<<

Supplementary Information for ‘Covid-19 vaccine-induced antibodies are attenuated and decay rapidly in infliximab treated patients’

Table of Contents Supplementary Table 1: Contributors to the CLARITY IBD study ...... 2 Supplementary Table 2: Baseline characteristic of participants who had anti-SARS-CoV-2 spike antibodies measured 2 to 10 weeks following 2 doses of vaccine against SARS-CoV-2 ...... 23

Supplementary Table 1: Contributors to the CLARITY IBD study

Affiliation First name Surname

Barts Health NHS Trust Klaartje Kok

Farjhana Bokth

Bessie Cipriano

Caroline Francia

Nosheen Khalid

Hafiza Khatun

Ashley Kingston

Irish Lee

Anouk Lehmann

Kinnari Naik

Elise Pabriaga

Nicolene Plaatjies

Kevin Samuels

Barts Health NHS Trust (paediatric) Bessie Cipriano

Kevin Samuels

Nicolene Plaatjies

Hafiza Khatun

Farjana Bokth

Elise Pabriaga

Caroline Francia

Basingstoke and North Hampshire Rebecca Saich Hospital Hayley Cousins

Wendy Fraser

Rachel Thomas

Matthew Brown

2

Affiliation First name Surname

Benjamin White

Basingstoke and North Hampshire Hospital Nikolaos. Kirkineziadis

Bernadette Tilley

Birmingham Women's and Children's NHS Rafeeq Muhammed Foundation Trust Rehana Bi

Catherine Cotter

Jayne Grove

Kate Hong

Ruth Howman

Monica Mitchell

Sophie Clayton

Sugrah Sultan

Melanie Rooney

Charlotte Cottrill

Bolton NHS Foundation Trust Salil Singh

Chris Dawe

Robert Hull

Natalie Silva

Borders General Hospital Jonathan Manning

Lauren Finlayson

Allison Roebuck

Joy Dawson

Calderdale and Huddersfield NHS Sunil Sonwalkar Foundation Trust Naomi Chambers

Matthew Robinson

Andrew Haigh

3

Affiliation First name Surname

Lear Matapure

Cambridge University Hospitals NHS Tim Raine Foundation Trust Varun George

Christina Kapizioni

Konstantina Strongili

Tina Thompson

Mohamed Ahmed

Christos Kontos

Cambridge Institute of Therapeutic Christophe Bourges Immunology and Infectious Disease, Jeffrey Cheah Biomedical Centre, University of Isabella Barbutti Cambridge Megan E Gozzard

Chelsea and Westminster Hospital NHS Philip Hendy Foundation Trust Rhian Bull

Patricia Costa

Lisa Davey

Hayley Hannington

Kribashnie Nundlall

Catarina Martins

Laura Avanzi

Jaime Carungcong

Sabrina Barr

Richard Appleby

Emma Johnson

Chesterfield Royal Hospital Kath Phillis

Rachel Gascoyne

Amanda Crowder

Amanda Whileman

4

Affiliation First name Surname

Countess Of Chester Hospital NHS Ian Foundation Trust Jenny Grounds

Emmeline Martin

Susie Pajak

Jude Price

Kathryn Cawley

Darlington Memorial Hospital Anjan Dhar

Ellen Brown

Amanda Cowton

Kimberley Stamp

Dartford and Gravesham NHS Trust Ben Warner

Carmel Stuart

Louise Lacey

The Dudley Group NHS Foundation Trust Shanika de Silva

Clare Allcock

Philip Harvey

Lesley Jones

Elise Cooke

East and North Hertfordshire NHS Trust Johanne Brooks

Pearl Baker

Hannah Beadle

Carina Cruz

Debbie Potter

East Lancashire Hospitals NHS Trust Joe Collum

Farzana Masters

Glangwili Hospital Aashish Kumar

Samantha Coetzee

5

Affiliation First name Surname

Mihaela Peiu

Becky Icke

Meena Raj

Great Ormond Street Hospital Edward Gaynor

Sibongile Chadokufa

Bonita Huggett

Hamza Meghari

Sara El-Khouly

Fevronia Kiparissi

Waffa Girshab

Great Western Hospitals NHS Foundation Andrew Claridge Trust Emily Fowler

Laura McCafferty

Guy's and St Thomas' NHS Foundation Peter Irving Trust Karolina Christodoulides

Angela Clifford

Patrick Dawson

Sailish Honap

Samuel Lim

Raphael Luber

Karina Mahiouz

Susanna Meade

Parizade Raymode

Rebecca Reynolds

Anna Stanton

Sherill Tripoli

Naomi Hare

6

Affiliation First name Surname

Senthuran Balachandran

Emma North

Jessica North

Bria Browne

Ella Jameson

The Hillingdon Hospitals NHS Foundation Yih Harn Siaw Trust Lane Manzano

Jonathan Segal

Ibrahim Al-Bakir

Imran Khakoo

Homerton University Hospital Foundation Nora Thoua Trust Katherine Davidson

Jagrul Miah

Lisa Canclini

Alex Hall

Hull University Teaching Hospitals NHS Shaji Sebastian Trust Melony Hayes

Sally Myers

Alison Talbot

Jack Turnbull

Emma Whitehead

Katie Stamp

Alison Pattinson

Verghese Mathew

Leanne Sherris

Hull University Teaching Hospitals NHS Trust Angela Harvey

7

Affiliation First name Surname

Imperial College Healthcare NHS Trust Lucy Hicks

Tara-Marie Byrne

Leilani Cabreros

Hannah Downing-Wood

Sophie Hunter

Mohammad Aamir Saifuddin

Hemanth Prabhudev

Sharmili Balarajah

Faculty of Medicine, Imperial College Hajir Ibraheim London Melissa Torkizadeh

Jonathan W Lo

Zhigang Liu

James Paget University Hospitals NHS Helen Sutherland Foundation Trust Elva Wilhelmsen

Katherine Mackintosh

Kettering General Hospital Ajay M Verma

Juliemol Sebastian

Mohammad Farhad Peerally

Parizade Raymode

Anne-marie Guerdette

King's College Hospital NHS Foundation Alexandra Kent Trust Lee Meng Choong

Benedetta Pantaloni

Pantelis Ravdas

King's College Hospital NHS Foundation Babu Vadamalayan Trust (paediatric)

King’s Mill Hospital Stephen Foley

8

Affiliation First name Surname

Becky Arnold

Cheryl Heeley

Wayne Lovegrove

Donna Sowton

Lynne Allsop

Heidi Gregory

Liverpool University Hospitals NHS Philip J Smith Foundation Trust Giovanna Bretland

Sarah King

Martina Lofthouse

Lindsey Rigby

Sreedhar Subramanian

David Tyrer

Kate Martin

Christopher Probert

London North West University Healthcare Nikolaos Kamperidis NHS Trust Temi Adedoyin

Manisha Baden

Jeannette Brown

Feba Chacko

Michela Cicchetti

Mohammad Saifuddin

Priya Yesupatham

Maidstone and Tunbridge Wells NHS Trust Rohit Gowda

Maureen Williams

Manchester University NHS Foundation Karen Kemp Trust Rima Akhand

9

Affiliation First name Surname

Glaxy Gray

Anu John

Maya John

Tasnim Mohammed

Diamond Sathe

Natasha Jones

Jennifer Soren

The Mid Yorkshire Hospitals NHS Trust Michael Sprakes

Julie Burton

Patricia Kane

Stephanie Lupton

Jacqueline Bartholomew

Milton Keynes University Hospital George MacFaul

Diane Scaletta

Loria Siamia

Felicity Williams

Chloe Green

Zeljka Ver

Newcastle Hospitals NHS Foundation Trust Chris Lamb

Mary Doona

Ashleigh Hogg

Lesley Jeffrey

Andrew King

R Alexander Speight

Jennifer Doyle

Ruth Owen

Ninewells Hospital & Medical School Craig Mowat

10

Affiliation First name Surname

Debbie Rice

Susan MacFarlane

Anne MacLeod

Samera Mohammed

Ninewells Hospital & Medical Shona Murray

Anne Elliott

Norfolk and Norwich University Hospitals Mary Anne Morris NHS Foundation Trust Louise Coke

Grace Hindle

Eirini Kolokouri

Catherine Wright

Claire Lee

Nicola Ward

Adele Dann

North Bristol NHS Trust Melanie Lockett

Charlotte Cranfield

Louise Jennings

Ankur Srivastava

Lana Ward

Nouf Jeynes

Poonam Ranga

North Tyneside General Hospital Praveen Rajasekhar

Lisa Gallagher

Linda Patterson

Jill Ward

Rae Basnett

Judy Murphy

11

Affiliation First name Surname

Lauren Parking

Emma Lawson

Stacey Short

Nottingham University Hospitals NHS Trust David Devadason

Gordon Moran

Neelam Khan

Lauren Tarr

Charmaine Olivia

The Pennine Acute Hospitals NHS Trust Jimmy Limdi

Kay Goulden

Asad Javed

Lauren McKenzie

Portsmouth Hospitals NHS Trust Pradeep Bhandari

Michelle Baker-Moffatt

Joanne Dash

Allison Le Poidevin

Hayley Downe

Lucille Bombeo

Helen Blackman

The Queen Elizabeth Hospital Kings Lynn Alan Wiles NHS Trust Hannah Bloxham

Jose Dias

Evelyn Nadar

Hollie. Curgenven

Queen Elizabeth University Hospital, Jonathan Macdonald Glasgow Shona Finan

Faye McMeeken

12

Affiliation First name Surname

Misbah Mahmood

Stephanie Shields

John Paul Seenan

Royal Berkshire NHS Foundation Trust Des DeSilva

Susanna Malkakorpi

Rachel Carson

University Hospitals Dorset NHS Simon Whiteoak Foundation Trust Kelli Edger-Earley

Luke Vamplew

Royal Cornwall Hospitals NHS Trust Sarah Ingram

Sharon Botfield

Fiona Hammonds

Clare James

Royal Devon and Exeter NHS Foundation Tariq Ahmad Trust Gemma Aspinall

Sarah Hawkins

Suzie Marriott

Clare Redstone

Halina Windak

Ana-Marie Adam

Hannah Mabb

Royal Free London NHS Foundation Trust Charles Murray

Cynthia Diaba

Fexy Joseph

Glykeria Pakou

Yvonne Gleeson

Royal Glamorgan Hospital James Berrill

13

Affiliation First name Surname

Natalie Stroud

Carla Pothecary

Lisa Roche

Keri Turner

Lisa Deering

Lynda Israel

Royal Gwent Hospital Evelyn Baker

Sean Cutler

Rina Mardania Evans

Maxine Nash

Georgina Mallison

Anna Roynon

Royal Hampshire County Hospital John Gordon

Emma Levell

Silvia Zagalo

Wendy Fraser

Ina Hoad

Nikolaos Kirkineziadis

Royal Hospital for Sick Children, Richard Russell Edinburgh Paul Henderson

Margaret Millar

Royal Manchester Children's Hospital Andrew Fagbemi

Felicia Jennings

Imelda Mayor

Jill Wilson

Royal Surrey County Hospital Christopher Alexakis

Natalia Michalak

14

Affiliation First name Surname

Royal United Hospitals Bath John Saunders

Helen Burton

Vanessa Cambridge

Tonia Clark

Charlotte Ekblad

Sarah Hierons

Joyce Katebe

Emma Saunsbury

Rachel Perry

The Royal Wolverhampton NHS Trust Matthew Brookes

Kathryn Davies

Marie Green

Ann Plumbe

Salford Royal NHS Foundation Trust Clare Ormerod

Helen Christensen

Anne Keen

Jonathan Ogor

Salisbury District Hospital Alpha Anthony

Emily Newitt

Fiona Trim

Ruth Casey

Katherine Seymour

Sandwell and West Birmingham NHS Trust Edward Fogden

Kalisha Russell

Sheffield Teaching Hospitals NHS Anne Phillips Foundation Trust Muaad Abdulla

Shrewsbury and Telford Hospital NHS Trust Jeff Butterworth

15

Affiliation First name Surname

Colene Adams

Elizabeth Buckingham

Danielle Childs

Alison Magness

Jo Stickley

Nichola Motherwell

Louise Tonks

Hannah Gibson

S Pajak

Singleton Hospital Caradog Thomas

Elaine Brinkworth

Lynda Connor

Amanda Cook

Tabitha Rees

Rachel Harford

Somerset NHS Foundation Trust Emma Wesley

Alison Moss

Jacob Lucas

Claire Lorimer

Maria Oleary

Maxine Dixon

South Tees Hospitals NHS Foundation Trust Arvind Ramadas

Julie Tregonning

Olaku Okeke

Wendy Jackson

Southend University Hospital NHS Ioannis Koumoutsos Foundation Trust Viji George

16

Affiliation First name Surname

Swapna Kunhunny

Sophie Laverick

Isla Anderson

Sophie Smith

St George's University Hospitals NHS Kamal Patel Foundation Trust Mariam Ali

Hilda Mhandu

Aleem Rana

Katherine Spears

Joana Teixeira

Richard Pollok

Mark Mencias

Abigail Seaward

Jessica Sousa

St Georges University Hospital NHS Trust Nooria Said

Mark Soomaroo

Valentina Raspa

Asha Tacouri

St George's University Hospitals NHS Nicholas Reps Foundation Trust (paediatric) Rebecca Martin

St James’s University Hospital Christian Selinger

Jenelyn Carbonell

Felicia Onovira

Doris Quartey

Alice L’Anson

Andrew Ashworth

Jessica Bailey

17

Affiliation First name Surname

Angie Dunn

Stockport NHS Foundation Trust Zahid Mahmood

Racheal Campbell

Liane Marsh

Surrey and Sussex Healthcare NHS Trust Monira Rahman

Sarah Davies

Ruth Habibi

Ellen Jessup-Dunton

Teishel Joefield

Reina Layug

Tameside and Glossop Integrated Care Vinod Patel NHS Foundation Trust Joanne Vere

Victoria Turner

Susan Kilroy

Torbay and South Devon NHS Foundation Gareth Walker Trust Stacey Atkins

Jasmine Growdon

Charlotte McNeill

University Hospitals Birmingham NHS Rachel Cooney Foundation Trust Lillie Bennett

Louise Bowlas

Sharafaath Shariff

University Hospitals Bristol NHS Foundation Aileen Fraser Trust Dwayne Punnette

Charlotte Bishop-Hurman

Elizabeth Undrell

Katherine Belfield

18

Affiliation First name Surname

University Hospitals of Derby and Burton Said Din NHS Foundation Trust Catherine Addleton

Marie Appleby

Johanna Brown

Kathleen Holding

University Hospitals of Leicester NHS Trust Patricia Hooper

John deCaestecker

Olivia Watchorn

University Hospitals Plymouth NHS Trust Chris Hayward

Susan Inniss

Lucy Pritchard

Karen Rudge

Amanda Carney

United Lincolnshire Hospitals NHS Trust Jervoise Andreyev

Caroline Hayhurst

Carol Lockwood

Lynn Osborne

Amanda Roper

Karen Warner

Julia Hindle

Caroline Watt

Kinga Szymiczek

University College London Hospitals NHS Shameer Mehta Foundation Trust James Bell

William Blad

Lisa Whitley

University Hospital Llandough Durai Dhamaraj

19

Affiliation First name Surname

Mark Baker

Elizabeth John Sivamurugan

Mim Evans

University Hospital Southampton NHS Fraser Cummings Foundation Trust Clare Harris

Amy Jones

Liga Krauze

Sohail Rahmany

Michelle Earl

Jenny Vowles

Audrey Torokwa

Mirela Petrova

Andrew Procter

Jo Stanley

Claudia Silvamoniz

Marion Bettey

University Hospital of Wales (paediatric) Amar Wahid

Zoe Morrison

Rhian Thomas-Turner

Louise Yendle

Jennifer Muller

Exeter NIHR Clinical Research Facility, Marcus Mitchell University of Exeter John Kirkwood

Anna Barnes

West Hertfordshire Hospitals NHS Trust Rakesh Chaudhary

Melanie Claridge

Chiara Ellis

20

Affiliation First name Surname

Cheryl Kemp

Ogwa Tobi

Jentus Milton

West Middlesex University Hospital Emma Johnston

Metod Oblak

Richard Appleby

West Suffolk NHS Foundation Trust Jo Godden

Western General Hospital Charlie Lees

Debbie Alexander

Kate Covil

Lauranne Derikx

Sryros Siakavellas

Helen Baxter

Scott Robertson

Linda Smith

Beena Poulose

Anne Colemam

Margareta Balint

Gareth Rhys-Jones

Withybush General Hospital Kerrie Johns

Rachel Hughes

Janet Phipps

Abigail Taylor

Withybush General Hospital Catherine MacPhee

Suzanne Brooks

Yeovil District Hospital NHS Foundation Katie Smith Trust Linda Howard

21

Affiliation First name Surname

Dianne Wood

York Teaching Hospital NHS Foundation Ajay Muddu Trust Laura Barman

Janine Mallinson

Tania Neale

Diana Ionita

Kerry Elliot

Alison Turnball

Ysbyty Gwynedd Iola Thomas

Kelly Andrews

Jonathon Sutton

Caroline Mulvaney Jones

Julia Roberts

Jeannie Bishop

22

Supplementary Table 2: Baseline characteristics of participants who had anti- SARS-CoV-2 spike antibodies measured 2 to 10 weeks following 2 doses of vaccine against SARS-CoV-2 Variable Level Vedolizumab Infliximab Overall p Vaccine BNT162b2 40·8% (377/925) 41·9% (860/2052) 41·6% (1237/2977) 0·57 ChAdOx1 nCoV-19 59·2% (548/925) 58·1% (1192/2052) 58·4% (1740/2977) Age (years) 49·4 (36·2 - 62·4) 40·7 (30·5 - 53·7) 42·9 (32·0 - 56·3) <0·0001 Sex Female 48·4% (445/919) 47·2% (963/2041) 47·6% (1408/2960) 0·28 Male 51·4% (472/919) 52·8% (1077/2041) 52·3% (1549/2960) Intersex 0·0% (0/919) 0·0% (0/2041) 0·0% (0/2960) Prefer not to say 0·2% (2/919) 0·0% (1/2041) 0·1% (3/2960) Ethnicity White 90·1% (827/918) 92·8% (1894/2040) 92·0% (2721/2958) 0·010 Asian 6·8% (62/918) 4·3% (88/2040) 5·1% (150/2958) Mixed 2·3% (21/918) 1·4% (28/2040) 1·7% (49/2958) Black 0·5% (5/918) 0·7% (14/2040) 0·6% (19/2958) Other 0·3% (3/918) 0·8% (16/2040) 0·6% (19/2958) Diagnosis Crohn's disease 37·2% (344/925) 67·0% (1374/2052) 57·7% (1718/2977) <0·0001 UC/IBDU 62·8% (581/925) 33·0% (678/2052) 42·3% (1259/2977) Duration of IBD (years) 9·0 (5·0 - 18·0) 8·0 (3·0 - 16·0) 9·0 (4·0 - 17·0) 0·00015 Age at IBD diagnosis (years) 34·6 (23·6 - 48·1) 27·9 (20·5 - 40·0) 29·6 (21·1 - 42·7) <0·0001 Immunomodulators at vaccine 21·3% (197/924) 58·6% (1202/2051) 47·0% (1399/2975) <0·0001 5-ASA 34·3% (317/924) 21·2% (435/2051) 25·3% (752/2975) <0·0001 Steroids 6·4% (59/924) 2·9% (59/2051) 4·0% (118/2975) <0·0001 BMI 26·0 (23·1 - 29·8) 26·0 (22·8 - 30·2) 26·0 (22·9 - 30·1) 0·93 Heart disease 5·1% (47/918) 2·8% (56/2036) 3·5% (103/2954) 0·0016 Diabetes 8·1% (74/918) 3·8% (77/2036) 5·1% (151/2954) <0·0001 Lung disease 16·1% (148/918) 13·8% (281/2036) 14·5% (429/2954) 0·10 Kidney disease 2·0% (18/918) 0·9% (18/2036) 1·2% (36/2954) 0·018 Cancer 1·5% (14/918) 0·3% (6/2036) 0·7% (20/2954) 0·00038 Smoker Yes 7·2% (66/918) 10·7% (217/2036) 9·6% (283/2954) 0·00050 Not currently 38·2% (351/918) 30·5% (620/2036) 32·9% (971/2954) Never 54·6% (501/918) 58·9% (1199/2036) 57·5% (1700/2954) Exposure to documented cases 7·8% (72/918) 8·2% (166/2036) 8·1% (238/2954) 0·83 of COVID-19 Income deprivation score 0·089 (0·055 - 0·146) 0·091 (0·053 - 0·153) 0·090 (0·054 - 0·151) 0·83 Active disease (PRO2) 9·8% (86/880) 5·5% (107/1945) 6·8% (193/2825) <0·0001

Abbreviations: IBD = inflammatory bowel disease; 5-ASA = 5-aminosalicylic acid; BMI = Body Mass Index; PRO2 = IBD disease activity. Values presented are median (interquartile range) or percentage (numerator/denominator). P values represent the results of a Mann Whitney U, Kruskal Wallis or Fisher’s exact test.

23