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AzTrials

Kidney TransplantPhase 4EREVANCT04952766

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

A Phase 4 study testing Biological samples in people with Kidney Transplant and Myeloma, run by Centre Hospitalier Régional d'Orléans at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Kidney Transplant, Myeloma, Cancer
What is being tested?
Biological samples
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
196 participants
Where
1 siteFrance
Study dates
26 Mar 2021to 6 Feb 2022
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adult volunteers to be vaccinated with the ComirnatyTM vaccine and to participate in the study, belonging to one of the following groups:
  • Group of immunocompromised (15 participants per immunosuppression subgroup):
  • Kidney transplant
  • Extracorporeal dialysis
  • Solid cancer under chemotherapy and / or radiotherapy
  • Myeloma under chemotherapy
Show all 16Show fewer
  • Hematologic malignancies 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 HIV
  • 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

Who cannot join

  • Minors
  • Pregnant or breastfeeding women
  • Persons under tutorship or curatorship
  • Protected adults
  • Person under legal protection
  • Person not affiliated to a social security scheme
Show all 9Show fewer
  • People with a contraindication 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.

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU Orléans

    Orléans, 45067

Other trials in France

About this study

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).
Being tested
Biological samples
Keywords
SARS-CoV-2, BNT162b2 vaccine, antibody, neutralization, mucosa, immunocompromised, healthy subject
Medical subject headings
Neoplasms, Plasma Cell, Neoplasms, Hematologic Neoplasms, Multiple Sclerosis, Hypergammaglobulinemia, Acquired Immunodeficiency Syndrome, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Biological samplesBiological

    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)
Study groups in NCT04952766
Study groupRoleWhat they receive
immunocompromised and healthy subjectsOtherImmunocompromised 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)
Receives: Biological: Biological samples

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: Month 2

Secondary outcomes (15)
  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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: Month 6

  11. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Measured: Month 0

  12. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Measured: Month 1

  13. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Measured: Month 2

  14. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Measured: Month 3

  15. Clinical protection after vaccination

    Proportion of participants developing COVID-19 infection after vaccination

    Measured: Month 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jul 2021
  2. Study start26 Mar 2021
  3. Primary completion6 Feb 2022
  4. Study completion6 Feb 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
All participants wil have at each of the 4 visits (for patients starting at month 1) or 5 visits (for patients starting at month 0): 1. a venipuncture sample of 2 dry tubes of 7 mL (less than 30 mL in total) to make up 3 aliquots and 2. a nasopharyngeal swab (optional). The aliquots of serum / plasma and the nasopharyngeal swab will be stored at -80°C until sent to the Pasteur Institute.
Masking
None (open label)
Enrolment
196 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04952766
Sponsor's protocol ID
CHRO-2021-04
Acronym
EREVA
Status last verified
Dec 2025
First submitted
16 Jun 2021
Last updated
23 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Biological samples in people with Kidney Transplant and Myeloma, run by Centre Hospitalier Régional d'Orléans at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Protective humoral response after vaccination (time frame: Month 2). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04952766, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Dec 2025.

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