Antibody seroprevalence against SARS-Cov-2 among chronic myeloid leukemia patients.

Authors

null

Marisol Miranda

Research Associate, Augusta, GA

Marisol Miranda , Danielle Bradshaw , Jaspreet Farmaha , Reeya Patel , Kimya Jones , Harmanpreet Singh , Ashutosh Vashisht , Nikhil Shri Sahajpal , Ravindra Kohle , Jorge E. Cortes

Organizations

Research Associate, Augusta, GA, Georgia Cancer Center, Augusta, GA, Augusta University, Augusta, GA, Medical College of Georgia, Augusta, GA, Georgia Cancer Center, Medical College of Georgia at Augusta University, Augusta, GA

Research Funding

U.S. National Institutes of Health

Background: The rapid spread of SARS-CoV-2 has elicited an equally rapid development of effective vaccines, leading to a reduction of COVID-19 severity and deaths. There is limited data on COVID-19-related immunity in chronic myeloid leukemia (CML) patients. Methods: SPARTA (SARS2 SeroPrevalence And Respiratory Tract Assessment) is an ongoing observational study for participants age ≥18 years to investigate immunity to SARS-CoV-2 after infection and/or vaccination. We included patients with CML and compared them with a non-cancer group. We collected saliva and peripheral blood to measure antigen levels by RT-PCR and antibodies (secretory IgG antibodies and neutralizing antibodies). Results: From October 1, 2021, to February 4, 2022, we prospectively enrolled 49 participants (23 CML, 26 non-cancer). Most were male (56.5%) in the CML group and female in the control group (61.5%), mean age 56.39 y vs. 51.96 y, respectively, and self-identified as white (87% vs. 76.9%). In the CML group, 11 (47.8%) had ≥1 comorbidities, vs 13 (50%) in the control group. Twenty-one (91.3%) CML patients were receiving tyrosine-kinase inhibitors; 4 (18.2%) non-cancer subjects reported taking any medication. Most participants in both groups had received at least one dose of COVID-19 vaccine (73.9% vs. 73.1%); 100% of CML patients received two doses vs. 84.2% of controls; the CML group had a higher percentage of subjects fully vaccinated (66.7% vs. 25%). The CML group had a lower percentage of patients previously diagnosed with COVID-19 (8.8% vs. 57.7%). However, there was no difference in the detection of SARS-CoV-2 antigen at the time of enrollment (0% vs. 4%). SARS-CoV-2 IgG antibodies were detected in most of the participants regardless of cancer status (78.3% in the CML cohort and 88% in the non-cancer cohort), and neutralizing antibodies were detected in 82.6% and 95.6%, respectively. The two groups had comparable IgG (mean 146.3 Ru/ml vs. 148.9 Ru/ml) and neutralizing (mean 1329.1 ng/ml vs. 1112 ng/ml) antibody levels. Conclusions: Our preliminary data comparing concomitant cohorts with similar socio-demographic characteristics and medical history indicate that a diagnosis of CML did not impact the development of antibodies against SARS-CoV-2. We are conducting continuous analysis of antibodies levels over time to assess the evolution of antibody immunity and functional studies including cellular immunity assessments.

Characteristic
CML group

no. (%)
Non-cancer group no. (%)
Previous COVID-19 diagnosed

Vaccinated

Fully vaccinated
2/23 (8.8)

1/2 (50)

1/1 (100)
15/26 (57.7)

9/15 (60)

0/9 (0)
IgG Antibodies detected

Vaccinated

Not vaccinated
18/23 (78.3)

17/18 (94.4)

1/18 (5.6)
22/25 (88)

16/22 (72.7)

6/22 (27.3)
Mean IgG Antibodies levels ±SD (Ru/ml)

Vaccinated

Not vaccinated
146.3 ±56.3

143.2 ±56.5

198.0
148.9 ± 54.9

149.5 ±62.3

147.3 ±31.2

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Abstract Details

Meeting

2022 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant

Track

Hematologic Malignancies

Sub Track

Chronic Leukemia—CML

Citation

J Clin Oncol 40, 2022 (suppl 16; abstr e19061)

DOI

10.1200/JCO.2022.40.16_suppl.e19061

Abstract #

e19061

Abstract Disclosures

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