NCT05222139

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

93
On Track

Trial Health Score

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

Enrollment
8,894

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2021

Typical duration for all trials

Geographic Reach
7 countries

20 active sites

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

May 24, 2021

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

November 8, 2021

Completed
3 months until next milestone

First Posted

Study publicly available on registry

February 3, 2022

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 16, 2023

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2024

Completed
Last Updated

March 25, 2025

Status Verified

March 1, 2025

Enrollment Period

2.1 years

First QC Date

November 8, 2021

Last Update Submit

March 24, 2025

Conditions

Keywords

Frail patients

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

Biological: COVID-19 vaccination

People living with HIV

People living with HIV

Biological: COVID-19 vaccination

Patients with oncological diseases

Patients with oncological diseases

Biological: COVID-19 vaccination

Patients with hematological diseases

Patients with hematological diseases

Biological: COVID-19 vaccination

Patients with cystic fibrosis

Patients with cystic fibrosis

Biological: COVID-19 vaccination

Patients with Parkinson Disease

Patients with Parkinson Disease

Biological: COVID-19 vaccination

Patients with rheumatological diseases

Patients with rheumatological diseases

Biological: COVID-19 vaccination

Pregnant women/ New-borns

Pregnant women/ New-borns

Biological: COVID-19 vaccination

Children

Children

Biological: COVID-19 vaccination

Interventions

Monitoring COVID-19 vaccination

ChildrenPatients with Parkinson DiseasePatients with cystic fibrosisPatients with hematological diseasesPatients with oncological diseasesPatients with rheumatological diseasesPeople living with HIVPregnant women/ New-bornsSolid organ transplant recipients

Eligibility Criteria

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

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

Study Sites (20)

Universidad de Buenos Aires (UBA)

Buenos Aires, Argentina

Location

Centre de Recherches Medicales de Lambaréné (CERMEL)

Lambaréné, Gabon

Location

Catholics Bishops Conference of India, Society for Medical Education (CBCI)

Bangalore, India

Location

Translational Health Science and Technology Institute (THSTI)

Faridabad, India

Location

University of Bologna

Bologna, Italy

Location

ICONA Foundation

Milan, Italy

Location

Aziena Ospedaliera Universitaria di Padova - Centro Trapianti di fegato

Padua, Italy

Location

Azienda Ospedaliera Universitaria di Padova - Centro trapianti di polmone

Padua, Italy

Location

Azienda Ospedaliera Universitaria di Padova - UOC Chirurgia dei trapianti di rene

Padua, Italy

Location

Azienda Ospedaliera Universitaria di Padova - UOC Nefrologia Pediatrica

Padua, Italy

Location

Azienda Ospedaliero Universitaria di Padova - Clinica Medica 5

Padua, Italy

Location

Azienda Ospedaliero Universitaria di Padova - Trapianto Multiviscerale

Padua, Italy

Location

Azienda Ospedaliero Universitaria di Padova - UOC Cardiochirurgia

Padua, Italy

Location

Azienda Ospedaliero Universitaria di Padova - UOC Clinica Pediatrica

Padua, Italy

Location

PENTA Foundation

Padua, Italy

Location

Azienda ULSS2 Marca Trevigiana

Treviso, Italy

Location

University of Verona

Verona, Italy

Location

Luxembourg Institute of Health (LIH)

Luxembourg, Luxembourg

Location

University Medical Center Groningen (UMCG)

Groningen, Netherlands

Location

Hosp. Univ. Virgen Macarena / Universidad de Sevilla

Seville, Spain

Location

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

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

COVID-19InfectionsBreakthrough Infections

Interventions

heterologous prime boost COVID-19 vaccination

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Maddalena Giannella, MD PhD

    University of Bologna

    PRINCIPAL INVESTIGATOR

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

Locations