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CompletedNCT04932863UNICOUpdated Aug 8, 2025

BNT162b2 Messenger Ribonucleic Acid (mRNA) Covid-19 Vaccine in Cancer Patients on Active Treatment

An observational study in Neoplasms and Cancer, Treatment-Related, sponsored by Ente Ospedaliero Ospedali Galliera. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-08.

Primary conditionNeoplasms, Second PrimaryRegistry: NeoplasmsReclassifiedWhy we changed it
Registry
Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Neoplasms, Second Primary
Why
  1. The study's listed conditions name Neoplasms, Second Primary, a narrower term within Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Ente Ospedaliero Ospedali Galliera · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years and older
Sex
All
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Study summary

In this Italian observational study the antibody titer reactogenicity to Pfizer Severe Acute Respiratory Syndrome (SARS) - Coronavirus (CoV-2) RNA vaccine in cancer patients under active antitumor treatment will be evaluated at 21 and 42 days and after 6 months. Furthermore patients safety will be monitored. Factors affecting immunogenicity (or lack of), including cancer treatment, will be the primary aim of the study.

Read the detailed description

This is an observational non-interventional study in cancer patients. The study will evaluate the safety, tolerability and immunogenicity of Pfizer SARS-CoV-2 RNA vaccine against COronaVIrus Disease-19 (COVID-19) which will be delivered in the deltoid muscle in 2-dose (separated by 21 days). Blood will be collected in two 5 milliliters (mL) vacuettes for serum Immunoglobulin G (IgG) and Cytokine assessment, at baseline and after 21 days, immediately before the first and the second dose, respectively, then after 42 days from the first dose and finally after 6 months from the baseline. A panel of 22 cytokines (Biorad) will be measured at baseline and after 21 and 42 days in four groups consisting of: no responders (S1/S2 IgG\<15 Arbitrary Unit AU/ml at 42 days), slow responders (S1/S2 IgG\<15 AU/mL after 21 days and >15 AU/mL after the second dose), fast responders (S1/S2 IgG>15 AU/mL after the first 21 days) and immunized patients (S1/S2 IgG>15 AU/mL at baseline). At baseline, at 42 days and 6 months questionnaires for psychological testing will be dispensed for completion to patients.

After 42 days from the first dose, 15 mL of heparinized peripheral blood from both non-responders (S1/S2 IgG\<25 AU/mL) and responders will be used for isolation of different Cluster of Differentiation 4 (CD4+) and CD8+ T cell subpopulations and analysis of their capability to undergo activation/proliferation in response to specific SARS- CoV-2 derived peptides.

02

Conditions studied

  • Neoplasms
  • Cancer, Treatment-Related

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Keywords

  • neoplasms
  • COVID-19
  • Pfizer SARS- CoV-2 RNA vaccine
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In context

Neoplasms, Second Primary Reclassified

96 studies on the registry are indexed under Neoplasms, Second Primary; 35 are open to participants now.

This study's enrollment of 300 is below the median of 750 across 45 observational studies indexed under Neoplasms, Second Primary.

Browse Neoplasms, Second Primary studies →

Lead sponsor

Ente Ospedaliero Ospedali Galliera is the lead sponsor of 19 studies on the registry; 6 are open to participants now.

Compared within Neoplasms, Second Primary, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Cancer patients on current or prior active treatment or ultravulnerable according to clinical characteristics

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years
  • On treatment for cancer during the last 6 months or being treated >6 months ago but being ultravulnerable
  • About to receive "Pfizer-BioNTech COVID-19" vaccine
  • Lymphocyte count≥0.5x10\^9/L

Exclusion criteria

Exclusion Criteria:

  • Subjects who are not eligible for "Pfizer-BioNTech COVID-19" vaccine administration
  • Inability and/or unwillingness to sign written
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Subjects with cancer of any type and stage under active or prior medical treatment

    BNT162b2 mRNA Covid-19 Vaccine as two injections, 21 days apart, of 30 μg per dose in the deltoid muscle.

    Biological: BNT162b2 mRNA Covid-19 Vaccine

Interventions

  • BiologicalBNT162b2 mRNA Covid-19 Vaccine

    Two injections, 21 days apart, of the BNT162b2 vaccine 30 μg per dose in the deltoid muscle.

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What researchers measure

Primary outcomes

  1. Antibody titer reactogenicity assessment

    Serum IgG assessment at baseline, after 21 days, 42 days and after 6 months to Pfizer SARS- CoV-2 RNA vaccine in cancer patients under prior or current active antitumor treatment

    Time frame: up to 12 months

  2. Comparison of the immune response in treated and untreated patients

    Identification of predictive factors for antibody response in treated versus untreated patients

    Time frame: up to 12 months

Secondary outcomes

  1. Safety assessment

    Number and Grade of Adverse Events (AE) related to vaccine in patients undergoing anti-cancer treatment.

    Time frame: up to 24 months

  2. Antibody titer correlations with therapy

    To correlate the antibody titer with type and timing of therapy. Particular attention will be devoted to the effect in patients receiving checkpoint inhibitor immunotherapy.

    Time frame: up to 24 months

  3. Antibody titer correlations with cancer

    To correlate the antibody titer with the type of cancer and cancer staging/grading

    Time frame: up to 24 months

  4. Antibody titer correlations with patients

    To correlate the antibody titer with host characteristics, including psychological variables such as distress and anxiety or depression.

    Time frame: up to 24 months

  5. Inflammatory response evaluation

    Dosage of soluble factors (including pro-inflammatory cytokines, Cytokine Multiplex Assay Kits) in responders and non responders to Pfizer SARS-CoV-2 RNA vaccine

    Time frame: up to 24 months

  6. Immune cell activation

    Correlate soluble factors of inflammatory response with blood cell count and inflammatory and pro-thrombotic biomarkers

    Time frame: up to 24 months

  7. Immunological memory

    Comparing lymphocyte activation in cancer patients responding to the vaccine versus those non responding (S1/S2 IgG \<15 AU/mL)

    Time frame: up to 24 months

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Study locations

1 site
  • E.O. Ospedali Galliera
    Genova, Italy 16128, Italy
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References and documents

Publications

  • Buttiron Webber T, Provinciali N, Musso M, Ugolini M, Boitano M, Clavarezza M, D'Amico M, Defferrari C, Gozza A, Briata IM, Magnani M, Paciolla F, Menghini N, Marcenaro E, De Palma R, Sacchi N, Innocenti L, Siri G, D'Ecclesiis O, Cevasco I, Gandini S, DeCensi A. Predictors of poor seroconversion and adverse events to SARS-CoV-2 mRNA BNT162b2 vaccine in cancer patients on active treatment. Eur J Cancer. 2021 Dec;159:105-112. doi: 10.1016/j.ejca.2021.09.030. Epub 2021 Oct 11. PubMed 34742157 ↗

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in the primary publication of the trial will be shared (text, tables, figures, and appendices), after deidentification

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be shared 3 months following the publication of the article and they will remain available for 36 months.

Access criteria: the investigators who would like to use the data have to prepare a proposal that should be send to the Principal investigator (andrea.decensi@galliera.it).To gain access, data requestors will need to sign a data access agreement

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04932863
Lead sponsor
Ente Ospedaliero Ospedali Galliera
Collaborators
Universita degli Studi di Genova
Responsible party
Andrea DeCensi (Director of Medical Oncology, Ente Ospedaliero Ospedali Galliera) — Principal investigator
First posted
Jun 21, 2021
Start date
Mar 15, 2021
Primary completion
Mar 15, 2022
Completion
Mar 15, 2023
Last update
Aug 8, 2025

Study contacts

Andrea De Censi, MD
principal investigator · E.O. Ospedali Galliera

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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