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Evaluate the Impact, Safety, Tolerability and Immunogenicity of the Coronavac Vaccine in Kidney Transplant Recipients (TXCoronavac)

Primary Purpose

SARS-CoV Infection, Coronavirus Infection, Vaccine Adverse Reaction

Status
Active
Phase
Phase 4
Locations
Brazil
Study Type
Interventional
Intervention
Coronavac
Sponsored by
Hospital do Rim e Hipertensão
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for SARS-CoV Infection

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adults over 18 years old;
  2. Time after transplantation greater than 3 months;
  3. Time after treatment with anti-thymocyte globulin longer than 4 weeks;
  4. Able and willing (in the investigator's opinion) to comply with all study requirements;
  5. Provide written informed consent

Exclusion Criteria:

  1. Planned receipt of any vaccine (authorized or experimental), within 30 days before and after vaccination;
  2. Prior receipt of an experimental or authorized vaccine with the possibility of impacting the interpretation of the study data (for example, vectorized vaccines by Adenovirus, any vaccines against coronavirus);
  3. Administration of immunoglobulins and / or any blood products in the three months prior to the planned administration of the candidate vaccine;
  4. Any history of angioedema or anaphylaxis;
  5. Pregnancy, lactation or willingness / intention to become pregnant during the study;
  6. Diagnosis or current treatment for cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ);
  7. History of severe psychiatric illness that possibly affects your participation in the study;
  8. Hemorrhagic disorder (eg, factor deficiency, coagulopathy or platelet disorder) or a previous history of significant bleeding or hematoma after IM injections or venipuncture;
  9. Continued use of anticoagulants, such as coumarins and related anticoagulants (for example, warfarin) or new oral anticoagulants (for example, apixaban, rivaroxaban, dabigatran and edoxaban);
  10. Current suspected or known addiction to alcohol or drugs.

Sites / Locations

  • Hospital do Rim - Fundação Oswaldo Ramos

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Coronavac vaccine

Arm Description

Kidney transplant recipients receiving the coronavac vaccine

Outcomes

Primary Outcome Measures

Evaluate the incidence of hospitalization or death in 28 days associated with COVID-19 (symptomatic cases confirmed virologically by COVID -19 with positive CRP) 14 ± 2 days after the second dose of the vaccine.

Secondary Outcome Measures

Evaluate the impact of the vaccine on the incidence of COVID-19 according to the severity criterion of the World Health Organization.
Evaluate the impact of the vaccine on the incidence of COVID-19 and hospitalization for COVID-19 disease, confirmed by PCR, for a period of 6 months after the final vaccination.
Evaluate the vaccine's safety, tolerability, and reactogenicity profile: occurrence of signs and symptoms of local and systemic reactogenicity requested seven days after vaccination.
Evaluate the incidence of serious adverse events for a period of 6 months after the final vaccination.
Evaluate immunogenicity by detecting antibodies against SARS-CoV-2 for a period of 6 months after the final vaccination.
IgG antibody levels will be used to assess immunogenicity.
Analysis of the genetic sequencing of SARS-CoV-2 in patients who test positive for SARS-CoV-2 PCR.
Genetic sequencing of the virus will be carried out, that is, reading the genome of Sars-Cov-2, to evaluate possible new variants.

Full Information

First Posted
March 10, 2021
Last Updated
March 17, 2022
Sponsor
Hospital do Rim e Hipertensão
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1. Study Identification

Unique Protocol Identification Number
NCT04801667
Brief Title
Evaluate the Impact, Safety, Tolerability and Immunogenicity of the Coronavac Vaccine in Kidney Transplant Recipients
Acronym
TXCoronavac
Official Title
Prospective Study in a Single Center to Evaluate the Impact, Safety, Tolerability and Immunogenicity of the Coronavac Vaccine in Kidney Transplant Recipients
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 20, 2021 (Actual)
Primary Completion Date
October 1, 2021 (Actual)
Study Completion Date
March 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hospital do Rim e Hipertensão

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Since the beginning of the SARS-CoV-2 pandemic, 1031 (8.7%) of the 11875 kidney transplant recipients being followed up at Hospital do Rim have been infected. The overall lethality rate was 24%, reaching 53% among those over 70 years old. Among the survivors, there is also a high incidence of renal dysfunction with loss of the renal graft and definitive return to dialysis. Patients receiving pharmacological immunosuppression, including transplant recipients, have not been included in the studies carried out to date. In addition, kidney transplant recipients may have reduced vaccine responses compared to the general population. The severity, the high incidence of renal dysfunction and loss of renal graft, and the high lethality associated with COVD-19 justify the investigation of the epidemiological impact and immunogenicity of the vaccine against SARS-CoV-2 infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV Infection, Coronavirus Infection, Vaccine Adverse Reaction

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
3371 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Coronavac vaccine
Arm Type
Experimental
Arm Description
Kidney transplant recipients receiving the coronavac vaccine
Intervention Type
Biological
Intervention Name(s)
Coronavac
Intervention Description
The CoronaVac is manufactured by Sinovac Life Sciences Co., Ltd. This vaccine contains the inactivated SARS-CoV-2 virus antigen and is administered intramuscularly.
Primary Outcome Measure Information:
Title
Evaluate the incidence of hospitalization or death in 28 days associated with COVID-19 (symptomatic cases confirmed virologically by COVID -19 with positive CRP) 14 ± 2 days after the second dose of the vaccine.
Time Frame
45 days
Secondary Outcome Measure Information:
Title
Evaluate the impact of the vaccine on the incidence of COVID-19 according to the severity criterion of the World Health Organization.
Time Frame
6 months
Title
Evaluate the impact of the vaccine on the incidence of COVID-19 and hospitalization for COVID-19 disease, confirmed by PCR, for a period of 6 months after the final vaccination.
Time Frame
6 months
Title
Evaluate the vaccine's safety, tolerability, and reactogenicity profile: occurrence of signs and symptoms of local and systemic reactogenicity requested seven days after vaccination.
Time Frame
7 days
Title
Evaluate the incidence of serious adverse events for a period of 6 months after the final vaccination.
Time Frame
6 months
Title
Evaluate immunogenicity by detecting antibodies against SARS-CoV-2 for a period of 6 months after the final vaccination.
Description
IgG antibody levels will be used to assess immunogenicity.
Time Frame
6 months
Title
Analysis of the genetic sequencing of SARS-CoV-2 in patients who test positive for SARS-CoV-2 PCR.
Description
Genetic sequencing of the virus will be carried out, that is, reading the genome of Sars-Cov-2, to evaluate possible new variants.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults over 18 years old; Time after transplantation greater than 3 months; Time after treatment with anti-thymocyte globulin longer than 4 weeks; Able and willing (in the investigator's opinion) to comply with all study requirements; Provide written informed consent Exclusion Criteria: Planned receipt of any vaccine (authorized or experimental), within 30 days before and after vaccination; Prior receipt of an experimental or authorized vaccine with the possibility of impacting the interpretation of the study data (for example, vectorized vaccines by Adenovirus, any vaccines against coronavirus); Administration of immunoglobulins and / or any blood products in the three months prior to the planned administration of the candidate vaccine; Any history of angioedema or anaphylaxis; Pregnancy, lactation or willingness / intention to become pregnant during the study; Diagnosis or current treatment for cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ); History of severe psychiatric illness that possibly affects your participation in the study; Hemorrhagic disorder (eg, factor deficiency, coagulopathy or platelet disorder) or a previous history of significant bleeding or hematoma after IM injections or venipuncture; Continued use of anticoagulants, such as coumarins and related anticoagulants (for example, warfarin) or new oral anticoagulants (for example, apixaban, rivaroxaban, dabigatran and edoxaban); Current suspected or known addiction to alcohol or drugs.
Facility Information:
Facility Name
Hospital do Rim - Fundação Oswaldo Ramos
City
São Paulo
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34974453
Citation
Medina-Pestana J, Covas DT, Viana LA, Dreige YC, Requiao-Moura LR, Nakamura MR, Lucena EF, Foresto RD, Tedesco-Silva H, Cristelli MP. Homologous Third Dose of Inactivated Whole-virion Vaccine Fails to Elicit a Robust Immune Response Among Kidney Seronegative Transplant Recipients. Transplantation. 2022 May 1;106(5):e284-e285. doi: 10.1097/TP.0000000000004029. Epub 2021 Dec 28. No abstract available.
Results Reference
derived
PubMed Identifier
34882589
Citation
Medina-Pestana J, Covas DT, Viana LA, Dreige YC, Nakamura MR, Lucena EF, Requiao-Moura LR, Fortaleza CMCB, Foresto RD, Tedesco-Silva H, Cristelli MP. Inactivated Whole-virus Vaccine Triggers Low Response Against SARS-CoV-2 Infection Among Renal Transplant Patients: Prospective Phase 4 Study Results. Transplantation. 2022 Apr 1;106(4):853-861. doi: 10.1097/TP.0000000000004036.
Results Reference
derived
PubMed Identifier
34292214
Citation
Medina-Pestana J, Cristelli MP, Viana LA, Foresto RD, Requiao-Moura LR, Tedesco-Silva H, Covas DT. Clinical Impact, Reactogenicity, and Immunogenicity After the First CoronaVac Dose in Kidney Transplant Recipients. Transplantation. 2022 Jan 1;106(1):e95-e97. doi: 10.1097/TP.0000000000003901. No abstract available.
Results Reference
derived

Learn more about this trial

Evaluate the Impact, Safety, Tolerability and Immunogenicity of the Coronavac Vaccine in Kidney Transplant Recipients

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