Asghar Neelam, Mumtaz Hassan, Syed Abdul Ahad, Eqbal Farea, Maharjan Reeju, Bamboria Aditya, Shrehta Manish
Clinical Research Center, Shifa International Hospital, Islamabad, Pakistan.
Forensic & Toxicology, Riphah International University Rawalpindi, Rawalpindi, Pakistan.
Immunol Med. 2022 Dec;45(4):225-237. doi: 10.1080/25785826.2022.2068331. Epub 2022 May 1.
The World Health Organization stated on 11 March 2020 that a coronavirus illness had been discovered in Wuhan, China in December 2019. Effective vaccinations are eagerly awaited as the global outbreak of COVID-19 continues. The aim is to evaluate the safety, effectiveness, and immunogenicity of Pfizer/AstraZeneca/Modera/Cansino vaccines against COVID-19. An electronic search on different databases yielded 12,907 articles. A total of 20 randomized and non-randomized, published, and ongoing trials were selected. Cochrane RoB version 2.0 was used to assess the authenticity of the studies. Of these 20 trials, three were conducted on Pfizer, three on AstraZeneca, three on Moderna, and two on the Cansino vaccine. These trials have reported promising results for the safety, efficacy, and immunogenicity of the respective vaccines. None of the trials have reported the efficacy and severe adverse outcomes for the Cansino vaccine, hindering its reliability as a safe vaccine against covid-19. Furthermore, the results of these trials have established Pfizer to be the most efficacious vaccine against covid-19, having an efficacy of 94.6%. A few severe adverse events were reported by the included trials. However, further systematic reviews are required to understand the respective vaccine profiles on Immuno-suppressive, organ transplants, and patients with other comorbidities.
世界卫生组织于2020年3月11日表示,2019年12月在中国武汉发现了一种冠状病毒疾病。随着新冠疫情在全球持续爆发,人们急切期待有效的疫苗。目的是评估辉瑞/阿斯利康/莫德纳/康希诺新冠疫苗的安全性、有效性和免疫原性。在不同数据库进行电子检索得到12907篇文章。共选取了20项已发表和正在进行的随机及非随机试验。采用Cochrane RoB 2.0版本评估研究的真实性。在这20项试验中,三项针对辉瑞疫苗,三项针对阿斯利康疫苗,三项针对莫德纳疫苗,两项针对康希诺疫苗。这些试验报告了各自疫苗在安全性、有效性和免疫原性方面的有前景的结果。没有试验报告康希诺疫苗的有效性和严重不良后果,这影响了其作为新冠安全疫苗的可靠性。此外,这些试验结果表明辉瑞是对抗新冠最有效的疫苗,有效率为94.6%。纳入试验报告了一些严重不良事件。然而,需要进一步的系统评价来了解这些疫苗在免疫抑制人群、器官移植患者和其他合并症患者中的情况。