Nunzio, Lucila ; Cassataro, Juliana ; Itcovici, Nicolás ; Braem, Virginia ; Darraidou, Martín C ; Cassará, Jorge
A randomized, placebo-controlled, crossover, double-blind, phase II/III study was conducted to evaluate the immunogenicity, safety, and tolerability of a recombinant booster vaccine (ARVAC) containing the SARS-CoV-2 spike protein receptor binding domain in three versions: ARVACGamma, ARVACOmicron, and ARVACBivalent in adults with ≤3 previous SARS-CoV-2 booster doses. Primary endpoint was seroconversion rate of neutralizing antibodies compared to placebo and to a > 75 % seroconversion rate to vaccine antigen homologous variants. All vaccine versions significantly increased seroconversion rates to SARS-CoV-2 variants compared to placebo. In participants aged 18-60 years, all versions met the primary endpoint; in those over 60 years old, ARVACOmicron and ARVACBivalent met this endpoint. No vaccine-related serious adverse events were recorded, and most adverse events were mild. Plasma levels of anti-spike-specific IgG and anti-S1-specific IgA in saliva increased in participants receiving any vaccine. The increase in plasma neutralizing antibodies induced by the vaccine was independent of the number of previous booster doses (0, 1 or 2), the primary vaccine platform (adenovirus, single-dose adenovirus, mRNA, inactivated virus, heterologous vaccination, and virus-like particle [VLP]) and the history of previous COVID-19. The neutralizing Ab response induced by the vaccine in healthy participants was similar to that triggered in participants with underlying medical conditions associated with an increased risk of severe COVID-19. ARVACBivalent induced high seroconversion rates (>90 %) against multiple variants and was superior to other ARVAC-versions. It increased neutralizing antibodies against SARS-CoV-2 variants (Ancestral, Gamma, Omicron, XBB and JN.1) and SARS-CoV-1. (NCT05752201).