Long-term efficacy and immune response of CoronaVac in Brazilian health care workers: Insights from PROFISCOV unblinded trial.

Publication date: Jul 25, 2025

Covid-19 remains a global threat due to vaccine-waning immune responses, and the need to update to emerging variants. This study presents the post-unblinding analysis of the PROFISCOV trial (NCT04456595), a double-blind, randomized, placebo-controlled phase 3, among adult healthcare workers (HCWs≥18y). A cohort (N = 12,688) was randomized to receive a two-dose regimen of the inactivated COVID-19 vaccine (CoronaVac) or placebo (1:1), 14 days apart. ANVISA granted emergency use authorization for CoronaVac in January 2021, prompting the study’s unblinding. Outcomes included incidence of symptomatic confirmed COVID-19 cases (RT-PCR), immune response over one year, and effects of boosters among the vaccinees. Population (N = 1554) exhibited a reduction in confirmed cases from November 2021, peaking from December 2021 to February 2022, when the Omicron wave prevailed. Mean IgG-RBD titres increased from baseline to the 52nd week. IgG-N titres peaked in the 13th week and declined. The homologous booster enhanced significantly the immune response compared to the heterologous one (Pfizer).

Concepts Keywords
February CoronaVac
Healthcare Healthcare workers
Heterologous Homologous booster
Nct04456595 SARS-CoV-2 incidence

Semantics

Type Source Name
disease IDO immune response
disease MESH Covid-19
disease MESH emergency

Original Article

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