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Table 1 Patient characteristics

From: SARS-CoV-2 vaccine response and rate of breakthrough infection in patients with hematological disorders

Characteristics

(n = 1394)

Prior COVID-19, n (%)

109 (7.9)

 Diagnosed by PCR

95 (7)

  Positive serostatus prior to vaccination

37 (2.6)

  Negative serostatus prior to vaccination

13 (1)

 Detected by pre-vaccine serological test

14 (1.5)

 Median time from COVID-19 to vaccination, days (range)

185 (33–460)

Serological status prior to vaccination, n (%)

 Positive

50 (4)

 Negative

422 (30)

 Not tested

922 (66)

Median time from serology to vaccination, days (range)

0 (0–386)

Type of vaccine, n (%)

 Moderna mRNA-1273

983 (70.5)

 Pfizer-BioNTech BNT162b2

362 (26)

 Adenoviral vector-based

49 (3.5)

Age (years), median (range)

63 (18–97)

 18–40 years, n (%)

143 (10)

 41–60 years, n (%)

496 (35.5)

 61–70 years, n (%)

373 (26.8)

 > 71 years, n (%)

382 (27.4)

Male, n (%)

784 (56.3)

ECOG 0–1 at vaccination

1351 (97)

Baseline disease, n (%)

 AML

179 (12.8)

 ALL

46 (3.3)

 MDS

158 (11.3)

 B-cell NHL

302 (21.6)

 T cell NHL

38 (2.7)

 Plasma cell disorders

236 (16.9)

 CLL

158 (11.3)

 HD

103 (7.4)

 cMPN

139 (10)

 Aplastic anemia

16 (1)

 Non-malignant disorders

18 (1.3)

Type of cell therapy

 Allo-HSCT

369 (26.5)

 ASCT

110 (8)

 CAR-T

21 (1.5)

Status disease at vaccination, n (%)

 Complete remission

824 (59.2)

 Partial remission

162 (11.6)

 Active disease

408 (29.2)

Time last treatment to COVID-19 vaccine, months (range)

 

 Untreated

172 (12.3)

 Active treatment

509 (36.5)

 ≥ 6 month to 1 year

92 (6.6)

 ≥ 1 year

621 (44.5)

Immunosuppressant drugs at vaccination, n (%)

300 (21.5)

Corticosteroids at vaccination, n (%)

255 (18.6)

Daratumumab, n (%)

46 (3.3)

Venetoclax, n (%)

14 (1)

Anti-CD-20 moAb, n (%)

241 (17.3)

 < 6 months before 1st vaccine dose

87 (6.2)

 6 to 1 year before 1st vaccine dose

25 (1.8)

 > 1 year before 1st vaccine dose

129 (9.3)

BTK inhibitor therapy, n (%)

63 (4.5)

TKI therapy, n (%)

40 (2.9)

Lenalidomide maintenance, n (%)

120 (8.6)

Ruxolitinib therapy, n (%)

14 (1)

Blood count before vaccination (× 109/mL)

 Absolute neutrophile counts, median (range)

3.1 (0–46.7)

 Absolute lymphocyte counts, median (range)

1.73 (0.14–262.1)

 Absolute lymphocyte counts < 1 × 109/L

265 (18.6)

Time from 2nd dose to first serologies, median days (range)

21 (12–62)

Median time between vaccine doses, median days (range)

28 (17–115)

SCoV2-R-A detection at 3–6 weeks after full vaccination, n (%)

1090 (78.2)

Patient with SCoV2-R-A titers at 3–6 weeks in BAU/mL, n (%)

1244 (89%)

Median SCoV2-R-A titers at 3–6 weeks in BAU/mL, (range)

715 (0–56,800)

Third vaccine dose given, n (%)

550 (39.5)

Time from 2nd dose to 3rd dose, days (range)

153 (39–269)

Median follow-up after full vaccination, days (range)

165 (12–269)

COVID-19 after vaccination, n (%)

37 (2.7)

Median time from vaccination to SARS-CoV-2 infection, days (range)

77 (7–195)

  1. PCR, Polymerase chain reaction AML, acute myeloid leukemia; ALL, acute lymphoblastic leukemia; MDS, myelodysplastic syndrome; B-cell NHL, B-cell non-Hodgkin lymphoma; T cell NHL, T cell non-Hodgkin lymphoma; CLL, chronic lymphocytic leukemia; HD, Hodgkin disease; MPN, chronic myeloproliferative neoplasm; Allo-HSCT, allogeneic stem cell transplantation; ASCT, autologous stem cell transplantation; CAR-T, T cell chimeric antigen receptor; moAb, monoclonal antibody; BTK inhibitor, Bruton’s tyrosine kinase inhibitor; TKIs, tyrosine kinase inhibitors; and SCoV2-R-A, SARS-CoV-2-reactive IgG antibodies