Durability of Immunity and Safety of RSV Vaccination in High-Risk Transplant Recipients - Takeaways - MDSpire
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Long-Term Immune Response and Safety After RSV Vaccination in High-Risk Transplant Recipients

  • By

  • Victoria G. Hall

  • Adrian A. Alexander

  • Madeline R. Kern-Smith

  • Faranak Mavandadnejad

  • Sarayna Bala

  • Xiaoqing Dang

  • Rujun Kang

  • Sapna Humar

  • Poramed Winichakoon

  • Rochelle Johnstone

  • Ailya Salman

  • Meghan Aversa

  • Igor Novitzky-Basso

  • Roni Bitterman

  • Pascal M. Lavoie

  • Deepali Kumar

  • Jonas Mattsson

  • Victor H. Ferreira

  • November 6, 2026

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  • 1

    This single-center, nonrandomized trial followed 86 lung or allogeneic hematopoietic cell transplant recipients for 12 months after 1 dose of adjuvanted RSVPreF3 vaccine.

  • 2

    Neutralizing antibody titers rose after vaccination, remained stable through 6 months, and waned by 12 months; seroconversion at 12 months was 24% in lung and 17% in alloHCT recipients.

  • 3

    Binding antibody concentrations increased after vaccination and remained above baseline at 12 months, while polyfunctional CD4+ T-cell frequencies also remained significantly above baseline.

  • 4

    Lung transplant recipients had higher antibody responses than alloHCT recipients, whereas polyfunctional CD4+ T-cell responses were comparable; RSV-specific CD8+ T-cell responses were largely undetect

  • 5

    Vaccination was well tolerated, with no vaccine-related rejection or graft-vs-host disease; the study was limited by its single-center design, modest sample, and lack of a control group.

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