UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000049407
Receipt number R000056259
Scientific Title Prospective observational study on the impact of vaccination against COVID-19 in patients with hematopoietic tumors
Date of disclosure of the study information 2022/11/02
Last modified on 2025/11/04 10:39:17

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Basic information

Public title

Prospective observational study on the impact of vaccination against COVID-19 in patients with hematopoietic tumors

Acronym

Prospective observational study on the impact of vaccination against COVID-19 in patients with hematopoietic tumors

Scientific Title

Prospective observational study on the impact of vaccination against COVID-19 in patients with hematopoietic tumors

Scientific Title:Acronym

Prospective observational study on the impact of vaccination against COVID-19 in patients with hematopoietic tumors

Region

Japan


Condition

Condition

hematopoietic tumors

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

After vaccination against COVID-19, blood samples will be collected to determine the percentage of SARS-CoV-2 antibody carriage.
The background of patients with hematopoietic tumors (tumor classification, stage, treatment, etc.) will be examined, including the effect of the vaccine for COVID-19.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

SARS-CoV-2 antibody positivity after vaccination

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

1) Age 16 years or older at the time of consent
2) Patients with hematopoietic tumors attending or hospitalized at the National Cancer Center Hospital
3) Adults whose written consent for this study has been obtained by the patient or a surrogate.
3) Adults for whom written consent for this study has been obtained by the individual or a surrogate, or minors for whom written consent for this study has been obtained by the individual and a surrogate.
4) Patients with hematopoietic tumors who are receiving or have received the following chemotherapy regimens (a small number of patients with hematopoietic tumors on no treatment or receiving/post receiving other chemotherapy regimens may be included)
B-cell antibody (rituximab/obinutuzumab) and or chemotherapy
CAR-T therapy
Dual-specificity antibody agents
BTK inhibitors
5) Scheduled or post (within 3 months) vaccination with novel coronavirus vaccine

Key exclusion criteria

1) Subjects whom the principal investigator or physician in charge determines are not appropriate for this study
2) Patients after allogeneic hematopoietic stem cell transplantation

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Yuki
Middle name
Last name Katsuya

Organization

National Cancer Center Hospital

Division name

Department of experimental development

Zip code

1040045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

TEL

03-3542-2511

Email

ykatsuya@ncc.go.jp


Public contact

Name of contact person

1st name Yuki
Middle name
Last name Katsuya

Organization

National Cancer Center Hospital

Division name

Department of experimental development

Zip code

1040045

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo

TEL

0335422511

Homepage URL


Email

ykatsuya@ncc.go.jp


Sponsor or person

Institute

National cancer center hospital

Institute

Department

Personal name



Funding Source

Organization

National cancer center

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National cancer center

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo

Tel

0335422511

Email

irst@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

2020-583, 2021-345

Org. issuing International ID_1

Natinal cancer center

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立がん研究センター中央病院


Other administrative information

Date of disclosure of the study information

2022 Year 11 Month 02 Day


Related information

URL releasing protocol

No plans to publish the protocol

Publication of results

Unpublished


Result

URL related to results and publications

Submission in progress

Number of participants that the trial has enrolled

200

Results

Patients with HM may be recommended for vaccination even during active treatment, as the T-cell immune response may be induced COVID-19 from causing severe disease, even in the absence of an antibody response

Results date posted

2025 Year 11 Month 04 Day

Results Delayed


Results Delay Reason

None

Date of the first journal publication of results

2025 Year 07 Month 31 Day

Baseline Characteristics

Patients with hematologic malignancies (HM) are known to be severely compromised by Coronavirus Disease 2019 (COVID-19). The successful development of the COVID-19 vaccine has reduced the risk of severe disease and death, and the vaccine is widely available throughout the world. However, several studies have shown that patients with HM may not benefit from the vaccine due to lymphocyte suppression therapies. It has been reported that not only antibody responses, but also T-cell immune responses are important in the acquisition of immunity to vaccines, but there are few reports in patients with HM.

Participant flow

In patients with B-cell lymphoma who received B-cell suppressed treatment in our institution, serum antibodies to the SARS-CoV-2 spike protein (S-IgG) were measured after the second and booster (third) mRNA vaccinations; specific T-cell responses to the SARS-CoV-2 vaccine were also measured. T-cell immune responses were detected based on the Enzyme linked immunosorbent spot (ELISPOT) methods.

Adverse events

None

Outcome measures

Forty-six of 114 patients (40%) acquired antibodies, and independent predictors of response were age (<65 years; Odds ratio (OR), 8.99; 95% Confidence Interval (CI), 1.88-43.1; P<0.01) and CD19 count (>50; OR, 19.7; 95% CI, 3.13-123; P<0.01). T-cell responses were also seen in some patients who did not develop antibodies to the vaccine. The booster vaccine enhanced the immune response in both antibody and T-cell responses.

Plan to share IPD

None

IPD sharing Plan description

None


Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 04 Month 05 Day

Date of IRB

2021 Year 03 Month 31 Day

Anticipated trial start date

2021 Year 04 Month 05 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry

2025 Year 11 Month 04 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

Patient enrollment completed, preparing for publication


Management information

Registered date

2022 Year 11 Month 02 Day

Last modified on

2025 Year 11 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000056259