Covid19, Hematologic Malignancy, Vaccine Response Impaired
Conditions
Brief summary
Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in December 2019 in Wuhan, China. Infection with this new coronavirus called SARS-CoV-2 can lead to fatal pneumonia associated with high rates of hospitalization in intensive care units (ICU). Hospitalized patients with hematologic malignancies have a higher mortality rate than patients without hematologic malignancies (62% vs. 8%). The severity of Covid-19 may be related to their treatment, in particular anti-CD20 used in B lymphoid hemopathies. In fact, anti-CD20 antibodies induce rapid and prolonged depletion of B cells, but they are necessary for development. humoral immune responses. But currently, no immunogenicity data are known for patients with hemopathy or in those on anti-lymphocyte immunochemotherapy.
Detailed description
The aim of this study is to evaluate the humoral response after vaccination against SARS-CoV-2 in a French multicenter cohort of patients with hemopathies. Analysis of hemopathies and immunochemotherapy subgroups will determine whether there is a need to strengthen immunization schedules. In addition, the study wish to assess the safety and clinical efficacy of mRNA vaccines in this cohort.
Interventions
optimal humoral response at 1 month after COVID-19 vaccination
Sponsors
Study design
Eligibility
Inclusion criteria
* Benign or malignant hemopathy * With priority vaccination indication * Having benefited from anti-covid-19 mRNA vaccination
Exclusion criteria
* Patients under legal protection * Palliative care patients * History of known Covid-19 disease (\<1 year)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| humoral response after COVID19 vaccination | 1 month after vaccination | SARS-CoV-2 Trimeric S IgG titers (BAU/ml) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| humoral response after COVID19 vaccination | before first dose vaccination | SARS-CoV-2 Trimeric S IgG titers (BAU/ml) |
| clinical response after COVID19 vaccination | 12 months after vaccination | SARS-CoV-2 disease onset in the follow-up |
| security of mRNA COVID19 vaccine | 3 months after vaccination | side effects onset in the follow-up |
Countries
France