NVX-CoV2372, monovalent mRNA and bivalent mRNA vaccines elicit broadly cross-reactive antibodies against emerging SARS-CoV-2 variants.
Xuan Ying Poh, Shirley Y Y Mah, Aileen Y Y Yeoh et al.
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In 30 seconds
The PRIBIVAC study is a randomized controlled trial assessing the immunogenicity of monovalent mRNA, bivalent mRNA, and NVX-CoV2373 vaccines in 176 triple mRNA-vaccinated adults. At day 28, bivalent mRNA vaccines showed the highest neutralization level against the KP.2 subvariant at 91.7%, compared to 84.4% for monovalent mRNA and 81.4% for NVX-CoV2373.
Key findings
- Bivalent mRNA vaccines boosted neutralization titers against strain XBB.1.16 by 4.1-fold at day 28.
- Bivalent mRNA vaccines achieved a neutralization level of 91.7% against the KP.2 subvariant.
- The anti-S decay rate was slower in the NVX-CoV2373 group compared to mRNA vaccines.
- Neutralization levels waned to similar levels across all groups by 12 months post-vaccination.
Why it matters
Understanding the comparative immunogenicity of different COVID-19 vaccines is crucial for optimizing booster strategies and enhancing protection against emerging variants, which is vital for public health.