Immunogenicity and efficacy of one and two doses of Ad26.COV2.S COVID vaccine in adult and aged NHP

Author:

Solforosi Laura1ORCID,Kuipers Harmjan1ORCID,Jongeneelen Mandy1ORCID,Rosendahl Huber Sietske K.1ORCID,van der Lubbe Joan E.M.1ORCID,Dekking Liesbeth1ORCID,Czapska-Casey Dominika N.1ORCID,Izquierdo Gil Ana1,Baert Miranda R.M.1ORCID,Drijver Joke1ORCID,Vaneman Joost1ORCID,van Huizen Ella1ORCID,Choi Ying1ORCID,Vreugdenhil Jessica1ORCID,Kroos Sanne1ORCID,de Wilde Adriaan H.1ORCID,Kourkouta Eleni1ORCID,Custers Jerome1ORCID,van der Vlugt Remko1ORCID,Veldman Daniel1ORCID,Huizingh Jeroen1ORCID,Kaszas Krisztian1ORCID,Dalebout Tim J.2ORCID,Myeni Sebenzile K.2ORCID,Kikkert Marjolein2ORCID,Snijder Eric J.2ORCID,Barouch Dan H.3ORCID,Böszörményi Kinga P.4ORCID,Stammes Marieke A.4ORCID,Kondova Ivanela4ORCID,Verschoor Ernst J.4ORCID,Verstrepen Babs E.4ORCID,Koopman Gerrit4ORCID,Mooij Petra4ORCID,Bogers Willy M.J.M.4ORCID,van Heerden Marjolein5ORCID,Muchene Leacky1ORCID,Tolboom Jeroen T.B.M.1ORCID,Roozendaal Ramon1ORCID,Brandenburg Boerries1ORCID,Schuitemaker Hanneke1ORCID,Wegmann Frank1ORCID,Zahn Roland C.1ORCID

Affiliation:

1. Janssen Vaccines and Prevention B.V., Leiden, Netherlands

2. Molecular Virology Laboratory, Department of Medical Microbiology, Leiden University Medical Center, Leiden, Netherlands

3. Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

4. Biomedical Primate Research Centre, Rijswijk, Netherlands

5. Non-Clinical Safety Toxicology/Pathology, Janssen Research and Development, Beerse, Belgium

Abstract

Safe and effective coronavirus disease–19 (COVID-19) vaccines are urgently needed to control the ongoing pandemic. While single-dose vaccine regimens would provide multiple advantages, two doses may improve the magnitude and durability of immunity and protective efficacy. We assessed one- and two-dose regimens of the Ad26.COV2.S vaccine candidate in adult and aged nonhuman primates (NHPs). A two-dose Ad26.COV2.S regimen induced higher peak binding and neutralizing antibody responses compared with a single dose. In one-dose regimens, neutralizing antibody responses were stable for at least 14 wk, providing an early indication of durability. Ad26.COV2.S induced humoral immunity and T helper cell (Th cell) 1–skewed cellular responses in aged NHPs that were comparable to those in adult animals. Aged Ad26.COV2.S-vaccinated animals challenged 3 mo after dose 1 with a SARS-CoV-2 spike G614 variant showed near complete lower and substantial upper respiratory tract protection for both regimens. Neutralization of variants of concern by NHP sera was reduced for B.1.351 lineages while maintained for the B.1.1.7 lineage independent of Ad26.COV2.S vaccine regimen.

Funder

US Department of Health and Human Services

Biomedical Advanced Research and Development Authority

Publisher

Rockefeller University Press

Subject

Immunology,Immunology and Allergy

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