Publications

Authors:

Doneddu, Pietro Emiliano; Briani, Chiara; Cocito, Dario; Manganelli, Fiore; Fabrizi, Gian Maria; Matà, Sabrina; Mazzeo, Anna; Fazio, Raffaella; Benedetti, Luana; Luigetti, Marco; Inghilleri, Maurizio; Ruiu, Elisa; Siciliano, Gabriele; Cosentino, Giuseppe; Marfia, Girolama Alessandra; Carpo, Marinella; Filosto, Massimiliano; Antonini, Giovanni; Notturno, Francesca; Sotgiu, Stefano; Cucurachi, Laura; Dell'Aquila, Claudia; Bianchi, Elisa; Rosso, Tiziana; Giordano, Andrea; Fernandes, Marco; Campagnolo, Marta; Peci, Erdita; Spina, Emanuele; Tagliapietra, Matteo; Sperti, Martina; Gentile, Luca; Strano, Camilla; Germano, Francesco; Romozzi, Marina; Moret, Federica; Zarbo, Ignazio Roberto; Viola, Divina Valeria; Vegezzi, Elisa; Mataluni, Giorgia; Piccinelli, Stefano Cotti; Leonardi, Luca; Carta, Alessandra; Nobile-Orazio, Eduardo

Title:

Risk of disease relapse, safety and tolerability of SARS-CoV-2 vaccination in patients with chronic inflammatory neuropathies

Year:

2023

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

European Journal Of Neurology

ISSN of journal:

1351-5101

N° Volume:

30

Number or Folder:

7

Page numbers:

1907-1918

Keyword:

COVID-19; SARS-CoV-2; chronic inflammatory demyelinating polyneuropathy; multifocal motor neuropathy; vaccination

Short description of contents:

Background: To evaluate the risk of relapse after SARS-CoV-2 vaccination, and its safety and tolerability, in patients with chronic inflammatory neuropathies. Methods: In this multicenter, cohort, and case-crossover study, the risk of relapse associated with SARS-CoV-2 vaccination was assessed by comparing frequency of relapse in CIDP and MMN patients who underwent or did not undergo vaccination. Frequency of relapse in the three months prior and after vaccination, and safety and tolerability of SARS-CoV-2 vaccination were also assessed. Results: 336 patients were included (278 CIDP; 58 MMN). 307 (91%) patients underwent SARS-CoV-2 vaccination. Twenty-nine patients (9%) did not undergo vaccination. Mild and transient relapses were observed in 16 (5%) patients (13 CIDP; 3 MMN) after SARS-CoV-2 vaccination and in none of the patients who did not undergo vaccination (RR= 3.21, 95% CI, 0.19-52.25). There was no increase in the specific risk of relapse associated with type of vaccine or diagnosis. Comparison with the 3-month control period preceding vaccination revealed an increased risk of relapse after vaccination (RR= 4.00; 95% CI, 1.35-11.82), which was restricted to CIDP patients (RR= 3.25, 95% CI, 1.07-9.84). The safety profile of SARS-CoV-2 vaccination was characterized by short-term, mild-to-moderate local and systemic adverse events. Conclusions: SARS-CoV-2 vaccination in CIDP and MMN patients does not seem to be associated with an increased risk of relapse at primary endpoint, although a slightly increased risk in CIDP patients was found compared to the 3 months before vaccination.

Web page:

https://doi.org/10.1111/ene.15811

Product ID:

133379

Handle IRIS:

11562/1092326

Last Modified:

June 8, 2023

Bibliographic citation:

Doneddu, Pietro Emiliano; Briani, Chiara; Cocito, Dario; Manganelli, Fiore; Fabrizi, Gian Maria; Matà, Sabrina; Mazzeo, Anna; Fazio, Raffaella; Benedetti, Luana; Luigetti, Marco; Inghilleri, Maurizio; Ruiu, Elisa; Siciliano, Gabriele; Cosentino, Giuseppe; Marfia, Girolama Alessandra; Carpo, Marinella; Filosto, Massimiliano; Antonini, Giovanni; Notturno, Francesca; Sotgiu, Stefano; Cucurachi, Laura; Dell'Aquila, Claudia; Bianchi, Elisa; Rosso, Tiziana; Giordano, Andrea; Fernandes, Marco; Campagnolo, Marta; Peci, Erdita; Spina, Emanuele; Tagliapietra, Matteo; Sperti, Martina; Gentile, Luca; Strano, Camilla; Germano, Francesco; Romozzi, Marina; Moret, Federica; Zarbo, Ignazio Roberto; Viola, Divina Valeria; Vegezzi, Elisa; Mataluni, Giorgia; Piccinelli, Stefano Cotti; Leonardi, Luca; Carta, Alessandra; Nobile-Orazio, Eduardo, Risk of disease relapse, safety and tolerability of SARS-CoV-2 vaccination in patients with chronic inflammatory neuropathies «European Journal Of Neurology» , vol. 30 , n. 7 , 2023 , pp. 1907-1918

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo