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Infect Dis Ther . Safety and Immunogenicity of Monovalent Omicron KP.2-Adapted BNT162b2 COVID-19 Vaccine in Adults: Single-Arm Substudy from a Phas

tetano

Editor, Senior Moderator
Infect Dis Ther


. 2025 Jul 1.
doi: 10.1007/s40121-025-01185-4. Online ahead of print. Safety and Immunogenicity of Monovalent Omicron KP.2-Adapted BNT162b2 COVID-19 Vaccine in Adults: Single-Arm Substudy from a Phase 2/3 Trial

Oyeniyi Diya[SUP] 1 [/SUP], Juleen Gayed[SUP] 2 [/SUP], Francine S Lowry[SUP] 3 [/SUP], Hua Ma[SUP] 3 [/SUP], Vishva Bangad[SUP] 3 [/SUP], Federico Mensa[SUP] 4 [/SUP], Jing Zou[SUP] 5 [/SUP], Xuping Xie[SUP] 5 [/SUP], Yanping Hu[SUP] 5 [/SUP], Mark Cutler[SUP] 6 [/SUP], Todd Belanger[SUP] 6 [/SUP], David Cooper[SUP] 6 [/SUP], Xia Xu[SUP] 3 [/SUP], Robin Mogg[SUP] 3 [/SUP], Özlem Türeci[SUP] 4 [/SUP], Uǧur Şahin[SUP] 4 [/SUP], Kena A Swanson[SUP] 6 [/SUP], Kayvon Modjarrad[SUP] 6 [/SUP], Annaliesa S Anderson[SUP] 6 [/SUP], Alejandra Gurtman[SUP] 6 [/SUP], Nicholas Kitchin[SUP] 1 [/SUP]



Affiliations
Abstract

Introduction: COVID-19 continues to cause substantial health burden, particularly among vulnerable populations. Vaccines remain a vital tool in preventing severe disease outcomes. As the causative pathogen, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to evolve; therefore, updates may be needed to closely match COVID-19 vaccine composition to predominant circulating lineages to confer optimal protection.
Methods: In this cohort from a substudy of an ongoing phase 2/3 trial, 102 healthy adults (18‒55 and > 55 years of age, n = 51 each) were vaccinated with Omicron KP.2-adapted BNT162b2. Serum neutralizing titers against Omicron KP.2, JN.1, and KP.3 were assessed before and through 1 month after vaccination. Immunogenicity in KP.2-adapted BNT162b2 recipients was compared with participants who received JN.1-adapted BNT162b2 in an earlier cohort of this substudy. Local reactions and systemic events through 7 days and adverse events (AEs) through 1 month are reported.
Results: One month after vaccination, KP.2-adapted BNT162b2-elicited neutralizing titers against Omicron KP.2, JN.1, and KP.3 were numerically higher than those induced by JN.1-adapted BNT162b2. Geometric mean fold rises from before to 1 month after vaccination were numerically higher in those who received KP.2-adapted BNT162b2 compared with those who received JN.1-adapted BNT162b2 (9.4 vs. 6.8 for KP.2; 7.8 vs. 5.7 for JN.1; 9.2 vs. 7.0 for KP.3). Percentages of participants with seroresponses were numerically higher against KP.2 after KP.2-adapted BNT162b2 than JN.1-adapted BNT162b2 (75% vs. 65%) and similar against JN.1 and KP.3 for both vaccines (69% vs. 67% for JN.1; 74% vs. 73% for KP.3). Local reactions and systemic events were all mild to moderate in severity, AEs were infrequent, and no serious AEs or AEs leading to withdrawal were reported.
Conclusions: Collectively, these immunogenicity, safety, and tolerability data support administration of KP.2-adapted BNT162b2 to protect against contemporaneous circulating lineages.
Gov identifier: NCT05997290.

Keywords: BNT162b2; Booster; COVID-19; Lineage; Omicron KP.2; SARS-CoV-2 vaccine; Sublineage; Variant adapted.

 
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