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Efficacy, immunogenicity, and safety of heterologous boosting with a novel chimera Chinese mRNA (RQ3013) SARS-CoV-2 vaccine: A randomized, double-blind, active-controlled trial

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机构: [1]Immunization Planning Unit, Yunnan Center for Disease Control and Prevention, Kunming, People's Republic of China. [2]Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, People's Republic of China. [3]Immunization Planning Unit, Hunan Center for Disease Control and Prevention, Changsha, People's Republic of China. [4]Immunization Planning Unit, Henan Center for Disease Control and Prevention, Zhengzhou, People's Republic of China. [5]Clinical Research, First People's Hospital, Shanghai, People's Republic of China. [6]State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, People's Republic of China. [7]Inspection and Quarantine Branch, Guangzhou Customs Technical Center, Guangzhou, People's Republic of China. [8]Registry and Medical Center, Yunnan Walvax Biotechnology Co., Ltd., Kunming, People's Republic of China. [9]Department of Statistics, Beijing Key Tech Statistical Consulting Co., Ltd., Beijing, People's Republic of China. [10]Immunization Planning Unit, Puer County Center for Disease Control and Prevention, Puer, People's Republic of China. [11]Immunization Planning Unit, Xiangyun County Center for Disease Control and Prevention, Dali, People's Republic of China. [12]Immunization Planning Unit, Luxi County Center for Disease Control and Prevention, Hmong Autonomous Region, People's Republic of China. [13]Immunization Planning Unit, Wuyang County Center for Disease Control and Prevention, Luohe, People's Republic of China. [14]Research and Development Center, Shanghai RNACure Biopharma Co., Ltd., Shanghai, People's Republic of China. [15]Immunization Planning Unit, Wenxian County Center for Disease Control and Prevention, Jiaozuo, People's Republic of China. [16]Immunization Planning Unit, Huarong County Center for Disease Control and Prevention, Yueyang, People's Republic of China. [17]Immunization Planning Unit, Hengnan County Center for Disease Control and Prevention, Hengyang, People's Republic of China. [18]Immunization Planning Unit, Longyang County Center for Disease Control and Prevention, Baoshan, People's Republic of China. [19]Immunization Planning Unit, Yucheng County Center for Disease Control and Prevention, Shangqiu, People's Republic of China. [20]Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. [21]Key Laboratory of Medical Molecular Virology of MoE & MoH, and Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. [22]Children's Hospital, Fudan University, Shanghai, People's Republic of China. [23]Vaccine Research and Development, Yunnan Vaccine Laboratory, Kunming, People's Republic of China. [24]State Key Laboratory of Genetic Engineering, School of Life Sciences, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China. [25]Center for mRNA Translational Research, Fudan University, Shanghai, People's Republic of China.
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关键词: Efficacy safety mRNA vaccine COVID-19 chimeric

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A randomized, double-blind, controlled phase 3 trial was conducted during a COVID-19 outbreak after the initial, stringent zero-Covid policy was relaxed in three provinces. Eligible adults aged ≥18 years who had received three doses of inactivated COVID-19 vaccines 6 months earlier were randomly assigned in a 1:1 ratio to receive either one intramuscular injection of RQ3013 or ZF2001 vaccine. The primary end point was protection against PCR-confirmed symptomatic SARS-CoV-2 infection with onset at least 7 days after the booster. A total of 3,167 and 3,169 eligible participants received one dose of RQ3013 or ZF2001 vaccine, respectively. COVID-19 illness was confirmed in 91 participants in the ZF2001 group (11.8 per 100 person years; 95% confidence interval [CI]: 9.6-14.6) and in 45 participants in the RQ3013 group (5.7 per 100 person-years; 95% CI: 4.3-7.7) during a 4-month follow-up, resulting in a relative efficacy of 51.7% (95% CI, 30.9-66.2%) (p < .001) in an intention-to-treat analysis. The RQ3013 vaccine was also found to be significantly more immunogenic against omicron BA.5 compared to the ZF2001 vaccine. Moderate, transient adverse reaction after vaccination occurred more frequently in the RQ3013 group than in the ZF2001 group. Serious adverse events (SAEs) were rare and occurred almost equally in two groups. All SAEs were not related to the vaccination. These findings suggest that a chimeric mRNA vaccine design involving multiple antigenic epitopes provides broader protection across subvariants and variants of SARS-CoV-2 than the subunit vaccine ZF2001.

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大类 | 3 区 医学
小类 | 3 区 生物工程与应用微生物 3 区 免疫学
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第一作者机构: [1]Immunization Planning Unit, Yunnan Center for Disease Control and Prevention, Kunming, People's Republic of China.
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通讯机构: [2]Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, People's Republic of China. [8]Registry and Medical Center, Yunnan Walvax Biotechnology Co., Ltd., Kunming, People's Republic of China. [21]Key Laboratory of Medical Molecular Virology of MoE & MoH, and Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. [22]Children's Hospital, Fudan University, Shanghai, People's Republic of China. [23]Vaccine Research and Development, Yunnan Vaccine Laboratory, Kunming, People's Republic of China. [24]State Key Laboratory of Genetic Engineering, School of Life Sciences, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China. [25]Center for mRNA Translational Research, Fudan University, Shanghai, People's Republic of China.
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