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AzTrials

CancerVOICENCT04715438

Vaccination Against COVID-19 in Cancer

A study testing mRNA-1273 SARS-CoV-2 vaccine from Moderna in people with Cancer, run by University Medical Center Groningen at 3 sites in Netherlands.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study will collect information on immune response and adverse events after vaccination against coronavirus disease (COVID-19) in a vulnerable patient cohort. Understanding the ability or disability to mount a protective immune response after vaccination will help to counsel patients during the pandemic and… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Cancer
What is being tested?
mRNA-1273 SARS-CoV-2 vaccine from Moderna
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
791 participants
Where
3 sitesNetherlands
Study dates
8 Jan 2021to Apr 2025
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • To be eligible to participate in this study, a subject must meet all of the following criteria:
  • Age of 18 years or older
  • Life expectancy > 12 months
  • Ability to provide informed consent
  • Additional criteria for cohort A:
  • Partner of a participating patient
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  • Additional criteria for cohort B:
  • Histological diagnosis of a solid malignancy
  • Treatment with monotherapy immune checkpoint inhibitor (ICI) against Programmed Death 1 (PD1) or its ligand PD-L1 (in curative or non-curative setting)
  • Last ICI administration within 3 months of vaccination
  • Additional criteria for cohort C:
  • Histological diagnosis of a solid malignancy
  • Treatment with cytotoxic chemotherapy (monotherapy and combination chemotherapy is allowed, as well as a combination with radiotherapy, in curative or non-curative setting)
  • Last chemotherapy administration within 4 weeks of vaccination
  • Additional criteria for cohort D:
  • Histological diagnosis of a solid malignancy
  • Treatment with a PD1 or PD-L1 antibody in combination with cytotoxic chemotherapy (in curative or non-curative setting)
  • Last chemotherapy administration within 4 weeks of vaccination
  • Last ICI administration within 3 months of vaccination

Who cannot join

  • Confirmed SARS-CoV-2 infection (current or previous)
  • Women who are pregnant or breastfeeding
  • Active hematologic malignancy
  • Any immune deficiency not related to cancer or cancer treatment (e.g. inherited immune deficiency or known infection with Human Immunodeficiency Virus)
  • Systemic treatment with corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medication within 14 days of vaccination. Inhaled or topical steroids, and adrenal replacement steroids (> 10 mg daily prednisone equivalent) are permitted. In addition, standard of care with short course steroids to prevent nausea and allergic reactions from chemotherapy or iodinated CT contrast is allowed.
  • Additional criteria for cohort A:
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  • Current or previous diagnosis of a solid malignancy, unless treated with curative intent >5 years before enrolment and without signs of recurrence during proper follow-up
  • Previous history of a hematologic malignancy
  • Additional criteria for cohort B:
  • Treatment with cytotoxic chemotherapy within 4 weeks of vaccination
  • Additional criteria for cohort C:
  • Treatment with an ICI within 3 months of vaccination

Trial locations and contacts

3 sites in 1 country.

Netherlands3 sites
  • NKI-AvL

    Amsterdam

  • UMCG

    Groningen, 9700 RB

  • Erasmus MC

    Rotterdam

Other trials in Netherlands

About this study

Official title: Vaccination Against cOvid In CancEr

This study will collect information on immune response and adverse events after vaccination against coronavirus disease (COVID-19) in a vulnerable patient cohort. Understanding the ability or disability to mount a protective immune response after vaccination will help to counsel patients during the pandemic and support decisions on whom to vaccinate and to identify patients who require other measures to protect them from COVID-19.

Read the detailed description

Rationale:

Patients with cancer have an increased risk of adverse outcome of COVID-19, which is determined by their underlying disease and/or cancer treatment. Therefore, vaccination of cancer patients against COVID-19 is recommended. However, phase III studies do not provide robust information on efficacy and safety in this vulnerable population. In patients with cancer, the disease itself, but also immunotherapy and chemotherapy, may have a significant impact on the ability to develop an effective immune response to COVID-19 vaccination, and could even increase the risk of adverse events.

Objective:

To assess immune response and adverse events after administration of one approved vaccine against COVID-19 in patients with cancer treated with immunotherapy and/or chemotherapy.

Study design:

This is a prospective multicenter, multicohort study.

Study population:

Four cohorts will receive vaccination against COVID-19:

  1. Individuals without cancer (N=246, i.e., partners of patients in cohort B, C, and D) B. Patients with cancer treated with immunotherapy (N=135) C. Patients with cancer treated with chemotherapy (N=246) D. Patients with cancer treated with chemo-immunotherapy (N=246)

Intervention:

Participants will be vaccinated against COVID-19 with an approved vaccine. Blood will be drawn at different time points by venipuncture and mucosal lining fluid will be collected at 2 time points.

Main study parameters/endpoints:

The primary endpoint is the antibody based immune response on day 28 after the second vaccination. Participants will be classified as responders or non-responders. The definition of response is seroconversion defined as presence of SARS-CoV-2 spike S1-specific IgG antibodies in individuals without measurable anti-S antibodies at baseline. Participants who are seropositive at baseline will not be included in the analysis of the primary endpoint. The percentage of responders of each patient cohort will be compared with the percentage responders in the control group. Safety is a secondary endpoint which will be reported in terms of percentage of solicited local and systemic adverse events (AEs) graded according to severity. Other secondary endpoints include longevity at 6 months and levels of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) specific T cell responses.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness:

Participants will have to visit the hospital at 6 time points and participants who receive a third vaccination will have 2 additional hospital visits. The vaccine will be administered two times according to standard of care, with the option of a third vaccination for participants without an adequate response after 2 vaccinations. Blood will be drawn (~373 ml in total for participants receiving 2 vaccinations, and ~539ml in participants receiving 3 vaccinations) prior to the vaccinations and at day 28 and 6 months, 11 months and 18 months after the second vaccination. Nasal mucosal lining fluid samples will be collected at baseline and day 28 after the second vaccination in a subgroup of patients. Blood sampling will give minor discomfort. Vaccination can cause AEs including fatigue, chills, headache, myalgia, and pain at the injection site. For seven days after each vaccination, participants will be asked to record local and systemic reactions using a questionnaire. At baseline and at 3, 6, 9, 12, 15 and 18 months after the second vaccination, patients will be asked to complete questionnaires about potential subsequent testing for SARS-CoV-2, diagnosis of COVID-19, and severity of COVID-19.

This study will collect information on immune response and adverse events after vaccination against COVID-19 in a vulnerable patient cohort. It will also explore immune response and safety of a third vaccination in participants without an adequate antibody response after the second vaccination. Understanding the ability or disability to mount a protective immune response after vaccination will help to counsel patients during the pandemic and support decisions on whom to vaccinate and to identify patients who require other measures to protect them from COVID-19. Participants will be informed about their antibody titer in a letter that includes an explanation about what this means to them. This will be done after antibody measurements have been completed for day 28 after second vaccination, and again after completion of measurements for 6 months and 28 days after third vaccination, and 11 months and 18 months after the second vaccination.

Conditions
Cancer
Being tested
mRNA-1273 SARS-CoV-2 vaccine from Moderna
Keywords
vaccination, COVID-19, solid tumors, immune response
Medical subject headings
Neoplasms, COVID-19

What participants receive

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

  • mRNA-1273 SARS-CoV-2 vaccine from ModernaBiological

    All participants will receive two vaccinations against COVID-19 according to standard of care.

Study groups in NCT04715438
Study groupRoleWhat they receive
Cohort A: Individuals without cancerExperimentalA cohort of individuals without a cancer diagnosis is included for comparison. Because age is an important predictor of the ability to mount an effective immune response to vaccination, partners of patients in cohort B, C, and D.
Receives: Biological: mRNA-1273 SARS-CoV-2 vaccine from Moderna
Cohort B: patients receiving immunotherapyExperimentalCancer patients receiving immunotherapy
Receives: Biological: mRNA-1273 SARS-CoV-2 vaccine from Moderna
Cohort C: patients receiving chemotherapyExperimentalCancer patients receiving chemotherapy
Receives: Biological: mRNA-1273 SARS-CoV-2 vaccine from Moderna
Cohort D: patients receiving chemo-immunotherapyExperimentalCancer patients receiving chemo-immunotherapy
Receives: Biological: mRNA-1273 SARS-CoV-2 vaccine from Moderna

What is being measured

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

  1. Immune response to vaccination against COVID-19 measured as antibody response expressed as geometric mean concentration: arbitrary units (AU)/ml

    The primary endpoint is the antibody based immune response to vaccination against COVID-19 on day 28 after the second vaccination in patients receiving cancer treatment as compared to individuals without cancer. Expressed as antibody response expressed as geometric mean concentration: arbitrary units (AU)/ml

    Measured: Measured at 28 days after vaccination

Secondary outcomes (5)
  1. Safety assessment (S)AEs; Incidence and severity of solicited AEs during 7 days after each vaccination with incidence and nature of SAEs reported during 7 days after each vaccination

    • Incidence and severity of solicited AEs during 7 days after each vaccination
    • Incidence and nature of SAEs during 7 days after each vaccination

    Measured: During 7 days after vaccination

  2. Safety assessment immune related (ir), with incidence and nature of newly occurring irAEs grade ≥ 3 in cohort B and D reported up to 28 days

    • Incidence and nature of newly occurring irAEs grade ≥ 3 in cohort B and D up to 28 days after the last vaccination graded according to the Common Criteria for Adverse Events version 5.0 (CTCAE v5.0)
    • Neutralizing capacity of antibodies to test functionality
    • Assessment of SARS-CoV2 specific T cells response, 7 days, 28 days, and 6 months after vaccination using a high throughput Interferon ɣ ELIspot.

    Measured: From start till 28 days after second vaccination

  3. Safety assessment AE of special interest (SI)s with Incidence, nature and severity of AESIs graded according to CTCAE v5.0 reported up to 12 months after vaccination

    • Incidence, nature and severity of AESIs graded according to CTCAE v5.0

    Measured: From start till 12 months after vaccination

  4. Assessment of immune response: expressed as geometric mean antibody concentration: arbitrary units (AU)/ml

    Persistence of antibody response expressed as geometric mean concentration: arbitrary units (AU)/ml

    Measured: measured at 6 to 18 months after vaccination

  5. Assessment of immune response: measured as levels of SARS-CoV-2 specific T-cell responses expressed as number of IFNg producing T cells/ million peripheral blood mononuclear cells (PBMCs)

    Levels of SARS-CoV-2 specific T-cell responses expressed as number of IFNg producing T cells/ million peripheral blood mononuclear cells (PBMCs)

    Measured: measured 28 days to 18 months after vaccination

Timeline

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

  1. First posted20 Jan 2021
  2. Study start8 Jan 2021
  3. Primary completion4 Jun 2021
  4. Study completionApr 2025 (estimated)

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
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
791 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04715438
Sponsor's protocol ID
202000865
Acronym
VOICE
Status last verified
May 2024
First submitted
11 Jan 2021
Last updated
3 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Alignment and reuse Our options for reusing data, biological materials, and/or other resources (from research or practice) in your project. * Data: Clinicopathological parameters as described in the protocol * Biological materials: Blood * Research software: R statistical package, Castor, MOLGENIS * Other resources, i.e.,Nederlandse Kankerregistratie (NKR), the Dutch Cancer Registry, electronic patient dossiers (EPDs) FAIR data within the COVID-19 research community * A COVID-19 related or other Findability, Accessibility, Interoperability, and Reuse (FAIR) data points * COVID-19 research platform for data sharing we will make protocol etc. available on the website soon voicetrial.nl

Publications

  • Piening A, Ebert E, Khojandi N, Alspach E, Teague RM. Immune responses to SARS-CoV-2 in vaccinated patients receiving checkpoint blockade immunotherapy for cancer. Front Immunol. 2022 Dec 13;13:1022732. doi: 10.3389/fimmu.2022.1022732. eCollection 2022.

    PubMed 36582225
  • Oosting SF, van der Veldt AAM, GeurtsvanKessel CH, Fehrmann RSN, van Binnendijk RS, Dingemans AC, Smit EF, Hiltermann TJN, den Hartog G, Jalving M, Westphal TT, Bhattacharya A, van der Heiden M, Rimmelzwaan GF, Kvistborg P, Blank CU, Koopmans MPG, Huckriede ALW, van Els CACM, Rots NY, van Baarle D, Haanen JBAG, de Vries EGE. mRNA-1273 COVID-19 vaccination in patients receiving chemotherapy, immunotherapy, or chemoimmunotherapy for solid tumours: a prospective, multicentre, non-inferiority trial. Lancet Oncol. 2021 Dec;22(12):1681-1691. doi: 10.1016/S1470-2045(21)00574-X. Epub 2021 Nov 9.

    PubMed 34767759

Questions about this trial

What is this clinical trial studying?

A study testing mRNA-1273 SARS-CoV-2 vaccine from Moderna in people with Cancer, run by University Medical Center Groningen at 3 sites in Netherlands.

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 19 inclusion and 12 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: status not confirmed, as of the sponsor's last update on 3 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Netherlands. 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?

Results are not available in the source record.

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?

Immune response to vaccination against COVID-19 measured as antibody response expressed as geometric mean concentration: arbitrary units (AU)/ml (time frame: Measured at 28 days after vaccination). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04715438, which also lists 2 linked publications.

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 3 May 2024.

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