2nd dose of J&J COVID-19 vaccine results in stronger protection, company says

The shots, given two months apart, can offer 94% protection against infections.

A second dose of Johnson & Johnson's COVID-19 vaccine given two months after the first leads to stronger protection, according to the company.

Compared to the Pfizer and Moderna vaccines, Johnson & Johnson's single-shot vaccine always had slightly lower efficacy. Peak efficacy from the two-shot Pfizer and Moderna vaccines was 95% and 94%, respectively, against symptomatic illness.

But two Johnson & Johnson shots, given two months apart, resulted in a similarly high effectiveness level: 94% protection against any symptomatic infection in the U.S., and 100% against severe disease.

With Pfizer's booster shots now up for formal review from the Food and Drug Administration, and Moderna's shortly to follow, the new data will likely factor into regulators' decision about if and when additional shots are appropriate for the nearly 14.9 million people who received the Johnson & Johnson vaccine.

All three currently authorized vaccines are still working well to dramatically reduce the risk of being hospitalized, but as months pass and with the emergence of new COVID-19 variants, the vaccines are losing their power to prevent more mild breakthrough infections.

The new Johnson & Johnson data also raises questions about when to give an additional shot for the country's only single shot vaccine. New data describing a booster two-months later found a marked increase in antibody levels. But prior data, already published, found that a booster shot given six months after the first dose results in even higher antibody levels.

"With the two-month boost interval, there was a four-fold increase in antibody titters. But when a booster was given after six months, it led to a 12-fold increase in antibody titers," Dr. Dan Barouch, director of the Center for Virology and Vaccine Research at Beth Israel Deaconess Medical Center, whose lab helped develop the J&J vaccine, told ABC News.

"This suggests that the efficacy might be even greater when the booster is given at this later point in time," Barouch said.

Regulatory authorities will need to weigh the available evidence and determine the appropriate timing for booster shots for all three vaccines.

In prepared remarks, J&J Chief Scientific Officer Dr. Paul Stoffels said the single-shot vaccine still provides "strong and long-lasting protection" while also being "easy to use, distribute and administer.""At the same time," Stoffels said, "we now have generated evidence that a booster shot further increases protection against COVID-19 and is expected to extend the duration of protection significantly."

According to Barouch, "the data supports the single-shot vaccine as the bedrock for providing robust and durable protection. But giving a boost two to six months later increases immune responses and augments protection to very high levels."

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