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Direct Boost Adenovirus-Erasmus Medical Center-COVID-19 refers to a specific intervention arm within the SWITCH ON clinical trial (NCT05471440), a multicenter, randomized, controlled trial led by the Erasmus Medical Center. This protocol involves the administration of an immediate ("direct") booster dose of a bivalent COVID-19 mRNA vaccine to healthcare workers who previously completed a primary vaccination series (priming) with an adenovirus-vectored vaccine, such as ChAdOx1 nCoV-19 (AstraZeneca) or Ad26.COV2.S (Janssen). The trial was designed to evaluate the immunogenicity and optimal timing of bivalent booster vaccinations (targeting the original SARS-CoV-2 strain and Omicron variants) in populations with different initial vaccination backgrounds to inform public health policy during the emergence of antigenically distinct variants.
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