Monitoring COVID-19 Vaccination Response in Fragile Populations
ORCHESTRA-4
"Multicenter Observational Study to Assess the Incidence and Features of COVID-19 and the Response to COVID-19 Vaccination in Fragile Patients"
1 other identifier
observational
8,894
7 countries
20
Brief Summary
The present study is part of ORCHESTRA project, a three-year international research project aimed at tackling the coronavirus pandemic. ORCHESTRA provides an innovative approach to learn from the pandemic SARS-CoV-2 crisis, derive recommendations to further management of COVID-19 and be prepared for the possible future pandemic waves. The ORCHESTRA project aims to deliver sound scientific evidence for the prevention and treatment of the infections caused by SARS-CoV-2 assessing epidemiological, clinical, microbiological, and genotypic aspects of population, environment and socio-economic features. The project builds upon existing, and new largescale population cohorts in Europe (France, Germany, Spain, Italy, Belgium, Romania, Netherlands, Luxemburg, and Slovakia) and non-European countries (India, Perú, Ecuador, Colombia, Venezuela, Argentina, Brazil and Gabon) including SARS-CoV-2 infected and non-infected individuals of all ages and conditions. The primary aim of ORCHESTRA is the creation of a new pan European cohort applying homogenous protocols for data collection, data sharing, sampling, and follow-up, which can rapidly advance the knowledge on the control and management of the COVID-19. ORCHESTRA will include SARS-CoV-2-negative individuals and thereby enable a prospective follow-up and an analysis of vaccination response. The cohort will involve four different populations: general population, COVID-19 patients, fragile individuals (children, elderly, transplanted, oncological, HIV infected, and those with Parkinson disease), and health-care workers. Each of these "perpetual" cohorts can answer different research questions and vaccine strategies. Within the ORCHESTRA project, the Work Package 4 (WP4) will focus on the cohort of fragile patients including pregnant women/new-born, children, patients with HIV infection, patients with autoimmune disease, solid organ transplant recipients, patients with oncological and hematological diseases, patients with cystic fibrosis, patients with Parkinson Disease and rheumatological diseases from from 14 countries (5 European and 9 non-European countries), with approximately 20000 subjects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2021
Typical duration for all trials
20 active sites
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
May 24, 2021
CompletedFirst Submitted
Initial submission to the registry
November 8, 2021
CompletedFirst Posted
Study publicly available on registry
February 3, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 16, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2024
CompletedMarch 25, 2025
March 1, 2025
2.1 years
November 8, 2021
March 24, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Early immune response to COVID-19 vaccine patients
To investigate the early immune response to COVID-19 vaccine in fragile patients assessing the levels of antibodies against Spike antigens and the patterns of cellular immune response
3 ± 1 month after vaccination onset
Late immune response to COVID-19 vaccine
To investigate the late immune response to COVID-19 vaccine in fragile patients assessing the levels of antibodies against Spike antigens and the patterns of cellular immune response
12 ± 3 months after vaccination onset
Rate of COVID-19 breakthrough infections
To investigate the rate of COVID-19 breakthrough infections in fragile patients within 1 year after vaccination onset
within 1 year after vaccination onset
Rate of hospital admission for COVID-19 breakthrough infections condition and its impact on the outcome in fragile patients
To investigate the rate of hospital admission for COVID-19 breakthrough infections in fragile patients
within 1 year after vaccination onset
Rate of death for COVID-19 breakthrough infections patients
To investigate the rate of death for COVID-19 breakthrough infections in fragile patients
within 1 year after vaccination onset
Study Arms (9)
Solid organ transplant recipients
Solid organ transplant recipients
People living with HIV
People living with HIV
Patients with oncological diseases
Patients with oncological diseases
Patients with hematological diseases
Patients with hematological diseases
Patients with cystic fibrosis
Patients with cystic fibrosis
Patients with Parkinson Disease
Patients with Parkinson Disease
Patients with rheumatological diseases
Patients with rheumatological diseases
Pregnant women/ New-borns
Pregnant women/ New-borns
Children
Children
Interventions
Monitoring COVID-19 vaccination
Eligibility Criteria
Patients of all age and any comorbidity included in an ORCHESTRA fragile population cohort
You may qualify if:
- Any age
- Any comorbidity
- Person (or attorney or deputy who has been authorized to make the decision for patients who lack capacity) consent to participate or appropriate local waiver of consent.
You may not qualify if:
- Patients did not agree to participate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Bolognalead
- Universita di Veronacollaborator
- Hospital Universitario Virgen Macarenacollaborator
- Azienda Ospedaliera di Padovacollaborator
- Azienda Ospedaliero-Universitaria di Parmacollaborator
- Azienda Ulss 2 Marca Trevigianacollaborator
- University College Dublincollaborator
- Luxembourg Institute of Healthcollaborator
- Fondazione ICONAcollaborator
- University Medical Center Groningencollaborator
- University of Buenos Airescollaborator
- PENTA Foundationcollaborator
- Universiteit Antwerpencollaborator
- Institut National de la Santé Et de la Recherche Médicale, Francecollaborator
- Helmholtz Zentrum Münchencollaborator
- CINECA consorzio universitario italianocollaborator
- Charite University, Berlin, Germanycollaborator
- Centre de Recherche Médicale de Lambarénécollaborator
Study Sites (20)
Universidad de Buenos Aires (UBA)
Buenos Aires, Argentina
Centre de Recherches Medicales de Lambaréné (CERMEL)
Lambaréné, Gabon
Catholics Bishops Conference of India, Society for Medical Education (CBCI)
Bangalore, India
Translational Health Science and Technology Institute (THSTI)
Faridabad, India
University of Bologna
Bologna, Italy
ICONA Foundation
Milan, Italy
Aziena Ospedaliera Universitaria di Padova - Centro Trapianti di fegato
Padua, Italy
Azienda Ospedaliera Universitaria di Padova - Centro trapianti di polmone
Padua, Italy
Azienda Ospedaliera Universitaria di Padova - UOC Chirurgia dei trapianti di rene
Padua, Italy
Azienda Ospedaliera Universitaria di Padova - UOC Nefrologia Pediatrica
Padua, Italy
Azienda Ospedaliero Universitaria di Padova - Clinica Medica 5
Padua, Italy
Azienda Ospedaliero Universitaria di Padova - Trapianto Multiviscerale
Padua, Italy
Azienda Ospedaliero Universitaria di Padova - UOC Cardiochirurgia
Padua, Italy
Azienda Ospedaliero Universitaria di Padova - UOC Clinica Pediatrica
Padua, Italy
PENTA Foundation
Padua, Italy
Azienda ULSS2 Marca Trevigiana
Treviso, Italy
University of Verona
Verona, Italy
Luxembourg Institute of Health (LIH)
Luxembourg, Luxembourg
University Medical Center Groningen (UMCG)
Groningen, Netherlands
Hosp. Univ. Virgen Macarena / Universidad de Sevilla
Seville, Spain
Related Links
- SARS-CoV-2 vaccination in solid-organ transplant recipients: What the clinician needs to know.
- Evaluation of the kinetics of antibody response to COVID-19 vaccine in solid organ transplant recipients: the prospective, multicenter ORCHESTRA cohort.
- Relationship Between Immune Response to Severe Acute Respiratory Syndrome Coronavirus 2 Vaccines and Development of Breakthrough Infection in Solid Organ Transplant Recipients: The CONTRAST Cohort
- Effect of a Fourth Dose of mRNA Vaccine and of Immunosuppression in Preventing SARS-CoV-2 Breakthrough Infections in Heart Transplant Patients.
- Using machine learning to predict antibody response to SARS-CoV-2 vaccination in Solid Organ Transplant Recipients. The multicentre ORCHESTRA cohort.
- SARS-CoV-2 mRNA Vaccine Response in People Living with HIV According to CD4 Count and CD4/CD8 Ratio.
- SARS-CoV-2 mRNA vaccination and short-term changes in viral load and CD4/CD8 T-cell counts in people living with HIV
Biospecimen
biological samples (including blood, naso-pharingeal swabs, urine, and stool) will be collected and stored in the biobank of each participating center according to local authority regulation.
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Maddalena Giannella, MD PhD
University of Bologna
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 8, 2021
First Posted
February 3, 2022
Study Start
May 24, 2021
Primary Completion
July 16, 2023
Study Completion
November 30, 2024
Last Updated
March 25, 2025
Record last verified: 2025-03