Key result
Heterologous boosting with the AWcorna mRNA vaccine achieved an 83.75% seropositive rate against the Omicron variant compared to 35% with a homologous CoronaVac booster.
Why the study?
Rapid waning of vaccine-induced neutralizing antibody titers and continuous emergence of SARS-CoV-2 variants of concern have challenged COVID-19 pandemic eradication.
Does heterologous boosting with AWcorna mRNA vaccine improve neutralization antibody titers in adults primed with inactivated vaccines compared to homologous boosting with CoronaVac?
RCT (n=300)
Randomly assigned
Does heterologous boosting with AWcorna mRNA vaccine improve neutralization antibody titers in adults primed with inactivated vaccines compared to homologous boosting with CoronaVac?
Heterologous boosting with the mRNA vaccine AWcorna significantly increased neutralizing antibody titers against wild-type SARS-CoV-2 and the Omicron variant compared to homologous boosting with CoronaVac in adults primed with inactivated vaccines.
Answers are grounded in this paper and cite their sources.
Supports heterologous AWcorna mRNA boosting for higher Omicron seropositivity; confirms RCT superiority over homologous CoronaVac in inactivated-primed adults.
To May 2022, the COVID-19 pandemic has claimed more than 6.28 million lives, with more than 524 million confirmed cases worldwide. The recent emergence of highly transmissible Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has triggered another major surge in both confirmed cases and deaths. 1 Ten COVID-19 vaccines have been approved by the World Health Organization (WHO) for emergency use, including the two mRNA vaccines, BNT162b2 and mRNA-1273, and two Chinese inactivated vaccines, CoronaVac and BBIBP-CorV. However, the rapid waning of vaccine-induced virus-neutralizing antibody titers and the continuous emergence of variants of concern (VOCs), including Alpha, Beta, Delta and Omicron, have created unprecedented challenges in the eradication of COVID-19 pandemic. 2 , 3 , 4
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Liu et al. (2022) conducted an RCT in COVID-19 (n=300). AWcorna vs. CoronaVac was evaluated on Seropositive rate of neutralizing antibody to the Omicron variant at 28 days post-booster (95% CI 30.82-63.84, p=<0.0001). Heterologous boosting with the AWcorna mRNA vaccine achieved an 83.75% seropositive rate against the Omicron variant compared to 35% with a homologous CoronaVac booster.
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