SARS-CoV-2 vaccination and multiple sclerosis: a large multicentric study on relapse risk after the third booster dose.

COVID-19 Multiple sclerosis SARS-CoV-2 Vaccination

Journal

Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161

Informations de publication

Date de publication:
03 Nov 2023
Historique:
received: 07 07 2023
accepted: 28 09 2023
revised: 26 09 2023
medline: 3 11 2023
pubmed: 3 11 2023
entrez: 3 11 2023
Statut: aheadofprint

Résumé

COVID-19 vaccines have been recommended to people with multiple sclerosis (pwMS) and, to ensure durable immunity, a third booster dose has been administered in several countries. Data about potential risks associated with the third booster dose in pwMS, such as vaccine-triggered disease exacerbations, are still scarce. To investigate whether the administration of a third booster dose of mRNA COVID-19 vaccines was associated with an increased risk of short-term disease reactivation in a large cohort of pwMS. We retrospectively selected 1265 pwMS who received a third booster dose of an mRNA COVID-19 vaccine. Demographic and clinical data were collected, including the presence, number and characteristics of relapses in the 60 days prior to and after the third booster dose. In the selected cohort, the relapse rate in the two months after administration of the third booster dose of mRNA COVID-19 vaccines did not increase when compared with the prior two months. Indeed, the percentage of pwMS experiencing relapses in the 60 days following the administration of the third booster dose was 2.1%, similar to the percentage recorded in 60 days prior to vaccination, which was 1.9%. The third booster dose of mRNA COVID-19 vaccines appeared to be safe for pwMS.

Sections du résumé

BACKGROUND BACKGROUND
COVID-19 vaccines have been recommended to people with multiple sclerosis (pwMS) and, to ensure durable immunity, a third booster dose has been administered in several countries. Data about potential risks associated with the third booster dose in pwMS, such as vaccine-triggered disease exacerbations, are still scarce.
OBJECTIVE OBJECTIVE
To investigate whether the administration of a third booster dose of mRNA COVID-19 vaccines was associated with an increased risk of short-term disease reactivation in a large cohort of pwMS.
METHODS METHODS
We retrospectively selected 1265 pwMS who received a third booster dose of an mRNA COVID-19 vaccine. Demographic and clinical data were collected, including the presence, number and characteristics of relapses in the 60 days prior to and after the third booster dose.
RESULTS RESULTS
In the selected cohort, the relapse rate in the two months after administration of the third booster dose of mRNA COVID-19 vaccines did not increase when compared with the prior two months. Indeed, the percentage of pwMS experiencing relapses in the 60 days following the administration of the third booster dose was 2.1%, similar to the percentage recorded in 60 days prior to vaccination, which was 1.9%.
CONCLUSIONS CONCLUSIONS
The third booster dose of mRNA COVID-19 vaccines appeared to be safe for pwMS.

Identifiants

pubmed: 37922069
doi: 10.1007/s00415-023-12034-0
pii: 10.1007/s00415-023-12034-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s).

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Auteurs

Massimiliano Di Filippo (M)

Clinica Neurologica, Dipartimento di Medicina e Chirurgia, Università di Perugia, Perugia, Umbria, Italy. massimiliano.difilippo@unipg.it.

Diana Ferraro (D)

Dipartimento di Neuroscienze, Ospedale Civile di Baggiovara, Azienda Ospedaliera-Università di Modena, Modena, Italy.

Paolo Ragonese (P)

Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, Palermo, Italy.

Luca Prosperini (L)

Dipartimento di Neuroscienze, Ospedale San Camillo-Forlanini, Rome, Italy.

Giorgia Teresa Maniscalco (GT)

Centro Regionale Sclerosi Multipla, Dipartimento di Neurologia e Stroke Unit, Ospedale "A. Cardarelli", Naples, Italy.

Antonio Gallo (A)

Dipartimento di Scienze Mediche e Chirurgiche Avanzate, Università degli Studi Della Campania Luigi Vanvitelli, Naples, Italy.

Paola Cavalla (P)

Centro Sclerosi Multipla e Neurologia 1 D.U, Dipartimento di Neuroscienze e Salute Mentale, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.

Lorena Lorefice (L)

Centro Sclerosi Multipla, Dipartimento di Scienze Mediche e di Sanità Pubblica, ASL Cagliari, Università di Cagliari, Ospedale Binaghi, Cagliari, Italy.

Viviana Nociti (V)

Centro Sclerosi Multipla, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Elena Di Sabatino (E)

Clinica Neurologica, Dipartimento di Medicina e Chirurgia, Università di Perugia, Perugia, Umbria, Italy.

Marinella Clerico (M)

Dipartimento di Scienze Cliniche e Biologiche dell'Università di Torino, AOU San Luigi Gonzaga Di Orbassano, Orbassano, Italy.

Clara Guaschino (C)

Neurologia ad Indirizzo Neuroimmunologico-Centro Sclerosi Multipla, ASST Valle Olona, Gallarate, Italy.

Marta Radaelli (M)

U.O.C. Di Neurologia, ASST Papa Giovanni XXIII, Bergamo, Italy.

Roberta Fantozzi (R)

Unità Di Neurologia, IRCCS Neuromed, Pozzilli, Italy.

Fabio Buttari (F)

Dipartimento di Medicina dei Sistemi, Università di Tor Vergata, Rome, Italy.

Alice Laroni (A)

Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica, Scienze Materno-Infantili, Università di Genova, Genoa, Italy.
IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Alberto Gajofatto (A)

Dipartimento di Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy.

Massimiliano Calabrese (M)

Dipartimento di Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy.

Simona Malucchi (S)

SCDO Neurologia - CRESM, AOU San Luigi Gonzaga, Orbassano, Italy.

Damiano Paolicelli (D)

Dipartimento di Biomedicina Traslazionale e Neuroscienze, Università degli Studi di Bari Aldo Moro, Bari, Italy.

Giovanna De Luca (G)

Centro Sclerosi Multipla, Clinica Neurologica, Ospedale Universitario SS Annunziata, Chieti, Italy.

Valentina Tomassini (V)

Centro Sclerosi Multipla, Clinica Neurologica, Ospedale Universitario SS Annunziata, Chieti, Italy.
Istituto di Tecnologie Avanzate Biomediche (ITAB), Dipartimento di Neuroscienze, Imaging e Scienze Cliniche, Facoltà di Medicina e Chirurgia, Università di Chieti-Pescara "G. D'Annunzio", Chieti, Italy.

Roberta Lanzillo (R)

Dipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, Università Degli Studi Federico II, Naples, Italy.

Marcello Moccia (M)

Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, Naples, Italy.
Centro Sclerosi Multipla, Ospedale Universitario Federico II, Naples, Italy.

Claudio Solaro (C)

Unità di Neurologia, E.O. Ospedali Galliera, Genoa, Italy.

Eleonora Cocco (E)

Dipartimento di Scienze Mediche e Sanità Pubblica, Centro Regionale Sclerosi Multipla, ASL Cagliari, ATS Sardegna, Università di Cagliari, Cagliari, Italy.

Claudio Gasperini (C)

Dipartimento di Neuroscienze, Ospedale San Camillo-Forlanini, Rome, Italy.

Carla Tortorella (C)

Dipartimento di Neuroscienze, Ospedale San Camillo-Forlanini, Rome, Italy.

Classifications MeSH