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SARS-CoV-2 VaccinationAICOVINCT04826770

Adaptive Immune Response to COVID-19 Vaccination

An observational study of SARS-CoV-2 Vaccination, run by University Medicine Greifswald at 1 site in Germany.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

AICOVI (Adaptive Immune Response to COVID-19 Vaccination) is a prospective clinical cohort study aiming at studying the kinetics of vaccine-specific antibody production after COVID-19 vaccination in health care workers. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
SARS-CoV-2 Vaccination
What is being tested?
BNT162b2, AZD 1222 and mRNA-1273
Type of treatment
Vaccines
How many people
70 participants
Where
1 siteGermany
Study dates
6 Jan 2021to 31 Dec 2023
Phase
Observational
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

Study population: Employees at the University Medicine Greifswald, Germany, who plan to be vaccinated against COVID-19

Who may be able to join

  • Planned participation in COVID-19 vaccination
  • Completion of the 18th year of life
  • verbal and written consent given

Who cannot join

  • current infectious diseases
  • underweight (BMI<18,5)
  • blood coagulation disorders, anemia or similar diseases
  • known congenital or acquired immunodeficiencies
  • Inclusion criteria for control/validation group of TRP participants:
  • informed written consent

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • University Medicine Greifswald

    Greifswald, Mecklenburg-Vorpommern, 17475

Other trials in Germany

About this study

Official title: Blood Donations From Healthy Probands for the Study of the Adaptive Immune Response to COVID-19 Vaccination (AICOVI)

AICOVI (Adaptive Immune Response to COVID-19 Vaccination) is a prospective clinical cohort study aiming at studying the kinetics of vaccine-specific antibody production after COVID-19 vaccination in health care workers.

Read the detailed description

AICOVI (Adaptive Immune Response to COVID-19 Vaccination) is a prospective clinical cohort study aiming at elucidating the kinetics of vaccine-specific antibody production after COVID-19 vaccination in health care workers at the Greifswald University hospital.

Participants were recruited before their intended vaccination. Participants received the basic immunization with either two i. m. doses of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) with a time interval of 21 days or two i. m. dose of AZD 1222 (Vaxzevria®, Covishield®, ChadOx1 nCoV-19, Oxford University/Astra-Zeneca) with a time interval of 12 weeks (homologous vaccination), or one i. m. dose of AZD 1222 as the first vaccination and one i. m. dose of BNT162b2 or mRNA-1273 (Spikevax®, elasomeran (INN), Moderna) as the second vaccination with a time interval of at least 4 weeks (heterologous vaccination). Approximately 6 months later, participants received a booster vaccination with BNT162b2.

Within the study, volunteers donate peripheral blood by venipuncture on each day of vaccination as well as 7 and 14 days after each vaccination. EDTA plasma and peripheral mononuclear cells (PBMCs) are prepared and stored at -20 °C.

Volunteers are also asked to complete a standardized questionnaire on each day of blood sampling. Questionnaires collect data about physical characteristics, COVID-19 vaccination, previous SARS-CoV-2 infection as well as current infections, medication, immune relevant diseases and side effects of the vaccination.

Being tested
BNT162b2, AZD 1222, mRNA-1273
Keywords
vaccine, vaccination, SARS-CoV-2, COVID-19, immune response, immunokinetics
Medical subject headings
COVID-19

What participants receive

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

  • BNT162b2Drug

    Also called Comirnaty®, tozinameran

    vaccination against COVID-19

  • AZD 1222Drug

    Also called Vaxzevria®, Covishield®, ChadOx1 nCoV-19

    vaccination against COVID-19

  • mRNA-1273Drug

    Also called Spikevax®, elasomeran

    vaccination against COVID-19

Study groups in NCT04826770
Study groupRoleWhat they receive
BNT/BNT/BNTSubjects receiving two doses of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) as homologous basic immunization and one dose of BNT162b2 as booster vaccination
Receives: Drug: BNT162b2
AZD/BNT/BNTSubjects receiving one dose of AZD 1222 (Vaxzevria®, Covishield®, ChadOx1 nCoV-19, Oxford University/Astra-Zeneca) followed by one dose of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) as heterologous basic immunization and one dose of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) as booster vaccination
Receives: Drug: BNT162b2; Drug: AZD 1222
AZD/AZD/BNTSubjects receiving two doses of AZD 1222 (Vaxzevria®, Covishield®, ChadOx1 nCoV-19, Oxford University/Astra-Zeneca) as homologous basic immunization and one dose of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) as booster vaccination
Receives: Drug: BNT162b2; Drug: AZD 1222
AZD/MOD/BNTSubject receiving one dose of AZD 1222 (Vaxzevria®, Covishield®, ChadOx1 nCoV-19, Oxford University/Astra-Zeneca) followed by one dose of mRNA-1273 (Spikevax®, elasomeran (INN), Moderna) as heterologous basic immunization and one dose of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) as booster vaccination
Receives: Drug: BNT162b2; Drug: AZD 1222; Drug: mRNA-1273
AZD/BNT/MODSubject receiving one dose of AZD 1222 (Vaxzevria®, Covishield®, ChadOx1 nCoV-19, Oxford University/Astra-Zeneca) followed by one dose of BNT162b2 (Comirnaty®, tozinameran (INN), BioNTech/Pfizer) as heterologous basic immunization and one dose of mRNA-1273 (Spikevax®, elasomeran (INN), Moderna) as booster vaccination
Receives: Drug: BNT162b2; Drug: AZD 1222; Drug: mRNA-1273
Control/validation groupControl samples for the validation of the used methods from the pre-SARS-CoV-2 era were transferred from the study "Blood Donations from Healthy Blood Donors to Investigate Circannual Variations in Tryptophan Metabolism and Adaptive Immune Response to Bacterial Infectious Agents" (in short TRP study). Subjects had not received any SARS-CoV-2 vaccination at that time. Remaining plasma samples were transferred to the AICOVI study.

What is being measured

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

  1. mean current anti-SARS-CoV-2 antibody production and cumulative antibody titer on the day of the 1st vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted on the day of the 1st vaccination.

    Measured: 1 day

  2. mean current anti-SARS-CoV-2 antibody production 7 days after the 1st vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted 7 days after the 1st vaccination.

    Measured: 7 days after the 1st vaccination

  3. mean current anti-SARS-CoV-2 antibody production 14 days after the 1st vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted 14 days after the 1st vaccination.

    Measured: 14 days after the 1st vaccination

  4. mean current anti-SARS-CoV-2 antibody production on the day of the 2nd vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted on the day of the 2nd vaccination.

    Measured: day of the 2nd vaccination

  5. mean current anti-SARS-CoV-2 antibody production 7 days after the 2nd vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted 7 days after the 2nd vaccination.

    Measured: 7 days after the 2nd vaccination

  6. mean current anti-SARS-CoV-2 antibody production 14 days after the 2nd vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted 14 days after the 2nd vaccination.

    Measured: 14 days after the 2nd vaccination

  7. mean current anti-SARS-CoV-2 antibody production and cumulative antibody titer on the day of the booster vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts.

    For this purpose PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted on the day of the booster vaccination.

    Measured: 1 day

  8. mean current anti-SARS-CoV-2 antibody production 7 days after the booster vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted 7 days after the booster vaccination.

    Measured: 7 days after the booster vaccination

  9. mean current anti-SARS-CoV-2 antibody production 14 days after the booster vaccination

    Serum antibody titers represent a cumulative measure of any preceded or recent immune responses. The current antibody production can be quantified using MENSA (medium enriched for newly synthesized antibodies), an approach that measures antibodies released from recently stimulated circulating antibody-secreting plasmablasts. For this purpose, PBMCs are collected from the subject's whole blood sample, washed to remove serum antibodies, and then cultured for 7 days. Antibodies released ex vivo from the antibody-secreting plasmablasts can now be detected in the culture supernatant. These newly synthesized antibodies are a measure of the instantaneous antibody response.

    Sampling is conducted 14 days after the booster vaccination.

    Measured: 14 days after the booster vaccination

Secondary outcomes (5)
  1. plasma antibody levels against SARS-CoV-2

    Anti-SARS-CoV-2 antibodies are quantified using ELISA and/or xMAP(R) technology.

    Measured: On each day of vaccination as well as 7 and 14 days after each vaccination

  2. immune cell phenotyping (B cells, T cells)

    flow cytometry-based analyses

    Measured: On each day of vaccination as well as 7 and 14 days after each vaccination

  3. Characterization of antibody proteomics profile changes after vaccination

    The antibody profile in plasma is assessed using mass spectrometry.

    Measured: On each day of vaccination as well as 7 and 14 days after each vaccination

  4. Characterization of the cytokine profile elicited after vaccination

    The cytokine profile elicited after vaccination is assessed using a multiplex immunoassay.

    Measured: On each day of vaccination as well as 7 and 14 days after each vaccination

  5. Measurement of neutralizating antibodies after vaccination

    Neutralizing antibodies are measured by neutralization tests.

    Measured: On each day of vaccination as well as 7 and 14 days after each vaccination

Timeline

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

  1. First posted1 Apr 2021
  2. Study start6 Jan 2021
  3. Primary completion13 Dec 2021
  4. Study completion31 Dec 2023 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04826770
Sponsor's protocol ID
BB 001/21f
Acronym
AICOVI
Status last verified
Oct 2023
First submitted
22 Mar 2021
Last updated
3 Oct 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of SARS-CoV-2 Vaccination, run by University Medicine Greifswald at 1 site in Germany.

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 3 inclusion and 6 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 Oct 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 Germany. 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?

mean current anti-SARS-CoV-2 antibody production and cumulative antibody titer on the day of the 1st vaccination (time frame: 1 day). The study lists 9 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 3 Oct 2023.

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