Cancer, Cellular Therapy, Hematologic Malignancy, Hematopoietic Cell Transplant, Hematopoietic System--Cancer, Solid Organ Transplant, Solid Tumor Malignancy, Transplant-Related Cancer
Conditions
Brief summary
This study is being done because the investigators would like to learn more about how well the COVID-19 vaccine works in participants with cancer or those who have received a transplant or cellular therapy. Primary Objective Assess the immunogenicity to COVID-19 vaccination in patients with cancer and/or transplant and cellular therapy (TCT) recipients. Secondary Objectives * Evaluate the antibodies response to COVID-19 vaccination in immunocompromised patients. * Evaluate the T cell response to COVID-19 vaccination in immunocompromised patients. Exploratory Objectives * Assess incidence and severity of COVID-19 infections by 6 months following immunization with a SARS CoV-2 vaccine. * Assess the durability immune response to COVID-19 vaccination. * Assess the immunogenicity of COVID-19 vaccination in immunocompetent children and adolescents without cancer and have not undergone transplant or received cellular therapy.
Detailed description
The investigator will collect a blood sample (about 1 teaspoon each time) from the participant when the participant receive the COVID-19 vaccine(s) as well as an additional blood samples 6 months after the last COVID-19 vaccine. The participant will be on the study for about 6 months after the last vaccine. After the six-month blood sample is collected, the participant will be off study.
Interventions
None listed
Sponsors
St. Jude Children's Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 24 Years
Healthy volunteers
No
Inclusion criteria
* Patient receiving care at St. Jude Children's Hospital or Le Bonheur Children's Hospital * Less than 24 years old at the time of enrollment (Day 0) * Planning to receive a COVID-19 vaccine as part of clinical care * Patient is one of the following: 1. Diagnosed with a Hematological Malignancy (Group A), or 2. Received a hematopoietic cell transplant or cellular therapy (Group B), or 3. Diagnosed with a solid tumor malignancy (Group C). 4. Received a solid organ transplant (Group D), or 5. Does not have cancer and has not received any type of transplant (Group E) * Willing and able to provide informed consent
Exclusion criteria
* Received a COVID-19 vaccine prior to enrollment (Day 0).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants with immunogenicity following full vaccination (6 months after last dose). | 6 months after the last vaccine dose | The primary endpoint is immunogenicity response following full vaccination measured at 6 months after the last vaccine dose. Immunogenicity is defined as a ≥4-fold rise in the GMT of SARS-CoV-2 binding antibody to the spike protein RBD compared to the pre-vaccine baseline level or from a non-detectable GMT at the baseline to a detectable GMT after fully vaccinated. The proportion of participants with immunogenicity following full vaccination (6 months after last dose) will be described for all enrolled patients and for each disease stratum with 95% CIs. Only patients who provide a viable blood sample to evaluate immunogenicity at these time-points following completion of vaccine series will be included in this estimation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean and median antibodies response to COVID-19 vaccination in immunocompromised patients at day 0, second dose, third dose, post last dose (day 180). | 6 months after the last vaccine dose | Antibody level at each time point will be summarized with mean with standard deviation and median with range. Linear mixed effect models will be used to assess the longitudinal pattern, with appropriate data transformation if necessary. |
| Mean and median T cell response to COVID-19 vaccination in immunocompromised patients at day 0, second dose, third dose and post last dose (day 180). | 6 months after the last vaccine dose | T-cell response at each time point will be summarized with mean with standard deviation and median with range. Linear mixed effect models will be used to assess the longitudinal pattern, with appropriate data transformation if necessary. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDiego Hijano, MD
St. Jude Children's Research Hospital
Outcome results
None listed