Table 2.
Factors associated with adequate antibody responsea by univariate and multivariate analyses
| Variable | Univariate |
Multivariate |
||||||
|---|---|---|---|---|---|---|---|---|
| Odds ratio (OR) | 95%CI for OR | p | OR | 95%CI for OR | p | |||
| Younger age (per year decrease) | 1.032 | 1.015 | 1.050 | <0.001 | 1.038 | 1.018 | 1.059 | <0.001 |
| Female gender | 0.764 | 0.468 | 1.248 | 0.282 | — | — | — | — |
| Time from transplantation (per year) | 0.999 | 0.969 | 1.030 | 0.949 | — | — | — | — |
| Living donor | 1.606 | 0.909 | 2.839 | 0.103 | — | — | — | — |
| eGFR (per mL/min/1.73 m2 increase) | 1.025 | 1.014 | 1.037 | <0.001 | 1.032 | 1.018 | 1.045 | <0.001 |
| eGFR <60 mL/min/1.73 m2 | 0.393 | 0.243 | 0.637 | <0.001 | — | — | — | — |
| Diabetes mellitus | 0.643 | 0.336 | 1.230 | 0.182 | — | — | — | — |
| Time from second vaccine dose (per day) | 0.993 | 0.969 | 1.018 | 0.575 | — | — | — | — |
| BMI (per kg/m2) | 0.995 | 0.946 | 1.047 | 0.852 | — | — | — | — |
| Lower mycophenolic acid dose (per 360 mg decrease) | 1.763 | 1.422 | 2.187 | <0.001 | 2.347 | 1.782 | 3.089 | <0.001 |
| Cyclosporine yes/no | 0.928 | 0.381 | 2.263 | 0.870 | — | — | — | — |
| No mTOR inhibitor | 0.907 | 0.397 | 2.072 | 0.816 | 2.870 | 1.058 | 7.781 | 0.038 |
| Low CNI levelb | 1.865 | 1.164 | 2.990 | 0.010 | 1.987 | 1.146 | 3.443 | 0.014 |
| High-dose CSb | 0.293 | 0.098 | 0.873 | 0.028 | — | — | — | — |
| Treatment with ATGb | 0.463 | 0.126 | 1.696 | 0.245 | — | — | — | — |
Odds ration > 1 indicates adequate association with antibody response. eGFR, estimated glomerular filtration rate; BMI, body mass index; mTOR, mammalian target of rapamycin; CNI, calcineurin inhibitors; ATG, antithymocyte globulin; CS, corticosteroids.
Adequate antibody response was defined as IgG ≥50 AU/mL using the SARS-CoV-2 IgG II Quant (Abbott©) assay.
Low CNI level was defined as ≤7 ng/mL for tacrolimus and ≤150 ng/mL for cyclosporine; high-dose CS was defined as intravenous methyl prednisolone (dose at least 250 mg) in the previous 6 months before the first vaccine dose; treatment with ATG was defined as any dosage in the last year before the first vaccine dose.