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出境医 / 临床实验 / Immune Responses in Oncology Patients to Novel Coronavirus Vaccines (IROC)

Immune Responses in Oncology Patients to Novel Coronavirus Vaccines (IROC)

Study Description
Brief Summary:
The goals of this study are to assess vaccine performance (safety and efficacy) and to collect serum and peripheral blood mononuclear cells (PBMCs) pre and post-vaccination to assess immune and other response parameters following immunization in cancer patients receiving either the Pfizer (BTN162b2) (6), Moderna (mRNA-1273) (7), or the Janssen (Ad26.COV2.S) (8) vaccines under the FDA Emergency Use Authorization (as per the decision of their treating physician judgment and standard of care)

Condition or disease Intervention/treatment
Cancer Biological: COVID-19 Vaccination

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 240 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Immune Responses in Oncology Patients to Novel Coronavirus Vaccines (IROC)
Actual Study Start Date : June 4, 2021
Estimated Primary Completion Date : August 11, 2023
Estimated Study Completion Date : August 11, 2023
Arms and Interventions
Group/Cohort Intervention/treatment
Group 1
Patients with solid tumors receiving courses of cytotoxic therapy.
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 2
Patients with hematological cancers receiving courses of cytotoxic chemotherapy.
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 3
Patients with solid tumors receiving TKIs or other targeted therapies, but not cytotoxic regimens within 3 months
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 4
Patients with hematologic cancers receiving TKIs or other targeted therapies, but not cytotoxic regimens within 3 months
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 5
Patients receiving immune checkpoint inhibitors.
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 6
Patients who underwent allogeneic stem cell transplant within 12 months.
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 7
Patients who underwent cellular therapy, including CAR-T cells or T cells with engineered TCRs within 12 months.
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 8
Patients in remission who have received cellular therapy more than 12 months in the past, including allogeneic, autologous or engineered cellular approaches
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 9
Patients with cancer in remission for at least 2 years not receiving active cytotoxic cancer chemotherapy (hormonal therapy is permitted).
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 10
Patients who have undergone allogenic bone marrow transplant and are currently receiving immunosuppressants
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 11
Patients who have undergone allogenic bone marrow transplant who are not currently receiving immunosuppressants
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Group 12
Patients who have a cancer diagnosis but do not fall into group 1-11
Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)

Outcome Measures
Primary Outcome Measures :
  1. Adverse Event Collection [ Time Frame: from date of vaccination until 2 months after full vaccination ]

Secondary Outcome Measures :
  1. Incidence of COVID-19 infection [ Time Frame: from date of vaccination until 6 months after full vaccination ]

Biospecimen Retention:   Samples Without DNA

Serum Collection at 1 and 3 months after Dose 2 for Moderna/Pfizer vaccinations and 1 and 3 months after Dose 1 for Janssen vaccinations.

PBMC Collection at Dose 2,+1 month , +3 months, +6 months and +12 months after their Dose 2 for Pfizer/Moderna vaccinations. Collection at +1 month,+3 months,, +6 months and +12 months after their Dose 1 for Janssen vaccinations

Serum and peripheral blood mononuclear cells (PBMC) will be cryopreserved for molecular and immunologic studies that can include, but are not limited, to antibody titers, cytokines and chemokines, immune cell subsets and T cell and B cell analysis.


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Patients with a current or previous cancer diagnosis
Criteria

Inclusion Criteria:

  1. Ability to provide written informed consent and HIPAA authorization
  2. Patients deemed eligible and willing to receive a COVID-19 vaccine by treating physician per standard of care.
  3. Subjects must be ≥ 18 years old at the time of consent.
  4. Diagnosis of cancer and fall into one of the groups below:

    1. Group 1: Patients with solid tumors receiving courses of cytotoxic therapy.
    2. Group 2: Patients with hematological cancers receiving courses of cytotoxic chemotherapy.
    3. Group 3: Patients with solid tumors receiving tyrosine kinase inhibitors (TKIs) or other targeted therapies, but not cytotoxic regimens within 3 months.
    4. Group 4: Patients with hematologic cancers receiving TKIs or other targeted therapies, but not cytotoxic regimens within 3 months.
    5. Group 5: Patients receiving immune checkpoint inhibitors.
    6. Group 6: Patients who underwent allogeneic stem cell transplant within 12 months.
    7. Group 7: Patients who underwent cellular therapy, including Chimeric antigen receptor t-cells (CAR-T) cells or t-cells with engineered t-cell receptors (TCRs) within 12 months.
    8. Group 8: Patients in remission who have received cellular therapy more than 12 months in the past, including allogeneic, autologous or engineered cellular approaches.
    9. Group 9: Patients with cancer in remission for at least 2 years not receiving active cytotoxic cancer chemotherapy (hormonal therapy is permitted).
    10. Group 10: Patients who have undergone allogenic bone marrow transplant and are currently receiving immunosuppressants
    11. Group 11: Patients who have undergone allogenic bone marrow transplant who are not currently receiving immunosuppressants
    12. Group 12: Patients who have a cancer diagnosis but do not fall into group 1-11

3. Estimated survival of 8 weeks or more following enrollment on the study.

Exclusion Criteria:

  • 1. Uncontrolled intercurrent illness including, but not limited to, ongoing or active COVID-19 infection or influenza-like-illness. If subjects have previously tested positive for COVID-19 infection, they are eligible to participate in this study after 90 days

    2. Unwilling or unable to follow protocol requirements.

    3. Subjects who have received any prior COVID-19 vaccination

Contacts and Locations

Contacts
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Contact: Millicent MacGregor, RN 317-274-5288 milmacgr@iu.edu
Contact: John Spittler, RN (317) 274-0771 ajspittl@iu.edu

Locations
Layout table for location information
United States, Indiana
IU Health Joe and Shelly Schwarz Cancer Center Recruiting
Carmel, Indiana, United States, 46032
Contact: John Spittler, RN    317-274-0771    ajspittl@iu.edu   
Principal Investigator: Utpal Dave, MD         
Indiana University Melvin and Bren Simon Comprehensive Cancer Center Recruiting
Indianapolis, Indiana, United States, 46202
Contact: Millicent MacGregor, RN       milmacgr@iu.edu   
Principal Investigator: Utpal Dave, MD         
Sponsors and Collaborators
Indiana University
Investigators
Layout table for investigator information
Principal Investigator: Utpal Dave, MD Indiana University
Tracking Information
First Submitted Date June 15, 2021
First Posted Date June 18, 2021
Last Update Posted Date June 18, 2021
Actual Study Start Date June 4, 2021
Estimated Primary Completion Date August 11, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: June 15, 2021)
Adverse Event Collection [ Time Frame: from date of vaccination until 2 months after full vaccination ]
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: June 15, 2021)
Incidence of COVID-19 infection [ Time Frame: from date of vaccination until 6 months after full vaccination ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Immune Responses in Oncology Patients to Novel Coronavirus Vaccines (IROC)
Official Title Immune Responses in Oncology Patients to Novel Coronavirus Vaccines (IROC)
Brief Summary The goals of this study are to assess vaccine performance (safety and efficacy) and to collect serum and peripheral blood mononuclear cells (PBMCs) pre and post-vaccination to assess immune and other response parameters following immunization in cancer patients receiving either the Pfizer (BTN162b2) (6), Moderna (mRNA-1273) (7), or the Janssen (Ad26.COV2.S) (8) vaccines under the FDA Emergency Use Authorization (as per the decision of their treating physician judgment and standard of care)
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples Without DNA
Description:

Serum Collection at 1 and 3 months after Dose 2 for Moderna/Pfizer vaccinations and 1 and 3 months after Dose 1 for Janssen vaccinations.

PBMC Collection at Dose 2,+1 month , +3 months, +6 months and +12 months after their Dose 2 for Pfizer/Moderna vaccinations. Collection at +1 month,+3 months,, +6 months and +12 months after their Dose 1 for Janssen vaccinations

Serum and peripheral blood mononuclear cells (PBMC) will be cryopreserved for molecular and immunologic studies that can include, but are not limited, to antibody titers, cytokines and chemokines, immune cell subsets and T cell and B cell analysis.

Sampling Method Non-Probability Sample
Study Population Patients with a current or previous cancer diagnosis
Condition Cancer
Intervention Biological: COVID-19 Vaccination
Subjects will receive either the Moderna (mRNA-1273), Pfizer (BTN162b2), or Janssen (Ad26.COV2.S) vaccination per standard of care
Other Names:
  • Moderna (mRNA-1273)
  • Pfizer (BTN162b2)
  • Janssen (Ad26.COV2.S)
Study Groups/Cohorts
  • Group 1
    Patients with solid tumors receiving courses of cytotoxic therapy.
    Intervention: Biological: COVID-19 Vaccination
  • Group 2
    Patients with hematological cancers receiving courses of cytotoxic chemotherapy.
    Intervention: Biological: COVID-19 Vaccination
  • Group 3
    Patients with solid tumors receiving TKIs or other targeted therapies, but not cytotoxic regimens within 3 months
    Intervention: Biological: COVID-19 Vaccination
  • Group 4
    Patients with hematologic cancers receiving TKIs or other targeted therapies, but not cytotoxic regimens within 3 months
    Intervention: Biological: COVID-19 Vaccination
  • Group 5
    Patients receiving immune checkpoint inhibitors.
    Intervention: Biological: COVID-19 Vaccination
  • Group 6
    Patients who underwent allogeneic stem cell transplant within 12 months.
    Intervention: Biological: COVID-19 Vaccination
  • Group 7
    Patients who underwent cellular therapy, including CAR-T cells or T cells with engineered TCRs within 12 months.
    Intervention: Biological: COVID-19 Vaccination
  • Group 8
    Patients in remission who have received cellular therapy more than 12 months in the past, including allogeneic, autologous or engineered cellular approaches
    Intervention: Biological: COVID-19 Vaccination
  • Group 9
    Patients with cancer in remission for at least 2 years not receiving active cytotoxic cancer chemotherapy (hormonal therapy is permitted).
    Intervention: Biological: COVID-19 Vaccination
  • Group 10
    Patients who have undergone allogenic bone marrow transplant and are currently receiving immunosuppressants
    Intervention: Biological: COVID-19 Vaccination
  • Group 11
    Patients who have undergone allogenic bone marrow transplant who are not currently receiving immunosuppressants
    Intervention: Biological: COVID-19 Vaccination
  • Group 12
    Patients who have a cancer diagnosis but do not fall into group 1-11
    Intervention: Biological: COVID-19 Vaccination
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: June 15, 2021)
240
Original Estimated Enrollment Same as current
Estimated Study Completion Date August 11, 2023
Estimated Primary Completion Date August 11, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  1. Ability to provide written informed consent and HIPAA authorization
  2. Patients deemed eligible and willing to receive a COVID-19 vaccine by treating physician per standard of care.
  3. Subjects must be ≥ 18 years old at the time of consent.
  4. Diagnosis of cancer and fall into one of the groups below:

    1. Group 1: Patients with solid tumors receiving courses of cytotoxic therapy.
    2. Group 2: Patients with hematological cancers receiving courses of cytotoxic chemotherapy.
    3. Group 3: Patients with solid tumors receiving tyrosine kinase inhibitors (TKIs) or other targeted therapies, but not cytotoxic regimens within 3 months.
    4. Group 4: Patients with hematologic cancers receiving TKIs or other targeted therapies, but not cytotoxic regimens within 3 months.
    5. Group 5: Patients receiving immune checkpoint inhibitors.
    6. Group 6: Patients who underwent allogeneic stem cell transplant within 12 months.
    7. Group 7: Patients who underwent cellular therapy, including Chimeric antigen receptor t-cells (CAR-T) cells or t-cells with engineered t-cell receptors (TCRs) within 12 months.
    8. Group 8: Patients in remission who have received cellular therapy more than 12 months in the past, including allogeneic, autologous or engineered cellular approaches.
    9. Group 9: Patients with cancer in remission for at least 2 years not receiving active cytotoxic cancer chemotherapy (hormonal therapy is permitted).
    10. Group 10: Patients who have undergone allogenic bone marrow transplant and are currently receiving immunosuppressants
    11. Group 11: Patients who have undergone allogenic bone marrow transplant who are not currently receiving immunosuppressants
    12. Group 12: Patients who have a cancer diagnosis but do not fall into group 1-11

3. Estimated survival of 8 weeks or more following enrollment on the study.

Exclusion Criteria:

  • 1. Uncontrolled intercurrent illness including, but not limited to, ongoing or active COVID-19 infection or influenza-like-illness. If subjects have previously tested positive for COVID-19 infection, they are eligible to participate in this study after 90 days

    2. Unwilling or unable to follow protocol requirements.

    3. Subjects who have received any prior COVID-19 vaccination

Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Millicent MacGregor, RN 317-274-5288 milmacgr@iu.edu
Contact: John Spittler, RN (317) 274-0771 ajspittl@iu.edu
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT04930055
Other Study ID Numbers CTO-IUSCCC-0759
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Utpal P. Davé, Indiana University
Study Sponsor Indiana University
Collaborators Not Provided
Investigators
Principal Investigator: Utpal Dave, MD Indiana University
PRS Account Indiana University
Verification Date June 2021