PMID- 36047032 OWN - NLM STAT- MEDLINE DCOM- 20221031 LR - 20221031 IS - 1751-2441 (Electronic) IS - 1751-2433 (Linking) VI - 15 IP - 10 DP - 2022 Oct TI - BNT162b2 mRNA COVID-19 vaccine is safe in a setting of patients on biologic therapy with inflammatory bowel diseases: a monocentric real-life study. PG - 1243-1252 LID - 10.1080/17512433.2022.2120466 [doi] AB - OBJECTIVES: Patients with inflammatory bowel disease were excluded from trials that led to the approval of anti-COVID-19 vaccines and are worthy of real-life studies providing information on the safety of these vaccines in this clinical setting. METHODS: A prospective observational study was performed to estimate BNT162b2 mRNA COVID-19 Vaccine local and systemic adverse events (AEs) incidence related to administration in patients with inflammatory bowel disease through a questionnaire administered at the first, second, and third doses. Disease activity by Mayo Partial Score and Harvey-Bradshaw Index was also evaluated. RESULTS: Eighty patients with a median age of 47.5 years were initially enrolled. The local AEs rate was 26.25%, 58.75%, and 28.37% at the first, second, and third doses of the vaccine, respectively. In contrast, the systemic AEs rate was 52.2%, 48.75%, and 43.24%. Clinic-demographic predictor variables for AEs were not identified. Vaccination did not affect disease activity and no statistically significant difference in disease activity index scores was observed between the three doses. No serious adverse events were observed. CONCLUSION: This vaccine was safe in a population of patients with inflammatory bowel disease and, therefore, could be safely administered in this clinical setting. FAU - Pellegrino, Raffaele AU - Pellegrino R AUID- ORCID: 0000-0001-5074-230X AD - Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Pellino, Gianluca AU - Pellino G AUID- ORCID: 0000-0002-8322-6421 AD - Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Selvaggi, Lucio AU - Selvaggi L AD - Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Selvaggi, Francesco AU - Selvaggi F AUID- ORCID: 0000-0002-3219-3797 AD - Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Federico, Alessandro AU - Federico A AUID- ORCID: 0000-0002-0885-0793 AD - Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Romano, Marco AU - Romano M AUID- ORCID: 0000-0002-3271-349X AD - Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Gravina, Antonietta Gerarda AU - Gravina AG AUID- ORCID: 0000-0001-8049-0115 AD - Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. LA - eng PT - Journal Article PT - Observational Study DEP - 20220908 PL - England TA - Expert Rev Clin Pharmacol JT - Expert review of clinical pharmacology JID - 101278296 RN - 0 (BNT162 Vaccine) RN - 0 (RNA, Messenger) SB - IM MH - Humans MH - Middle Aged MH - BNT162 Vaccine MH - RNA, Messenger MH - *COVID-19/prevention & control MH - *Inflammatory Bowel Diseases/drug therapy MH - Biological Therapy OTO - NOTNLM OT - BNT162b2 OT - COVID-19 OT - IBD OT - SARS-Cov-2 OT - crohn's disease OT - safety OT - ulcerative colitis OT - vaccine EDAT- 2022/09/02 06:00 MHDA- 2022/11/01 06:00 CRDT- 2022/09/01 03:13 PHST- 2022/09/02 06:00 [pubmed] PHST- 2022/11/01 06:00 [medline] PHST- 2022/09/01 03:13 [entrez] AID - 10.1080/17512433.2022.2120466 [doi] PST - ppublish SO - Expert Rev Clin Pharmacol. 2022 Oct;15(10):1243-1252. doi: 10.1080/17512433.2022.2120466. Epub 2022 Sep 8.