Covid19
Conditions
Keywords
vaccine
Brief summary
The objective will be to analyze the development of cellular and humoral immunity against SARS-CoV-2 after administration of a third dose of mRNA-1273 (Moderna) vaccine in patients who have remained seronegative after the full standard (two-dose) regimen.
Interventions
Renal or renopancreatic transplant's patient will receive a third dose of mRNA 1273 (Moderna) vaccine from 28 days after administration of the second dose and after the seronegativity has been verified.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \> 18 years; 2. Male or female sex; 3. Renal transplant with stable renal function in the last 2 months prior to study inclusion. 4. Had received a full schedule of vaccination for SARS-CoV-2 with mRNA1273 vaccine (Moderna) and remained seronegative at 2 weeks after the second dose. 5. Patient giving written informed consent.
Exclusion criteria
1. Renal transplantation \< 3 months; 2. Pregnancy or lactation status; 3. Rejection treated within the last 6 months; 4. Presence of humoral immunity to SARS-CoV-2 defined as the presence of specific IgM/IgG.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with development of cellular and humoral immunity against SARS-CoV-2 | 2 weeks | the development of cellular and humoral immunity against SARS-CoV-2 after administration of a third dose of mRNA-1273 (Moderna) vaccine in patients who have remained seronegative after the full standard (two-dose) regimen |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with development of cellular and humoral immunity against SARS-CoV-2 | 4 months | development of cellular and humoral immunity against SARS-CoV-2 after 4 months of administration of a third dose of mRNA-1273 vaccine (Moderna). |
| patient characteristics associated with biological non-response to vaccination | 4 months | Analysis of baseline factors associated with biological non-response to vaccination, including demographics, comorbidities, and transplant-associated factors. The following items will be reviewed: age, sex, diabetes, type of transplant (kidney-pancreas versus kidney), treatment with anti-thymocyte globulins (ATG) during the last year, lymphopenia defined as \< 1000/mm3, time from transplantation \< 1 year, eGFR (CKD-EPI), baseline immunosuppression, according to individual drug or the combination received by the patient, type of donor, BMI, ethnicity and blood type. |
| Incidence of Treatment-Emergent Adverse Events | 4 months | Percentage of patients with mild and/or severe adverse events after administration of the third dose (safety and tolerability). Number of participants with treatment-related adverse events as assessed by the WHO toxicity scale. |