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Neuromuscular DiseasesVA-C-NEMUSNCT05311904

Efficacy and Safety of Vaccination Against COVID-19 in Neuromuscular Patients

An observational study of Neuromuscular Diseases, run by University Hospital, Bordeaux at 1 site 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

The frequency of severe forms of COVID-19 is higher in people with neuromuscular disease and in severe cases and long hospital stays, the disability of some neuromuscular patients may worsen due to prolonged bed rest . Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Neuromuscular Diseases
What is being tested?
Survey
How many people
1,388 participants
Where
1 siteFrance
Study dates
11 Mar 2021to 3 Feb 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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patient with a neuromuscular disease

Who may be able to join

  • Patient with one of the following neuromuscular diseases:
  • Autoimmune myasthenia gravis, Lambert-Eaton syndrome
  • Congenital myasthenic syndromes
  • Myositis
  • Inflammatory neuropathies
  • Hereditary neuropathies (Charcot-Marie-Tooth disease, etc.)
Show all 19Show fewer
  • Amyloid neuropathies
  • Spinal atrophies
  • Myotonic dystrophies type 1 (Steinert disease) and 2 (PROMM)
  • Duchenne and Becker muscular dystrophies
  • Muscular dystrophies of the girdles
  • Pump disease
  • Congenital myopathies
  • Congenital muscular dystrophies
  • Metabolic myopathies
  • Other myopathies with confirmed genetic diagnosis
  • Patient over 18 years old
  • Patient having understood that the follow-up of a possible side effect of the vaccination or of a COVID-19 must be carried out by his usual doctor (s) and not by the observatory team Va-C-NEMUS
  • Patients having been informed of the study and having expressed their agreement

Who cannot join

  • 1. Patient under legal protection, curatorship or tutorship

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU de Bordeaux

    Bordeaux, 33076

Other trials in France

About this study

Official title: Observatory of the Efficacy and Safety of Vaccination Against SARS-CoV-2 in Neuromuscular Patients

The frequency of severe forms of COVID-19 is higher in people with neuromuscular disease and in severe cases and long hospital stays, the disability of some neuromuscular patients may worsen due to prolonged bed rest . Finally, the symptoms of certain diseases such as myasthenia gravis can worsen after an infection such as COVID-19.

Thanks to an unprecedented research effort, vaccines are now available and others still in development. The first studies published in medical journals are reassuring about the efficacy and safety of these vaccines. However, they have been studied in the general population and we do not yet have specific information in neuromuscular patients.

This is the reason why the Va-C-NEMUS observatory was launched.

Read the detailed description

Prevention of COVID-19 in neuromuscular patients is therefore fundamental and vaccination is eagerly awaited by patients and their healthcare teams. An unprecedented research effort has made it possible to create vaccines in a very short time when no vaccine directed against a coronavirus has existed until now. Some of these vaccines are based on proven technologies while others such as RNA vaccines are very innovative. The results of the phase III studies of 3 of them have just been published (Pfizer/BioNTech, Moderna and Astra-Zeneca). Among them, the Pfizer-BioNTech and Moderna vaccines have received authorization for use from the European Medicines Agency. The data on the individuals enrolled in these trials are still not very detailed. However, we already know that in the Pfizer/BioNTech trial, patients on immunosuppressants were excluded. For the Astra-Zeneca vaccine, the publication combines data from 4 different trials. In two of them the patients had to be in "good health". In any case, we do not know the pathologies presented by patients outside the usual risk factors for the severe form of COVID-19 (age, obesity, cardiovascular diseases, respiratory diseases). No data on neuromuscular patients are currently known. The vaccination campaign began in France in January 2021. The first neuromuscular patients should be vaccinated soon depending on their comorbidities, but many questions arise in these patients both in terms of safety and efficacy.

Being tested
Survey
Keywords
COVID-19, vaccination, safety
Medical subject headings
Neuromuscular Diseases, COVID-19

What participants receive

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

  • SurveyOther

    1 initial questionnaire and 1 monthly follow-up questionnaire for 11 months

What is being measured

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

  1. the frequency of serious adverse reactions (SAEs)

    the frequency of serious adverse reactions (SAEs) in the population of neuromuscular patients vaccinated against COVID19 Serious adverse reaction or event (Article R1123-46 of the Public Health Code and ICH-E2B guideline)

    Any adverse reaction or event that:

    • results in death,
    • endangers the life of the participant,
    • requires hospitalisation or prolongation of hospitalisation,
    • causes an inability or significant or long-term disability,
    • results in an abnormality or congenital malformation,
    • or any event considered to be medically serious, and with respect to the drug, regardless of the dose administered. The expression "life-threatening" is reserved for an immediate life threat at the time of the adverse event.

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  2. the frequency of unexpected adverse reactions (SUSARs)

    Unexpected adverse event or suspected adverse reaction refers to an event or reaction that is not listed in the investigator's brochure or is not listed at the specificity or severity that has been observed; or, if an investigator's brochure is not required or available, is not consistent with the risk information

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

Secondary outcomes (21)
  1. vaccination's global safety : Frequency of Adverse Effects (AEs)

    Frequency of Adverse Effects (AEs) in the population of neuromuscular patients vaccinated against COVID19

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  2. Risk of worsening autoimmune myasthenia gravis after vaccination

    Myasthenia Gravis Foundation of America classification

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  3. Frequency of worsening of the autonomy of the patients evaluated with the MG-ADL

    Frequency of worsening of the MG-ADL activity score by more than 2 points between the week before vaccination and the week following vaccination will be evaluated The Myasthenia Gravis-specific Activities of Daily Living scale consists of the assessment of 8 parameters: speaking, chewing, swallowing, breathing, self-care activities (brushing the teeth or combing the hair), simple physical activities (getting up from a chair), double vision and eye lid dropping. Each parameter is subjected to assessment depending on the degree of symptoms intensification, awarding points from 0 to 3 points. The maximum number a patient may receive is 24 points. The higher the score of points, the bigger limitations of the patient in everyday life activities caused by intensification of myasthenia gravis (Wolfe GI, Herbelin L, Nations SP, Foster B, Bryan WW, Barohn RJ. Myasthenia gravis activities of daily living profile. Neurology 1999;52:1487-1489.)

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  4. Frequency of hospitalizations for myasthenic crisis

    Frequency of hospitalizations for myasthenic crisis in the month following vaccination

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  5. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test

    Measured: at least 7 days after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  6. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test occurring

    Measured: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  7. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test occurring

    Measured: at 2 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  8. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test occurring

    Measured: at 3 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  9. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test occurring

    Measured: at 4 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  10. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test occurring

    Measured: at 5 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  11. effectiveness of the vaccination

    Frequency of COVID-19 cases confirmed by a PCR test or an antigen test occurring

    Measured: at 6 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  12. the frequency of serious adverse reactions (SAEs) at 2 months

    the frequency of serious adverse reactions (SAEs) in the population of neuromuscular patients vaccinated against COVID19 Serious adverse reaction or event (Article R1123-46 of the Public Health Code and ICH-E2B guideline)

    Any adverse reaction or event that:

    • results in death,
    • endangers the life of the participant,
    • requires hospitalisation or prolongation of hospitalisation,
    • causes an inability or significant or long-term disability,
    • results in an abnormality or congenital malformation,
    • or any event considered to be medically serious, and with respect to the drug, regardless of the dose administered. The expression "life-threatening" is reserved for an immediate life threat at the time of the adverse event.

    Measured: at 2 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  13. the frequency of serious adverse reactions (SAEs) at 3 months

    the frequency of serious adverse reactions (SAEs) in the population of neuromuscular patients vaccinated against COVID19 Serious adverse reaction or event (Article R1123-46 of the Public Health Code and ICH-E2B guideline)

    Any adverse reaction or event that:

    • results in death,
    • endangers the life of the participant,
    • requires hospitalisation or prolongation of hospitalisation,
    • causes an inability or significant or long-term disability,
    • results in an abnormality or congenital malformation,
    • or any event considered to be medically serious, and with respect to the drug, regardless of the dose administered. The expression "life-threatening" is reserved for an immediate life threat at the time of the adverse event.

    Measured: at 3 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  14. the frequency of serious adverse reactions (SAEs) at 4 months

    the frequency of serious adverse reactions (SAEs) in the population of neuromuscular patients vaccinated against COVID19 Serious adverse reaction or event (Article R1123-46 of the Public Health Code and ICH-E2B guideline)

    Any adverse reaction or event that:

    • results in death,
    • endangers the life of the participant,
    • requires hospitalisation or prolongation of hospitalisation,
    • causes an inability or significant or long-term disability,
    • results in an abnormality or congenital malformation,
    • or any event considered to be medically serious, and with respect to the drug, regardless of the dose administered. The expression "life-threatening" is reserved for an immediate life threat at the time of the adverse event.

    Measured: at 4 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  15. the frequency of serious adverse reactions (SAEs) at 5 months

    the frequency of serious adverse reactions (SAEs) in the population of neuromuscular patients vaccinated against COVID19 Serious adverse reaction or event (Article R1123-46 of the Public Health Code and ICH-E2B guideline)

    Any adverse reaction or event that:

    • results in death,
    • endangers the life of the participant,
    • requires hospitalisation or prolongation of hospitalisation,
    • causes an inability or significant or long-term disability,
    • results in an abnormality or congenital malformation,
    • or any event considered to be medically serious, and with respect to the drug, regardless of the dose administered. The expression "life-threatening" is reserved for an immediate life threat at the time of the adverse event.

    Measured: at 5 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  16. the frequency of serious adverse reactions (SAEs) at 6 months

    the frequency of serious adverse reactions (SAEs) in the population of neuromuscular patients vaccinated against COVID19 Serious adverse reaction or event (Article R1123-46 of the Public Health Code and ICH-E2B guideline)

    Any adverse reaction or event that:

    • results in death,
    • endangers the life of the participant,
    • requires hospitalisation or prolongation of hospitalisation,
    • causes an inability or significant or long-term disability,
    • results in an abnormality or congenital malformation,
    • or any event considered to be medically serious, and with respect to the drug, regardless of the dose administered. The expression "life-threatening" is reserved for an immediate life threat at the time of the adverse event.

    Measured: at 6 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  17. the frequency of unexpected adverse reactions (SUSARs) at 2 months

    Unexpected adverse event or suspected adverse reaction refers to an event or reaction that is not listed in the investigator's brochure or is not listed at the specificity or severity that has been observed; or, if an investigator's brochure is not required or available, is not consistent with the risk information

    Measured: at 2 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  18. the frequency of unexpected adverse reactions (SUSARs) at 3 months

    Unexpected adverse event or suspected adverse reaction refers to an event or reaction that is not listed in the investigator's brochure or is not listed at the specificity or severity that has been observed; or, if an investigator's brochure is not required or available, is not consistent with the risk information

    Measured: at 3 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  19. the frequency of unexpected adverse reactions (SUSARs) at 4 months

    Unexpected adverse event or suspected adverse reaction refers to an event or reaction that is not listed in the investigator's brochure or is not listed at the specificity or severity that has been observed; or, if an investigator's brochure is not required or available, is not consistent with the risk information

    Measured: at 4 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  20. the frequency of unexepected adverse reactions (SUSARs) at 5 months

    Unexpected adverse event or suspected adverse reaction refers to an event or reaction that is not listed in the investigator's brochure or is not listed at the specificity or severity that has been observed; or, if an investigator's brochure is not required or available, is not consistent with the risk information

    Measured: at 5 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

  21. the frequency of unexpected adverse reactions (SUSARs) at 6 months

    Unexpected adverse event or suspected adverse reaction refers to an event or reaction that is not listed in the investigator's brochure or is not listed at the specificity or severity that has been observed; or, if an investigator's brochure is not required or available, is not consistent with the risk information

    Measured: at 6 months after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).

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 2022
  2. Study start11 Mar 2021
  3. Primary completion3 Feb 2023
  4. Study completion3 Feb 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
Cohort
Time perspective
Prospective
Enrolment
1,388 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05311904
Sponsor's protocol ID
CHUBX 2020/68
Acronym
VA-C-NEMUS
Status last verified
Oct 2023
First submitted
31 Mar 2021
Last updated
6 Oct 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 Neuromuscular Diseases, run by University Hospital, Bordeaux at 1 site 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 19 inclusion and 1 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 6 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 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?

the frequency of serious adverse reactions (SAEs) (time frame: at 1 month after the end of the vaccination against SARS-CoV-2 (after the 2nd injection for the majority of vaccines).). 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 6 Oct 2023.

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