Evidence map›Paper›PMID 34674742›Full record

ArticleTrials2021

A trial platform to assess approved SARS-CoV-2 vaccines in immunocompromised patients: first sub-protocol for a pilot trial comparing the mRNA vaccines Comirnaty® and COVID-19 mRNA Vaccine Moderna®.

Benjamin Speich, Frédérique Chammartin, Daniel Smith, Marcel P Stoeckle, Patrizia Amico, Anna L Eichenberger, Barbara Hasse, Macé M Schuurmans, Thomas Müller, Michael Tamm and 15 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04805125 (Randomised Controlled Trials to Assess Approved SARS-CoV-2 Vaccines in Immunocompromised Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04805125 phase3completednot on this map

Randomised Controlled Trials to Assess Approved SARS-CoV-2 Vaccines in Immunocompromised Patients: A Master Protocol for the Set-up of a Swiss Cohorts Based Trial Platform

TypeinterventionalSponsorUniversity Hospital, Basel, SwitzerlandRan2021 to 2023Enrolled610ConditionsImmunocompromised PatientsArmsModerna COVID-19 Vaccine, mRNA-1273 (100 μg), Pfizer-BioNTech COVID-19 Vaccine BNT162b2 (30 µg)( Comirnaty®)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 6 institutions in 6 countries.

Benjamin SpeichDepartment of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, University of Basel, Basel, Switzerland. benjamin.speich@usb.ch.ORCID http://orcid.org/0000-0002-3301-8085
Frédérique ChammartinDepartment of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, University of Basel, Basel, Switzerland.
Daniel SmithUniversity of Zurich, Institute of Medical Virology, Zurich, Switzerland.
Marcel P StoeckleDivision of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, University of Basel, Basel, Switzerland.
Patrizia AmicoClinic for Transplantation Immunology and Nephrology, University Hospital Basel, Basel, Switzerland.
Anna L EichenbergerDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Barbara HasseDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland.
Macé M SchuurmansDivision of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Thomas MüllerNephrology Clinic, University Hospital Zurich, Zurich, Switzerland.
Michael TammClinic of Respiratory Medicine and Pulmonary Cell Research, University Hospital of Basel, Petersgraben 4, 4031, Basel, Switzerland.
Michael DickenmannDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Irene A AbelaUniversity of Zurich, Institute of Medical Virology, Zurich, Switzerland.
Alexandra TrkolaUniversity of Zurich, Institute of Medical Virology, Zurich, Switzerland.
Hans H HirschClinical Virology, Laboratory Medicine, University Hospital Basel, Basel, Switzerland.
Oriol ManuelInfectious Diseases Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Matthias CavassiniInfectious Diseases Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Lars G HemkensDepartment of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, University of Basel, Basel, Switzerland.
Matthias BrielDepartment of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, University of Basel, Basel, Switzerland.
Nicolas J MuellerDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland.
Andri RauchDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland.
Huldrych F GünthardUniversity of Zurich, Institute of Medical Virology, Zurich, Switzerland.
Michael T KollerDepartment of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, University of Basel, Basel, Switzerland.
Heiner C BucherDepartment of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, University of Basel, Basel, Switzerland.
Katharina KusejkoUniversity of Zurich, Institute of Medical Virology, Zurich, Switzerland.
study groups from the Swiss HIV Cohort Study and the Swiss Transplant Cohort Study
University of Basel · CHUniversity Hospital of Zurich · CHUniversity of Zurich · CHUniversity Hospital of Basel · CHUniversity of Bern · CHUniversity of Lausanne · CH

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung Project ID:196245
6 · The paper itself

Abstract

backgroundLate 2019, a new highly contagious coronavirus SARS-CoV-2 has emerged in Wuhan, China, causing within 2 months a pandemic with the highest disease burden in elderly and people with pre-existing medical conditions. The pandemic has highlighted that new and more flexible clinical trial approaches, such as trial platforms, are needed to assess the efficacy and safety of interventions in a timely manner. The two existing Swiss cohorts of immunocompromised patients (i.e., Swiss HIV Cohort Study (SHCS) and Swiss Transplant Cohort Study (STCS)) are an ideal foundation to set-up a trial platform in Switzerland leveraging routinely collected data. Within a newly founded trial platform, we plan to assess the efficacy of the first two mRNA SARS-CoV-2 vaccines that reached market authorization in Switzerland in the frame of a pilot randomized controlled trial (RCT) while at the same time assessing the functionality of the trial platform.

methodsWe will conduct a multicenter randomized controlled, open-label, 2-arm sub-study pilot trial of a platform trial nested into two Swiss cohorts. Patients included in the SHCS or the STCS will be eligible for randomization to either receiving the mRNA vaccine Comirnaty® (Pfizer/BioNTech) or the COVID-19 mRNA Vaccine Moderna®. The primary clinical outcome will be change in pan-lg antibody response (pan-Ig anti-S1-RBD; baseline vs. 3 months after first vaccination; binary outcome, considering ≥ 0.8 units/ml as a positive antibody response). The pilot study will also enable us to assess endpoints related to trial conduct feasibility (i.e., duration of RCT set-up; time of patient recruitment; patient consent rate; proportion of missing data). Assuming vaccine reactivity of 90% in both vaccine groups, we power our trial, using a non-inferiority margin such that a 95% two-sided confidence interval excludes a difference in favor of the reference group of more than 10%. A sample size of 380 (190 in each treatment arm) is required for a statistical power of 90% and a type I error of 0.025. The study is funded by the Swiss National Science Foundation (National Research Program NRP 78, "COVID-19"). DISCUSSION: This study will provide crucial information about the efficacy and safety of the mRNA SARS-CoV-2 vaccines in HIV patients and organ transplant recipients. Furthermore, this project has the potential to pave the way for further platform trials in Switzerland.

trial registrationClinicalTrials.gov NCT04805125 . Registered on March 18, 2021.

Indexed as

COVID-19Viral VaccinesAdaptive Clinical Trials as TopicAgedCOVID-19 VaccinesEquivalence Trials as TopicHumansImmunocompromised HostMulticenter Studies as TopicPilot ProjectsRandomized Controlled Trials as TopicRNA, MessengerSARS-CoV-2COVID-19 VaccinesRNA, MessengerViral VaccinesOrgan transplantPlatform trialProtocolRandomized controlled trial, HIVSARS-CoV-2Vaccine

Identifiers

PMID34674742
PMCPMC8529365
OpenAlexW3197222415

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.