COVID antibodys: I am sure that I did not make... - CLL Support

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COVID antibodys

studi profile image
4 Replies

I am sure that I did not make it clear the last time I posted a few days ago.

There were 2 people on the site where I did not get there names,but after 2 vaccinations they still had no antibodies.They both said on there 3rd booster jab that they did have antibodies.Could they please say is both were on W W or were they on treatment.I thought that treatment ie ibrutinib destroyed the antibodies.

I am on treatment and thought it would give me hope to get some antibodies if they have been tested and are on treatment.

Thanks to you all for great support

Trafford Reeder

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studi profile image
studi
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4 Replies
AussieNeil profile image
AussieNeilPartnerAdministrator

No CLL treatments destroy antibodies, they just reduce the available number of new B cells which are required to respond to vaccinations.

Youngen profile image
Youngen

I am one of the people who posted previously. Had no response after the first two and developed antibodies after the third. I am currently in treatment (Ibrutinib). Have heard of many others (Israel) that only developed antibodies after the third and expect them to publish the results shortly.

lankisterguy profile image
lankisterguyVolunteer

Hi studi,-

I am one of the members that reported having measureable antibodies (101) after my 2nd COVID-19 vaccination, despite being 73 years old and on daily Venetoclax (but no Obin/Gazyva or Rituxan in the last 5 years).

I got a 3rd shot and will have my blood tested tomorrow.

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As AussieNeil said, there are no absolutes in the results from CLL patients on active treatment getting the COVID-19 vaccines.

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The clearest explanations I have seen are by Dr. Brian Koffman summarizing a paper presented by Dr. Lindsey Roeker here:

cllsociety.org/2021/07/ash-...

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SNIP

A previous study from Israel had disappointing results with only 40% of 167 CLL patients producing antibodies in response to the COVID-19 vaccine. This showed that vaccine response is impaired in patients with CLL.

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This new data from Dr. Roeker and colleagues provide additional information from a group of 44 patients with CLL who received two doses for either the Pfizer or Moderna COVID-19 vaccines.

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Antibodies were checked at least 2 weeks after receiving the second dose of the vaccine.

17 out of 18 patients (94%) who had never been treated for CLL formed antibodies.

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Only 6 out of 26 patients (23%) who had previously received treatment for CLL formed antibodies.

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Patients who were currently on a BTK inhibitor were much less likely to produce antibodies.

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Patients who had been treated with an anti-CD20 monoclonal antibody within the past year were much less likely to produce antibodies.

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None of the patients treated with venetoclax + an anti-CD20 monoclonal antibody within the past year formed antibodies.

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Patients who were less than 70 years of age were more likely to form antibodies.

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Patients with CLL should still exercise caution including avoiding contact with people that are sick, wearing a mask in crowded situations, and washing hands.

While antibody response is important, it is not the only part of the immune response. T cells also play an important role because they seek out and destroy cells that are already infected with the virus.

In theory, T cells could help provide some protection against COVID-19 by clearing out the infection and reducing the severity of the disease, and scientists are working to figure out whether T cells actually do have protective effects.

As more people are vaccinated, the risk of infection goes down for everyone.

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Len

LeoPa profile image
LeoPa

You can't count on having the same result as others. It seems pretty individual.

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