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CancerPhase 4I-SPARCNCT05075538

COVID-19: Immune Response in Patients With Cancer Undergoing mRNA Vaccination Against SARS-CoV-2

A Phase 4 study testing Spikevax, Comirnaty and Spikevax bivalent Original/Omicron BA.1 in people with Cancer, run by Jules Bordet Institute at 2 sites in Belgium.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This trial aims to measure the humoral and adaptive immune response in patients with cancer diagnosis undergoing mRNA vaccination against SARS-CoV-2 and assess its efficacy in preventing COVID-19. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer
What is being tested?
Spikevax, Comirnaty and Spikevax bivalent Original/Omicron BA.1
How many people
152 participants
Where
2 sitesBelgium
Study dates
1 Dec 2021to 8 Jan 2024
Phase
Phase 4
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

Who may be able to join

  • Age ≥ 18 years old
  • ECOG performance status ≤ 2
  • Subjects with histologically or cytologically confirmed cancer diagnosis (invasive solid tumour or haematological malignancy)
  • undergoing active systemic cancer treatment at the time of the last dose (before ICF signature) of the anti-SARS-CoV-2 mRNA vaccine (such as chemotherapy, immunotherapy, targeted agents, endocrine therapy) in non-metastatic/curative setting or in metastatic/palliative setting
  • or undergoing follow-up after confirmed cancer complete remission without active cancer treatment for the last 12 months at the time of the last dose (before ICF signature ) of the anti-SARS-CoV-2 mRNA vaccine.
  • Life expectancy > 6 months
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  • Subjects who received at least 2 doses of mRNA platform vaccination against SARS-CoV-2 as per local guidelines, with the last dose being given between 3 and 12 months prior to baseline assessment.
  • Urine/serum pregnancy test negative for all female subjects of childbearing potential within 7 days prior to subject enrolment.
  • Signed Informed Consent form (ICF) obtained prior to any study related procedure
  • Subject is willing and able to comply with the protocol for the duration of the study including treatment and scheduled visits and examinations.

Who cannot join

  • Known pregnant and/or lactating women.
  • Subject with a significant medical, neuro-psychiatric, or surgical condition, currently uncontrolled by treatment, which, in the principal investigator's opinion, may interfere with completion of the study.
  • Subjects with active diagnosis of acute leukaemia.
  • Subjects treated with bone marrow transplant < 90 days before received vaccination against SARS-CoV-2.
  • Subjects with a known history of HIV infection.
  • COVID-19 infection in the last 28 days prior to subject enrolment.
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  • Subjects receiving prolonged and/or high doses of systemic immunosuppressive therapies including corticosteroids during the last 28 days before receiving first dose of vaccination against SARS-CoV-2 and up to subject enrolment.
  • Subjects who, for any reason, did not receive the 2nd dose of the anti-SARS-CoV-2 mRNA vaccine.
  • Subjects that received the 3rd dose of anti-SARS-CoV-2 mRNA vaccine prior to study entry. Exclusion criterion number 9 is only applicable for previous versions of the protocol and is not applicable from protocol version 3.0 and subsequent versions.
  • Subject that received any dose of non-mRNA anti-SARS-CoV-2 vaccine platform.
  • Subject with a known or suspected history of severe adverse reactions associated with a vaccine and/or with severe allergic reaction to vaccine components or anaphylaxis in the past.
  • Subjects who planned to receive any other licensed vaccines for other indications within 28 days prior to the first booster dose after ICF signature or who are planning to receive any other vaccine up to 14 days after the first booster dose of the mRNA anti-SARS-CoV-2 vaccine after ICF signature (28 days for live attenuated vaccines). For influenza vaccination, a shorter interval or simultaneous administration is acceptable.
  • Subjects who have planned to receive a booster dose after ICF signature but before the baseline assessment
  • Subjects who received COVID-19 pre-exposure prophylactic monoclonal antibodies or who have been treated with anti-SARS-CoV-2 monoclonal antibodies or COVID-19 convalescent plasma during the last 6 months before ICF signature.

Trial locations and contacts

2 sites in 1 country.

Belgium2 sites
  • Institut Jules Bordet

    Anderlecht, 1070

  • CHU UCL Namur Sainte-Elisabeth

    Namur, 5000

Other trials in Belgium

About this study

This trial aims to measure the humoral and adaptive immune response in patients with cancer diagnosis undergoing mRNA vaccination against SARS-CoV-2 and assess its efficacy in preventing COVID-19.

Conditions
Cancer
Being tested
Spikevax, Comirnaty, Spikevax bivalent Original/Omicron BA.1, Spikevax bivalent Original/Omicron BA.4-5, Comirnaty Original/Omicron BA.1
Keywords
immunity, mRNA, vaccination, SARS-CoV-2, COVID-19, COVID19, Spikevax, Comirnaty, Omicron
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.

  • SpikevaxBiological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • ComirnatyBiological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • Spikevax bivalent Original/Omicron BA.1Biological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • Spikevax bivalent Original/Omicron BA.4-5Biological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • Comirnaty Original/Omicron BA.1Biological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • Comirnaty Original/Omicron BA.4-5Biological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • Comirnaty Omicron XBB.1.5Biological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

  • Spikevax Omicron XBB.1.5Biological

    Booster dose, if a booster dose is administered during the study per local / national health policy guidelines.

What is being measured

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

  1. Humoral immune response against SARS-CoV-2 after the last dose of a mRNA anti-SARS-CoV-2 vaccine (Baseline assessment)

    Rate of humoral immune response against SARS-CoV-2 between 3 and 12 months after the last dose (before ICF signature) of a mRNA anti-SARS-CoV-2 vaccine (baseline assessment)

    Measured: 3 to 12 months after the last dose

Secondary outcomes (4)
  1. Humoral immune response against SARS-COV-2

    Duration of humoral immune response against SARS-COV-2 based on the final study assessment, namely at 6 months (+ /- 4 weeks) after the baseline assessment or at 6 months (+ 4 weeks/- 8 weeks) after the first booster dose after ICF signature, if a booster dose of the vaccine is administered during the study per local / national health policy guidelines.

    Measured: at 6 months (+/- 4 weeks) after the baseline assessment or at 6 months (+ 4 weeks/- 8 weeks) after the first booster after ICF signature, if a booster dose of the vaccine is administered during the study per local / national health policy guidelines.

  2. Humoral immune response against SARS-COV-2 by cohort

    Rate of humoral immune response against SARS-COV-2 by cohort

    Measured: 3 to 12 months after the last dose before ICF signature; and 6 months (+/- 4 wks) after baseline assessment or 6 months (+ 4 wks/-8 wks) after the first booster after ICF signature if a booster dose is administered during the study

  3. Rate of asymptomatic subjects with SARS-CoV-2 positive test during the study

    Rate of asymptomatic subjects with SARS-CoV-2 positive test, confirmed COVID-19 or severe COVID-19 infection with onset at least 14 days after the last dose before ICF signature in subjects who had been without serologic or virological evidence of SARS-CoV-2 infection up to 14 days after the last dose before ICF signature.

    Measured: Retrospectively collected at each visit: at baseline assessment, pre-boosting (within 2 wks before 1st booster dose after ICF signature), post-boosting (2 wks after this booster); and 6 months after this booster OR after baseline assessment if no booster

  4. Safety of booster dose(s) of mRNA anti-SARS-CoV-2 vaccine received after ICF signature

    Frequency, duration and severity of adverse reactions reported according to NCI Common Terminology Criteria for Adverse Events signature (CTCAE) Version 5.0, if booster dose(s) of the vaccine are administered during the study per local / national health policy guidelines.

    Measured: During the 30 days following the administration of the booster received during the study period (if any)

Timeline

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

  1. First posted12 Oct 2021
  2. Study start1 Dec 2021
  3. Primary completion8 Jan 2024
  4. Study completion8 Jan 2024

Why it stopped: The population as defined by the inclusion/exclusion criteria and the study logistics were leading to a poor recruitment over the past years.

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 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
152 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05075538
Sponsor's protocol ID
IJB-COVID-001
Other IDs
2021-003710-39
Acronym
I-SPARC
Status last verified
Feb 2023
First submitted
7 Oct 2021
Last updated
17 Jan 2024
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?

A Phase 4 study testing Spikevax, Comirnaty and Spikevax bivalent Original/Omicron BA.1 in people with Cancer, run by Jules Bordet Institute at 2 sites in Belgium.

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 10 inclusion and 14 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: stopped early, as of the sponsor's last update on 17 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Belgium. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The population as defined by the inclusion/exclusion criteria and the study logistics were leading to a poor recruitment over the past years.). 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?

Humoral immune response against SARS-CoV-2 after the last dose of a mRNA anti-SARS-CoV-2 vaccine (Baseline assessment) (time frame: 3 to 12 months after the last dose). 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 17 Jan 2024.

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