PMID- 36560439 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221227 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 10 IP - 12 DP - 2022 Nov 27 TI - Quantitative Benefit-Risk Assessment of COVID-19 Vaccines Using the Multi-Criteria Decision Analysis. LID - 10.3390/vaccines10122029 [doi] LID - 2029 AB - In the early SARS-CoV-2 (COVID-19) pandemic, four major vaccines were approved despite limited efficacy and safety data through short regulatory review periods. Thus, it is necessary to assess the benefit-risk (BR) profiles of the COVID-19 vaccines. We conducted a quantitative BR assessment for four COVID-19 vaccines (mRNA-based: mRNA-1273 and BNT162b2; viral vector-based: Ad26.COV.2 and ChAdOx1-S) using multi-criteria decision analysis. Three benefit criteria and two risk criteria were considered: preventing COVID-19 infection for (1) adults aged >/=18 years; (2) seniors aged 60 years or older; and (3) severe COVID-19, adverse events (AEs), and serious AEs. Data were retrieved from clinical trials, observational studies, and county-specific AE monitoring reports. Based on the collected data, vaccines were scored for each criterion. 22 professionals weighted each criterion. The overall BR score was calculated using scores and weights. mRNA-1273 was the most preferred vaccine in pre-authorization and BNT162b2 in post-authorization. We found that the mRNA vaccine had a good balance between the benefits and risks. Using this BR assessment, the benefit-risk profile of COVID-19 vaccines can be updated with cumulated data. It will contribute to building evidence for decision making by policy makers and health professionals. FAU - Son, Kyung-Hwa AU - Son KH AD - School of Pharmacy, Sungkyunkwan University, Suwon 16419, Republic of Korea. FAU - Kwon, Sun-Hong AU - Kwon SH AUID- ORCID: 0000-0002-1058-8392 AD - School of Pharmacy, Sungkyunkwan University, Suwon 16419, Republic of Korea. FAU - Na, Hye-Jung AU - Na HJ AD - School of Pharmacy, Sungkyunkwan University, Suwon 16419, Republic of Korea. FAU - Baek, Youngsuk AU - Baek Y AD - School of Pharmacy, Sungkyunkwan University, Suwon 16419, Republic of Korea. FAU - Kim, Inok AU - Kim I AD - School of Pharmacy, Sungkyunkwan University, Suwon 16419, Republic of Korea. FAU - Lee, Eui-Kyung AU - Lee EK AUID- ORCID: 0000-0003-0601-7754 AD - School of Pharmacy, Sungkyunkwan University, Suwon 16419, Republic of Korea. LA - eng PT - Journal Article DEP - 20221127 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC9785565 OTO - NOTNLM OT - COVID-19 vaccine OT - SARS-CoV-2 OT - multi-criteria decision analysis OT - quantitative benefit-risk assessment COIS- The authors declare no conflict of interest. EDAT- 2022/12/24 06:00 MHDA- 2022/12/24 06:01 PMCR- 2022/11/27 CRDT- 2022/12/23 02:04 PHST- 2022/10/17 00:00 [received] PHST- 2022/11/21 00:00 [revised] PHST- 2022/11/25 00:00 [accepted] PHST- 2022/12/23 02:04 [entrez] PHST- 2022/12/24 06:00 [pubmed] PHST- 2022/12/24 06:01 [medline] PHST- 2022/11/27 00:00 [pmc-release] AID - vaccines10122029 [pii] AID - vaccines-10-02029 [pii] AID - 10.3390/vaccines10122029 [doi] PST - epublish SO - Vaccines (Basel). 2022 Nov 27;10(12):2029. doi: 10.3390/vaccines10122029.