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The Immune Reaction Upon COVID-19 Vaccination in the Belgian Cancer Population.

Not Applicable
Completed
Conditions
Cancer
Interventions
Other: Blood sampling
Registration Number
NCT05033158
Lead Sponsor
University Hospital, Antwerp
Brief Summary

This study investigates the immune response in the cancer population in Belgium being vaccinated with an approved vaccine types being authorized for use in Belgium. This question needs to be answered to make sure that this vulnerable population is properly protected against possible SARS-CoV-2 infection and that vaccine administration is safe.

Detailed Description

Rationale: Patients with cancer have an increased risk of adverse outcome of COVID-19 and should be at high prioritisation for vaccination against SARS-CoV-2. The COVID-19 vaccine trials have not included cancer patients as such, the efficacy and duration of immunity in patients with cancer are still unknown. Keeping in mind that cancer patients are often immunocompromised, the immune response upon vaccination needs further investigation.

The REAL-V is a prospective, multicenter cohort study. The humoral immunity response based on anti-SARS-CoV-2 IgG antibodies upon COVID-19 vaccination will be investigated in blood samples taken 4 months, 6 months and 12 months after (first) vaccine administration. Potential factors that affect immunity, will be recorded, such as type and stage of cancer, anti-cancer treatment, concomitant medication,..To investigate the safety of different COVID-19 vaccines, incidence and severity of systemic adverse events will be reported using an App based system answering questionnaires about specific vaccine related complaints.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
402
Inclusion Criteria
  • Age of 18 years or older
  • Oncological or hematological malignancy or history of it
  • Life expectancy > 3 months
  • Ability to provide informed consent
Exclusion Criteria
  • Women who are pregnant or breastfeeding
  • Immune deficiency not related to cancer or cancer treatment
  • Allergy (multiple); to be determined by physician

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cancer patientsBlood samplingLevel of antibodies against SARS-CoV-2 will be measured in these patients
Primary Outcome Measures
NameTimeMethod
Immune response4 months

The primary endpoint is the quantification of different anti-SARS-CoV-2 specific IgG antibodies 4 months after (first) vaccine administration. Antibody titers to the full Spike, S1, S2, RBD (receptor binding domain) and N (nucleocapsid) protein of SARS-CoV-2 will be measured quantitatively. For this measurement a multiplex SARS-CoV-2 immunoassay will be used.

Secondary Outcome Measures
NameTimeMethod
Duration of the immune response6 months

To study the evolution and duration of the immune response after vaccination: using serological assays to analyze anti-RBD IgG titers 6 months after (first) vaccine administration.

Neutralizing capacity6 months

To analyze the titer of neutralizing antibodies both 4 and 6 months after (first) vaccine administration

Efficacy of the immune response12 months

This will be assessed by the SARS-Cov2 infection rate based on information collected through questionnaires on incidence of (PCR-confirmed) SARSCoV-2 infection within a time-frame of 12 months after the start of the study.

Vaccine safety12 months

Safety will be reported in terms of incidence and severity of systemic adverse events (AEs) during a continuous App based reporting system or using a questionnaire 3 days after vaccine administration.

Trial Locations

Locations (8)

AZ Groeninge

🇧🇪

Kortrijk, Belgium

AZ Nikolaas

🇧🇪

Sint-Niklaas, Belgium

University Hospital Antwerp

🇧🇪

Edegem, Antwerp, Belgium

AZ Klina

🇧🇪

Brasschaat, Belgium

AZ Sint Jan

🇧🇪

Brugge, Belgium

UZ Brussel

🇧🇪

Brussels, Belgium

AZ Sint Lucas

🇧🇪

Gent, Belgium

UZ Gent

🇧🇪

Gent, Belgium

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