Healthy Clinical Trial
Official title:
The Effects of the Interchangeability of the Booster Vaccine Against COVID-19 on the Immune Response Among Education and Public Safety Workers With Risk Factors for Severity, in Manaus (Amazonas)
Experimental, single-arm study in participants with comorbidities, previously immunized with 2 doses of CoronaVac, who will receive a booster vaccine with 1 dose of the Oxford/AstraZeneca vaccine.
Intervention: Oxford/AstraZeneca - 0.5 mL single dose, intramuscular in deltoid, with an interval of 180 days (+/- 30 days) from the 2nd dose of the initial vaccination schedule with CoronaVac Inclusion criteria: - Have voluntarily participated and be in regular follow-up monitoring by the COVACMANAUS study; - Have completed the vaccination schedule with 2 doses of CoronaVac, as per the COVACMANAUS study protocol for at least 180 days (+/- 30 days); - Demonstrate availability to be followed during the follow-up period defined in the study, through visits, telephone contacts or other digital means of communication; - Accept to participate in this new study for 6 (six) months. Exclusion criteria - Confirmed diagnosis of COVID-19 within the last 28 days (antigen test or RT-PCR). In this situation, vaccination can be postponed until the participant completes 30 days; - Report of fever within 72 hours prior to vaccination (inclusion can be postponed until the participant completes 72 hours without fever and COVID-19 is discarded); - Having received live attenuated virus vaccine in the last 28 days or inactivated vaccine in the last 14 days prior to inclusion in the study; - Any other condition that, in the opinion of the Principal Investigator or its medical representative, could jeopardize the safety or rights of a potential participant or prevent them from complying with this protocol; - Pregnancy or lactation. Type of study/study design: Experimental, single-arm study in participants with comorbidities, previously immunized with 2 doses of CoronaVac, who will receive a booster vaccine with 1 dose of the Oxford/AstraZeneca vaccine. Sample size: all active participants from the COVACManaus study (up to 5071) Primary outcome: Detection and titration of antibodies against SARS-CoV-2 before (D0), at D90 and D180 after booster vaccination Secondary outcomes: - Profile of the cell-mediated immune response in a subgroup of participants, before (D0), at D90 and D180 after booster vaccination; - Ability to neutralize antibodies in a subgroup of participants before (D0), in D90 and D180 after the vaccine booster; - Memory cell populations in a subgroup of participants before (D0), in D90 and D180 after booster vaccination. - Detection and titration of antibodies against SARS-CoV-2 and its association with the history of physical activity or sedentary lifestyle. ;
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