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mRNA COVID Vaccines Tied to Longer Survival With Checkpoint Immunotherapy, Nature Study Reports

Researchers are advancing randomized trials to determine whether the association reflects a true treatment benefit.

Overview

  • Analysis of about 1,000 patients found those who received a Pfizer or Moderna shot within 100 days of starting checkpoint inhibitors lived substantially longer.
  • Median overall survival was 37.3 months for vaccinated patients versus 20.6 months for unvaccinated, with three-year survival of 55.7% versus 30.8% in pooled analyses.
  • The signal was seen in advanced non-small cell lung cancer and metastatic melanoma and was not observed with non-mRNA vaccines such as flu or pneumonia shots.
  • Mouse experiments and immune profiling suggest early type‑I interferon responses from mRNA vaccination may prime tumors to respond better to PD‑1 therapies.
  • Authors and outside experts caution the data are retrospective with potential confounding, disclosures note industry ties, and multi-center trials are being planned.