Vaccine Immune Recovery After Leukemia

NCT ID: NCT05622682

Last Updated: 2025-10-14

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

ENROLLING_BY_INVITATION

Total Enrollment

400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-28

Study Completion Date

2027-03-31

Brief Summary

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This observational study aims to assess recovery of the immune system and immunity to vaccine-preventable diseases in children, adolescents, and young adults who recently completed treatment for acute lymphoblastic leukemia (ALL). Several children's hospitals in the United States are participating in the study, which will enroll up to 100 pediatric participants and up to 300 healthy control patients. The study is intended to determine the rate of infection after leukemia treatment and to inform future studies and recommendations about whether children and adolescents who have leukemia should receive additional vaccine doses or boosters after treatment.

Detailed Description

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Conditions

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Acute Lymphoblastic Leukemia, Pediatric

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Children, adolescents, and young adults who recently completed ALL treatment

This cohort of participants who recently completed leukemia therapy will be assessed for infection incidence during the year following treatment and give blood samples to be measured for antibodies to vaccine-preventable diseases. A small subset will also have their blood samples tested for B and T cell recovery.

Observational only: Serology and flow cytometry for ALL cohort participants

Intervention Type OTHER

Blood samples from ALL cohort participants will be tested to measure antibodies to vaccine-preventable diseases and immune recovery

Observational only: Infection rates

Intervention Type OTHER

Number of infections during the study period will be obtained from both ALL cohort and healthy control participants and captured for comparison and evaluation of infection rates during the first year off-chemotherapy.

Healthy age- and sex-matched controls

Healthy control patients matched to ALL cohort patient on age and sex will be selected for comparison of infection rates during the same calendar year as each ALL cohort participant's study period. Healthy controls will be matched to ALL participants 3:1, with up to a total of 300 controls selected.

Observational only: Infection rates

Intervention Type OTHER

Number of infections during the study period will be obtained from both ALL cohort and healthy control participants and captured for comparison and evaluation of infection rates during the first year off-chemotherapy.

Interventions

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Observational only: Serology and flow cytometry for ALL cohort participants

Blood samples from ALL cohort participants will be tested to measure antibodies to vaccine-preventable diseases and immune recovery

Intervention Type OTHER

Observational only: Infection rates

Number of infections during the study period will be obtained from both ALL cohort and healthy control participants and captured for comparison and evaluation of infection rates during the first year off-chemotherapy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Children, adolescents, and young adults diagnosed with B or T ALL at age 12 months or older
* Completed ALL chemotherapy within the past three months or will complete ALL chemotherapy in the upcoming three months
* Three years of age or older at time of enrollment
* For participants enrolled after 1/1/2025, received blinatumomab as part of up-front chemotherapy protocol

Exclusion Criteria

* Diagnosis of infant ALL
* Evidence of disease relapse
* History of primary immunodeficiency (except related to Down Syndrome)
* History of a stem cell transplant or cellular immunotherapy
* History of prior malignancy or condition requiring chemotherapy other than for current ALL diagnosis
Minimum Eligible Age

3 Years

Maximum Eligible Age

31 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Children's Hospital of Philadelphia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brian T Fisher, DO MSCE MPH

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Philadelphia

Locations

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Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Helen DeVos Children's Hospital

Grand Rapids, Michigan, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Monroe Carell Jr. Children's Hospital at Vanderbilt

Nashville, Tennessee, United States

Site Status

CHRISTUS Children's (Affiliate of Baylor College of Medicine)

San Antonio, Texas, United States

Site Status

Seattle Children's Hospital

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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61366

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

21-019426

Identifier Type: -

Identifier Source: org_study_id

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