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CompletedNCT04760704MONITOCOVAGINGUpdated Dec 26, 2025

Covid-19 Vaccine Response in Elderly Subjects

An observational study in Covid19 Vaccine, sponsored by University Hospital, Lille. Completed at 1 site in France. Open to participants aged 40 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-26.

Sponsored by University Hospital, Lille · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
264
Ages
40 Years and older
Sex
All
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Study summary

The objective of this research is to assess the amplitude and quality of the vaccine response against SARS-CoV-2, defined here by its characteristics established at 3 months, and its persistence over time, defined here at 9 months, in subjects residing in medical establishment for dependent elderly persons, compared to immunocompetent subjects aged 40 to 65 years (control subjects for vaccination over the same period).

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Conditions studied

  • Covid19 Vaccine

Keywords

  • SARS-CoV-2
  • vaccination
  • immunosenescence
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In context

Lead sponsor

University Hospital, Lille is the lead sponsor of 625 studies on the registry; 141 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Elderly persons > 65 years of age residing in an institution for the elderly or in a long-term care unit for whom an anti-SARS-CoV-2 vaccination is indicated as recommended by French Health Authority (HAS)

Inclusion criteria

Target population.

  • Elderly persons > 65 years old residing in an institution for the elderly or in a long-term care unit for whom an anti-SARS-CoV-2 vaccination is indicated as recommended by French Health Authority (HAS)
  • Male or female resident in an institution for the elderly or in a long-term care unit
  • For whom consent has been obtained prior to any SARS-CoV-2 vaccination (or from the legal guardian/curator) by COMIRNATY®.
  • Having consented to participate in the study, and willing to comply with all study procedures and its duration
  • Socially insured patient

Control population

  • Health and medico-social sector professionals aged between 40 and 65 years old for whom a COMIRNATY® anti-SARS-CoV-2 vaccination is indicated as recommended by the HAS.
  • Male or female between 40 and 65 years of age included
  • For whom consent has been obtained prior to any COMIRNATY® SARS-CoV-2 vaccination.
  • Having consented to participate in the study, and willing to comply with all study procedures and its duration
  • Socially insured subject

Exclusion criteria

Exclusion Criteria, for both groups :

  • Progressive infectious pathology
  • Progressive neoplastic pathology (or remission of \< 5 years)
  • Treatment with long-term corticosteroids or immunosuppressants
  • Refuse of consent to vaccination or study
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
264 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Experimental group

    Persons aged 65 and over, residing in an institution for dependant elderly or in a long-term care unit

    Biological: Specific antibody and cellular immune response after anti-SARS-CoV-2 vaccine administration

  • control group

    Health and medico-social professionals between 40 and 65 years of age

    Biological: Specific antibody and cellular immune response after anti-SARS-CoV-2 vaccine administration

Interventions

  • BiologicalSpecific antibody and cellular immune response after anti-SARS-CoV-2 vaccine administration

    Specific T cells and specific antibodies assessment

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What researchers measure

Primary outcomes

  1. Comparison of specific cellular response after anti-SARS-CoV-2 BNT162b2 mRNA vaccine

    Number of gamma interferon-producing anti-S specific T cells detected 3 months after the first vaccine administration between elderly and control subjects

    Time frame: At 3 months after the first vaccine administration

Secondary outcomes

  1. Specific CD4+ and CD8+ T cell response

    Comparison of number of anti-S specific CD4+ and CD8+ T cells detected at 3 and 9 months, between elderly and control subjects

    Time frame: At 3 months and at 9 months after vaccine administration

  2. Total anti-S and neutralizing antibody levels

    Comparison of total anti-S and neutralizing antibody levels (to pseudo-viral particles and to live virus) at 3 and 9 months after vaccine administration between elderly and control subjects.

    Time frame: At 3 months and at 9 months after vaccine administration

  3. Specific immune response according to presence/absence of pre-vaccine antibodies

    Comparison of anti-S specific T cells, anti-S total antibody and neutralising antibody levels at 3 and 9 months depending on the presence or absence of pre-vaccine antibodies compatible with previous infection in elderly subjects

    Time frame: At 3 months and at 9 months after vaccine administration

  4. Specific immune response after COVID-19 vs after BNT162b2 mRNA vaccine

    Comparison of anti-S-specific total T-cell count, anti-S total antibody levels and neutralising antibody levels 3 months after COVID-19 infection (before any vaccination) and 3 months after vaccination (in subjects who had no COVID-19 before) in elderly subjects

    Time frame: At 3 months after vaccine administration

  5. Specific immune response according to nutritional status

    Correlation between number of anti-S specific T cells, total anti-S antibody and neutralising antibody levels at 3 and 9 months and nutritional status of elderly subjects evaluated according to the Geriatric Nutritional Risk Index (GNRI) in elderly subjects.

    Time frame: At 3 months and at 9 months after vaccine administration

  6. Correlation between number of T cells, total anti-S antibody and neutralising antibody at 3 and 9 months, and basal levels of proinflammatory cytokines (interleukin-6, TNF-alpha) in elderly subjects

    Time frame: At 3 months and at 9 months after vaccine administration

  7. Peripheral blood mononuclear cells and serum collection

    Sampling and conservation of mononuclear cells and serum before injection, at D21 (recall), 28 days after recall, at 3, 6, 9, 12 and 24 months, in elderly and control subjects.

    Time frame: before the first vaccine injection, 21 days after the first vaccine administration (recall), 28 days after recall, at 3, 6, 9, 12 and 24 months.

  8. Correlation between number of T cell , total anti-S and neutralizing antibody levels at 3 and 6 months after diagnosis (neutralization tests will be performed on the variant of interest at the time of analysis)

    The neutralizing antibody level at 3 and 6 months will be compared to the levels observed during the infection (serologies done systematically, serum available for retro analysis)

    Time frame: at 3 and 6 months after diagnosis (neutralization tests will be performed on the variant of interest at the time of analysis)

  9. Correlation between number of T-cell , total anti-S and neutralizing antibody levels before the booster and 3, 6 and 12 months after the booster (neutralization tests will be done on BA.1 and any variant of interest at the time of testing).

    Time frame: Before the booster and 3, 6 and 12 months after the booster

  10. Correlation between number of T-cell counts, total anti-S and neutralizing antibody levels within 24-48 hours of a positive PCR (neutralization tests will be done on the variant of interest at the time of testing).

    Time frame: within 24-48 hours of a positive PCR

  11. Saliva samples

    Time frame: at the time of a COVID-19 diagnosis and 3 months after diagnosis, before vaccination or 3, 6 and 12 months after booster.

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Study locations

1 site
  • CHU lille
    Lille, 59037, France
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04760704
Lead sponsor
University Hospital, Lille
Responsible party
Sponsor
First posted
Feb 18, 2021
Start date
Feb 18, 2021
Primary completion
Mar 28, 2023
Completion
Mar 28, 2023
Last update
Dec 26, 2025

Study contacts

Guillaume LEFEVRE, MD,PhD
principal investigator · University Hospital, Lille

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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