Status:

RECRUITING

COVID-19 Booster and IIV Schedule in Immunocompromised Hosts

Lead Sponsor:

McGill University Health Centre/Research Institute of the McGill University Health Centre

Collaborating Sponsors:

Centre hospitalier de l'Université de Montréal (CHUM)

Conditions:

COVID 19

Influenza

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The goal of this pragmatic embedded open-label, 2 x 2 factorial phase II randomized controlled trial is to evaluate strategies to improve COVID-19 booster and influenza vaccine immunogenicity in peopl...

Detailed Description

Background: People living with immunocompromising conditions (PLIC) are more susceptible to complications related to respiratory infections. According to Statistics Canada data, in 2020 approximately...

Eligibility Criteria

Inclusion

  • \- All participants must meet ALL the following inclusion criteria: i. Adults (≥18 years) ii. Received the primary mRNA COVID-19 vaccine series (i.e., ≥3 doses) iii. Have at least one of the following immunocompromising conditions:
  • a) Received a solid organ transplant (SOT) ≥3-months ago, and treated with a conventional maintenance immunosuppression regimen; b) People living with HIV (PLWH) receiving ART for ≥6 months who meet at least one of the following conditions: i) AIDS-defining illness in the last 6 months, ii) TB diagnosis in the last 6-months, iii) CD4\<200 cells/µL in the last 6 months, iv) CD4%\<15% in the last 6 months, or v) absence of HIV viral suppression in the last 6 months; c) Inflammatory bowel disease (IBD) treated with a conventional or biologic immunosuppressive agent for ≥3 months; d) Rheumatoid arthritis or systemic lupus erythematosus (herein referred to as rheumatological disease (RD)) treated with a conventional or biologic immunosuppressive agent for ≥3 months.

Exclusion

  • Potential participants who meet ANY of the following criteria will be excluded:
  • i. Received any of the following:
  • Annual vaccination against influenza \< 6 months ago
  • COVID-19 booster \< 3 months ago ii. History of any of the following:
  • <!-- -->
  • life-threatening reaction any component of the IIV or COVID-19 vaccines
  • Guillain-Barre syndrome or myocarditis within 6 weeks of a previous influenza or COVID-19 vaccination
  • Contraindication to intramuscular vaccines such as bleeding disorder, severe thrombocytopenia, etc; iii. Receiving intravenous immunoglobulins; iv. Have underlying primary inborn errors of immunity; v. Receiving chemotherapy such as cyclophosphamide \&lt; 6-months ago; vi. Unable to provide informed consent

Key Trial Info

Start Date :

November 20 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 31 2027

Estimated Enrollment :

660 Patients enrolled

Trial Details

Trial ID

NCT06599658

Start Date

November 20 2024

End Date

March 31 2027

Last Update

August 28 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Research Institute of McGill University Health Centre

Montreal, Quebec, Canada, H4A 3J1

2

Research Institute of McGill University Health Centre

Montreal, Quebec, Canada, H4A 3S5