E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with primary immunodeficiency disease, also known as inborn errors pf immunity, are vaccinated against COVID-19 using COVID-19 Vaccine Moderna. The vaccine has been approved for use in the Netherlands and all adults in the Netherlands are vaccinated according the the National Vaccination Campaign that started in January 2021 |
Patienten met aangebopren stoornissen in het immuunsysteem worden gevaccineerd tegen COVID-19 met het Moderna Vaccin. Het vaccin is goedgekeurd voor gebruik in Nederland en alle volwassenen in Nederland zullen gevaccineerd worden in een Nationale Vaccinatie Campagne, welke is gestart in januari 2021 |
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E.1.1.1 | Medical condition in easily understood language |
People with an inherited defect in the immune system will be vaccinated against COVID-19 |
Mensen met een eengaboren defect in het afweersysteem zullen ingeent worden tegen COVID-10 |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10036700 |
E.1.2 | Term | Primary immunodeficiency syndromes |
E.1.2 | System Organ Class | 100000004870 |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess immunogenicity and safety of SARS-CoV-2 vaccination in patients with isolated antibody deficiencies, i.e. patients with immunoglobulin G (IgG) subclass deficiency and patients with selective antibody deficiency with normal immunoglobulins (SADNI), which are clinically characterized by an increased risk of infections. To explore immunogenicity and safety of SARS-CoV-2 vaccination in patients with Common Variable Immune Deficiency (CVID), Combined Immunodeficiency (CID), Chronic Granulomatous Disease (CGD) and X-linked agammaglobulinemia (XLA), which are clinically characterized by an increased risk of infections and immune dysregulation
The primary endpoint is the antibody response in patients with an isolated antibody deficiency (selective IgG subclass deficiency or SADNI) on day 28 after vaccination |
Vaststellen van immunogeniciteit en veiligheid van SARS-CoV-2 vaccinatie in patienten met een geisoleerde antistofdeficientie , dit zijn patienten met een immuunglobuline G subklasse deficientie en patienten met een selectieve antistof deficiëntie met normale immuunglobulinen. Deze patienten worden klinisch gekenmerkt door een verhoogd risico op infecties. Evalueren van immunogeniciteitt en veiligheid van SARS-CoV-2 vaccinatie in patienten met Common Variable Immune Deficiency (CVID), Combined Immunodeficiency (CID), Chronic Granulomatous Disease (CGD) en X-linked agammaglobulinemia (XLA). Deze patienten hebben een verhoogd risico op infecties en ontregeling van het immuunsysteem (immuundysregulatie).
Primair eindpunt is de antistof respons in patiënten met een geïsoleerde antistof deficiëntie (selectieve IgG subklasse deficiëntie of selectieve antistof deficiëntie met normale immuunglobulinen) op dag 28 na vaccinatie
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E.2.2 | Secondary objectives of the trial |
Safety is a secondary endpoint which will be reported in terms of percentage of solicited local and systemic adverse events (AEs) graded according to severity. Other secondary endpoints include monitoring of occurrence of infection despite vaccination, development of vaccine escape variants of the virus, mounting of response after 1st vaccination, durability of the immune response at 6 and 12 months and levels of SARS-CoV-2 specific T and B cell responses. Evaluation of the antibody response in patients with CVID, CID, CGD or XLA on day 28 after vaccination will be a secondary endpoint of this study. Other secondary endpoints for patients with CVID, CID, CGD or XLA include safety, occurrence of infection despite vaccination, development of vaccine escape variants of the virus, mounting of response after 1st vaccination, durability of the immune response at 6 and 12 months and levels of SARS-CoV-2 specific T and B cell responses |
Veiligheid is een secundair eindpunt, gemeten aan hand van lokale en systemische reacties en ernst van deze reacties. Andere secundaire uitkomsten zijn: monitoren van optreden van COVID-19 infectie ondanks vaccinatie, ontstaan van vaccin escape varianten van het virus, meten van response na eerste vaccinatie, het bepalen van de duur van de immuunrespons op 6 en 12 maanden na vaccinatie en het meten van specifiek T en B cel responsen.
Evaluatie van de antistof respons in patienten met CVID, CID, CGD en XLA op dag 28 na vaccinatie is een secundair eindpunt van dze studie. Andere secundaire uitkomsten in deze groep zijn monitoren van optreden van COVID-19 infectie ondanks vaccinatie, ontstaan van vaccin escape varianten van het virus, meten van response na eerste vaccinatie, het bepalen van de duur van de immuunrespons op 6 en 12 maanden na vaccinatie en het meten van specifiek T en B cel responsen. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Subjects are eligible for the study if all of the following apply: 1. All patients should be eligible for COVID-19 vaccination as described by the instructions of the manufacturer. 2. Age of 18 years or older 3. Capable of understanding the purpose and risks of the study, fully informed and given written informed consent (signed informed consent form has been obtained) 4. A diagnosis of either one of the IUIS criteria based diagnoses below: - CVID, with or without use of immunosuppressive therapy - CID - CGD - XLA - Selective IgG subclass deficiency - SADNI - Partners, sibling or other family member from patient (not suffering from a PID) |
Een van onderstaande diagnoses: CVID, met of zonder gebruik van afweeronderdrukkende medicatie immuunsuppresiva CID CGD XLA Selectieve IgG subklasse deficiëntie SADNI
18 jaar of ouder. In staat toestemming te geven |
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E.4 | Principal exclusion criteria |
A potential subject who meets any of the following criteria will be excluded from participation in this study: History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). Women who are pregnant or breastfeeding Active (haematological) malignancy HIV (Human Immunodeficiency Virus) Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection. |
Kwaadaardige ziekte die op dit moment onvolledig genezen is HIV (Humaan Immunodeficiency Virus) Zwanger of borstvoeding gevend Eerdere ernstige allergische reactie op een vaccin Aandoening waarbij een hoger bloedingsrisico bestaat, waardoor een injectie in de spieren kan leiden tot complicaties |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the antibody response in patients with an isolated antibody deficiency (selective IgG subclass deficiency or SADNI) on day 28 after vaccination |
Primair eindpunt is de antistof respons in patiënten met een geïsoleerde antistof deficiëntie (selectieve IgG subklasse deficiëntie of selectieve antistof deficiëntie met normale immuunglobulinen) op dag 28 na vaccinatie |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Patients will receive two vacinations, according tomanufacturer's protocol, with an interval of 28 days. Primary endpoint will be evaluated at day 28 after second vaccination. |
Patienten ontvangen twee vacinaties, in pvereenstemming met het landelijke vacinateoiprotocol, met een interval van 28 dagen. Primaire eindpunt zal bepaald worden op dag 28 na tweede vaccinatie |
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E.5.2 | Secondary end point(s) |
Safety is a secondary endpoint which will be reported in terms of percentage of solicited local and systemic adverse events (AEs) graded according to severity. Other secondary endpoints include monitoring of occurrence of infection despite vaccination, development of vaccine escape variants of the virus, mounting of response after 1st vaccination, durability of the immune response at 6 and 12 months and levels of SARS-CoV-2 specific T and B cell responses. Evaluation of the antibody response in patients with CVID, CID, CGD or XLA on day 28 after vaccination will be a secondary endpoint of this study. Other secondary endpoints for patients with CVID, CID, CGD or XLA include safety, occurrence of infection despite vaccination, development of vaccine escape variants of the virus, mounting of response after 1st vaccination, durability of the immune response at 6 and 12 months and levels of SARS-CoV-2 specific T and B cell responses |
Veiligheid is een secundair eindpunt, gemeten aan hand van lokale en systemische reacties en ernst van deze reacties. Andere secundaire uitkomsten zijn: monitoren van optreden van COVID-19 infectie ondanks vaccinatie, ontstaan van vaccin escape varianten van het virus, meten van response na eerste vaccinatie, het bepalen van de duur van de immuunrespons op 6 en 12 maanden na vaccinatie en het meten van specifiek T en B cel responsen.
Evaluatie van de antistof respons in patienten met CVID, CID, CGD en XLA op dag 28 na vaccinatie is een secundair eindpunt van dze studie. Andere secundaire uitkomsten in deze groep zijn monitoren van optreden van COVID-19 infectie ondanks vaccinatie, ontstaan van vaccin escape varianten van het virus, meten van response na eerste vaccinatie, het bepalen van de duur van de immuunrespons op 6 en 12 maanden na vaccinatie en het meten van specifiek T en B cel responsen |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Secondary endpints wil be determined after 6 months and 12 months of start study |
Secundaire eindpunten worden bepaald na 6 en 12 maanden na starten studie |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of trial will be 12 months after last participant received second vaccination |
Einde van de studie is op 12 maanden nadat de laatste deelnemer het tweede vaccinatie heeft ontvangen |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | |