NCT04800146

Brief Summary

This is a single centre prospective observational study to assess the immune response to SARS-CoV-2 vaccines in cancer patients receiving active treatment or in follow-up at the IOSI and in non-cancer patients (age and gender matched).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
177

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Feb 2021

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 25, 2021

Completed
13 days until next milestone

First Submitted

Initial submission to the registry

March 10, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 16, 2021

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 21, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 21, 2023

Completed
Last Updated

March 23, 2023

Status Verified

March 1, 2023

Enrollment Period

2.1 years

First QC Date

March 10, 2021

Last Update Submit

March 21, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Immune response to SARS-CoV-2 vaccine in cancer patients

    to determine the changes in the titer of serum antibodies (IgM, IgG and IgA) targeting SARS-CoV-2 antigens in 7 cohorts of cancer patients who have received the SARS-CoV-2 vaccination. A cohort of non-cancer subjects will be used as control group.

    3, 6, 9 and 12 months following vaccination

Secondary Outcomes (4)

  • changes in serum antibodies anti SARS-CoV-2 after vaccination

    3, 6, 9 and 12 months following vaccination

  • Cellular immune response to SARS-CoV-2 vaccine

    3, 6, 9 and 12 months following vaccination

  • Cellular immune response to SARS-CoV-2 vaccine

    3, 6, 9 and 12 months following vaccination

  • Immune response to SARS-CoV-2 vaccine according tumor and treatment type

    3, 6, 9 and 12 months following vaccination

Study Arms (8)

Cohort 1

patients with solid tumors treated with chemotherapy (ongoing or completed no more than 6 months before enrollment). Specific type of chemotherapy inducing similar immunosuppression will be selected (including but not limited to platinum-based combinations, anthracycline combinations, triweekly docetaxel).

Procedure: Blood sample

Cohort 2

patients with solid tumors treated with single agent immune-check points inhibitors (ongoing or completed no more than 6 months before the enrollment

Procedure: Blood sample

Cohort 3

patients with solid tumors treated with hormonal agents (ongoing or completed no more than 6 months before enrollment): any anti-androgen for prostate cancer and any anti-estrogen for breast cancer patients.

Procedure: Blood sample

Cohort 4

patients with previously untreated mature B cell tumors in watch and wait

Procedure: Blood sample

Cohort 5

patients with mature B cell tumors treated with anti-CD20 monoclonal antibody either alone or in combination with chemotherapy (ongoing or completed no more than 12 months before enrollment

Procedure: Blood sample

Cohort 6

patients with hematological malignancies treated with pathway inhibitors (ongoing or completed no more than 12 months before enrollment). Different type of targeted agents can be considered, including Bruton tyrosine kinase (BTK) inhibitors, B-cell lymphoma 2 (BCL-2) inhibitors or phosphoinositide-3 kinase (PI3K) inhibitors

Procedure: Blood sample

Cohort 7

patients with hematological malignancies who have received autologous stem cell or allogenic transplant within 12 months

Procedure: Blood sample

Cohort 8

non-cancer subjects (age and gender matched) referred to the Division of Infectious Diseases, Lugano, EOC for vaccination against SARS-CoV-2.

Procedure: Blood sample

Interventions

Blood samplePROCEDURE

Patients will be asked to provide blood samples at specified time points: before and after the SARS-CoV-2 vaccination

Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort 7Cohort 8

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The population of this study is represented by patients with a diagnosis of solid tumor or hematological malignancy and receiving treatment or on active surveillance at the IOSI who have planned to receive an mRNA (messenger ribonucleic acid) SARS-CoV-2 vaccine, according to the prespecified cohorts. A control group of non-cancer subjects followed at the outpatient clinic of the Division of Infectious Diseases, EOC will also be enrolled for comparative analysis.

You may qualify if:

  • Male of Female age at least 18 years
  • Patients with a diagnosis of malignancy (solid tumors or hematological malignancies) according to the defined cohorts. Only for cohorts 1-7
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2
  • Absence of known immune deficiency (other than cancer for cohorts 1-7)
  • Ability to understand the patient information and study consent. Signed and dated written informed consent must be available before performing any study-related procedure
  • Willing and able to comply with the study procedures.
  • Willing to receive an mRNA anti-SARS-CoV-2 vaccine.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Oncology Institute of Southern Switzerland

Bellinzona, 6500, Switzerland

Location

MeSH Terms

Conditions

COVID-19Neoplasms

Interventions

Blood Specimen Collection

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative Techniques

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 10, 2021

First Posted

March 16, 2021

Study Start

February 25, 2021

Primary Completion

March 21, 2023

Study Completion

March 21, 2023

Last Updated

March 23, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations