Immune response to COVID-19 vaccination in patients with Waldenström macroglobulinaemia who pause their BTKi therapy.

Waldenström macroglobulinaemia lymphoma vaccines

Journal

EJHaem
ISSN: 2688-6146
Titre abrégé: EJHaem
Pays: United States
ID NLM: 101761942

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 15 05 2023
accepted: 16 05 2023
medline: 21 8 2023
pubmed: 21 8 2023
entrez: 21 8 2023
Statut: epublish

Résumé

Patients with Waldenström macroglobulinaemia (WM) are at increased risk of severe COVID-19 infection and have poor immune responses to COVID-19 vaccination. This study assessed whether a closely monitored pause in Bruton's Tyrosine Kinase inhibitor (BTKi) therapy might result in an improved humoral response to a 3rd COVID-19 vaccine dose. Improved response was observed in WM patients who paused their BTKi, compared to a group who did not pause their BTKi. However, the response was attenuated after BTKi recommencement. This data contributes to our understanding of vaccination strategies in this patient group and may help inform consensus approaches in the future.

Identifiants

pubmed: 37601863
doi: 10.1002/jha2.724
pii: JHA2724
pmc: PMC10435711
doi:

Types de publication

Journal Article

Langues

eng

Pagination

728-732

Informations de copyright

© 2023 The Authors. eJHaem published by British Society for Haematology and John Wiley & Sons Ltd.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Katherine Rankin (K)

Haematology Department Concord Repatriation General Hospital Sydney New South Wales Australia.

Priyanka Hastak (P)

The Kirby Institute The University of New South Wales Sydney New South Wales Australia.

Alexander Wong (A)

Haematology Department Concord Repatriation General Hospital Sydney New South Wales Australia.
Concord Clinical School Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia.

Sarah C Sasson (SC)

The Kirby Institute The University of New South Wales Sydney New South Wales Australia.
Department of Clinical Immunology and Immunopathology ICPMR Westmead Hospital Sydney New South Wales Australia.

Brendan Beaton (B)

Haematology Department Concord Repatriation General Hospital Sydney New South Wales Australia.
Concord Clinical School Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia.

Avani Yeola (A)

Brain Autoimmunity Group Kids Neuroscience Centre Kids Research The Children's Hospital at Westmead Sydney New South Wales Australia.

Andrew Warden (A)

WMozzies: Australian Patient Support Group for Waldenström's Macroglobulinemia Sydney New South Wales Australia.

Stuart Turville (S)

The Kirby Institute The University of New South Wales Sydney New South Wales Australia.

Anthony D Kelleher (AD)

The Kirby Institute The University of New South Wales Sydney New South Wales Australia.

Fabienne Brilot (F)

Brain Autoimmunity Group Kids Neuroscience Centre Kids Research The Children's Hospital at Westmead Sydney New South Wales Australia.
Sydney Institute of Infectious Disease The University of Sydney Sydney New South Wales Australia.
The School of Medical Sciences Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia.

Judith Trotman (J)

Haematology Department Concord Repatriation General Hospital Sydney New South Wales Australia.
Concord Clinical School Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia.

Classifications MeSH