ClinicalTrials.gg
CompletedNCT04952766EREVAUpdated Dec 23, 2025

Study Evaluating SARS-CoV-2 (COVID-19) Humoral Response After BNT162b2 Vaccine in Immunocompromised Adults Compared to Healthy Adults

A Phase 4 interventional study of Biological samples in Kidney Transplant, Myeloma and Cancer, sponsored by Centre Hospitalier Régional d'Orléans. Completed at 1 site in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Centre Hospitalier Régional d'Orléans · Phase 4, Interventional, and Other

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Phase
Phase 4
Study type
Interventional
Enrollment
196
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 47 studies in Neoplasms, Plasma Cell with a site in France — 7 open to participants now, 10 under way, 2 of them phase 3. Neoplasms, Plasma Cell · France.

Enrollment
13th of 37
196 · median 120
Started
2021
with 3 others
Phase 4
Only one
of the 47
Registered
37th of 47
by date

Among the 47 studies in Neoplasms, Plasma Cell with a site in France, this one is the 13th largest by enrollment of the 37 interventional ones that give a count, is one of 4 that started in 2021, is the only one in phase 4, and was the 37th registered.

Neoplasms, Plasma Cell

710 studies on the registry are indexed under Neoplasms, Plasma Cell; 79 are open to participants now.

Browse Neoplasms, Plasma Cell studies →

Open to participants now

7 of the 47 studies in Neoplasms, Plasma Cell with a site in France are open now. Recruiting first, the newest first:

2 more — sign in →

All 7 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 58 Neoplasms, Plasma Cell studies recruiting now, 34 (59%) set no upper age limit and 12 (21%) stop at 75 or younger; 4 take children under 18; 7 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

The primary endpoint of this study is to compare the humoral response (titre and neutralizing capacity of induced antibodies) against SARS-CoV-2 following vaccination with BNT162b2 (Pfizer BioNTech) in immunocompromised persons, in comparison to healthy subject. Secondary objectives are to evaluate the humoral response in the nasal mucosa, and the capacity of antibodies to neutralize emerging variants of concerns and to prevent COVID-19.

Read the detailed description

The serious, even fatal, forms of COVID-19 preferentially affect elderly and fragile subjects. Among these populations at risk, people who are immunocompromised (either by a disease and / or its treatment) have a theoretical risk of responding less well to a preventive vaccination.

The main objective of this study aims to compare the vaccine response of immunocompromised people with healthy subjects (non-immunocompromised), i.e. to assess the serum humoral response (titre and neutralizing capacity of the antibodies induced) following vaccination with ComirnatyTM (i.e. BNT162b2, an anti-SARS-CoV-2 vaccine from Pfizer BioNTech) in immunocompromised persons in comparison to healthy subjects (non-immunocompromised).

Secondary objectives are as follows:

  • To evaluate the antibody response in the nasal mucosa (titre and neutralizing capacity of the antibodies induced, collected by means of a nasopharyngeal swab) following vaccination with ComirnatyTM in immunocompromised people as compared to healthy subjects (vaccinated either with two doses of ComirnatyTM or, in a subgroup, with one dose of Astra Zeneca's VaxzeriaTM followed by one dose of ComirnatyTM).
  • Evaluate the serum and mucosal antibody response (titre and neutralizing capacity of the antibodies induced) against emerging strains of SARS-CoV-2 (so-called Alpha, Beta, Gamma, Delta strains).
  • Evaluate the post-vaccination clinical protection against the risk of COVID-19 infection (incident cases after vaccination).
03

Conditions studied

  • Kidney Transplant
  • Myeloma
  • Cancer
  • Hematologic Malignancy
  • Multiple Sclerosis
  • Hypergammaglobulinemia
  • Malignant Tumor
  • Hiv
  • Diabetes Type 2

Keywords

  • SARS-CoV-2
  • BNT162b2 vaccine
  • antibody
  • neutralization
  • mucosa
  • immunocompromised
  • healthy subject
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adult volunteers to be vaccinated with the ComirnatyTM vaccine and to participate in the study, belonging to one of the following groups:

    • Group of (15 participants per immunosuppression subgroup):

      • Kidney transplant
      • Extracorporeal dialysis
      • Solid cancer under chemotherapy and / or radiotherapy
      • Myeloma under chemotherapy
      • Hematologic under chemotherapy
      • Diseases treated with anti CD20 (or patients not treated at the time of the vaccine but who will be immediately after)
      • Multiple sclerosis under anti CD20 (or patients not treated at the time of the vaccine but who will be immediately after)
      • Common variable immune deficiency or other causes of severe hypogammaglobulinemia requiring chronic treatment with polyvalent immunoglobulin
      • Malignant tumor under anti-PD1 or anti-PDL1
      • People living with
      • Complicated type 2 diabetes (with micro and / or macroangiopathy)
    • Group of non-immunocompromised subjects (controls, n = 75)

      • 60 people vaccinated with the ComirnatyTM
      • 15 people vaccinated with Astra Zeneca's VaxzevriaTM for the first dose

Exclusion criteria

Exclusion Criteria:

  • Minors
  • Pregnant or breastfeeding women
  • Persons under tutorship or curatorship
  • Protected adults
  • Person under legal protection
  • Person not affiliated to a social security scheme
  • People with a to receiving the ComirnatyTM vaccine
  • People who have already been vaccinated against SARS-CoV-2

Note: a history of COVID-19 (> at 3 months) is not a contraindication to vaccination and is therefore not a criterion for non-inclusion in the study.

Terms in these criteria, in plain language(4)

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
196 participants (actual)

Study arms

  • Other
    immunocompromised and healthy subjects

    Immunocompromised subjects and healthy subjects groups will have collection of biological samples (blood with/without nasopharyngeal swabs) at Month-0, -1, -2, -3, -6, with associated data for the study of the kinetics of antibodies anti COVID-19. Biological samples : * Serum and plasma from each participant for the purpose of performing the SARS-CoV-2 serologic tests * Nasopharyngeal samples (not mandatory) Associated data : * Demographic data * Description of clinical manifestations related to vaccination * Description of clinical manifestations related to SARS-CoV-2 infection, if any Blood Fractioning * Serum and plasma aliquoted and stored under 250, 500 and 1000 µL (at -80°C)

    Biological: Biological samples

Interventions

  • BiologicalBiological samples

    Immunocompromised subjects and healthy subjects groups will have collection of biological samples (blood with/without nasopharyngeal swabs) at Month-0, -1, -2, -3, -6, with associated data for the study of the kinetics of antibodies anti COVID-19. Biological samples : * Serum and plasma from each participant for the purpose of performing the SARS-CoV-2 serologic tests * Nasopharyngeal samples (not mandatory) Associated data : * Demographic data * Description of clinical manifestations related to vaccination * Description of clinical manifestations related to SARS-CoV-2 infection, if any Blood Fractioning * Serum and plasma aliquoted and stored under 250, 500 and 1000 µL (at -80°C)

06

What researchers measure

Primary outcomes

  1. Protective humoral response after vaccination

    Proportion of immunocompromised persons with neutralizing activity against the classic "Wuhan" strain of SARS-CoV-2 compared to the proportion obtained in healthy subjects.

    Time frame: Month 2

Secondary outcomes

  1. Mucosal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the nasal mucosa against the classic "Wuhan" strain of SARS-CoV-2 compared to the proportion obtained in healthy subjects.

    Time frame: Month 0

  2. Mucosal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the nasal mucosa against the classic "Wuhan" strain of SARS-CoV-2 one month after the second dose of the vaccine, compared to the proportion obtained in healthy subjects.

    Time frame: Month 1

  3. Mucosal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the nasal mucosa against the classic "Wuhan" strain of SARS-CoV-2 compared to the proportion obtained in healthy subjects.

    Time frame: Month 2

  4. Mucosal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the nasal mucosa against the classic "Wuhan" strain of SARS-CoV-2 compared to the proportion obtained in healthy subjects.

    Time frame: Month 3

  5. Mucosal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the nasal mucosa against the classic "Wuhan" strain of SARS-CoV-2 compared to the proportion obtained in healthy subjects.

    Time frame: Month 6

  6. Serum and nasal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the serum and nasal mucosa against emerging strains of SARS-CoV-2 (so-called Alpha, Beta, Gamma, Delta strains)

    Time frame: Month 0

  7. Serum and nasal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the serum and nasal mucosa against emerging strains of SARS-CoV-2 (so-called Alpha, Beta, Gamma, Delta strains)

    Time frame: Month 1

  8. Serum and nasal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the serum and nasal mucosa against emerging strains of SARS-CoV-2 (so-called Alpha, Beta, Gamma, Delta strains)

    Time frame: Month 2

  9. Serum and nasal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the serum and nasal mucosa against emerging strains of SARS-CoV-2 (so-called Alpha, Beta, Gamma, Delta strains)

    Time frame: Month 3

  10. Serum and nasal neutralization capacity against wild-type and emerging variants of concern (VOC)

    Proportion of immunocompromised people with neutralizing activity in the serum and nasal mucosa against emerging strains of SARS-CoV-2 (so-called Alpha, Beta, Gamma, Delta strains)

    Time frame: Month 6

  11. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Time frame: Month 0

  12. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Time frame: Month 1

  13. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Time frame: Month 2

  14. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Time frame: Month 3

  15. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Time frame: Month 6

07

Study locations

1 site
  • CHU Orléans
    Orléans, 45067, France
08

References and documents

Publications

  • Grzelak L, Temmam S, Planchais C, Demeret C, Tondeur L, Huon C, Guivel-Benhassine F, Staropoli I, Chazal M, Dufloo J, Planas D, Buchrieser J, Rajah MM, Robinot R, Porrot F, Albert M, Chen KY, Crescenzo-Chaigne B, Donati F, Anna F, Souque P, Gransagne M, Bellalou J, Nowakowski M, Backovic M, Bouadma L, Le Fevre L, Le Hingrat Q, Descamps D, Pourbaix A, Laouenan C, Ghosn J, Yazdanpanah Y, Besombes C, Jolly N, Pellerin-Fernandes S, Cheny O, Ungeheuer MN, Mellon G, Morel P, Rolland S, Rey FA, Behillil S, Enouf V, Lemaitre A, Creach MA, Petres S, Escriou N, Charneau P, Fontanet A, Hoen B, Bruel T, Eloit M, Mouquet H, Schwartz O, van der Werf S. A comparison of four serological assays for detecting anti-SARS-CoV-2 antibodies in human serum samples from different populations. Sci Transl Med. 2020 Sep 2;12(559):eabc3103. doi: 10.1126/scitranslmed.abc3103. Epub 2020 Aug 17. PubMed 32817357 ↗
  • Planas D, Bruel T, Grzelak L, Guivel-Benhassine F, Staropoli I, Porrot F, Planchais C, Buchrieser J, Rajah MM, Bishop E, Albert M, Donati F, Prot M, Behillil S, Enouf V, Maquart M, Smati-Lafarge M, Varon E, Schortgen F, Yahyaoui L, Gonzalez M, De Seze J, Pere H, Veyer D, Seve A, Simon-Loriere E, Fafi-Kremer S, Stefic K, Mouquet H, Hocqueloux L, van der Werf S, Prazuck T, Schwartz O. Sensitivity of infectious SARS-CoV-2 B.1.1.7 and B.1.351 variants to neutralizing antibodies. Nat Med. 2021 May;27(5):917-924. doi: 10.1038/s41591-021-01318-5. Epub 2021 Mar 26. PubMed 33772244 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2021 to primary completion in Feb 2022, 10 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 16, 2021
First posted
Jul 7, 2021
StartActual
Mar 26, 2021
Primary completionActual
Feb 6, 2022
CompletionActual
Feb 6, 2022
Last update
Dec 23, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04952766
Responsible party
Sponsor
First posted
Jul 7, 2021
Start date
Mar 26, 2021
Primary completion
Feb 6, 2022
Completion
Feb 6, 2022
Last update
Dec 23, 2025

Study contacts

Aymeric SEVE, Dr
principal investigator · CHU Orléans

Oversight

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 Dec 2025. You cannot join it, but the record below documents what was studied.

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