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Immune Response to Vaccination Against Covid-19, a Follow up Study

Recruiting
Conditions
Covid19
Vaccination; Infection
Interventions
Drug: Vaccination
Registration Number
NCT04920357
Lead Sponsor
Umeå University
Brief Summary

The study investigates the immune response after vaccination in individuals with and without pre-existing immunity to Coronavirus disease (COVID) -19. The participants are followed and sampled up to 4 years after vaccination. Blood samples are collected at different timepoints to analyze immune response.

The aim is to investigate the level of specific antibodies to Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) yearly, up to 4 years after vaccination.

Detailed Description

The main objective is to investigate if the antibody development to SARS-CoV-2 S protein differ after vaccination in those who have had a previous SARS-CoV-2 infection compared to Covid-19 naive individuals.

The secondary objective is to improve the understanding of the cellular and serological immune response after vaccination against COVID-19 in these groups.

Individuals with and without pre-existing immunity to COVID-19 are included in the study. They are included after informed consent at sites where they receive vaccines against COVID-19 within the national and regional vaccine campaign.

The study includes all approved COVID-19 vaccines with marketing authorization in Sweden.

Persons are enrolled after the first or second dose of vaccination and followed 4 years after vaccination. Blood is collected at inclusion and 3 months, 6 months, 1 year, 2 years, 3 years and 4 years after vaccination to assess the immune response.

Data on sex, age, body mass index, medical history and concomitant medication is collected.

The study is a follow-up study after vaccination and approved by the Swedish Medical Products Agency (EudraCT 2021-000683-30). Regular monitoring of the study is performed by the Clinical Trial unit at Umeå University Hospital.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
3000
Inclusion Criteria
  • Consents to participate in the study
  • Age ≥ 18 years
Exclusion Criteria
  • Age <18 years
  • Incapable of giving informed consent
  • Contraindication to vaccination
  • Severe disease
  • Ongoing treatment that is judged to affect the vaccine response (Does not include Rituximab which is allowed after individual consideration). Steroids > 15 mg orally per day.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Post-COVID-19VaccinationPersons with a verified previous COVID-19 infection
COVID-19 naiveVaccinationPersons that have no history of COVID-19
Primary Outcome Measures
NameTimeMethod
Change in proportion of participants with detectable specific IgG antibodies after vaccination over time.1 and 6 months, 1, 2, 3, and 4 years after vaccination

Immune response will be measured as the proportion of participants (in % of all vaccinated individuals) with detectable specific IgG antibodies after vaccination at each time-point (in months after vaccination).

Change in levels of specific IgG antibody against SARS-CoV-2 after vaccination over time.1 and 6 months, 1, 2, 3, and 4 years after vaccination.

Levels of specific IgG antibody against SARS-CoV-2 will be measured as optical density, OD in a specific Spike-protein IgG ELISA at each time-point.

Secondary Outcome Measures
NameTimeMethod
Levels of markers for immune response after infection and vaccination against COVID-19 in COVID-naive versus COVID experienced individuals.Change of markers for cellular and serological immune response over time measured at 1 and 6 months, 1, 2, 3, and 4 years after vaccination

Levels of markers for cellular and serological immune response after COVID-19 vaccination e.g. specific antibodies, T- and B-cell memory.

Trial Locations

Locations (5)

Umeå University hospital

🇸🇪

Umeå, Sweden

Mälarsjukhuset

🇸🇪

Eskilstuna, Sweden

Östersund hospital

🇸🇪

Östersund, Sweden

Örebro University hospital

🇸🇪

Örebro, Sweden

Karlstad Central hospital

🇸🇪

Karlstad, Sweden

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