National Project on Vaccines, COVID-19 and Frail Patients

NCT ID: NCT04848493

Last Updated: 2025-06-13

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

COMPLETED

Total Enrollment

747 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-19

Study Completion Date

2022-12-31

Brief Summary

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This is a multicentre observational study with the aim of evaluating the antibody and cellular response after vaccination for SARS-CoV-2 with Pfizer-BioNTech or Moderna vaccines in frail subjects with impaired immuno-competence, due to their underlying diseases or ongoing therapies.

Detailed Description

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The immune response to COVID-19 vaccination will be assessed at the following time points:

T0: the day of vaccination T1: the day of the booster dose according to the schedule of the two vaccines (Pfizer/BioNTech or Moderna) T2: between 5 and 7 weeks after T0 for those vaccinated with Pfizer/BioNTech and between 6 and 8 weeks after T0 for those vaccinated with Moderna.

* T3: 12 (± 1) weeks after T0
* T4: 24 (± 2) weeks from T0
* T5: 52 (± 2) weeks from T0 Prevention of SARS-CoV-2 infection will be assessed in terms of incidence of SARS-CoV-2 infections (NF molecular swab positive), and of SARS-CoV-2 infections requiring hospitalisation.

Conditions

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COVID-19 Solid Tumor Hematologic Diseases Neurologic Disorder Rheumatic Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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HEMATOLOGICAL MALIGNANCIES

1a. Newly diagnosed patients with ANY haematological malignancy requiring treatment (No.=100).

1b. Patients with ongoing treatments or with treatments completed within 6 months (chemotherapy and target therapies) other than antibodies. More specifically: patients with ongoing or completed chemotherapy (No.=50) or patients with ongoing or completed Ibrutinib (No.=50) or patients with ongoing or completed ruxolitinib (No.=50)

1c. Patients treated with anti-CD19 or CD20 or CD22 or CD30 or anti-PD1 antibodies with or without chemotherapy OR patients receiving CAR-T cells: patients treated anti-B-cell (No.=50) or patients treated anti-CD30 (No.=50) or patients treated anti-PD1 (No.=50).

1d. Patients at three months after autologous or allogeneic transplantation without active immune suppressive therapy: after autologous transplantation (No.=50) or after allogenic transplantation (No.=50).

COVID-19 vaccines

Intervention Type BIOLOGICAL

This is an observational prospective study whose general objective is to assess the impact of COVID-19 vaccination in terms of induction of humoral and cell-mediated immune responses in selected fragile (altered immunocompetence) populations.

SOLID TUMORS

2a. Chemotherapy in adjuvant therapy. All patients with a diagnosis of solid tumors apart resected basal-cell or squamous-cell carcinoma of the skin, melanoma in situ, carcinoma in situ of the cervix, and carcinoma in situ of the Breast. Under curative surgery (stage II-III) for the solid tumor or hemotherapy alone or in combination with target therapies or radiotherapy (No.=100).

2b. Chemotherapy in metastatic Disease. All patients with a diagnosis of solid tumors with Metastatic disease (stage IV), undergoing chemotherapy alone or in combination with immunotherapy or target therapy (No.=100).

2c. Immunotherapy in metastatic Disease. All patients with a diagnosis of solid tumors with Metastatic disease (stage IV), undergoing immunotherapy alone (No.=100).

2d. Target therapies in metastatic Disease. All patients with a diagnosis of solid tumors with Metastatic disease (stage IV), Undergoing target therapy alone (No.=100)

COVID-19 vaccines

Intervention Type BIOLOGICAL

This is an observational prospective study whose general objective is to assess the impact of COVID-19 vaccination in terms of induction of humoral and cell-mediated immune responses in selected fragile (altered immunocompetence) populations.

IMMUNORHEUMATOLOGICAL DISEASES

3a. Patients with ANCA-associated vasculitis classified according to Chapel Hill Consensus Conference nomenclature, treated with immunodepressants agents with/without glucocorticoids (No.=50) or treated with RTX with/without glucocorticoids (No.=50) 3b. Interstitial Lung Disease in Autoimmune Conditions. Patients with a diagnosis of a specific CTD, myositis or rheumatoid arthritis based on validated classification criteria, and clinically significant ILD defined as disease treated with traditional immunodepressants or rituximab and fibrotic and/or inflammatory changes on chest CT not attributable to infection, and no evidence of obstructive lung disease. Patients treated with traditional immunodepressive agents with/without glucocorticoidspatients (No.=50) or patients treated with rituximab with/without glucocorticoids (No.=50)

COVID-19 vaccines

Intervention Type BIOLOGICAL

This is an observational prospective study whose general objective is to assess the impact of COVID-19 vaccination in terms of induction of humoral and cell-mediated immune responses in selected fragile (altered immunocompetence) populations.

NEUROLOGICAL DISEASES

4a. Patients with a diagnosis of multiple sclerosis, age \< 60 years with relapsing-remitting MS on Ocrelizumab (anti-CD20 monoclonal antibody) (No.=50) or with secondary/primary progressive MS on Ocrelizumab (anti-CD20 monoclonal antibody) (No.=50).

4b. Generalized Myasthenia Gravis, on immunosuppressive polytherapies or on B-cell targeted biological treatments, with lymphocytes count \< 1 cell/microliter, or with thymoma (No.=100)

COVID-19 vaccines

Intervention Type BIOLOGICAL

This is an observational prospective study whose general objective is to assess the impact of COVID-19 vaccination in terms of induction of humoral and cell-mediated immune responses in selected fragile (altered immunocompetence) populations.

Interventions

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COVID-19 vaccines

This is an observational prospective study whose general objective is to assess the impact of COVID-19 vaccination in terms of induction of humoral and cell-mediated immune responses in selected fragile (altered immunocompetence) populations.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Any subject undergoing SARS-CoV-2 vaccination with Pfizer-BioNTech or Moderna vaccines may be included in the study if they belong to at least one of the subgroups listed below:

1. Hematological tumors
2. Solid tumors
3. Rheumatological diseases
4. Neurological diseases

Exclusion Criteria

* NA
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

OTHER

Sponsor Role collaborator

Istituto Clinico Humanitas

OTHER

Sponsor Role collaborator

IRCCS San Raffaele

OTHER

Sponsor Role collaborator

Regina Elena Cancer Institute

OTHER

Sponsor Role collaborator

Istituto Nazionale per le Malattie Infettive "Lazzaro Spallanzani" IRCCS

NETWORK

Sponsor Role collaborator

University of Roma La Sapienza

OTHER

Sponsor Role collaborator

Fondazione IRCCS Policlinico San Matteo di Pavia

OTHER

Sponsor Role collaborator

Istituti Fisioterapici Ospitalieri

OTHER

Sponsor Role collaborator

Istituto Tumori Giovanni Paolo II, BARI

UNKNOWN

Sponsor Role collaborator

Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta

OTHER

Sponsor Role collaborator

IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

OTHER

Sponsor Role collaborator

IRCCS Azienda Ospedaliero-Universitaria di Bologna

OTHER

Sponsor Role collaborator

Azienda USL Reggio Emilia - IRCCS

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carlo Salvarani

Role: PRINCIPAL_INVESTIGATOR

Azienda USL - IRCCS di Reggio Emilia

Locations

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IRCCS Istituto Tumori Giovanni Paolo II

Bari, Bari, Italy

Site Status

IRCCS Azienda Ospedaliera Universitaria

Bologna, Bologhna, Italy

Site Status

Ospedale Policlinico San Martino IRCCS

Genova, Genova, Italy

Site Status

Foindazione IRCCS Istituto Neurologico Carlo Besta

Milan, Milano, Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Milano, Italy

Site Status

IRCCS Istituto Clinico Humanitas

Milan, Milano, Italy

Site Status

IRCCS Ospedale San Raffaele

Milan, Milano, Italy

Site Status

Fondazione IRCCS Policlinico San Matteo

Pavia, Pavia, Italy

Site Status

Azienda USL IRCCS di Reggio Emilia

Reggio Emilia, Reggio Emilia, Italy

Site Status

IRCCS Istituto Nazionale Tumori Regina Elena

Roma, Roma, Italy

Site Status

IRCCS Istituto per le Malattie Infettive Lazzaro Spallanzani

Roma, Roma, Italy

Site Status

Istituto Dermatologico San Gallicano

Roma, Roma, Italy

Site Status

Countries

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Italy

References

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Di Cosimo S, Lupo-Stanghellini MT, Costantini M, Mantegazza R, Ciceri F, Salvarani C, Zinzani PL, Mantovani A, Ciliberto G, Uccelli A, Baldanti F, Apolone G, Delcuratolo S, Morrone A, Locatelli F, Agrati C, Silvestris N. Safety of third dose of COVID-19 vaccination in frail patients: Results from the prospective Italian VAX4FRAIL study. Front Oncol. 2022 Oct 20;12:1002168. doi: 10.3389/fonc.2022.1002168. eCollection 2022.

Reference Type DERIVED
PMID: 36338743 (View on PubMed)

Other Identifiers

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VAX4FRAIL study

Identifier Type: -

Identifier Source: org_study_id

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