Vaccination UptakeCAREVAXNCT06127563
Caring for Frail Patients Through Vaccination
An observational study of Vaccination Uptake, run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS at 1 site in Italy.
Trial summary
The CareVax project aims to find frail patients at Fondazione Policlinico Universitario 'A. Gemelli' IRCCS who could benefit from vaccinations against pneumococcal, Zoster, flu, HBV and SARS-CoV-2. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Vaccination Uptake
- What is being tested?
- creation of a clinical pathway to increase vaccination coverage in frail patients
- Type of treatment
- Vaccines
- How many people
- 1,500 participants
- Where
- 1 siteItaly
- Study dates
- 17 Jul 2024to 17 Jul 2027
- How long will I take part?
- 4 Years
- 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: The study population consists of adult patients who have accessed one of the enrolled departments (Dermatology, Oncological gynaecology, Geriatry, Nephrology, Gastroenterology) of teaching hospital A. Gemelli and whose sanitary residence is in Lazio Region (This criteria was inserted because as of now the italian digital infrastructure of the vaccination registry allows easy access only for Regional data) .
Who may be able to join
- 18 years old or more,
- Patients who have accessed one of the enrolled departments (Dermatology, Oncological gynaecology, Geriatry, Nephrology, Gastroenterology),
- Medical residence in Lazio Region
Who cannot join
- Patients who do not fulfill 1 or more inclusion criteria
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Italy1 site, 1 recruiting
- Recruiting
Fondazione Policlinico Universitario A. Gemelli IRCCS
Rome, Lazio, 00168
Patrizia Laurenti, +390630155701, patrizia.laurenti@policlinicogemelli.it
Patrizia Laurenti
About this study
The CareVax project aims to find frail patients at Fondazione Policlinico Universitario 'A. Gemelli' IRCCS who could benefit from vaccinations against pneumococcal, Zoster, flu, HBV and SARS-CoV-2. This will reduce hospital stays, long-term effects, and deaths related to these diseases, as outlined in the PNPV (National Plan for Vaccine Prevention) 2017-2019 and Ministry of Health circulars from September, October, December 2022, and January 2023. Eligible patients, upon consent, will be identified by applying an automated algorithm to the patient's electronic health record and vaccination history contained in the regional vaccination registry. Identified patients will be contacted either directly if they are admitted to the inpatient wards of the Fondazione Policlinico Universitario "A.Gemelli" IRCCS (FPG) Hospital, or by messaging or e-mail in the case of access to the FPG for follow-up or routine visits or day hospital or day surgery service. Patients contacted, depending on their frail condition, will be booked for vaccination at an hospital vaccine clinic (extremely vulnerable patients) or a Local Health Unit (ASL Roma1) vaccine clinic respectively (frail patients).
The project envisages a validation phase of the algorithm, through the evaluation of its concordance with the judgement of a blinded clinician on a small group of patients Patients' engagement and a proper communication system with them will be carried through an interoperable digital system aimed at booking the new vaccination appointment, reminding it and providing patients with all the information needed.
- Conditions
- Vaccination Uptake
- Being tested
- creation of a clinical pathway to increase vaccination coverage in frail patients
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
creation of a clinical pathway to increase vaccination coverage in frail patientsOther
creation of a clinical pathway to increase vaccination coverage for frail patients, integrating hospital and local health units through an automated algorithm
What is being measured
The primary outcome is the main question the study is designed to answer.
Vaccinated against influenza at 24 months
Proportion of participants vaccinated against influenza 24 months after the beginning of the study
Measured: 24 months
Vaccinated against influenza at 12 months
Proportion of participants vaccinated against influenza 12 months after the beginning of the study
Measured: 12 months
Vaccinated against influenza at 6 months
Proportion of participants vaccinated against influenza 6 months after the beginning of the study
Measured: 6 months
Vaccinated against COVID19 at 24 months
Proportion of participants fully vaccinated against Covid19 24 months after the beginning of the study
Measured: 24 months
Vaccinated against COVID19 at 12 months
Proportion of participants fully vaccinated against Covid19 12 months after the beginning of the study
Measured: 12 months
Vaccinated against COVID19 at 6 months
Proportion of participants fully vaccinated against Covid19 6 months after the beginning of the study
Measured: 6 months
Algorithm clinician concordance - initial sample of patients
Concordance between the clinician's and the algorithm's judgments on patient eligibility for vaccination, measured on a sample of patients.
Measured: At the start
Algorithm clinician concordance
The proportion of vaccinations confirmed by physicians compared to those proposed by the algorithm.
Measured: 24 months
Feasibility in reaching the patients
Number of patients successfully contacted to offer a vaccination appointment after being considered eligible compared to the number of patients flagged by the algorithm.
Measured: 24 months
Acceptability of the vaccination offer
Number of patients consenting to vaccination appointments compared to the number of patients contacted.
Measured: 24 months
Logistical feasibility of the vaccination pathway
Number of patients presenting to vaccination centers (Hospital or Local Health Authority) compared to the number who have booked a vaccination appointment.
Measured: 24 months
Patients' drop out proportion
Number of patients who drop out or are lost to follow-up versus the total number of patients recruited.
Measured: 24 months
Secondary outcomes (10)
Vaccinated against Hepatitis B virus at 24 months
Proportion of participants vaccinated against Hepatitis B virus 24 months after the beginning of the study
Measured: 24 months
Vaccinated against Herpes Zoster virus at 24 months
Proportion of participants vaccinated against Herpes Zoster virus 24 months after the beginning of the study
Measured: 24 months
Vaccinated against Pneumococcus at 24 months
Proportion of participants vaccinated against Pneumococcus 24 months after the beginning of the study
Measured: 24 months
Vaccinated against Hepatitis B virus at 12 months
Proportion of participants vaccinated against Hepatitis B virus 12 months after the beginning of the study
Measured: 12 months
Vaccinated against Herpes Zoster virus at 12 months
Proportion of participants vaccinated against Herpes Zoster virus 12 months after the beginning of the study
Measured: 12 months
Vaccinated against Pneumococcus at 12 months
Proportion of participants vaccinated against Pneumococcus 12 months after the beginning of the study
Measured: 12 months
Vaccinated against Hepatitis B virus at 6 months
Proportion of participants vaccinated against Hepatitis B virus 6 months after the beginning of the study
Measured: 6 months
Vaccinated against Herpes Zoster virus at 6 months
Proportion of participants vaccinated against Herpes Zoster virus 6 months after the beginning of the study
Measured: 6 months
Vaccinated against Pneumococcus at 6 months
Proportion of participants vaccinated against Pneumococcus 6 months after the beginning of the study
Measured: 6 months
Alerts generated by the algorithm at 24 months
Number of vaccination alerts generated by the algorithm among the study participants in the first 24 months after the beginning of the study
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Nov 2023
- Study start17 Jul 2024
- Primary completion17 Jul 2026 (estimated)
- Study completion17 Jul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Vaccination UptakeStudies of the same condition, open and under way.
- More trials run by Fondazione Policlinico Universitario Agostino Gemelli IRCCSThe sponsor's other registered studies.
- 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
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,500 participants (estimated)
- Target duration
- 4 Years
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Patrizia Laurenti, Principal investigator, Fondazione Policlinico Universitario Agostino Gemelli IRCCS
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06127563
- Sponsor's protocol ID
- 5819
- Acronym
- CAREVAX
- Status last verified
- Jul 2025
- First submitted
- 12 Jun 2023
- Last updated
- 12 Aug 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Lontano A, Regazzi L, Tona DM, Di Pumpo M, Porcelli M, Cacciuttolo MG, Parente P, Gasbarrini A, Grandaliano G, Panocchia N, Lopetuso L, Pasciuto T, Cadeddu C, Bruno S, Laurenti P, Pascucci D, Pastorino R. Digital integration between hospitals and local health authorities for enhanced vaccination coverage among frail patients: the CareVax study protocol. Front Public Health. 2025 Jan 30;13:1490244. doi: 10.3389/fpubh.2025.1490244. eCollection 2025.
PubMed 39949559
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Caring for Frail Patients Through Vaccination
- ClinicalTrials.gov ID
- NCT06127563
- Acronym / sponsor ID
- CAREVAX / 5819
- Conditions
- Vaccination Uptake
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 1,500 participants (estimated)
- Lead sponsor
- Fondazione Policlinico Universitario Agostino Gemelli IRCCSUniversity, hospital or other
- Study start
- 17 Jul 2024 (actual)
- Primary completion
- 17 Jul 2026 (estimated)
- Study completion
- 17 Jul 2027 (estimated)
- First posted
- 13 Nov 2023 (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.
The CareVax project aims to find frail patients at Fondazione Policlinico Universitario 'A. Gemelli' IRCCS who could benefit from vaccinations against pneumococcal, Zoster, flu, HBV and SARS-CoV-2. This will reduce hospital stays, long-term effects, and deaths related to these diseases, as outlined in the PNPV (National Plan for Vaccine Prevention) 2017-2019 and Ministry of Health circulars from September, October, December 2022, and January 2023. Eligible patients, upon consent, will be identified by applying an automated algorithm to the patient's electronic health record and vaccination history contained in the regional vaccination registry. Identified patients will be contacted either directly if they are admitted to the inpatient wards of the Fondazione Policlinico Universitario "A.Gemelli" IRCCS (FPG) Hospital, or by messaging or e-mail in the case of access to the FPG for follow-up or routine visits or day hospital or day surgery service. Patients contacted, depending on their frail condition, will be booked for vaccination at an hospital vaccine clinic (extremely vulnerable patients) or a Local Health Unit (ASL Roma1) vaccine clinic respectively (frail patients).
The project envisages a validation phase of the algorithm, through the evaluation of its concordance with the judgement of a blinded clinician on a small group of patients Patients' engagement and a proper communication system with them will be carried through an interoperable digital system aimed at booking the new vaccination appointment, reminding it and providing patients with all the information needed.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 4 Years
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- The study population consists of adult patients who have accessed one of the enrolled departments (Dermatology, Oncological gynaecology, Geriatry, Nephrology, Gastroenterology) of teaching hospital A. Gemelli and whose sanitary residence is in Lazio Region (This criteria was inserted because as of now the italian digital infrastructure of the vaccination registry allows easy access only for Regional data) .
Key inclusion criteria (3 listed)
- 18 years old or more,
- Patients who have accessed one of the enrolled departments (Dermatology, Oncological gynaecology, Geriatry, Nephrology, Gastroenterology),
- Medical residence in Lazio Region
Key exclusion criteria (1 listed)
- Patients who do not fulfill 1 or more inclusion criteria
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 |
|---|---|---|
| creation of a clinical pathway to increase vaccination coverage in frail patientscreation of a clinical pathway to increase vaccination coverage for frail patients, integrating hospital and local health units through an automated algorithm | Other | – |
Primary outcome
Vaccinated against influenza at 24 months
Time frame: 24 months
Proportion of participants vaccinated against influenza 24 months after the beginning of the study
Vaccinated against influenza at 12 months
Time frame: 12 months
Proportion of participants vaccinated against influenza 12 months after the beginning of the study
Vaccinated against influenza at 6 months
Time frame: 6 months
Proportion of participants vaccinated against influenza 6 months after the beginning of the study
Vaccinated against COVID19 at 24 months
Time frame: 24 months
Proportion of participants fully vaccinated against Covid19 24 months after the beginning of the study
Vaccinated against COVID19 at 12 months
Time frame: 12 months
Proportion of participants fully vaccinated against Covid19 12 months after the beginning of the study
Vaccinated against COVID19 at 6 months
Time frame: 6 months
Proportion of participants fully vaccinated against Covid19 6 months after the beginning of the study
Algorithm clinician concordance - initial sample of patients
Time frame: At the start
Concordance between the clinician's and the algorithm's judgments on patient eligibility for vaccination, measured on a sample of patients.
Algorithm clinician concordance
Time frame: 24 months
The proportion of vaccinations confirmed by physicians compared to those proposed by the algorithm.
Feasibility in reaching the patients
Time frame: 24 months
Number of patients successfully contacted to offer a vaccination appointment after being considered eligible compared to the number of patients flagged by the algorithm.
Acceptability of the vaccination offer
Time frame: 24 months
Number of patients consenting to vaccination appointments compared to the number of patients contacted.
Logistical feasibility of the vaccination pathway
Time frame: 24 months
Number of patients presenting to vaccination centers (Hospital or Local Health Authority) compared to the number who have booked a vaccination appointment.
Patients' drop out proportion
Time frame: 24 months
Number of patients who drop out or are lost to follow-up versus the total number of patients recruited.
10 secondary outcomes
Vaccinated against Hepatitis B virus at 24 months
Time frame: 24 months
Vaccinated against Herpes Zoster virus at 24 months
Time frame: 24 months
Vaccinated against Pneumococcus at 24 months
Time frame: 24 months
Vaccinated against Hepatitis B virus at 12 months
Time frame: 12 months
Vaccinated against Herpes Zoster virus at 12 months
Time frame: 12 months
Vaccinated against Pneumococcus at 12 months
Time frame: 12 months
Vaccinated against Hepatitis B virus at 6 months
Time frame: 6 months
Vaccinated against Herpes Zoster virus at 6 months
Time frame: 6 months
Vaccinated against Pneumococcus at 6 months
Time frame: 6 months
Alerts generated by the algorithm at 24 months
Time frame: 24 months
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 12 Aug 2025.
- Derived from this study: PubMed 39949559Lontano A, Regazzi L, Tona DM, Di Pumpo M, Porcelli M, Cacciuttolo MG, Parente P, Gasbarrini A, Grandaliano G, Panocchia N, Lopetuso L, Pasciuto T, Cadeddu C, Bruno S, Laurenti P, Pascucci D, Pastorino R. Digital integration between hospitals and local health authorities for enhanced vaccination coverage among frail patients: the CareVax study protocol. Front Public Health. 2025 Jan 30;13:1490244. doi: 10.3389/fpubh.2025.1490244. eCollection 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.
Patrizia Laurenti principal investigator
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
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 Vaccination Uptake, run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS at 1 site in Italy.
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 3 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: looking for participants now, as of the sponsor's last update on 12 Aug 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 Italy. 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?
Contact Patrizia Laurenti (+390630155701, patrizia.laurenti@policlinicogemelli.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Vaccinated against influenza at 24 months (time frame: 24 months). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06127563, which also lists 1 linked publication.
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 12 Aug 2025.