- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04932863
BNT162b2 Messenger Ribonucleic Acid (mRNA) Covid-19 Vaccine in Cancer Patients on Active Treatment (UNICO)
A Prospective Observational Non Interventional Study of Reactogenicity and Safety of the BNT162b2 Messenger Ribonucleic Acid (mRNA) Covid-19 Vaccine in Cancer Patients on Active Treatment
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is an observational non-interventional study in cancer patients. The study will evaluate the safety, tolerability and immunogenicity of Pfizer SARS-CoV-2 RNA vaccine against COronaVIrus Disease-19 (COVID-19) which will be delivered in the deltoid muscle in 2-dose (separated by 21 days). Blood will be collected in two 5 milliliters (mL) vacuettes for serum Immunoglobulin G (IgG) and Cytokine assessment, at baseline and after 21 days, immediately before the first and the second dose, respectively, then after 42 days from the first dose and finally after 6 months from the baseline. A panel of 22 cytokines (Biorad) will be measured at baseline and after 21 and 42 days in four groups consisting of: no responders (S1/S2 IgG<15 Arbitrary Unit AU/ml at 42 days), slow responders (S1/S2 IgG<15 AU/mL after 21 days and >15 AU/mL after the second dose), fast responders (S1/S2 IgG>15 AU/mL after the first 21 days) and immunized patients (S1/S2 IgG>15 AU/mL at baseline). At baseline, at 42 days and 6 months questionnaires for psychological testing will be dispensed for completion to patients.
After 42 days from the first dose, 15 mL of heparinized peripheral blood from both non-responders (S1/S2 IgG<25 AU/mL) and responders will be used for isolation of different Cluster of Differentiation 4 (CD4+) and CD8+ T cell subpopulations and analysis of their capability to undergo activation/proliferation in response to specific SARS- CoV-2 derived peptides.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Marco Musso, PhD
- Phone Number: 00390105634521
- Email: marco.musso@galliera.it
Study Contact Backup
- Name: Nicoletta Provinciali, MD
- Phone Number: 00390105634212
- Email: n.provinciali@galliera.it
Study Locations
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Genova, Italy, 16128
- Recruiting
- E.O. Ospedali Galliera
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Contact:
- Nicoletta Provinciali, MD
- Phone Number: 00390105634212
- Email: n.provinciali@galliera.it
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Contact:
- Andrea De Censi, MD
- Phone Number: 00390105634501
- Email: andrea.decensi@galliera.it
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥18 years
- On treatment for cancer during the last 6 months or being treated >6 months ago but being ultravulnerable
- About to receive "Pfizer-BioNTech COVID-19" vaccine
- Lymphocyte count≥0.5x10^9/L
Exclusion Criteria:
- Subjects who are not eligible for "Pfizer-BioNTech COVID-19" vaccine administration
- Inability and/or unwillingness to sign written informed consent
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Subjects with cancer of any type and stage under active or prior medical treatment
BNT162b2 mRNA Covid-19 Vaccine as two injections, 21 days apart, of 30 μg per dose in the deltoid muscle.
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Two injections, 21 days apart, of the BNT162b2 vaccine 30 μg per dose in the deltoid muscle.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Antibody titer reactogenicity assessment
Time Frame: up to 12 months
|
Serum IgG assessment at baseline, after 21 days, 42 days and after 6 months to Pfizer SARS- CoV-2 RNA vaccine in cancer patients under prior or current active antitumor treatment
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up to 12 months
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Comparison of the immune response in treated and untreated patients
Time Frame: up to 12 months
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Identification of predictive factors for antibody response in treated versus untreated patients
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up to 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety assessment
Time Frame: up to 24 months
|
Number and Grade of Adverse Events (AE) related to vaccine in patients undergoing anti-cancer treatment.
|
up to 24 months
|
Antibody titer correlations with therapy
Time Frame: up to 24 months
|
To correlate the antibody titer with type and timing of therapy.
Particular attention will be devoted to the effect in patients receiving checkpoint inhibitor immunotherapy.
|
up to 24 months
|
Antibody titer correlations with cancer
Time Frame: up to 24 months
|
To correlate the antibody titer with the type of cancer and cancer staging/grading
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up to 24 months
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Antibody titer correlations with patients
Time Frame: up to 24 months
|
To correlate the antibody titer with host characteristics, including psychological variables such as distress and anxiety or depression.
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up to 24 months
|
Inflammatory response evaluation
Time Frame: up to 24 months
|
Dosage of soluble factors (including pro-inflammatory cytokines, Cytokine Multiplex Assay Kits) in responders and non responders to Pfizer SARS-CoV-2 RNA vaccine
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up to 24 months
|
Immune cell activation
Time Frame: up to 24 months
|
Correlate soluble factors of inflammatory response with blood cell count and inflammatory and pro-thrombotic biomarkers
|
up to 24 months
|
Immunological memory
Time Frame: up to 24 months
|
Comparing lymphocyte activation in cancer patients responding to the vaccine versus those non responding (S1/S2 IgG <15 AU/mL)
|
up to 24 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Andrea De Censi, MD, E.O. Ospedali Galliera
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 35UCS2021
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Informed Consent Form (ICF)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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