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Table 1 Humoral and cellular vaccination response

From: Response to SARS-CoV-2 vaccines in patients receiving B-cell modulating antibodies for renal autoimmune disease

 

Humoral

 

Cellular

 
 

No response

Response

P

No response

Response

p

Patients, n (%)

21 (61.8)

13 (38.2)

 

2 (8.0)

23 (92.0)

 

Female, n (%)

8 (38.1)

7 (54.8)

 

0 (0.0)

9 (39.1)

 

Mean Age at vaccination (SD)

62.6 (15.7)

53.5 (18.5)

0.07

66.0 (22.6)

55.7 (16.9)

Cause for Immunosuppression

      

 AAV, n (%)

18 (85.7)

4 (30.8)

 

2 (100.0)

12 (52.2)

 

 FSGS, n (%)

1 (4.8)

0 (0.0)

 

0 (0.0)

1 (4.3)

 

 MGN, n (%)

1 (4.8)

2 (15.4)

 

0 (0.0)

2 (8.7)

 

 MC, n (%)

1 (4.8)

2 (15.4)

 

0 (0.0)

3 (13.0)

 

 TMA, n (%)

0 (0.0)

4 (30.8)

 

0 (0.0)

4 (17.4)

 

 M. Goodpasture, n (%)

0 (0.0)

1 (7.7)

 

0 (0.0)

1 (4.3)

 

Current immunosuppression

      

 Anti-CD20 antibody

      

  Regular regimen, n (%)

17 (81.0)

3 (23.1)

 

2 (100.0)

12 (52.2)

 

  Irregular regimen, n (%)

4 (19.0)

10 (76.9)

 

0 (0.0)

11 (47.8)

 

 Steroid, n (%)

12 (57.1)

1 (7.7)

 

2 (100.0)

6 (26.1)

 

 Hydroxychloroquine, n (%)

0 (0.0)

1 (7.7)

 

1 (50.0)

0 (0.0)

 

Previous immunosuppression

      

 Cyclophosphamide, n (%)

13 (61.9)

5 (38.5)

 

2 (100.0)

9 (39.1)

 

 High-dose Steroid, n (%)

20 (95.2)

13 (100.0)

 

2 (100.0)

22 (95.7)

 

 Mycophenolate Mofetil, n (%)

5 (23.8)

3 (23.1)

 

0 (0.0)

8 (34.8)

 

 Azathioprine, n (%)

1 (4.8)

1 (7.7)

 

0 (0.0)

2 (8.7)

 

 Cyclosporine A, n(%)

5 (23.8)

3 (23.1)

 

0 (0.0)

8 (34.8)

 

 Leflunomide, n (%)

1 (4.7)

0 (0.0)

 

0 (0.0)

1 (4.3)

 

 Metotrexate, n (%)

1 (4.3)

0 (0.0)

 

0 (0.0)

1 (4.3)

 

Kidney function

      

 eGFR, CKD-EPI; ml/min/1.73m2 (SD)

47.4 (25.5)

63.2 (26.9)

0.11

53.5 (30.4)

60.2 (24.0)

 Proteinuria, g/g (SD)

1.2 (3.0)

1.0 (1.9)

0.30

0.5 (0.6)

1.2 (3.0)

 Hematuria, Stix (SD)

1.4 (1.3)

0.7 (0.8)

0.15

0.5 (0.7)

1.1 (1.2)

Vaccines used

      

 2 × BNT162b2, n (%)

16 (76.2)

9 (69.2)

 

2 (100.0)

15 (65.2)

 

 2 × mRNA-1273, n (%)

1 (4.8)

0 (0.0)

 

0 (0.0)

1 (4.3)

 

 2 × ChAdOx1, n (%)

1 (4.8)

2 (15.4)

 

0 (0.0)

3 (13.0)

 

 1 × Ad26.COV2.S, n (%)

2 (9.5)

1 (7.7)

 

0 (0.0)

2 (8.7)

 

 1 × ChAdOx1, 1 × BNT162b2, n (%)

1 (4.7)

0 (0.0)

 

0 (0.0)

1 (4.3)

 

 1 × ChAdOx1, 1 × mRNA-1273, n (%)

0 (0.0)

1 (7.7)

 

0 (0.0)

1 (4.3)

 

Vaccination characteristics

      

 Days anti-CD20 antibody to 1st vaccination (SD)

111.2 (51.7)

553.5 (553.8)

 < 0.01

131.0 (50.9)

327.4 (453.5)

 CD19 counts at vaccination, cells/µl (SD)

1.2 (4.6)

146.1 (241.1)

 < 0.01

0.5 (0.7)

74.4 (191.9)

 Days between 1st and 2nd vaccine

(SD)

44.8 (17.6)

42.3 (22.2)

0.26

30.0 (7.1)

46.6 (21.0)

 Days full vaccination to laboratory analysis (SD)

35.7 (29.6)

46.6 (36.7)

0.30

83.0 (49.5)

40.0 (32.9)

  1. P-values were calculated using Wilcoxon-Mann–Whitney test. P-values not reported, as n = 2 in cellular no-response group. AAV ANCA-associates vasculitis, FSGS Focal segmental glomerulosclerosis, MGN Membranous glomerulopathy, MC Minimal Change disease, SD Standard deviation, TMA Thrombotic microangiopathy