Health Care Workers Cohort Study in the EuCARE Project (EuCARE-HCW)

NCT ID: NCT05534009

Last Updated: 2025-09-19

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

RECRUITING

Total Enrollment

1800 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-04-01

Study Completion Date

2025-12-15

Brief Summary

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The WP3 healthcare workers cohort in EuCARE is an observational multicentre study including collection of retrospective (historical) and prospective data and sample collection from health care workers with either a vaccination or a confirmed SARS-CoV-2 infection. Samples from HCW are sent to central laboratories for WP2 study were the impact of different variants in humoral and cellular immunity is to be analysed by biostatistical methods and with artificial intelligence in WP5. This analysis will focus on the impact on vaccine escape of viral variants / viral sequences as well as on any escape from any combination of natural and vaccine induced immunity. Eight countries will participate (Portugal, Italy, Germany, Lithuania, Georgia, Russia, Vietnam and Mexico).

Detailed Description

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Background: Protection from SARS-CoV-2 infection is known to occur soon after vaccination or natural disease, fading over time. Although protection from serious illness does occur, protection from infection is insufficient and the impact of each variant and of each vaccine or vaccine schedule is a matter of continuous study. Recruiting participants from countries with different vaccines and vaccine schedules is of upmost importance to analyse these relationships and breakthrough infections. Study objectives: The EuCARE-HCW study contributes with data and samples from

HCW to EuCARE-IMMUNITY study that will analyse the NtAb and CMI to different SARS- CoV-2 variants following any combination of natural infection and vaccination. Specific

objectives include:

* to collect data and biological material from COVID-19 healthcare workers in 9 clinics from 8 countries and 3 continents.
* Enrolment of HCW with an immunogenic event, either vaccination or infection.
* Periodic collection of serum and whole blood every 4 months since enrolment and during 12-24 months (depending on how long immunity persists).
* Sample preparation, storage and shipment to central EuCARE laboratories where WP2 study group will analyse natural and artificial immunity to SARS-CoV-2 variants (EuCARE-IMMUNITY), namely:

* Analyse the magnitude, breadth and duration of immunity following natural infection and/or vaccination.
* Define the cross-immunity among the different viral variants.
* Analyse the immune escape in a comprehensive set of combinations of vaccines and natural infection(s).
* To accomplish the above objectives, WP2 will test:

* Neutralising antibodies
* Cellular immunity
* Viral sequences

Conditions

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COVID-19

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Heath care workers (HCW)

Adult (\>18 years) HCW with mandatory information on their SARS-CoV-2 infection and vaccination status. For those with a history of SARS-CoV-2 infection, diagnosis obtained by detection of SARS-CoV-2 RNA

Follow up of the first known immunization event

Intervention Type OTHER

The baseline for enrolment into the study is defined by the occurrence of the first known immunization event, either natural infection or vaccination. The follow-up is planned to last 24 months with respect to this baseline. In subjects with natural infection, the viral variant must be determined for each prospective case by analysis of a nasopharyngeal swab obtained as soon as possible at diagnosis. For historical cases where the variant was not determined and a contemporary nasopharyngeal swab has not been stored, the viral variant may be inferred when a specific variant was dominating the geographic area according to official records available at local health agencies. However, the variant assignment will be labelled as putative, rather than proved.

HCWs can be enrolled in the category of:

(i) vaccination not followed by any later infection, (ii) infection followed by vaccination and (iii) vaccination followed by infection.

Interventions

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Follow up of the first known immunization event

The baseline for enrolment into the study is defined by the occurrence of the first known immunization event, either natural infection or vaccination. The follow-up is planned to last 24 months with respect to this baseline. In subjects with natural infection, the viral variant must be determined for each prospective case by analysis of a nasopharyngeal swab obtained as soon as possible at diagnosis. For historical cases where the variant was not determined and a contemporary nasopharyngeal swab has not been stored, the viral variant may be inferred when a specific variant was dominating the geographic area according to official records available at local health agencies. However, the variant assignment will be labelled as putative, rather than proved.

HCWs can be enrolled in the category of:

(i) vaccination not followed by any later infection, (ii) infection followed by vaccination and (iii) vaccination followed by infection.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Adult (\>18 years) HCW with mandatory information on their SARS-CoV-2 infection and vaccination status.
2. For those with a history of SARS-CoV-2 infection, diagnosis obtained by detection of SARS-CoV-2 RNA
3. Having a signed informed consent when required by ethical approval
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Hospitalar Lisboa Ocidental

OTHER_GOV

Sponsor Role collaborator

ASST Santi Paolo e Carlo

OTHER

Sponsor Role collaborator

Bach Mai Hospital

OTHER

Sponsor Role collaborator

Hospital Regional de Alta Especialidad "Dr. Juan Graham Casasus"

OTHER

Sponsor Role collaborator

Heinrich-Heine University, Duesseldorf

OTHER

Sponsor Role collaborator

Istituto Europeo di Oncologia

OTHER

Sponsor Role collaborator

Vilnius University Hospital Santaros Klinikos

OTHER

Sponsor Role collaborator

Euresist Network GEIE

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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CRISTINA TOSCANO, DR

Role: STUDY_CHAIR

Centro Hospitalar de Lisboa Ocidental (CHLO)

Locations

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Heinrich Heine university

Düsseldorf, , Germany

Site Status RECRUITING

Azienda Socio-Sanitaria Territoriale Santi Paolo e Carlo

Milan, , Italy

Site Status RECRUITING

Ieo Istituto Europeo Di Oncologia

Milan, , Italy

Site Status RECRUITING

Viesoji Istaiga Vilniaus Uiversiteto Ligoninė Santaros klinikos

Vilnius, , Lithuania

Site Status RECRUITING

Hospital Juan Ghaham Casasus

Villahermosa, , Mexico

Site Status RECRUITING

Centro Hospitalar de Lisboa Ocidental

Lisbon, , Portugal

Site Status RECRUITING

Bach Mai Hospital

Hanoi, , Vietnam

Site Status RECRUITING

Countries

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Germany Italy Lithuania Mexico Portugal Vietnam

Central Contacts

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FRANCESCA INCARDONA, DR

Role: CONTACT

+393356112830

Facility Contacts

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Bjoern Erik Jensen, DR

Role: primary

ANTONELLA D'ARMINIO MONFORTE, PROF

Role: primary

+390281843045-6

SARA GANDINI, DR

Role: primary

DANIEL Naumovas, DR

Role: primary

Gibran Rubio Quintanares, DR

Role: primary

+49 6103 77 2125

CRISTINA TOSCANO, MD

Role: primary

+351 210432541

CUONG DO DUY, MD

Role: primary

Other Identifiers

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EuCARE-HCW

Identifier Type: -

Identifier Source: org_study_id

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