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Sci Rep . SARS-Cov-2 vaccination strategies in hospitalized recovered COVID-19 patients: a randomized clinical trial (VATICO Trial)

tetano

Editor, Senior Moderator
Sci Rep


. 2025 Mar 22;15(1):9882.
doi: 10.1038/s41598-025-92742-x. SARS-Cov-2 vaccination strategies in hospitalized recovered COVID-19 patients: a randomized clinical trial (VATICO Trial)

Sofía Sábato[SUP] #[/SUP][SUP] 1 2 [/SUP], Susana Benet[SUP] #[/SUP][SUP] 1 2 [/SUP], Angela J Rogers[SUP] 3 [/SUP], Thomas A Murray[SUP] 4 [/SUP], Melissa Skeans[SUP] 4 [/SUP], Beatriz Mothe[SUP] 1 2 5 6 7 [/SUP], Roger Paredes[SUP] 1 2 5 [/SUP], Ahmad Mourad[SUP] 8 [/SUP], Francis Kiweewa[SUP] 9 10 [/SUP], Dena Kamel[SUP] 11 [/SUP], Mamta K Jain[SUP] 11 [/SUP], Joseph Lutaakome[SUP] 12 [/SUP], Mary Grace Nalubega[SUP] 9 [/SUP], Nicholus Sebudde[SUP] 9 10 [/SUP], Eleftherios Mylonakis[SUP] 13 [/SUP], Dominique L Braun[SUP] 14 [/SUP], Timothy Hatlen[SUP] 15 [/SUP], Ivan Kimuli[SUP] 16 [/SUP], Cissy Kitko[SUP] 17 [/SUP], Henry Mugerwa[SUP] 17 [/SUP], Jonathan Kitonsa[SUP] 12 [/SUP], Kami Kim[SUP] 18 [/SUP], Phyllis C Tien[SUP] 19 [/SUP], Jeroen Highbarger[SUP] 20 [/SUP], Ashley L McCormack[SUP] 21 [/SUP], Adriana Sanchez[SUP] 22 [/SUP], Daniel D Murray[SUP] 23 [/SUP], Abdel G Babiker[SUP] 24 [/SUP], Victoria J Davey[SUP] 25 [/SUP], D Clark Files[SUP] 26 [/SUP], Annetine C Gelijns[SUP] 27 [/SUP], Elizabeth S Higgs[SUP] 28 [/SUP], Virginia L Kan[SUP] 29 [/SUP], Gail V Matthews[SUP] 30 [/SUP], Sarah L Pett[SUP] 24 [/SUP], H Clifford Lane[SUP] 31 [/SUP], Cavan Reilly[SUP] 4 [/SUP], Anna L Goodman[SUP] 24 32 [/SUP], Jens D Lundgren[SUP] #[/SUP][SUP] 23 [/SUP], José Moltó[SUP] #[/SUP][SUP] 33 34 35 [/SUP]; ACTIV-3/VATICO study group and the STRIVE Network



Collaborators, Affiliations
Free article Abstract

The impact on immunogenicity and efficacy of SARS-CoV-2 vaccination in people with prior COVID-19 could differ depending on timing of vaccination and number of doses. The VATICO study randomized 66 hospitalized recovered COVID-19 individuals to receive either immediate or deferred vaccination, with one or two doses of mRNA SARS-CoV-2 vaccines. We measured binding and neutralizing antibodies against SARS-CoV-2 at enrollment and longitudinally. Median (IQR) time from SARS-CoV-2 infection to first vaccination was 68 (53-75) days in the immediate group, and 151 (137-173) days in the deferred group. At week 48, timing or number of vaccine doses did not influence the change in antibody levels relative to baseline. Adherence to the assigned vaccine regimen was lower in the deferred group, particularly in participants receiving two doses. Although the study ultimately lacked adequate power to draw firm conclusions, these results suggest possible benefits of prompt vaccination after recovery from COVID-19.


 
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