RT Journal Article T1 Anti-Spike antibodies 3 months after SARS-CoV-2 mRNA vaccine booster dose in patients on hemodialysis: the prospective SENCOVAC study. A1 Quiroga, Borja A1 Soler, María José A1 Ortiz, Alberto A1 Jaravaca Mantecón, Carlos Jesús A1 Nava Pérez, Nathasha A1 Serra Martín, Marta A1 Sato, Yurika A1 Marin Franco, Antonio José A1 Pazmiño Zambrano, Diana Flor A1 Lucena Valverde, Rafael A1 Ortega Diaz, Mayra A1 Calderón González, Carmen A1 Cazorla López, Juan Manuel A1 Pereira, Mónica A1 González Parra, Emilio A1 Sánchez Horrillo, Ana A1 Sánchez González, Carmen A1 Toapanta, Néstor A1 Cigarrán Guldris, Secundino A1 Sánchez Hernández, Rosa A1 Pizarro Sánchez, Soledad A1 Muñiz Rincón, María A1 Garcia-Fernández, Nuria A1 Blanco Castro, Natalia A1 Collantes Mateo, Rocío A1 Quiroz Morales, Manuel Augusto A1 Escamilla-Cabrera, Beatriz A1 Berdud Godoy, Isabel A1 Gil-Casares Casanova, Beatriz A1 Leyva, Alba A1 Rojas, José A1 Gansevoort, Ron T A1 de Sequera, Patricia A1 SENCOVAC collaborative network, K1 COVID-19 K1 SARS-CoV-2 K1 booster K1 hemodialysis K1 vaccination AB Patients on hemodialysis are at high-risk for complications derived from coronavirus disease 2019 (COVID-19). The present analysis evaluated the impact of a booster vaccine dose and breakthrough severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections on humoral immunity 3 months after the booster dose. This is a multicentric and prospective study assessing immunoglobulin G anti-Spike antibodies 6 and 9 months after initial SARS-CoV-2 vaccination in patients on hemodialysis that had also received a booster dose before the 6-month assessment (early booster) or between the 6- and 9-month assessments (late booster). The impact of breakthrough infections, type of vaccine, time from the booster and clinical variables were assessed. A total of 711 patients [67% male, median age (range) 67 (20-89) years] were included. Of these, 545 (77%) received an early booster and the rest a late booster. At 6 months, 64 (9%) patients had negative anti-Spike antibody titers (3% of early booster and 29% of late booster patients, P = .001). At 9 months, 91% of patients with 6-month negative response had seroconverted and there were no differences in residual prevalence of negative humoral response between early and late booster patients (0.9% vs 0.6%, P = .693). During follow-up, 35 patients (5%) developed breakthrough SARS-CoV-2 infection. Antibody titers at 9 months were independently associated with mRNA-1273 booster (P = .001), lower time from booster (P = .043) and past breakthrough SARS-CoV-2 infection (P  In hemodialysis patients, higher titers of anti-Spike antibodies at 9 months were associated with mRNA-1273 booster, lower time from booster and past breakthrough SARS-CoV-2 infection. SN 2048-8505 YR 2022 FD 2022-07-26 LK http://hdl.handle.net/10668/19752 UL http://hdl.handle.net/10668/19752 LA en DS RISalud RD Apr 9, 2025