COVID-19, Liver Disease, Vaccine Reaction
Conditions
Brief summary
COVID-19 pandemic with SARS-CoV-2 infection has become a global challenge. Though most cases of COVID-19 are mild, the disease can also be fatal. Patients with liver disease are more susceptible to damage from SARS-CoV-2 infection considering their immunocompromised status. Therefore, early inoculation of SARS-CoV-2 vaccine in patients with liver disease is an important protective measure. However, information on the effectiveness and safety of the COVID-19 vaccine for liver disease remains to be determined. This muilticentre study (CHESS2101) aims to study the effectiveness and safety of the COVID-19 vaccination for patients with liver disease.
Detailed description
Patients with liver disease, especially liver cirrhosis, hepatobiliary malignancies, candidates for liver transplantation, and individuals who are immunosuppressed after liver transplantation, have an increased risk of COVID-19 infection and increased mortality. Therefore, early inoculation of SARS-CoV-2 vaccine in liver disease patients is an important protective measure. A small number of SARS-CoV-2 vaccines have been tested in clinical trials in healthy individuals and have evidence of short-term safety, immunogenicity and efficacy. However, information on the effectiveness and safety of the COVID-19 vaccine for patients with liver disease remains to be determined. This muilticentre study (CHESS2101) aims to study the effectiveness and safety of the COVID-19 vaccination for patients with liver disease.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Clinically or pathologically diagnosed with pre-existing liver disease, including: chronic liver disease, cirrhosis, liver cancer, liver transplant subjects, etc.; 2. Receiving the whole-course COVID-19 vaccination for 14 days or more; 3. Volunteer to participate in this study.
Exclusion criteria
1. Younger than 18 years old; 2. Women during pregnancy or lactation; 3. Research on other situations deemed unsuitable for selection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with adverse events within 7 days after each injection | up to 7 days after each injection |
Secondary
| Measure | Time frame |
|---|---|
| Antibody serological conversion rate in populations with liver disease after COVID-19 vaccination | the day of the first dose of vaccination (baseline) and 14 days, 28 days, 90 days, and 180 days after the second dose of vaccination |
| Overall incidence of adverse reactions within 28 days as assessed by CTCAE v4.0 | up to 28 days after each injection |
| Neutralizing antibody titers in blood samples after vaccination | the day of the first dose of vaccination (baseline) and 14 days, 28 days, 90 days, and 180 days after the second dose of vaccination |
| Antibody IgM titers in blood samples after vaccination | the day of the first dose of vaccination (baseline) and 14 days, 28 days, 90 days, and 180 days after the second dose of vaccination |
| Antibody IgG titers in blood samples after vaccination | the day of the first dose of vaccination (baseline) and 14 days, 28 days, 90 days, and 180 days after the second dose of vaccination |
Countries
China