TY - JOUR T1 - Immunogenicity and safety of anti-SARS-CoV-2 mRNA vaccines in patients with chronic inflammatory conditions and immunosuppressive therapy in a monocentric cohort JF - Annals of the Rheumatic Diseases JO - Ann Rheum Dis DO - 10.1136/annrheumdis-2021-220272 SP - annrheumdis-2021-220272 AU - Ulf M Geisen AU - Dennis K Berner AU - Florian Tran AU - Melike Sümbül AU - Lena Vullriede AU - Maria Ciripoi AU - Hayley M Reid AU - Annika Schaffarzyk AU - Ann C Longardt AU - Jeanette Franzenburg AU - Paula Hoff AU - Jan H Schirmer AU - Rainald Zeuner AU - Anette Friedrichs AU - Andrea Steinbach AU - Christine Knies AU - Robert DH Markewitz AU - Peter J Morrison AU - Sascha Gerdes AU - Stefan Schreiber AU - Bimba F Hoyer Y1 - 2021/03/24 UR - http://ard.bmj.com/content/early/2021/03/24/annrheumdis-2021-220272.abstract N2 - Introduction In light of the SARS-CoV-2 pandemic, protecting vulnerable groups has become a high priority. Persons at risk of severe disease, for example, those receiving immunosuppressive therapies for chronic inflammatory cdiseases (CIDs), are prioritised for vaccination. However, data concerning generation of protective antibody titres in immunosuppressed patients are scarce. Additionally, mRNA vaccines represent a new vaccine technology leading to increased insecurity especially in patients with CID.Objective Here we present for the first time, data on the efficacy and safety of anti-SARS-CoV-2 mRNA vaccines in a cohort of immunosuppressed patients as compared with healthy controls.Methods 42 healthy controls and 26 patients with CID were included in this study (mean age 37.5 vs 50.5 years). Immunisations were performed according to national guidelines with mRNA vaccines. Antibody titres were assessed by ELISA before initial vaccination and 7 days after secondary vaccination. Disease activity and side effects were assessed prior to and 7 days after both vaccinations.Results Anti-SARS-CoV-2 antibodies as well as neutralising activity could be detected in all study participants. IgG titres were significantly lower in patients as compared with controls (2053 binding antibody units (BAU)/mL ±1218 vs 2685±1102). Side effects were comparable in both groups. No severe adverse effects were observed, and no patients experienced a disease flare.Conclusion We show that SARS-CoV-2 mRNA vaccines lead to development of antibodies in immunosuppressed patients without considerable side effects or induction of disease flares. Despite the small size of this cohort, we were able to demonstrate the efficiency and safety of mRNA vaccines in our cohort. ER -