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AzTrials

TransplantationCOVAGREFNCT03180359

Vaccines Immunogenicity in Renal, Hepatic, Cardiac or Pulmonary Transplanted Children

A study testing Recommended vaccine scheme according to French Vaccine Schedule 2015 in people with Transplantation, run by Hospices Civils de Lyon at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Thanks to improved surgical techniques, postoperative management and immunosuppressive therapies, an increasing number of children benefit from renal, hepatic, cardiac and pulmonary transplantation. Read more about this study

Who is it for?
Ages Up to 17 years
Conditions the study is for
Transplantation
What is being tested?
Recommended vaccine scheme according to French Vaccine Schedule 2015
Could I receive a placebo?
No, everyone receives an active treatment
How many people
55 participants
Where
1 siteFrance
Study dates
1 Jan 2016to 13 Oct 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • children and adolescent between 0 and 17 years old
  • registered in the database of the Agency of Biomedicine
  • transplanted or waiting for a renal, hepatic, cardiac or pulmonary transplantation
  • followed up in the Rhône-Alpes region between January 1st , 2015 and December 31th, 2016
  • patients requiring vaccination in standard care

Who cannot join

  • adults
  • children or adolescent not able not comply with protocol
  • children, adolescent or patient parents or legal guardian not opposed to study participation

Trial locations and contacts

1 site in 1 country.

France1 site
  • Hospices Civils de Lyon

    Bron, 69500

Other trials in France

About this study

Official title: Vaccines Immunogenicity in Children Transplanted or Candidate for a Renal, Hepatic, Cardiac or Pulmonary Transplantation, Followed in the Rhône-Alpes Region. A Descriptive and Prospective Monocentric Cohort Study

Thanks to improved surgical techniques, postoperative management and immunosuppressive therapies, an increasing number of children benefit from renal, hepatic, cardiac and pulmonary transplantation. Infection is a significant cause of mortality and morbidity in these patients, particularly due to vaccine-preventable diseases. Vaccination is one of the effective means of reducing infection-related mortality in these particularly vulnerable children. It is mostly well-tolerated, but all the more effective as it is performed early before transplantation, at best during a dedicated consultation, according to a vaccine scheme adapted to the immunocompromised child. In the almost constant absence of clinical efficacy data in populations of immunocompromised individuals, vaccine efficacy is most often indirectly estimated by immunogenicity, using protective correlates obtained by extrapolation in immunocompetent individuals.

Primary objective: To estimate the immunogenicity of vaccines recommended in children transplanted or candidate for renal, hepatic, cardiac and pulmonary transplantation, using serological titers measurements before and after a vaccine injection for: influenza, pneumococcus, chicken pox, measles, tetanus, hepatitis A and hepatitis B.

Read more

These serological titers will be compared to correlates of protection existing for each valency.

The evolution of serological titers will be described during the first year. The vaccination will be carried out within the routine care, according to the recommendations.

Secondary objectives:

  • describe and quantify the vaccination status of patients
  • describe the vaccination coverage of their entourage
  • evaluate the tolerance and efficacy of vaccines
Conditions
Transplantation
Being tested
Recommended vaccine scheme according to French Vaccine Schedule 2015
Keywords
solid transplant, grafted children, vaccine recommendation, immunization efficacy, solid grafted children, solid transplant candidate children

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Recommended vaccine scheme according to French Vaccine Schedule 2015Biological

    • BCG
    • Measles mumps rubella (MMR)
    • Varicella (chicken pox)
    • Rotavirus
    • Seasonal flu (live vaccine delivered nasally and inactivated vaccine injectable)
    • Yellow Fever
    • Diphteria tetanus poliomyelitis whopping cough (DTwP)
    • Haemophilus influenzae type b
    • Hepatitis B
    • Meningococcus conjugate
    • Pneumococcus
    • Human papillomavirus
    • Hepatitis A

    Vaccine administration would be done according to French Vaccine Schedule 2015 for mainstream population and for grafted children or transplant candidate children

Study groups in NCT03180359
Study groupRoleWhat they receive
Patient already transplanted or waiting for a transplantationExperimentalNot described
Receives: Biological: Recommended vaccine scheme according to French Vaccine Schedule 2015

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Immunogenicity of vaccines recommended in children transplanted or candidate for renal, hepatic, cardiac and pulmonary transplantation

    The immunogenicity is appraised from serological titer before and after vaccine injection. These serological titers will be compared to existing reference protection correlates for each valency, and defined as protective or non-protective: Tetanus (>0,1 UI/ml), hepatitis B (>10 mUI/ml), hepatitis A (> 20 mUI/ml), measles (0,18 in EIA index), chicken pox (> 5 gp Elisa UI/ml or > 50 UI/l with an highly sensitive test), influenza (Hemagglutination Inhibition Assay > 1/40), pneumococcus (0,35 µg/ml, > 0,4 mg/l for each specific serotype, if > 2/3 or 4/6, protecting serotype)

    Measured: at Month 0

  2. Immunogenicity of vaccines recommended in children transplanted or candidate for renal, hepatic, cardiac and pulmonary transplantation

    The immunogenicity is appraised from serological titer before and after vaccine injection. These serological titers will be compared to existing reference protection correlates for each valency, and defined as protective or non-protective: Tetanus (>0,1 UI/ml), hepatitis B (>10 mUI/ml), hepatitis A (> 20 mUI/ml), measles (0,18 in EIA index), chicken pox (> 5 gp Elisa UI/ml or > 50 UI/l with an highly sensitive test), influenza (Hemagglutination Inhibition Assay > 1/40), pneumococcus (0,35 µg/ml, > 0,4 mg/l for each specific serotype, if > 2/3 or 4/6, protecting serotype)

    Measured: between Month 1 and Month 3

  3. Immunogenicity of vaccines recommended in children transplanted or candidate for renal, hepatic, cardiac and pulmonary transplantation

    The immunogenicity is appraised from serological titer before and after vaccine injection. These serological titers will be compared to existing reference protection correlates for each valency, and defined as protective or non-protective: Tetanus (>0,1 UI/ml), hepatitis B (>10 mUI/ml), hepatitis A (> 20 mUI/ml), measles (0,18 in EIA index), chicken pox (> 5 gp Elisa UI/ml or > 50 UI/l with an highly sensitive test), influenza (Hemagglutination Inhibition Assay > 1/40), pneumococcus (0,35 µg/ml, > 0,4 mg/l for each specific serotype, if > 2/3 or 4/6, protecting serotype)

    Measured: Month 12

  4. Immunogenicity of vaccines recommended in children transplanted or candidate for renal, hepatic, cardiac and pulmonary transplantation

    The immunogenicity is appraised from serological titer before and after vaccine injection. These serological titers will be compared to existing reference protection correlates for each valency, and defined as protective or non-protective: Tetanus (>0,1 UI/ml), hepatitis B (>10 mUI/ml), hepatitis A (> 20 mUI/ml), measles (0,18 in EIA index), chicken pox (> 5 gp Elisa UI/ml or > 50 UI/l with an highly sensitive test), influenza (Hemagglutination Inhibition Assay > 1/40), pneumococcus (0,35 µg/ml, > 0,4 mg/l for each specific serotype, if > 2/3 or 4/6, protecting serotype)

    Measured: 3-month post-transplantation (if transplantation occurs during the study)

Secondary outcomes (16)
  1. Levels of blood antibodies corresponding to the following vaccine valencies: influenza, pneumococcus, chicken pox (varicella), measles, tetanus, hepatitis A and hepatitis B.

    Measured: at Month 0

  2. Levels of blood antibodies corresponding to the following vaccine valencies: influenza, pneumococcus, chicken pox (varicella), measles, tetanus, hepatitis A and hepatitis B.

    Measured: between Month 1 and Month 3

  3. Levels of blood antibodies corresponding to the following vaccine valencies: influenza, pneumococcus, chicken pox (varicella), measles, tetanus, hepatitis A and hepatitis B.

    Measured: at Month 12

  4. Levels of blood antibodies corresponding to the following vaccine valencies: influenza, pneumococcus, chicken pox (varicella), measles, tetanus, hepatitis A and hepatitis B.

    Measured: 3-month post-transplantation (if transplantation occurs during the study)

  5. the number of early or late injections

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: at Month 0,

  6. the number of missing injections and supplementary injections

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: at Month 0,

  7. the number of days in advance or delayed from recommended injections (per injection and cumulative)

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: at Month 0,

  8. the number of early or late injections

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: between Month 1 and Month 3

  9. the number of missing injections and supplementary injections

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: between Month 1 and Month 3

  10. the number of days in advance or delayed from recommended injections (per injection and cumulative)

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: between Month 1 and Month 3

  11. the number of early or late injections

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: at Month 12

  12. the number of missing injections and supplementary injections

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: at Month 12

  13. the number of days in advance or delayed from recommended injections (per injection and cumulative)

    Vaccine status compliance with vaccine recommendation, from literature data and from the opinion of the Vaccine Technical Committee President.

    Compliance will be appraised by considering for each valence:

    • the number of early or late injections
    • the number of missing injections and supplementary injections
    • the number of days in advance or delayed from recommended injections (per injection and cumulative) 2 age groups will be differentiate : <2 years (primary vaccination) and >2 years For each age group, early or late injections are defined by considering literature data and the opinion of the Vaccine Technical Committee President.

    Measured: at Month 12

  14. Vaccination coverage of patients' entourage

    Number of missing, additional, early or late injections, compared to vaccine recommendations.

    Measured: at month 0

  15. Patients' vaccine tolerance

    Local reactions, fever, clinical or biological signs of rejection

    Measured: at Week 1

  16. Patients' vaccine tolerance

    Local reactions, fever, clinical or biological signs of rejection

    Measured: at Month 1 after injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jun 2017
  2. Study start1 Jan 2016
  3. Primary completion13 Oct 2019
  4. Study completion13 Oct 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03180359
Sponsor's protocol ID
69HCL17_0354
Other IDs
2015-A00854-45
Acronym
COVAGREF
Status last verified
Mar 2023
First submitted
31 May 2017
Last updated
8 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Recommended vaccine scheme according to French Vaccine Schedule 2015 in people with Transplantation, run by Hospices Civils de Lyon at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Immunogenicity of vaccines recommended in children transplanted or candidate for renal, hepatic, cardiac and pulmonary transplantation (time frame: at Month 0). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Mar 2023.

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