Immunoglobulin G immune response to SARS-CoV-2 vaccination in people living with multiple sclerosis within Multiple Sclerosis Partners Advancing Technology and Health Solutions

Author:

Cohen Jeffrey A1ORCID,Bermel Robert A1ORCID,Grossman Cynthia I2,Hersh Carrie M3ORCID,Hyland Megan4,Mowry Ellen M5,Naismith Robert6ORCID,Naylor Maria L2ORCID,Nicholas Jacqueline7,Rajbhandar Rajani2,Singh Carol M2,Tintorè Mar8ORCID,Zabalza Ana8ORCID,Ziemssen Tjalf9ORCID,Williams James R2,Montalban Xavier8

Affiliation:

1. Mellen Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA

2. Biogen, Cambridge, MA, USA

3. Lou Ruvo Center for Brain Health, Cleveland Clinic, Las Vegas, NV, USA

4. Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA

5. Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

6. Department of Neurology, Washington University in St. Louis, St. Louis, MO, USA

7. OhioHealth Multiple Sclerosis Center, Riverside Methodist Hospital, Columbus, OH, USA

8. Centre d’Esclerosi Múltiple de Catalunya, Department of Neurology and Neuroimmunology, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain

9. Multiple Sclerosis Center Dresden, Center of Clinical Neuroscience, Department of Neurology, University Clinic Carl-Gustav Carus, Dresden, Germany

Abstract

Background: The impact of multiple sclerosis (MS) disease-modifying therapies (DMTs) on SARS-CoV-2 vaccination response is uncertain. Methods: Post-SARS-CoV-2 vaccination blood samples across multiple DMTs were tested for SARS-CoV-2 immunoglobulin G (IgG) response. Results: Three hundred twenty-two people with MS were included; 91.9% received an mRNA vaccine. Post-vaccination reactive IgG rates (IgG index > 1) were 40% for anti-CD20 (32/80 patients); 41% for sphingosine 1-phosphate receptor modulators (S1PRM, 16/39); and 100% for all other classes, including the no DMT group. Conclusion: Anti-CD20 therapies and S1PRMs reduce IgG response to SARS-CoV-2 vaccination; IgG response is preserved with other DMTs.

Funder

Biogen

Publisher

SAGE Publications

Subject

Neurology (clinical),Neurology

Reference14 articles.

1. Approach to SARS-CoV-2 Vaccination in Patients With Multiple Sclerosis

2. MS International Federation. Global COVID-19 advice for people with MS, 2020, http://www.msif.org/wp-content/uploads/2020/06/MSIF-Global-advice-on-COVID-19-for-people-with-MS-_-updated17June2020.pdf (accessed 21 October 2020).

3. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine

4. Vaccine Considerations for Multiple Sclerosis in the COVID-19 Era

5. Humoral immune response to COVID-19 mRNA vaccine in patients with multiple sclerosis treated with high-efficacy disease-modifying therapies

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