NCT05269888

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

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Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
240

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2022

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Completed
14 days until next milestone

First Submitted

Initial submission to the registry

March 2, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 8, 2022

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

February 4, 2025

Status Verified

February 1, 2025

Enrollment Period

2.9 years

First QC Date

March 2, 2022

Last Update Submit

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)

Other: Blood Test 1Other: Blood Test 2

Study group - Natalizumab

30 patients with multiple sclerosis on Natalizumab (standard of care)

Other: Blood Test 1Other: Blood Test 2

Study group - Alemtuzumab

30 patients with multiple sclerosis on Alemtuzumab (standard of care)

Other: Blood Test 1Other: Blood Test 2

Study group - Tecfidera

30 patients with multiple sclerosis on Tecfidera (standard of care)

Other: Blood Test 1Other: Blood Test 2

Study group - Fingolimod

30 patients with multiple sclerosis on Fingolimod (standard of care)

Other: Blood Test 1Other: Blood Test 2

Study group - Interferon

30 patients with multiple sclerosis on Interferon (standard of care)

Other: Blood Test 1Other: Blood Test 2

Study group - off DMT

30 patients with multiple sclerosis off disease modification treatment (DMT) (standard of care)

Other: Blood Test 1Other: Blood Test 2

Control group

30 healthy volunteers

Other: Blood Test 1Other: Blood Test 2

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

Control groupStudy group - AlemtuzumabStudy group - FingolimodStudy group - InterferonStudy group - NatalizumabStudy group - OcrelizumabStudy group - TecfideraStudy group - off DMT

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

Control groupStudy group - AlemtuzumabStudy group - FingolimodStudy group - InterferonStudy group - NatalizumabStudy group - OcrelizumabStudy group - TecfideraStudy group - off DMT

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Location

MeSH Terms

Conditions

Multiple Sclerosis

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

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

Locations