Table 5

Impact of DMARD class on vaccine response in the IMID and control groups

csDMARDbDMARDtsDMARDControls
Continue group
Detectable SARS-CoV2 IgG Abs*
 Post first vaccine dose (p=0.000)9/22 (40.91)25/32 (78.13)5/26 (19.23)46/51 (90.20)
P=0.000P=0.116P=0.000
 Post second vaccine dose (p=0.748)28/30 (93.33)30/34 (88.24)23/26 (88.46)49/49 (100)
P=0.141P=0.025P=0.039
Mean SARS-CoV2 IgG Ab titre†
 Post first vaccine dose (p=0.000)2.40 (4.90)5.96 (7.56)1.24 (2.5)8.91 (11.77)
0.5 (1.9)3.3 (7.2)0.5 (0.75)4.2 (8.4)
P=0.000P=0.232P=0.000
 Post second vaccine dose (p=0.009)62.11 (80.90)59.19 (67.47)12.88 (18.23)79.49 (136.74)
22.95 (77.9)41.95 (80.1)4.9 (20.2)48.4 (67.2)
P=0.490P=0.551P=0.000
Withhold group
Detectable SARS-CoV2 IgG Ab*
 Post first vaccine dose (p=0.070)16/20 (76.19)22/24 (91.67)18/28 (64.3)46/51 (90.20)
P=0.143P=0.603P=0.007
 Post second vaccine dose20/20 (100)20/20 (100)27/27 (100)49/49 (100)
Mean SARS-CoV2 IgG Ab titre†
 Post first vaccine dose (p=0.110)6.05 (12.31)4.85 (3.98)3.4 (4.66)8.91 (11.77)
2.85 (3.9)3.7 (6.5)1.4 (2.75)4.2 (8.4)
P=0.076P=0.431P=0.002
 Post second vaccine dose (p=0.617)70.57 (107.13)74.05 (71.60)86.27 (150.6)79.49 (136.74)
43.45 (96.4)64.65 (74)40.65 (91.9)48.4 (67.2)
P=0.642P=0.319P=0.831
  • Data are presented as proportions (%) or mean (SD) and median (IQR).

  • Comparison of DMARD categories with controls using Fisher’s exact test or Wilcoxon-Mann-Whitney U test as appropriate with significance cut-off 5%.

  • *Using Fisher’s exact test with significance cut-off 5%.

  • †Using Kruskal-Wallis test among the immunosuppression groups only with significance cut-off 5%.

  • Ab, antibody; bDMARD, biologic DMARD; csDMARD, conventional synthetic DMARD; DMARD, disease-modifying antirheumatic drug; IMID, immune-mediated inflammatory disease; tsDMARD, targeted synthetic DMARD.