30 September 2020 | Ugur Sahin, Alexander Muik, Evelyn Derhovanessian, Isabel Vogler, Lena M. Kranz, Mathias Vormehr, Alina Baum, Kristen Pascal, Jasmin Quandt, Daniel Maurus, Sebastian Brachtendorf, Verena Lörks, Julian Sikorski, Rolf Hilker, Dirk Becker, Ann-Kathrin Eller, Jan Grützner, Carsten Boesler, Corinna Rosenbaum, Marie-Cristine Kühnle, Ulrich Luxemburger, Alexandra Kemmer-Brück, David Langer, Martin Bexon, Stefanie Botte, Katalin Karikó, Tania Palanche, Boris Fischer, Armin Schultz, Pei-Yong Shi, Camila Fontes-Garfias, John L. Perez, Kena A. Swanson, Jakob Loschko, Ingrid L. Scully, Mark Cutler, Warren Kalina, Christos A. Kyrtatsous, David Cooper, Philip R. Dormitzer, Kathrin U. Jansen, Ozlem Türeci
The study reports on the safety, tolerability, and immunogenicity of the BNT162b1 vaccine, a lipid nanoparticle-formulated nucleoside-modified mRNA encoding the receptor binding domain (RBD) of the SARS-CoV-2 spike protein. The vaccine was administered in a dose-escalation/de-escalation setting to 60 healthy adults aged 18-55 years in Germany. Two doses of 1-50 μg of BNT162b1 elicited robust CD4+ and CD8+ T cell responses and strong antibody responses, with RBD-binding IgG concentrations significantly higher than those in serum from individuals who had recovered from COVID-19. Geometric mean titres of SARS-CoV-2 serum-neutralizing antibodies on day 43 were 0.7-fold to 3.5-fold higher than in convalescent serum samples. Immune sera broadly neutralized pseudoviruses with diverse SARS-CoV-2 spike variants. Most participants had T helper type 1 (T_H1)-skewed T cell immune responses with RBD-specific CD8+ and CD4+ T cell expansion. Interferon-γ was produced by a large fraction of RBD-specific CD8+ and CD4+ T cells. The robust RBD-specific antibody, T cell, and favorable cytokine responses induced by the BNT162b1 mRNA vaccine suggest that it has the potential to protect against COVID-19 through multiple beneficial mechanisms.The study reports on the safety, tolerability, and immunogenicity of the BNT162b1 vaccine, a lipid nanoparticle-formulated nucleoside-modified mRNA encoding the receptor binding domain (RBD) of the SARS-CoV-2 spike protein. The vaccine was administered in a dose-escalation/de-escalation setting to 60 healthy adults aged 18-55 years in Germany. Two doses of 1-50 μg of BNT162b1 elicited robust CD4+ and CD8+ T cell responses and strong antibody responses, with RBD-binding IgG concentrations significantly higher than those in serum from individuals who had recovered from COVID-19. Geometric mean titres of SARS-CoV-2 serum-neutralizing antibodies on day 43 were 0.7-fold to 3.5-fold higher than in convalescent serum samples. Immune sera broadly neutralized pseudoviruses with diverse SARS-CoV-2 spike variants. Most participants had T helper type 1 (T_H1)-skewed T cell immune responses with RBD-specific CD8+ and CD4+ T cell expansion. Interferon-γ was produced by a large fraction of RBD-specific CD8+ and CD4+ T cells. The robust RBD-specific antibody, T cell, and favorable cytokine responses induced by the BNT162b1 mRNA vaccine suggest that it has the potential to protect against COVID-19 through multiple beneficial mechanisms.