A Real-world Evidence Study of BNT162b2 mRNA Covid-19 Vaccine Among Children in Brazil

NCT ID: NCT05403307

Last Updated: 2023-11-07

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

757 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-06-08

Study Completion Date

2023-07-17

Brief Summary

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The present test-negative design study aims to estimate the real-world effectiveness of Pfizer-BioNTech BNT162b2 mRNA vaccine on symptomatic SARS-CoV-2 infection and its consequences among children aged 5 to 11 years in the city of Toledo in Southern Brazil.

Individuals aged 5 to 11 years who seek the public healthcare system with symptoms suggestive COVID-19 will be enrolled. Participants with a positive reverse transcriptase polymerase chain reaction (RT-PCR) test for SARS-CoV-2 will be classified as cases, and those with negative RT-PCR test for SARS-CoV-2 will be classified as controls. Cases will be followed-up for a period of 3 months by means of structured telephone interviews.

Detailed Description

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Conditions

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COVID-19

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Two doses or more of BNT162b2

Defined as ≥ 2 doses of BNT162b2 COVID-19 vaccine received with ≥7 days between receipt of the 2nd dose and acute respiratory illness (ARI) symptom onset. This group will serve as the 'exposed' group evaluated in the primary objective.

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Intervention Type BIOLOGICAL

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

One dose of BNT162b2

Defined as 1 dose (only) of Pfizer/BioNTech BNT162b2 COVID-19 vaccine received with ≥14 days between receipt of the 1st dose and ARI symptom onset.

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Intervention Type BIOLOGICAL

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

One dose or more of BNT162b2

Defined as ≥1 dose of Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine received with ≥14 days between receipt of the 1st dose and ARI symptom onset.

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Intervention Type BIOLOGICAL

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Two doses of BNT162b2

Defined as 2 doses of BNT162b2 COVID-19 vaccine received with ≥7 days between receipt of the 2nd dose and acute respiratory illness (ARI) symptom onset.

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Intervention Type BIOLOGICAL

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Three doses of BNT162b2

Defined as 3 doses of BNT162b2 COVID-19 vaccine received with ≥7 days between receipt of the 3rd dose and acute respiratory illness (ARI) symptom onset.

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Intervention Type BIOLOGICAL

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Fully vaccinated with other available COVID-19 vaccines

Defined as fully vaccinated with available COVID-19 vaccines according to Brazil National Immunization Program recommendations.

CoronaVac COVID-19 vaccine

Intervention Type BIOLOGICAL

CoronaVac COVID-19 vaccine

Never vaccinated

Defined as never received any COVID-19 vaccine. This group will serve as the reference exposure group (i.e., 'unexposed' group) in all vaccine effectiveness analyses.

No interventions assigned to this group

Interventions

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Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Pfizer/BioNTech BNT162b2 mRNA COVID-19 vaccine

Intervention Type BIOLOGICAL

CoronaVac COVID-19 vaccine

CoronaVac COVID-19 vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age between 5 and 11 years;
* Resident of Toledo city;
* Seeking care in the public healthcare system with symptoms suggestive of COVID-19 defined as follows: 1) ARI symptoms (nasal congestion, rhinorrhea, anosmia, sore throat, hoarseness, new or increased-from-baseline cough, sputum production, dyspnea, wheezing, myalgia) OR 2) Admitting diagnosis suggestive of ARI (pneumonia, upper respiratory infection, bronchitis, influenza, cough, asthma, viral respiratory illness, respiratory distress, AND/OR respiratory failure).
* Nasal or nasopharyngeal sample for SARS-CoV-2 test obtained as standard of care.

Exclusion Criteria

* SARS-CoV-2-directed antiviral treatment within the past 30 days;
* COVID-19 monoclonal antibody therapy within the past 90 days;
* COVID-19 convalescent serum therapy within the past 90 days;
* Failure to perform RT-PCR for diagnosis of SARS-CoV-2 infection.
Minimum Eligible Age

5 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidade Federal do Paraná

OTHER

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

Inova Medical

OTHER

Sponsor Role collaborator

Hospital Moinhos de Vento

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Regis G Rosa, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Moinhos de Vento, INOVA

Maicon Falavigna, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Moinhos de Vento, INOVA

Locations

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Jardim Coopagro

Toledo, Paraná, Brazil

Site Status

Jardim Cosmos primary healthcare unit

Toledo, Paraná, Brazil

Site Status

Jardim Maracanã

Toledo, Paraná, Brazil

Site Status

Jardim Porto Alegre

Toledo, Paraná, Brazil

Site Status

Pediatric Emergency Service

Toledo, Paraná, Brazil

Site Status

Countries

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Brazil

References

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Rodrigues CO, Spinardi J, Rosa RG, Falavigna M, de Souza EM, Manfio JL, de Souza AP, de Araujo CLP, Cohen M, Barbosa GRGDV, Silva FKR, Sganzerla D, da Silva MMD, Ferreira D, Kunkel NT, Camargo NI, Sarturi JC, Guilhem MC, de Oliveira JC, Lopes CC, Widmar F, Barufi LK, da Silva GN, Gradia DF, Brandalize APC, Royer CA, Luiz RM, Baura VA, Abreu H, Poitevin CG, Kucharski GA, Pedrotti F, Valluri SR, Srivastava A, Juliao VW, Melone OC, Allen KE, Kyaw MH, Castillo GDCM, McLaughlin JM; Toledo BNT162b2 Study Group Investigators. Real-world effectiveness of original BNT162b2 mRNA COVID-19 against symptomatic Omicron infection among children 5-11 years of age in Brazil: A prospective test-negative design study. Immunol Lett. 2024 Oct;269:106903. doi: 10.1016/j.imlet.2024.106903. Epub 2024 Jul 26.

Reference Type DERIVED
PMID: 39069096 (View on PubMed)

Other Identifiers

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BNT162b2 pediatric Toledo

Identifier Type: -

Identifier Source: org_study_id

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