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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05597761
Other study ID # AUTO-COVID-VACC-4943
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date May 15, 2023
Est. completion date December 31, 2024

Study information

Verified date April 2024
Source University of Cologne
Contact Sybille Mellinghof, Dr.
Phone 0221 478 6494
Email sibylle.mellinghoff@uk-koeln.de
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This multicenter, prospective, non-interventional cohort study aims to evaluate data on humoral and cellular immune response generated within the COVID-19 vaccination standard in patients with B-cell non-Hodgkin lymphoma (NHL) or Hodgkin lymphoma (HL) who underwent autologous hematopoietic stem cell transplantation (HSCT) or who were treated with or chimeric-antigen-receptor-T-cells (CAR-T).


Description:

According to the COVID-19 vaccination standard, patients who underwent autologous HSCT or CAR-T cells receive between 3 to 8 anti-SARS-CoV-2 mRNA vaccination in 28-day intervals. The definitive number of vaccinations patients will receive depend on the individual neutralizing antibody response. This study aims to analyze the immune response data generated within the procedures of the standard-of-care COVID-19 vaccination. Additional blood will be drawn from the patients at each visit defined within the vaccination standard by using the same vein puncture as used for blood drawings of routine blood samples. Study related blood samples will be used for evaluation of T and B cell response to COVID-19 vaccinations. For this study, no additional visits or invasive procedures will be performed in addition to the standard interventions.


Recruitment information / eligibility

Status Recruiting
Enrollment 100
Est. completion date December 31, 2024
Est. primary completion date September 30, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Patient 42 days (±3) post autologous HSCT or CAR-T cell treatment for B-cell non-Hodgkin lymphoma or Hodgkin lymphoma. - Patient is 18 years of age or older at enrollment - Patients are eligible for study inclusion with or without confirmed SARS-CoV-2 infection prior to autologous HSCT/CAR-T cell treatment. - Patient is treated at an institution that practices the standard-of-care COVID-19 vaccination - Patient planned to be vaccinated against COVID-19 according to the hospital standard - Written informed consent from patient has been obtained prior to any study related procedures Exclusion criteria: - Patient with confirmed SARS-CoV-2 infection between d0 and d42 after autologous HSCT or CAR-T cell treatment. - Patient has a positive SARS-CoV-2 antigen test at visit d42

Study Design


Locations

Country Name City State
Germany Klinik für Hämatologie, Onkologie, Hämostaseologie und Stammzelltransplantation (Med. Klinik IV) Uniklinik der RWTH Aachen Aachen NRW
Germany University Hospital of Cologne Cologne NRW
Germany Universitätsklinikum Essen Klinik für Hämatologie und Stammzellentransplantation Essen NRW

Sponsors (3)

Lead Sponsor Collaborator
Oliver Cornely, MD German Federal Ministry of Education and Research, ZKS Köln

Country where clinical trial is conducted

Germany, 

Outcome

Type Measure Description Time frame Safety issue
Primary Anti-Spike-IgG titers = 847 BAU/ml Time to Anti-Spike-IgG titers = 847 BAU/ml after repeated mRNA vaccinations At the end of each vaccination cycle (each cycle is 28 days)
Secondary BA.1-specific neutralizing antibody ID50 titers Time to Omicron BA.1-specific neutralizing antibody ID50 titers =20/ml after repeated mRNA vaccinations At the end of each vaccination cycle (each cycle is 28 days)
Secondary Anti-Spike-1/2 IgG increase >33.8 BAU/ml in serum Time to anti-Spike-1/2 IgG increase >33.8 BAU/ml in serum after repeated mRNA vaccinations in patients post autologous HSCT At the end of each vaccination cycle (each cycle is 28 days)
Secondary Anti-Spike-1/2 IgG increase >33.8 BAU/ml Time to anti-Spike-1/2 IgG increase >33.8 BAU/ml after repeated mRNA vaccinations in CAR-T cell recipients. At the end of each vaccination cycle (each cycle is 28 days)
Secondary Anti-RBD IgG increase >7.1 BAU/ml Time to anti-RBD IgG increase >7.1 BAU/ml after repeated mRNA vaccinations in patients post autologous HSCT Every 28 days following last COVID-19 vaccination for a total duration of 24 weeks
Secondary Anti-RBD IgG increase >7.1 BAU/ml Time to anti-RBD IgG increase >7.1 BAU/ml after repeated mRNA vaccinations in CAR-T cell recipients Every 28 days following last COVID-19 vaccination for a total duration of 24 weeks
Secondary Anti-Spike-2 IgG increase >2x Time to anti-Spike-2 IgG increase >2x optical density of the negative control Every 28 days following last COVID-19 vaccination for a total duration of 24 weeks
Secondary Decrease of Omicron BA.1-specific neutralizing antibody ID50 titers <20/ml Time to decrease of Omicron BA.1-specific neutralizing antibody ID50 titers <20/ml after last mRNA vaccine in successfully vaccinated patients Every 28 days following last COVID-19 vaccination for a total duration of 24 weeks
Secondary Anti-RBD IgG decrease =7.1 BAU/ml Time to anti-RBD IgG decrease =7.1 BAU/ml after last mRNA vaccine in successfully vaccinated patients Every 28 days following last COVID-19 vaccination for a total duration of 24 weeks
Secondary Anti-Spike-2 IgG decrease =2x Time to anti-Spike-2 IgG decrease =2x optical density of the negative control At the end of each vaccination cycle (each cycle is 28 days)
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