Multiple SclerosisCoVaR-MSNCT05269888
Covid-19 Vaccine Immune Response in Multiple Sclerosis
An observational study of Multiple Sclerosis, run by University Hospitals of North Midlands NHS Trust at 1 site in United Kingdom.
Trial summary
Coronavirus (Covid-19) has affected millions of people worldwide. Vaccines to prevent Covid-19 infection have been offered to reduce the risk of infection. While these vaccines have been offered to people with multiple sclerosis (MS), they have not been tested in these individuals. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- Blood Test 1 and Blood Test 2
- Type of treatment
- Vaccines
- How many people
- 240 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 16 Feb 2022to 30 Dec 2025
- Phase
- Observational
- 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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: There are two groups of participants in this study: 1. Multiple Sclerosis Patients (Study Group): 210 patients with multiple sclerosis, on and off disease modification treatment (DMT): * 180 patients on DMT, divided as follows: 30 patients on Ocrelizumab, 30 patients on Natalizumab, 30 patients on Alemtuzumab, 30 patients on Tecfidera, 30 patients on Fingolimod, 30 patients on Interferon * 30 patients off DMT 2. Healthy Volunteers (Control Group): 30 healthy volunteers
Who may be able to join
- Aged 18 years and over
- Diagnosis of Multiple Sclerosis as per McDonald's Criteria 2017
- Falls into one of following the Disease Modification Treatment (DMT) groups: on Ocrelizumab, on Natalizumab, on Alemtuzumab, on Tecfidera, on Fingolimod, on Interferon, not on any DMT
- Has had a complete course of Covid-19 vaccination including any boosters (standard dosing: prescribed as per the UK Government guidelines)
- Willing and able to give fully informed consent
- Willing and able to comply with the study procedures
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- Aged 18 years and over
- Has had a complete course of Covid-19 vaccination (standard dosing: prescribed as per the UK Government guidelines)
- Willing and able to give fully informed consent
- Willing and able to comply with the study procedures
Who cannot join
- Has declined or does not wish to have Covid-19 vaccine
- Has switched DMT since the date of first dose of Covid-19 vaccine
- Has any other immunological condition or on immune treatment causing immune suppression
- Has declined or does not wish to have Covid-19 vaccine
- Ineligible* for Covid-19 vaccine (*Ineligible for health reasons and/or as per Government prioritisation of vaccinations)
- Non-English speaker where translation facilities are insufficient to guarantee informed consent
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- Has declined or does not wish to have Covid-19 vaccine
- Has MS or another long-term immunological condition
- History of taking any immune treatment causing immune suppression in the last 5 years
- History of any immune conditions or comorbidities known to result in immune suppression within the last 5 years;
- Ineligible* for Covid-19 vaccine (*Ineligible for health reasons and/or as per Government prioritisation of vaccinations)
- Currently participating in one or more interventional trials involving immune suppression or immune agent
- Non-English speaker where translation facilities are insufficient to guarantee informed consent
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
University Hospitals of North Midlands NHS Trust
Stoke-on-Trent, St4 6QG
About this study
Official title: An Observational Study to Evaluate Immune Response to Covid-19 Vaccines, Infections and Immune Treatments in People With Multiple Sclerosis
Coronavirus (Covid-19) has affected millions of people worldwide. Vaccines to prevent Covid-19 infection have been offered to reduce the risk of infection. While these vaccines have been offered to people with multiple sclerosis (MS), they have not been tested in these individuals. It is uncertain whether people with MS will develop protective antibodies after a Covid-19 vaccination and how long these antibodies will last.
The investigators are planning to study the immune response to the full course of Covid-19 vaccine in people with MS (study group) and compare this to people without MS or immune suppression (control group).
- Conditions
- Multiple Sclerosis
- Being tested
- Blood Test 1, Blood Test 2
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Blood Test 1Other
Blood test 1 - At 12 months (+3months) from the date of 1st Covid-19 vaccine:
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche, T-SPOT® COVID SARS-CoV-2, Full Blood Count, Serum Immunoglobulins, Anti-VZV titres
Blood Test 2Other
Blood test 2 - At 18 months (+3months) from the date of 1st Covid-19 vaccine:
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche, T-SPOT® COVID SARS-CoV-2, Full Blood Count, Serum Immunoglobulins, Anti-VZV titres
| Study group | Role | What they receive |
|---|---|---|
| Study group - Ocrelizumab | 30 patients with multiple sclerosis on Ocrelizumab (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Study group - Natalizumab | 30 patients with multiple sclerosis on Natalizumab (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Study group - Alemtuzumab | 30 patients with multiple sclerosis on Alemtuzumab (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Study group - Tecfidera | 30 patients with multiple sclerosis on Tecfidera (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Study group - Fingolimod | 30 patients with multiple sclerosis on Fingolimod (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Study group - Interferon | 30 patients with multiple sclerosis on Interferon (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Study group - off DMT | 30 patients with multiple sclerosis off disease modification treatment (DMT) (standard of care) Receives: Other: Blood Test 1; Other: Blood Test 2 | |
| Control group | 30 healthy volunteers Receives: Other: Blood Test 1; Other: Blood Test 2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 18 months from date of first dose of Covid-19 vaccine
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status in MS patients compared with healthy volunteers 18 months from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Secondary outcomes (12)
Type and timing of DMT in MS patients
Type and timing of DMT
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of DMT in MS patients
Type and timing of DMT
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of Covid-19 vaccine in MS patients compared with healthy volunteers
Type and timing of Covid-19 vaccine
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of Covid-19 vaccine in MS patients compared with healthy volunteers
Type and timing of Covid-19 vaccine
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Participant-reported PCR positive Covid-19 infection/s in MS patients compared with healthy volunteers
Participant-reported PCR positive Covid-19 infection/s
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Participant-reported PCR positive Covid-19 infection/s in MS patients compared with healthy volunteers
Participant-reported PCR positive Covid-19 infection/s
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Covid-19 vaccine-related serious adverse events in MS patients compared with healthy volunteers
Vaccine-related serious adverse events
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Covid-19 vaccine-related serious adverse events in MS patients compared with healthy volunteers
Vaccine-related serious adverse events
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Demographics of MS patients compared with healthy volunteers
Demographics
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Demographics of MS patients compared with healthy volunteers
Demographics
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Co-morbidity status of MS patients compared with healthy volunteers
Co-morbidity status
Measured: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Co-morbidity status of MS patients compared with healthy volunteers
Co-morbidity status
Measured: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2022
- Study start16 Feb 2022
- Primary completion30 Dec 2024
- Study completion30 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 240 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospitals of North Midlands NHS Trust
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05269888
- Sponsor's protocol ID
- 3200
- Acronym
- CoVaR-MS
- Status last verified
- Feb 2025
- First submitted
- 2 Mar 2022
- Last updated
- 4 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Observational Study to Evaluate Immune Response to Covid-19 Vaccines, Infections and Immune Treatments in People With Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT05269888
- Acronym / sponsor ID
- CoVaR-MS / 3200
- Conditions
- Multiple Sclerosis
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 240 participants (estimated)
- Lead sponsor
- University Hospitals of North Midlands NHS TrustUniversity, hospital or other
- Study start
- 16 Feb 2022 (actual)
- Primary completion
- 30 Dec 2024 (actual)
- Study completion
- 30 Dec 2025 (estimated)
- First posted
- 8 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Coronavirus (Covid-19) has affected millions of people worldwide. Vaccines to prevent Covid-19 infection have been offered to reduce the risk of infection. While these vaccines have been offered to people with multiple sclerosis (MS), they have not been tested in these individuals. It is uncertain whether people with MS will develop protective antibodies after a Covid-19 vaccination and how long these antibodies will last.
The investigators are planning to study the immune response to the full course of Covid-19 vaccine in people with MS (study group) and compare this to people without MS or immune suppression (control group).
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Study group - Ocrelizumab | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis on Ocrelizumab (standard of care) |
| Study group - Natalizumab | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis on Natalizumab (standard of care) |
| Study group - Alemtuzumab | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis on Alemtuzumab (standard of care) |
| Study group - Tecfidera | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis on Tecfidera (standard of care) |
| Study group - Fingolimod | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis on Fingolimod (standard of care) |
| Study group - Interferon | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis on Interferon (standard of care) |
| Study group - off DMT | – | Other: Blood Test 1, Other: Blood Test 230 patients with multiple sclerosis off disease modification treatment (DMT) (standard of care) |
| Control group | – | Other: Blood Test 1, Other: Blood Test 230 healthy volunteers |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- There are two groups of participants in this study: 1. Multiple Sclerosis Patients (Study Group): 210 patients with multiple sclerosis, on and off disease modification treatment (DMT): * 180 patients on DMT, divided as follows: 30 patients on Ocrelizumab, 30 patients on Natalizumab, 30 patients on Alemtuzumab, 30 patients on Tecfidera, 30 patients on Fingolimod, 30 patients on Interferon * 30 patients off DMT 2. Healthy Volunteers (Control Group): 30 healthy volunteers
Key inclusion criteria (10 listed)
- Aged 18 years and over
- Diagnosis of Multiple Sclerosis as per McDonald's Criteria 2017
- Falls into one of following the Disease Modification Treatment (DMT) groups: on Ocrelizumab, on Natalizumab, on Alemtuzumab, on Tecfidera, on Fingolimod, on Interferon, not on any DMT
- Has had a complete course of Covid-19 vaccination including any boosters (standard dosing: prescribed as per the UK Government guidelines)
- Willing and able to give fully informed consent
Key exclusion criteria (13 listed)
- Has declined or does not wish to have Covid-19 vaccine
- Has switched DMT since the date of first dose of Covid-19 vaccine
- Has any other immunological condition or on immune treatment causing immune suppression
- Has declined or does not wish to have Covid-19 vaccine
- Ineligible* for Covid-19 vaccine (*Ineligible for health reasons and/or as per Government prioritisation of vaccinations)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Blood Test 1Blood test 1 - At 12 months (+3months) from the date of 1st Covid-19 vaccine: Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche, T-SPOT® COVID SARS-CoV-2, Full Blood Count, Serum Immunoglobulins, Anti-VZV titres | Other | Control group, Study group - Alemtuzumab, Study group - Fingolimod, Study group - Interferon, Study group - Natalizumab, Study group - Ocrelizumab, Study group - Tecfidera, Study group - off DMT |
| Blood Test 2Blood test 2 - At 18 months (+3months) from the date of 1st Covid-19 vaccine: Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche, T-SPOT® COVID SARS-CoV-2, Full Blood Count, Serum Immunoglobulins, Anti-VZV titres | Other | Control group, Study group - Alemtuzumab, Study group - Fingolimod, Study group - Interferon, Study group - Natalizumab, Study group - Ocrelizumab, Study group - Tecfidera, Study group - off DMT |
Primary outcome
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 18 months from date of first dose of Covid-19 vaccine
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche
T-SPOT® COVID SARS-CoV-2 test status in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status
T-SPOT® COVID SARS-CoV-2 test status in MS patients compared with healthy volunteers 18 months from date of first dose of Covid-19 vaccine
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
T-SPOT® COVID SARS-CoV-2 test status
12 secondary outcomes
Type and timing of DMT in MS patients
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of DMT in MS patients
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of Covid-19 vaccine in MS patients compared with healthy volunteers
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Type and timing of Covid-19 vaccine in MS patients compared with healthy volunteers
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Participant-reported PCR positive Covid-19 infection/s in MS patients compared with healthy volunteers
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Participant-reported PCR positive Covid-19 infection/s in MS patients compared with healthy volunteers
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Covid-19 vaccine-related serious adverse events in MS patients compared with healthy volunteers
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Covid-19 vaccine-related serious adverse events in MS patients compared with healthy volunteers
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Demographics of MS patients compared with healthy volunteers
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Demographics of MS patients compared with healthy volunteers
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Co-morbidity status of MS patients compared with healthy volunteers
Time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine
Co-morbidity status of MS patients compared with healthy volunteers
Time frame: 18 months (+3 months) from date of first dose of Covid-19 vaccine
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Multiple Sclerosis, run by University Hospitals of North Midlands NHS Trust at 1 site in United Kingdom.
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 13 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: under way, not looking for participants, as of the sponsor's last update on 4 Feb 2025. 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 Kingdom. 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?
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?
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?
Blood titres of Anti-SARS-CoV-2 S1/S2/N IgG antibody Roche in MS patients compared with healthy volunteers 12 months from date of first dose of Covid-19 vaccine (time frame: 12 months (+3 months) from date of first dose of Covid-19 vaccine). The study lists 4 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 4 Feb 2025.