Covid-19 Vaccine Immune Response in Multiple Sclerosis
CoVaR-MS
An Observational Study to Evaluate Immune Response to Covid-19 Vaccines, Infections and Immune Treatments in People With Multiple Sclerosis
1 other identifier
observational
240
1 country
1
Brief Summary
Coronavirus (Covid-19) has affected millions of people worldwide. Vaccines to prevent Covid-19 infection have been offered to reduce the risk of infection. While these vaccines have been offered to people with multiple sclerosis (MS), they have not been tested in these individuals. It is uncertain whether people with MS will develop protective antibodies after a Covid-19 vaccination and how long these antibodies will last. The investigators are planning to study the immune response to the full course of Covid-19 vaccine in people with MS (study group) and compare this to people without MS or immune suppression (control group).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2022
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 16, 2022
CompletedFirst Submitted
Initial submission to the registry
March 2, 2022
CompletedFirst Posted
Study publicly available on registry
March 8, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2025
CompletedFebruary 4, 2025
February 1, 2025
2.9 years
March 2, 2022
February 3, 2025
Conditions
Outcome Measures
Primary Outcomes (4)
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche
12 months (+3 months) from date of first dose of Covid-19 vaccine
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 18 months from date of first dose of Covid-19 vaccine
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche
18 months (+3 months) from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status
12 months (+3 months) from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status in MS patients compared with healthy volunteers 18 months from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status
18 months (+3 months) from date of first dose of Covid-19 vaccine
Secondary Outcomes (12)
Type and timing of DMT in MS patients
12 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of DMT in MS patients
18 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of Covid-19 vaccine in MS patients compared with healthy volunteers
12 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of Covid-19 vaccine in MS patients compared with healthy volunteers
18 months (+3 months) from date of first dose of Covid-19 vaccine
Participant-reported PCR positive Covid-19 infection/s in MS patients compared with healthy volunteers
12 months (+3 months) from date of first dose of Covid-19 vaccine
- +7 more secondary outcomes
Study Arms (8)
Study group - Ocrelizumab
30 patients with multiple sclerosis on Ocrelizumab (standard of care)
Study group - Natalizumab
30 patients with multiple sclerosis on Natalizumab (standard of care)
Study group - Alemtuzumab
30 patients with multiple sclerosis on Alemtuzumab (standard of care)
Study group - Tecfidera
30 patients with multiple sclerosis on Tecfidera (standard of care)
Study group - Fingolimod
30 patients with multiple sclerosis on Fingolimod (standard of care)
Study group - Interferon
30 patients with multiple sclerosis on Interferon (standard of care)
Study group - off DMT
30 patients with multiple sclerosis off disease modification treatment (DMT) (standard of care)
Control group
30 healthy volunteers
Interventions
Blood test 1 - At 12 months (+3months) from the date of 1st Covid-19 vaccine: Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche, T-SPOT® COVID SARS-CoV-2, Full Blood Count, Serum Immunoglobulins, Anti-VZV titres
Blood test 2 - At 18 months (+3months) from the date of 1st Covid-19 vaccine: Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche, T-SPOT® COVID SARS-CoV-2, Full Blood Count, Serum Immunoglobulins, Anti-VZV titres
Eligibility Criteria
There are two groups of participants in this study: 1. Multiple Sclerosis Patients (Study Group): 210 patients with multiple sclerosis, on and off disease modification treatment (DMT): * 180 patients on DMT, divided as follows: 30 patients on Ocrelizumab, 30 patients on Natalizumab, 30 patients on Alemtuzumab, 30 patients on Tecfidera, 30 patients on Fingolimod, 30 patients on Interferon * 30 patients off DMT 2. Healthy Volunteers (Control Group): 30 healthy volunteers
You may qualify if:
- Aged 18 years and over
- Diagnosis of Multiple Sclerosis as per McDonald's Criteria 2017
- Falls into one of following the Disease Modification Treatment (DMT) groups: on Ocrelizumab, on Natalizumab, on Alemtuzumab, on Tecfidera, on Fingolimod, on Interferon, not on any DMT
- Has had a complete course of Covid-19 vaccination including any boosters (standard dosing: prescribed as per the UK Government guidelines)
- Willing and able to give fully informed consent
- Willing and able to comply with the study procedures
You may not qualify if:
- Has declined or does not wish to have Covid-19 vaccine
- Has switched DMT since the date of first dose of Covid-19 vaccine
- Has any other immunological condition or on immune treatment causing immune suppression
- Has declined or does not wish to have Covid-19 vaccine
- Ineligible\* for Covid-19 vaccine (\*Ineligible for health reasons and/or as per Government prioritisation of vaccinations)
- Non-English speaker where translation facilities are insufficient to guarantee informed consent
- Aged 18 years and over
- Has had a complete course of Covid-19 vaccination (standard dosing: prescribed as per the UK Government guidelines)
- Willing and able to give fully informed consent
- Willing and able to comply with the study procedures
- Has declined or does not wish to have Covid-19 vaccine
- Has MS or another long-term immunological condition
- History of taking any immune treatment causing immune suppression in the last 5 years
- History of any immune conditions or comorbidities known to result in immune suppression within the last 5 years;
- Ineligible\* for Covid-19 vaccine (\*Ineligible for health reasons and/or as per Government prioritisation of vaccinations)
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospitals of North Midlands NHS Trust
Stoke-on-Trent, St4 6QG, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 2, 2022
First Posted
March 8, 2022
Study Start
February 16, 2022
Primary Completion
December 30, 2024
Study Completion
December 30, 2025
Last Updated
February 4, 2025
Record last verified: 2025-02