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COVID19 OutcomeS in Myeloma and the Impact of VaCcines

Active, not recruiting
Conditions
Multiple Myeloma
Interventions
Other: Patient Reported Outcomes
Registration Number
NCT05831787
Lead Sponsor
ASH Research Collaborative
Brief Summary

The COVID-19 pandemic has had an outsized impact on individuals with underlying social and medical vulnerability, leading to increased rates of severe disease, hospitalization, and death in these groups. Participants with underlying immune compromise, such as those with multiple myeloma, represent one such group. The advent of vaccines against SARS-CoV-2 has significantly limited morbidity and mortality across all groups, but the effectiveness of vaccination in individuals who are less likely to mount sufficient antibody response is uncertain. For this reason, booster vaccines have been recommended for those with underlying immune compromise. However, several key gaps remain in our understanding of how to best protect these individuals.

There is a dearth of real-world evidence about the effectiveness of vaccination and boosters in patients who are immunocompromised, and very little information specifically about the recently approved mRNA boosters. Additionally, rates of vaccination and booster uptake in the United States remain low. A rapid, decentralized method of ascertaining information related to booster vaccine response and adverse events related to vaccines and COVID-19 infection is critical not only to answer questions about the booster vaccines, but to develop an infrastructure for answering similar questions about future vaccines or other diseases.

Detailed Description

The purpose of this project is to implement and establish the feasibility of a decentralized real-world evidence study network for patients with multiple myeloma and to monitor outcomes related to COVID-19 infection in this immunosuppressed population. Subjects with multiple myeloma will be invited to participate. The electronic portal will handle all consenting activities. Participants will be asked to complete specific study procedures electronically, including permission for electronic health record (EHR) data transfer. Participants will be asked to complete electronic questionnaires periodically.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Diagnosis of multiple myeloma per the International Myeloma Working Group and currently receiving active treatment for any phase of the disease, including initial therapy, maintenance, or relapsed disease.
  • Access to the internet
  • An active patient portal (or willingness to activate)
  • Willing to electronically sign the study-specific informed consent and authorization form
Exclusion Criteria
  • Non-English speaking
  • Lack of internet access
  • Cognitive impairment precluding ability to provide informed consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Diagnosis of multiple myeloma and currently receiving active treatment for any phase of the diseasePatient Reported OutcomesDiagnosis of multiple myeloma must meet the International Myeloma Working Group criteria.
Primary Outcome Measures
NameTimeMethod
Feasibility of obtaining 30-day clinical and PRO data capture from 200 consented patients.30 days after enrollment

Proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.

Feasibility of obtaining baseline clinical and PRO data capture from 200 consented patients.At Baseline

Proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.

Feasibility of obtaining 6-month clinical and PRO data capture from 200 consented patients.6 months after enrollment

proportion of consented participants who provide responses for the PRO instruments \& proportion of participants who permission access to clinical data through the EHR.

Secondary Outcome Measures
NameTimeMethod
COVID Booster IncidenceDuring 6 month study period

Percent of patients who enroll on the study platform who went on to receive a SARS-CoV-2 booster after enrollment

COVID-19 Infection baselineAt Baseline

Percentage of participants reporting COVID-19 infection confirmed by home-based or other testing

COVID-19 Infection on studyDuring 6 month study period

Percentage of participants reporting COVID-19 infection confirmed by home-based or other testing

PRO ReviewDuring 6 month study period

Among participants providing PROs, percentage for whom PROs were viewed by site personnel

COVID Vaccine PrevalenceAt Baseline

Percent of patients who enroll on the study platform who had previously received a SARS-CoV-2 booster

Patient reported COVID 19 adverse events on studyDuring 6 month study period

Patient reported adverse events related to confirmed COVID-19 infection

EHR COVID 19 adverse events on studyDuring 6 month study period

Hospitalization or death related to COVID-19 as ascertained by full EHR data transmission provided by permission from the participant

EHR COVID 19 adverse events baselineAt Baseline

Hospitalization related to COVID-19 as ascertained by full EHR data transmission provided by permission from the participant

Patient reported COVID 19 adverse events baselineAt Baseline

Patient reported adverse events related to confirmed COVID-19 infection

Trial Locations

Locations (2)

UNC-Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

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