Vaccine Response to COVID-19 Vaccines in Patients Using Immunosuppressive Medication

NCT ID: NCT04798625

Last Updated: 2024-02-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

2300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-02-15

Study Completion Date

2027-02-15

Brief Summary

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The purpose of this study is to assess the strength and duration of the immunological response to COVID-19 vaccines in patients treated with immunosuppressive and/or immunomodulating medication for immune-mediated inflammatory diseases in rheumatology and gastroenterology and after a liver transplantation.

Detailed Description

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Patients on long-term immunosuppressive and/or immunomodulating medication may be susceptible to serious COVID-19. Hence, it is important they get sufficient protection by a COVID-19 vaccine. However, these patients may also be at risk for a less robust vaccine response. There is an urgent need to assess the humoral and cellular immune response to COVID-19 vaccines in these patient groups. The clinical consequences could be to administer several re-vaccinations or to adjust medication. This prospective, observational study aims to assess the immune response after COVID vaccination in patients suffering from inflammatory diseases and using immunosuppressive medication. Also, liver transplanted patients on immunosuppressive medication will be included.

Serum and whole blood samples will be obtained from all participants before and 1-4 weeks after the vaccination. Additionally, serum samples will be collected every 3-6 months for 5 years. If patients are allotted further vaccine doses , the patient response will be assessed by blood tests 2-4 weeks after any additional vaccine doses. In a subset of patients, samples will be drawn to study cellular immune responses. Demographic data and data regarding immunosuppressive medication will be recorded. Disease activity (clinical activity indices and biomarkers of inflammation) will be assessed. Blood samples will be obtained for biobank. Information regarding vaccination status and potential COVID-19 testing will be obtained from relevant registers.

Conditions

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Rheumatoid Arthritis Psoriatic Arthritis Spondyloarthritis Crohn Disease Ulcerative Colitis Autoimmune Hepatitis Liver Transplant; Complications

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Rheumatoid arthritis

Patients with a clinical diagnosis of rheumatoid arthritis and treated with immunosuppressive medication

No interventions assigned to this group

Psoriatic arthritis

Patients with a clinical diagnosis of psoriatic arthritis and treated with immunosuppressive medication

No interventions assigned to this group

Spondyloarthritis

Patients with a clinical diagnosis of spondyloarthritis and treated with immunosuppressive medication

No interventions assigned to this group

Crohn disease

Patients with a clinical diagnosis of Crohn disease and treated with immunosuppressive medication

No interventions assigned to this group

Ulcerative colitis

Patients with a clinical diagnosis of ulcerative colitis and treated with immunosuppressive medication

No interventions assigned to this group

Autoimmune hepatitis

Patients with a diagnosis of autoimmune hepatitis and treated with immunosuppressive medication

No interventions assigned to this group

Liver transplant

Patients who have undergone liver transplantation and are treated with immunosuppressive drugs

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. An established clinical diagnosis of one of the following immune-mediated diseases: rheumatoid arthritis (RA), spondyloarthritis (SpA), psoriatic arthritis (PsA), ulcerative colitis (UC,) Crohns disease (CD), autoimmune hepatitis (AIH) or patients who have undergone a liver transplantation
2. Treatment with relevant immunosuppressive and/or immunomodulating medication \*
3. Adult patients (\> 18 years)
4. Patient intends to obtain vaccination against COVID-19 during the next 6 months

* \* The following drugs are considered relevant immunosuppressants and/or immunomodulators and patients using them may be eligible for this study: Rituximab, infliximab, adalimumab, golimumab, certolizumab, etanercept, tocilizumab, abatacept, secukinumab, vedolizumab, ustekinumab, risankizumab, methotrexate, sulfasalazine, leflunomide, azathioprine, 6-mercaptopurine, tofacitinib, filgotinib, baricitinib, upadacitinib, tacrolimus, mycophenolate, prednisolone

Exclusion Criteria

1\) Allergy or intolerance to elements of the COVID-19 vaccines

\-
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Akershus

OTHER

Sponsor Role collaborator

Diakonhjemmet Hospital

OTHER

Sponsor Role lead

Responsible Party

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Guro Løvik Goll

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Akershus University Hospital

Lørenskog, , Norway

Site Status

Diakonhjemmet Hospital

Oslo, , Norway

Site Status

Countries

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Norway

References

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Jyssum I, Kared H, Tran TT, Tveter AT, Provan SA, Sexton J, Jorgensen KK, Jahnsen J, Kro GB, Warren DJ, Vaage EB, Kvien TK, Nissen-Meyer LH, Anderson AM, Grodeland G, Haavardsholm EA, Vaage JT, Mjaaland S, Syversen SW, Lund-Johansen F, Munthe LA, Goll GL. Humoral and cellular immune responses to two and three doses of SARS-CoV-2 vaccines in rituximab-treated patients with rheumatoid arthritis: a prospective, cohort study. Lancet Rheumatol. 2022 Mar;4(3):e177-e187. doi: 10.1016/S2665-9913(21)00394-5. Epub 2021 Dec 23.

Reference Type RESULT
PMID: 34977602 (View on PubMed)

Syversen SW, Jyssum I, Tveter AT, Tran TT, Sexton J, Provan SA, Mjaaland S, Warren DJ, Kvien TK, Grodeland G, Nissen-Meyer LSH, Ricanek P, Chopra A, Andersson AM, Kro GB, Jahnsen J, Munthe LA, Haavardsholm EA, Vaage JT, Lund-Johansen F, Jorgensen KK, Goll GL. Immunogenicity and Safety of Standard and Third-Dose SARS-CoV-2 Vaccination in Patients Receiving Immunosuppressive Therapy. Arthritis Rheumatol. 2022 Aug;74(8):1321-1332. doi: 10.1002/art.42153. Epub 2022 Jun 29.

Reference Type RESULT
PMID: 35507355 (View on PubMed)

Christensen IE, Jyssum I, Tveter AT, Sexton J, Tran TT, Mjaaland S, Kro GB, Kvien TK, Warren DJ, Jahnsen J, Munthe LA, Haavardsholm EA, Vaage JT, Grodeland G, Lund-Johansen F, Jorgensen KK, Syversen SW, Goll GL, Provan SA. The persistence of anti-Spike antibodies following two SARS-CoV-2 vaccine doses in patients on immunosuppressive therapy compared to healthy controls-a prospective cohort study. BMC Med. 2022 Oct 5;20(1):378. doi: 10.1186/s12916-022-02587-8.

Reference Type RESULT
PMID: 36199139 (View on PubMed)

Syversen SW, Jyssum I, Tveter AT, Sexton J, Christensen IE, Tran TT, Bjorlykke KH, Mjaaland S, Warren DJ, Kvien TK, Chopra A, Kro GB, Jahnsen J, Munthe LA, Haavardsholm EA, Grodeland G, Vaage JT, Provan SA, Jorgensen KK, Goll GL. Immunogenicity and safety of a three-dose SARS-CoV-2 vaccination strategy in patients with immune-mediated inflammatory diseases on immunosuppressive therapy. RMD Open. 2022 Nov;8(2):e002417. doi: 10.1136/rmdopen-2022-002417.

Reference Type RESULT
PMID: 36328399 (View on PubMed)

Bjorlykke KH, Orbo HS, Tveter AT, Jyssum I, Sexton J, Tran TT, Christensen IE, Kro GB, Kvien TK, Jahnsen J, Munthe LA, Chopra A, Warren DJ, Mjaaland S, Haavardsholm EA, Grodeland G, Provan SA, Vaage JT, Syversen SW, Goll GL, Jorgensen KK. Four SARS-CoV-2 vaccine doses or hybrid immunity in patients on immunosuppressive therapies: a Norwegian cohort study. Lancet Rheumatol. 2023 Jan;5(1):e36-e46. doi: 10.1016/S2665-9913(22)00330-7. Epub 2022 Nov 16.

Reference Type RESULT
PMID: 36415604 (View on PubMed)

Jorgensen KK, Hoivik ML, Chopra A, Benth JS, Ricanek P, Moum PB, Jyssum I, Bolstad N, Warren DJ, Vaage PJT, Munthe PLA, Lundin PKEA, Anisdahl K, Syversen SW, Goll GL, Lund-Johansen F, Medhus AW, Jahnsen PJ. Humoral immune response to SARS-CoV-2 vaccination in patients with inflammatory bowel disease on immunosuppressive medication: association to serum drug levels and disease type. Scand J Gastroenterol. 2023 Jul-Dec;58(8):874-882. doi: 10.1080/00365521.2023.2177884. Epub 2023 Feb 14.

Reference Type RESULT
PMID: 36788656 (View on PubMed)

Orbo HS, Bjorlykke KH, Sexton J, Jyssum I, Tveter AT, Christensen IE, Mjaaland S, Kvien TK, Grodeland G, Kro GB, Jahnsen J, Haavardsholm EA, Munthe LA, Provan SA, Vaage JT, Goll GL, Jorgensen KK, Syversen SW. Incidence and outcome of COVID-19 following vaccine and hybrid immunity in patients on immunosuppressive therapy: identification of protective post-immunisation anti-RBD antibody levels in a prospective cohort study. RMD Open. 2024 Apr 9;10(2):e003545. doi: 10.1136/rmdopen-2023-003545.

Reference Type DERIVED
PMID: 38599653 (View on PubMed)

Other Identifiers

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DIA2021-1

Identifier Type: -

Identifier Source: org_study_id

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