COvid-19 Vaccine Booster in Immunocompromised Rheumatic Diseases
NCT05236491 · Status: UNKNOWN · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 287
Last updated 2023-01-17
Summary
People living with Systemic autoimmune rheumatic diseases (SARDs) face a new and urgent dilemma: immunosuppression increases risk for worse COVID-19 infection, yet an immune stimulation, such as vaccination, could re-activate their disease. Fear of vaccine-related disease reactivation is not of concern in other immunosuppressed groups (e.g. patients receiving chemotherapy or hemodialysis) but in SARDs, disease flare could lead to organ failure or even death. Specific research in this population is therefore critical. Moreover, among SARD patients, those on anti-CD-20 monoclonal antibody (mAb) (i.e. rituximab (anti-CD-20 mAb)), a medication used to treat inflammatory types of arthritis, have extremely low immunity post-COVID-19 mRNA vaccine. This study will test the hypothesis that a booster dose of a COVID-19 vaccine is safe and enhances post-vaccine humoral and cellular responses in SARDs patients on anti-CD-20 mAb treatment. The magnitude of this response depends on the type of COVID-19 vaccine administered and is optimal when the booster dose is a vaccine from a different group than the one used for primary immunization (mix-and-match approach).
Conditions
- Rheumatoid Arthritis
- Autoimmune Rheumatologic Disease
- Systemic Lupus Erythematosus
- Systemic Vasculitis
- Systemic Sclerosis
- Scleroderma
- Undifferentiated Connective Tissue Diseases
- Overlap Connective Tissue Disease
- Immunosuppression
Interventions
- BIOLOGICAL
-
Participants are to receive a booster dose of a COVID-19 vaccine.
Sponsors & Collaborators
-
Canadian Institutes of Health Research (CIHR)
collaborator OTHER_GOV -
Paul R Fortin
lead OTHER
Principal Investigators
-
Paul R Fortin, MD,MPH,FRCPC · Centre de recherche du CHU de Québec - Université Laval
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-03-09
- Primary Completion
- 2023-06-30
- Completion
- 2023-12-31
Countries
- Canada
Study Locations
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