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Lancet study could bode well for mix-and-match COVID-19 vaccination

A real-world assessment in Sweden found that mRNA vaccines were effective in individuals who had received a dose of the AstraZeneca vaccine.

By Brian Buntz | October 20, 2021

COVID-19 vaccines NIH

[Image by Sam Moqadam on Unsplash]

The mRNA vaccines from Pfizer-BioNTech (NYSE:PFE/NSDQ:BNTX) and Moderna (NSDQ:MRNA) appear to work well as a second dose in recipients of a single dose of the AstraZeneca (LON:AZN) AZD1222 vaccine.

A report in Lancet found that two doses of AstraZeneca’s AZD1222 vaccine were 50% effective. Recipients who received a dose of the AZD1222 vaccine followed by a dose of Moderna’s mRNA-1273 vaccine had adjusted vaccine effectiveness of 79%. Those who received an initial dose of AZD1222 followed by the Pfizer-BioNTech BNT162b2 vaccine saw vaccine effectiveness of 67%.

The report authors stopped short of claiming that a heterologous AZD1222 and mRNA prime-boost vaccination strategy is superior, concluding that it “may be an effective alternative to increase population immunity against COVID-19.”

“These results could have important implications for vaccination strategies and consequently in the battle against the pandemic,” the report authors concluded.

Based in Sweden, the study analyzed infection data from randomly selected individuals from July 5 to August 23. In that time window, the Delta variant became dominant in the country, as it has in many other countries.

Last week, preliminary federally-funded research presented at the FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) reached broadly similar conclusions on the use of heterologous boosters. That research found that the mRNA vaccines from Pfizer and Moderna appeared to elicit a more robust immune response when used both as a primary series and booster dose than Janssen’s Ad26.COV2.S vaccine.

Moderna is actively investigating mRNA vaccine boosters in individuals who received their first COVID-19 vaccinations from AstraZeneca or Johnson & Johnson. “Moderna will continue to generate data and transparently share to support governments and regulators as they make evidence-based decisions regarding future vaccination strategies,” said a Moderna spokesperson.


Filed Under: Infectious Disease
Tagged With: Ad26.COV2.S, AstraZeneca, AZD1222, BioNTech, Janssen, Lancet, Moderna, mRNA vaccines, Pfizer
 

About The Author

Brian Buntz

As the pharma and biotech editor at WTWH Media, Brian has almost two decades of experience in B2B media, with a focus on healthcare and technology. While he has long maintained a keen interest in AI, more recently Brian has made making data analysis a central focus, and is exploring tools ranging from NLP and clustering to predictive analytics.

Throughout his 18-year tenure, Brian has covered an array of life science topics, including clinical trials, medical devices, and drug discovery and development. Prior to WTWH, he held the title of content director at Informa, where he focused on topics such as connected devices, cybersecurity, AI and Industry 4.0. A dedicated decade at UBM saw Brian providing in-depth coverage of the medical device sector. Engage with Brian on LinkedIn or drop him an email at [email protected].

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