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LymphomaPhase 4NCT05170399

Vaccine Responses in Patients With B Cell Malignancies

A Phase 4 study testing AREXVY, ABRYSVO, PREVNAR 20 and PNEUMOVAX 23 in people with Lymphoma, run by National Heart, Lung, and Blood Institute (NHLBI) at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Background: People with B cell malignancies (blood cancers) often cannot mount a full immune response to infections or certain vaccines. Bruton tyrosine kinase inhibitors (BTKis), which are used to treat blood cancers, may also negatively affect a person s response to certain vaccines. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Lymphoma
What is being tested?
AREXVY, ABRYSVO, PREVNAR 20 and PNEUMOVAX 23
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
350 participants
Where
1 siteUnited States
Study dates
14 Sep 2022to 15 Nov 2036
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of CLL, FL, MCL, MZL, NHL NOS or WM
  • Must fulfil one of the following criteria to be enrolled in one study arm per vaccine received:
  • Patients with CLL AND one of the following:
  • Arm 1: Must be treatment naive (no prior cancer directed therapy)
  • Arm 2: Patients that have received prior cancer directed therapy and are currently not receiving active treatment
  • Arm 3: Must be receiving treatment with a BTKi. This arm is not available to patients receiving the HEPLISAV-B vaccine
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  • Arm 4: Must be receiving treatment with a BTKi for >= 6 months prior to vaccination and be willing to hold their treatment for up to 7 weeks around the time of each vaccination. This arm is not available to patients who have had a prior episode of disease flare during periods of drug hold, or for patients with CLL that is actively progressing.
  • Arm 5: Must be receiving treatment with a BCL-2 inhibitor
  • Or
  • Patients with FL, MCL, MZL, NHL NOS or WM AND one of the following:
  • Arm 1: Must currently not be receiving active treatment (treatment na(SqrRoot) ve or previously treated)
  • Arm 2: Must be receiving treatment with targeted therapies (e.g. BTKi, BCL-2 inhibitors, PI3K inhibitors, immunomodulatory agents, proteasome inhibitors)
  • If prior exposure to Hepatitis-B vaccination, must have documentation of negative serologic response
  • Age >= 18 years
  • Able to comprehend the investigational nature of the protocol and provide informed consent

Who cannot join

  • Female patients who are currently pregnant
  • History of severe allergic reaction to vaccines
  • Concomitant inherited immunodeficiency
  • Any life-threatening illness, medical condition, or organ system dysfunction that, in the investigator s opinion, could compromise the subject s safety or put the study outcomes at undue risk.
  • Receive cytotoxic chemotherapy within 2 weeks prior to vaccination
  • Receive intravenous immunoglobulin (IVIG) within 2 months prior to vaccination
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  • Receive anti-CD20 and/or anti-CD19 monoclonal antibody therapy within 6 months prior to vaccination
  • Receive cellular therapy (e.g. CAR-T cells) within 12 months prior to vaccination
  • History of allogeneic stem cell transplantation

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Adrian U Wiestner, M.D. contact

(301) 594-6855

wiestnera@mail.nih.gov

United States1 site, 1 recruiting
  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892

    For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR), 800-411-1222 ext. TTY dial 711, ccopr@nih.gov

    Recruiting

Other trials in United States

About this study

Background:

People with B cell malignancies (blood cancers) often cannot mount a full immune response to infections or certain vaccines. Bruton tyrosine kinase inhibitors (BTKis), which are used to treat blood cancers, may also negatively affect a person s response to certain vaccines. Researchers want to learn more about vaccine responses in people with certain types of blood cancers. The findings may help develop better vaccine strategies for people with these cancers.

Read more

Objective:

To learn how well vaccines work in people who have certain types of blood cancers.

Eligibility:

Adults aged 18 years or older who have chronic lymphocytic leukemia (CLL), Waldenstrom macroglobulinemia, or certain non-Hodgkin lymphomas.

Design:

Participants will get one or more vaccines for illnesses, such as vaccines for hepatitis B, shingles, pneumonia, and respiratory syncytial virus (RSV). They may get more than 1 type of vaccine during the study. Not all participants will get all vaccines. Some vaccines require 2 doses.

Participants will give a blood sample before they get each vaccine. About 4 weeks after they finish each vaccine series, they will give another blood sample. Some vaccines require a second dose 3-6 weeks later. For vaccines that require a second dose, participants may also have study procedures at that visit. Participants may have 2 to 3 study visits per vaccine series.

Participants may receive a booster dose for some vaccines. The booster dose is optional. For this study, a booster means repeating the full vaccine series. Participants who receive a booster may have additional blood samples to measure their vaccine response.

Participants will have pregnancy tests, if needed.

Participants with CLL who receive BTKis may be assigned to either continue treatment or pause treatment around the time of vaccination.

Participants may give follow-up blood samples once a year for up to 5 years after each vaccine series. These blood samples are optional.

Participation will last for up to 5 years after each vaccine series is received.

Read the detailed description

Study Description:

This study aims to determine vaccine titers in B-cell malignancies; specifically, in chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL), or other non-Hodgkin lymphomas (NHL) [follicular lymphoma (FL), mantle cell lymphoma (MCL), marginal zone lymphomas (MZLs) and indolent NHL not otherwise specified (NOS)], or in Waldenstrom Macroglobulinemia (WM).

Note: Since CLL and SLL are considered the same disease, CLL/SLL will be referred to as CLL hereafter, unless otherwise specified.

Objectives:

Primary Objective:

Determine vaccine titers following vaccination in patients with B-cell malignancies who are either receiving targeted therapies or not receiving active treatment

Endpoints:

The primary efficacy endpoint will be the serologic titer against each administered vaccine following completion of the vaccine series in each study arm

Secondary Endpoints: N/A

Conditions
Lymphoma
Being tested
AREXVY, ABRYSVO, PREVNAR 20, PNEUMOVAX 23, Heplisav -B, PREVNAR 13
Keywords
CLL, SLL, Booster, Lymphoma, Vaccines
Medical subject headings
Lymphoma

What participants receive

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

  • AREXVY, ABRYSVODrug

    Respiratory Syncytial Virus Vaccine

  • PREVNAR 20Drug

    Pneumococcal 20-Valent Conjugate Vaccine (PCV20)

  • PNEUMOVAX 23Biological

    Pneumococcal Polysaccharide Vaccine (PPSV23)

  • Heplisav -BBiological

    Recombinant, adjuvanted Hepatitis (HepB-CpG)

  • PREVNAR 13Biological

    Pneumococcal Conjugate Vaccine (PCV13)

  • ShingrixBiological

    Recombinant, adjuvanted Zoster Vaccine (RZV)

Study groups in NCT05170399
Study groupRoleWhat they receive
Chronic Lymphocytic Leukemia (CLL) - Treatment with BCL-2 InhibitorExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, Heplisav -B, PREVNAR 13, PNEUMOVAX 23, PREVNAR 20, AREXVY, ABRYSVO, and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13; Biological: Shingrix
Chronic Lymphocytic Leukemia Not Receiving Active TreatmentExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, Heplisav -B, PREVNAR 13, PNEUMOVAX 23, AREXVY, ABRYSVO and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13; Biological: Shingrix
Chronic Lymphocytic Leukemia Treatment Break for BTKiExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, Heplisav -B, PREVNAR 13, PNEUMOVAX 23, PREVNAR 20, AREXVY, ABRYSVO and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13; Biological: Shingrix
Chronic Lymphocytic Leukemia Treatment NaiveExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, Heplisav -B, PREVNAR 13, PNEUMOVAX 23, PREVNAR 20, AREXVY, ABRYSVO and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13; Biological: Shingrix
Chronic Lymphocytic Leukemia Treatment with BTKiExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, PREVNAR 13, PNEUMOVAX 23, PREVNAR 20, AREXVY, ABRYSVO and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13
Other Non-Hodgkin Lymphoma and Waldenstrom Macroglobulinemia - Not receiving active treatmentExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, Heplisav -B, PREVNAR 13, PNEUMOVAX 23, PREVNAR 20, AREXVY, ABRYSVO and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13; Biological: Shingrix
Other Non-Hodgkin Lymphoma and Waldenstrom Macroglobulinemia - Treatment with Targeted TherapiesExperimentalParticipants may receive one or more of the following vaccine types: Shingrix, Heplisav -B, PREVNAR 13, PNEUMOVAX 23, PREVNAR 20, AREXVY, ABRYSVO, and receive assessment of serologic and cellular response following completion of each vaccine series.
Receives: Drug: AREXVY, ABRYSVO; Drug: PREVNAR 20; Biological: PNEUMOVAX 23; Biological: Heplisav -B; Biological: PREVNAR 13; Biological: Shingrix

What is being measured

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

  1. Serologic response against each administered vaccine following completion of the vaccine series in each study arm

    vaccine titer

    Measured: 4 weeks after completing vaccine series

Timeline

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

  1. First posted28 Dec 2021
  2. Study start14 Sep 2022
  3. Primary completion15 Nov 2036 (estimated)
  4. Study completion15 Nov 2036 (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 4
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
350 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05170399
Sponsor's protocol ID
10000444
Other IDs
000444-H
Status last verified
31 Jul 2026
First submitted
24 Dec 2021
Last updated
4 Aug 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: The team will decide in the future.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing AREXVY, ABRYSVO, PREVNAR 20 and PNEUMOVAX 23 in people with Lymphoma, run by National Heart, Lung, and Blood Institute (NHLBI) at 1 site in United States.

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 15 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 4 Aug 2026. 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 United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Ingrid C Frey ((301) 402-0797, ingrid.frey@nih.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Serologic response against each administered vaccine following completion of the vaccine series in each study arm (time frame: 4 weeks after completing vaccine series). 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 4 Aug 2026.

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