A Prospective Observational Non Interventional Study of Reactogenicity and Safety of the BNT162b2 Messenger Ribonucleic Acid (mRNA) Covid-19 Vaccine in Cancer Patients on Active Treatment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Comparison of the immune response in treated and untreated patients
研究概览
简要总结
In this Italian observational study the antibody titer reactogenicity to Pfizer Severe Acute Respiratory Syndrome (SARS) - Coronavirus (CoV-2) RNA vaccine in cancer patients under active antitumor treatment will be evaluated at 21 and 42 days and after 6 months. Furthermore patients safety will be monitored. Factors affecting immunogenicity (or lack of), including cancer treatment, will be the primary aim of the study.
详细描述
This is an observational non-interventional study in cancer patients. The study will evaluate the safety, tolerability and immunogenicity of Pfizer SARS-CoV-2 RNA vaccine against COronaVIrus Disease-19 (COVID-19) which will be delivered in the deltoid muscle in 2-dose (separated by 21 days). Blood will be collected in two 5 milliliters (mL) vacuettes for serum Immunoglobulin G (IgG) and Cytokine assessment, at baseline and after 21 days, immediately before the first and the second dose, respectively, then after 42 days from the first dose and finally after 6 months from the baseline. A panel of 22 cytokines (Biorad) will be measured at baseline and after 21 and 42 days in four groups consisting of: no responders (S1/S2 IgG<15 Arbitrary Unit AU/ml at 42 days), slow responders (S1/S2 IgG<15 AU/mL after 21 days and >15 AU/mL after the second dose), fast responders (S1/S2 IgG>15 AU/mL after the first 21 days) and immunized patients (S1/S2 IgG>15 AU/mL at baseline). At baseline, at 42 days and 6 months questionnaires for psychological testing will be dispensed for completion to patients.
After 42 days from the first dose, 15 mL of heparinized peripheral blood from both non-responders (S1/S2 IgG<25 AU/mL) and responders will be used for isolation of different Cluster of Differentiation 4 (CD4+) and CD8+ T cell subpopulations and analysis of their capability to undergo activation/proliferation in response to specific SARS- CoV-2 derived peptides.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥18 years
- •On treatment for cancer during the last 6 months or being treated >6 months ago but being ultravulnerable
- •About to receive "Pfizer-BioNTech COVID-19" vaccine
- •Lymphocyte count≥0.5x10^9/L
排除标准
- •Subjects who are not eligible for "Pfizer-BioNTech COVID-19" vaccine administration
- •Inability and/or unwillingness to sign written informed consent
研究组 & 干预措施
Subjects with cancer of any type and stage under active or prior medical treatment
BNT162b2 mRNA Covid-19 Vaccine as two injections, 21 days apart, of 30 μg per dose in the deltoid muscle.
干预措施: BNT162b2 mRNA Covid-19 Vaccine (Biological)
结局指标
主要结局
Comparison of the immune response in treated and untreated patients
时间窗: up to 12 months
Identification of predictive factors for antibody response in treated versus untreated patients
Antibody titer reactogenicity assessment
时间窗: up to 12 months
Serum IgG assessment at baseline, after 21 days, 42 days and after 6 months to Pfizer SARS- CoV-2 RNA vaccine in cancer patients under prior or current active antitumor treatment
次要结局
- Antibody titer correlations with therapy(up to 24 months)
- Antibody titer correlations with patients(up to 24 months)
- Safety assessment(up to 24 months)
- Antibody titer correlations with cancer(up to 24 months)
- Inflammatory response evaluation(up to 24 months)
- Immune cell activation(up to 24 months)
- Immunological memory(up to 24 months)
研究者
Andrea DeCensi
Director of Medical Oncology
Ente Ospedaliero Ospedali Galliera
