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Rheumatic DiseasesCOVID-RIC3NCT04832022

Longitudinal Follow-up of Patients With Chronic Inflammatory Rheumatisms (CIRs) Vaccinated Against COVID-19 Compared to Patients Refusing Vaccination

An observational study of Rheumatic Diseases and SARS-CoV Infection, run by University Hospital, Montpellier at 13 sites 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

To date, studies on SARS-CoV2and vaccines have been mostly from the general population not exposed to immunosuppressants. The efficacy and safety of COVID-19 vaccines need to be evaluated in these populations. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rheumatic Diseases, SARS-CoV Infection, COVID-19
What is being tested?
Biological samples
Type of treatment
Vaccines
How many people
397 participants
Where
13 sitesFrance
Study dates
7 Apr 2021to 27 Jun 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
  • No healthy volunteers
  • Adult, Older adult

Study population: 1500 CIR patients with or without SARS-COV2 vaccine.

Who may be able to join

  • Adult ≥ 18 years old,
  • Chronic inflammatory arthritis: rheumatoid arthritis, psoriatic arthritis, axial SpA, diagnosed by a rheumatologist
  • Having a negative serology for SARS-CoV-2 infection upon inclusion in COVID-RIC1.
  • Under csDMARD (conventional synthetic Disease-modifying antirheumatic drug), biotherapy, JAK inhibitor or under symptomatic treatment such as NSAIDs or corticosteroids alone or in combination with a DMARD (Disease-modifying antirheumatic drug)
  • Subject having signed a consent
  • Affiliated with Social Security
  • Having accepted or agreed to be vaccinated against COVID-19 (for vaccine group)
  • Having refused to be vaccinated against COVID-19 (for non-vaccine group)

Who cannot join

  • Adult patient under legal protection (guardian, curator)
  • Patient vaccinated with an anti-SARS-CoV-2 vaccine before the serological test
  • Refusal to be vaccinated (for vaccine group)
  • Acceptance to be vaccinated (for non-vaccine group))
  • Refusal to participate in the study
  • Pregnancy and breast feeding

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

France13 sites
  • CHU Brest

    Brest, 29200

  • CHU Clermont-Ferrand

    Clermont-Ferrand, 63000

  • CHU Marseille

    Marseille, 13274

  • Centre hospitalier universitaire de Montpellier

    Montpellier, Occitanie, 34295

  • CHU Nancy

    Nancy, 54511

  • CHU Nantes

    Nantes, 44093

  • CHU Nice

    Nice, 06001

  • CHU Nîmes

    Nîmes, 30029

  • APHP Saint Antoine

    Paris, 75012

  • APHP La pitié Salpêtrière

    Paris, 75013

  • CHU Rouen

    Rouen, 76000

  • CHU Toulouse

    Toulouse, 31059

  • CHU Tours

    Tours, 37170

Other trials in France

About this study

To date, studies on SARS-CoV2and vaccines have been mostly from the general population not exposed to immunosuppressants. The efficacy and safety of COVID-19 vaccines need to be evaluated in these populations.

Read the detailed description

Longitudinal, comparative, controlled, observational multicenter study based on a cohort of 1500 SARS-CoV-2 seronegative patients with CIRs from the COVID-RIC1 cohort: 750 accepting vaccination and 750 refusing vaccination matched on age (+/-10 years), gender, rheumatism and recruiting center. Schedule: 4 visits over a 12-month period.

An observational routine care study was initiated in 15 French hospitals to assess the SARS-CoV-2 seroprevalence in France in a population with CIRs. The project plans to screen 5000 CIRs patients. The COVID-RIC3 study will thus be proposed to these pre-screened subjects according to their agreement or refusal to be vaccinated against COVID-19 based on a question asked at the time of their inclusion in COVID-RIC1.

The efficacy and safety of the SARS-CoV2 vaccines as well as the vaccine-induced humoral immune responses and their maintenance over time in immunosuppressed patients with CIRs are essential to guide vaccine recommendations in these specific immunocompromised populations in terms of "boost" or booster.

Being tested
Biological samples
Medical subject headings
Rheumatic Diseases, Severe Acute Respiratory Syndrome, COVID-19

What participants receive

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

  • Biological samplesOther

    Serum and plasma samples. At baseline, 3, 6 and 12 months

Study groups in NCT04832022
Study groupRoleWhat they receive
VaccinatedSeronegative Chronic Inflammatory Rheumatism (CIR) who accepted vaccination against SARS-CoV2
Receives: Other: Biological samples
Non vaccinatedSeronegative Chronic Inflammatory Rheumatism (CIR) who refused vaccination against SARS-CoV2
Receives: Other: Biological samples

What is being measured

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

  1. Proportion of documented COVID-19 infection in vaccinated chronic inflammatory Rheumatism patients

    Proportion of documented COVID-19 infection according to Food and Drug Administration criteria in vaccinated chronic inflammatory Rheumatism patients

    Measured: At 3 months of the 1st dose of vaccine SARS-COV-2

  2. Proportion of documented COVID-19 infection in non vaccinated chronic inflammatory Rheumatism patients

    Proportion of documented COVID-19 infection according to Food and Drug Administration criteria in non vaccinated chronic inflammatory Rheumatism patients

    Measured: At 3 months of the 1st dose of vaccine SARS-COV-2

Secondary outcomes (29)
  1. Proportion of documented COVID-19 infection

    Proportion of documented COVID-19 infection at 6 months between groups of vaccine and non vaccine patients

    Measured: 6 months from 1st vaccine dose

  2. Proportion of documented COVID-19 infection

    Proportion of documented COVID-19 infection at 12 months between groups of vaccine and non vaccine patients

    Measured: 12 months from 1st vaccine dose

  3. occurrence of infections by type of treatment

    occurrence of infections at 6 months by type of treatment

    Measured: 6 months from 1st vaccine dose

  4. occurrence of infections by type of treatment

    occurrence of infections at 12 months by type of treatment

    Measured: 12 months from 1st vaccine dose

  5. occurrence of infections by type of vaccine

    occurrence of infections at 3 months by type of vaccine

    Measured: 3 months from 1st vaccine dose

  6. Proportion of patients who developed local or systemic reactions to the vaccine, in the vaccinated group at 3 months

    Proportion of patients who developed local or systemic reactions to the vaccine, in the vaccinated group at 3 months

    Measured: 3 months from 1st vaccine dose

  7. Proportion of patients who developed local or systemic reactions to the vaccine, in the vaccinated group at 6 months

    Proportion of patients who developed local or systemic reactions to the vaccine, in the vaccinated group at 6 months

    Measured: 6 months from 1st vaccine dose

  8. Proportion of patients who developed local or systemic reactions to the vaccine, in the vaccinated group at 12 months

    Proportion of patients who developed local or systemic reactions to the vaccine, in the vaccinated group at 12 months

    Measured: 12 months from 1st vaccine dose

  9. Proportion of patients who developed adverse events at 12 months

    Proportion of patients who developed adverse events at 12 months

    Measured: 12 months from 1st vaccine dose

  10. Proportion of patients with vaccine response

    Proportion of patients with vaccine response (SARS-CoV-2 neutralizing antibody IgG and IgM titers) after vaccination against SARS-CoV2 in vaccine patients group

    Measured: 3 months from 1st vaccine dose

  11. Proportion of patients with vaccine response

    Proportion of patients with vaccine response (SARS-CoV-2 neutralizing antibody IgG and IgM titers) after vaccination against SARS-CoV2 in vaccine patients group

    Measured: 6 months from 1st vaccine dose

  12. Proportion of responding patients

    Proportion of responding patients with specific IgG in ELISA ≥ titer corresponding to the vaccine protection threshold and neutralizing IgG at 3 months of the first dose of COVID19 vaccine in vaccinated ICRs

    Measured: 3 months from 1st vaccine dose

  13. Proportion of responding patients

    Proportion of responding patients with specific IgG in ELISA ≥ titer corresponding to the vaccine protection threshold and neutralizing IgG at 3 months of the first dose of COVID19 vaccine in vaccinated ICRs

    Measured: 6 months from 1st vaccine dose

  14. Proportion of responding patients

    Proportion of responding patients with specific IgG in ELISA ≥ titer corresponding to the vaccine protection threshold and neutralizing IgG at 3 months of the first dose of COVID19 vaccine in vaccinated ICRs

    Measured: 12 months from 1st vaccine dose

  15. compare the evolution of disease activity

    compare the evolution of disease activity at 3 months in the two groups : change in formula DAS28- CRP (Disease Activity Score C-reactive Protein) between 0 and 3 months for patients with Rheumatoid Arthritis (RA) and patients with psoriatic arthritis.

    DAS28 < 2.6: Remission DAS28 >= 2.6 and <= 3.2:Low Disease Activity DAS28 > 3.2 and <= 5.1:Moderate Disease Activity DAS28 > 5.1: High Disease Activity

    Measured: 3 months from first vaccine dose

  16. compare the evolution of disease activity

    compare the evolution of disease activity at 6 months in the two groups : change in formula DAS28- CRP (Disease Activity Score C-reactive Protein) between 0 and 6 months for patients with Rheumatoid Arthritis (RA) and patients with psoriatic arthritis DAS28 < 2.6: Remission DAS28 >= 2.6 and <= 3.2:Low Disease Activity DAS28 > 3.2 and <= 5.1:Moderate Disease Activity DAS28 > 5.1: High Disease Activity

    Measured: 6 months from first vaccine dose

  17. compare the evolution of disease activity

    compare the evolution of disease activity at 12 months in the two groups : change in formula DAS28- CRP (Disease Activity Score C-reactive Protein) between 0 and 12 months for patients with Rheumatoid Arthritis (RA) and patients with psoriatic arthritis DAS28 < 2.6: Remission DAS28 >= 2.6 and <= 3.2:Low Disease Activity DAS28 > 3.2 and <= 5.1:Moderate Disease Activity DAS28 > 5.1: High Disease Activity

    Measured: 12 months from first vaccine dose

  18. compare the evolution of disease activity

    compare the evolution of disease activity at 3 months in the two groups : change in formula ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score with C-reactive protein) between 0 and 6 months for patients with Ankylosing spondylitis (SpA) ASDAS < 1.3: Inactive disease ASDAS >= 1.3 and <= 2.1:Low Disease Activity ASDAS > 2.1 and <= 3.5:Moderate Disease Activity ASDAS > 3.5: High Disease Activity

    Measured: 3 months from first vaccine dose

  19. compare the evolution of disease activity

    compare the evolution of disease activity at 6 months in the two groups : change in formula ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score with C-reactive protein) between 0 and 6 months for patients with Ankylosing spondylitis (SpA) ASDAS < 1.3: Inactive disease ASDAS >= 1.3 and <= 2.1:Low Disease Activity ASDAS > 2.1 and <= 3.5:Moderate Disease Activity ASDAS > 3.5: High Disease Activity

    Measured: 6 months from first vaccine dose

  20. compare the evolution of disease activity

    compare the evolution of disease activity at 12 months in the two groups : change in formula ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score with C-reactive protein) between 0 and 12 months for patients with Ankylosing spondylitis (SpA) ASDAS < 1.3: Inactive disease ASDAS >= 1.3 and <= 2.1:Low Disease Activity ASDAS > 2.1 and <= 3.5:Moderate Disease Activity ASDAS > 3.5: High Disease Activity

    Measured: 12 months from first vaccine dose

  21. Psychological impact scores: anxiety (GAD7 : General Anxiety Disorder-7)

    The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of 'not at all', 'several days', 'more than half the days', and 'nearly every day', respectively, and adding together the scores for the seven questions.

    Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively.

    Measured: 3 months from first vaccine dose

  22. Psychological impact scores: anxiety (GAD7 : General Anxiety Disorder-7)

    The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of 'not at all', 'several days', 'more than half the days', and 'nearly every day', respectively, and adding together the scores for the seven questions.

    Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively.

    Measured: 6 months from first vaccine dose

  23. Psychological impact scores: anxiety (GAD7 : General Anxiety Disorder-7)

    The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of 'not at all', 'several days', 'more than half the days', and 'nearly every day', respectively, and adding together the scores for the seven questions.

    Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively.

    Measured: 12 months from first vaccine dose

  24. Psychological impact scores: depression (HADS : Hospital Anxiety and Depression Scale)

    The HADS is a self-administered 14-item scale. Each item is rated on a scale of 0 to 3. Borderline scores make it possible to distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    Measured: 3 months from first vaccine dose

  25. Psychological impact scores: depression (HADS : Hospital Anxiety and Depression Scale)

    The HADS is a self-administered 14-item scale. Each item is rated on a scale of 0 to 3. Borderline scores make it possible to distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    Measured: 6 months from first vaccine dose

  26. Psychological impact scores: depression (HADS : Hospital Anxiety and Depression Scale)

    The HADS is a self-administered 14-item scale. Each item is rated on a scale of 0 to 3. Borderline scores make it possible to distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    Measured: 12 months from first vaccine dose

  27. Psychological impact scores: quality of life (EQ5D)

    EQ-5D is an European quality of life scale. It is presents as follows: a first part with the questions called "EQ-5D descriptive system", supplemented by a visual analogue scale, called "EQ-5D VAS". It consists of a line of 20 cm, graduated from 0 to 100, where the patient must indicate how he assesses his current state of health, 0 being the worst state possible and 100 the best.

    Measured: 3 months from first vaccine dose

  28. Psychological impact scores: quality of life (EQ5D)

    EQ-5D is an European quality of life scale. It is presents as follows: a first part with the questions called "EQ-5D descriptive system", supplemented by a visual analogue scale, called "EQ-5D VAS". It consists of a line of 20 cm, graduated from 0 to 100, where the patient must indicate how he assesses his current state of health, 0 being the worst state possible and 100 the best.

    Measured: 6 months from first vaccine dose

  29. Psychological impact scores: quality of life (EQ5D)

    EQ-5D is an European quality of life scale. It is presents as follows: a first part with the questions called "EQ-5D descriptive system", supplemented by a visual analogue scale, called "EQ-5D VAS". It consists of a line of 20 cm, graduated from 0 to 100, where the patient must indicate how he assesses his current state of health, 0 being the worst state possible and 100 the best.

    Measured: 12 months from first vaccine dose

Timeline

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

  1. First posted5 Apr 2021
  2. Study start7 Apr 2021
  3. Primary completion21 Jun 2022
  4. Study completion27 Jun 2023

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
Case-control
Time perspective
Prospective
Enrolment
397 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04832022
Sponsor's protocol ID
RECHMPL21_0021
Acronym
COVID-RIC3
Status last verified
Aug 2023
First submitted
31 Mar 2021
Last updated
14 Aug 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Rheumatic Diseases and SARS-CoV Infection, run by University Hospital, Montpellier at 13 sites 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 8 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: finished, as of the sponsor's last update on 14 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites 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?

Proportion of documented COVID-19 infection in vaccinated chronic inflammatory Rheumatism patients (time frame: At 3 months of the 1st dose of vaccine SARS-COV-2). The study lists 2 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 14 Aug 2023.

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