National Project on Vaccines, COVID-19 and Frail Patients
NCT ID: NCT04848493
Last Updated: 2025-06-13
Study Results
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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COMPLETED
747 participants
OBSERVATIONAL
2021-04-19
2022-12-31
Brief Summary
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Detailed Description
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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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Study Design
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COHORT
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
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
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
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
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.
Eligibility Criteria
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Inclusion Criteria
1. Hematological tumors
2. Solid tumors
3. Rheumatological diseases
4. Neurological diseases
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
OTHER
Istituto Clinico Humanitas
OTHER
IRCCS San Raffaele
OTHER
Regina Elena Cancer Institute
OTHER
Istituto Nazionale per le Malattie Infettive "Lazzaro Spallanzani" IRCCS
NETWORK
University of Roma La Sapienza
OTHER
Fondazione IRCCS Policlinico San Matteo di Pavia
OTHER
Istituti Fisioterapici Ospitalieri
OTHER
Istituto Tumori Giovanni Paolo II, BARI
UNKNOWN
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
OTHER
IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
OTHER
IRCCS Azienda Ospedaliero-Universitaria di Bologna
OTHER
Azienda USL Reggio Emilia - IRCCS
OTHER_GOV
Responsible Party
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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
IRCCS Azienda Ospedaliera Universitaria
Bologna, Bologhna, Italy
Ospedale Policlinico San Martino IRCCS
Genova, Genova, Italy
Foindazione IRCCS Istituto Neurologico Carlo Besta
Milan, Milano, Italy
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Milano, Italy
IRCCS Istituto Clinico Humanitas
Milan, Milano, Italy
IRCCS Ospedale San Raffaele
Milan, Milano, Italy
Fondazione IRCCS Policlinico San Matteo
Pavia, Pavia, Italy
Azienda USL IRCCS di Reggio Emilia
Reggio Emilia, Reggio Emilia, Italy
IRCCS Istituto Nazionale Tumori Regina Elena
Roma, Roma, Italy
IRCCS Istituto per le Malattie Infettive Lazzaro Spallanzani
Roma, Roma, Italy
Istituto Dermatologico San Gallicano
Roma, Roma, Italy
Countries
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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.
Other Identifiers
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VAX4FRAIL study
Identifier Type: -
Identifier Source: org_study_id
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