Abstract

SARS-CoV-2 neutralizing antibodies have been suggested to reflect the efficacy of COVID-19 vaccines. This study reports the direct comparison of the SARS-CoV-2 neutralizing antibody response elicited by a protein- (NVX-CoV2373), an mRNA- (Comirnaty), and a vector-based (Vaxzevria) COVID-19 vaccine, calibrated against the WHO international SARS-CoV-2 antibody standard, and further supports the use of neutralizing antibody levels as a correlate of protection.

Highlights

  • SARS-CoV-2 neutralizing antibodies have been suggested to reflect the efficacy of COVID-19 vaccines

  • The levels of SARSCoV-2 neutralizing antibodies, and antibodies binding to the S protein, have recently been identified as promising correlates of protection[12,13], i.e., measuring SARS-CoV-2 antibodies in serum samples of vaccinees enables to predict the risk of developing COVID-19

  • Using a pseudovirus neutralization assay, Gilbert et al found that anti-SARS-CoV-2 potencies of 8 and 140 international units per milliliter (IU/mL) correspond to 70 and 90% efficacy of the Spikevax vaccine, respectively[16]

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Summary

Introduction

SARS-CoV-2 neutralizing antibodies have been suggested to reflect the efficacy of COVID-19 vaccines. The levels of SARSCoV-2 neutralizing antibodies (nAbs), and antibodies binding to the S protein, have recently been identified as promising correlates of protection[12,13], i.e., measuring SARS-CoV-2 antibodies in serum samples of vaccinees enables to predict the risk of developing COVID-19. While the clinical evaluation of vaccine candidates regularly includes such antibody readouts, the heterogenous design of the underlying virus neutralization and binding assays limits the quantitative comparison of the primary result (e.g., the neutralization titer, or arbitrary binding units) across distinct studies.

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