Rapid Wane and Recovery of XBB Sublineage Neutralization After Sequential Omicron-based Vaccination in Solid Organ Transplant Recipients.

Johnston, Trevor S; Hage, Camille; Abedon, Aura T; Panda, Snigdha; Alejo, Jennifer L; Eby, Yolanda; Segev, Dorry L; Tobian, Aaron A R et al. · Clin Infect Dis · 2024

prospective_cohort · Level II

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Abstract

Durability of variant neutralization in solid organ transplant recipients following Omicron-containing boosters is unknown. We report wane in XBB.1.5 neutralization by 3 months following a first bivalent booster, improved by a second booster; hybrid immunity improved peak, and duration of neutralization. Boosting at 3 to 6 months appears necessary to maintain neutralization.

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