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NCT04852276: PERSIST

COVID-19 Vaccination and Outcomes in Individuals With and Without Immune Deficiencies and Dysregulations

Completed Results posted Last updated 1 October 2024
What this trial tests

trial in Immunodeficiencies in 308 participants. Completed in 31 August 2023.

Timeline
20 April 2021
Primary endpoint
31 August 2023
31 August 2023

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
StatusCompleted
Study typeOBSERVATIONAL
Enrollment308
Start date20 April 2021
Primary completion31 August 2023
Estimated completion31 August 2023
Sites1 location across United States

Conditions studied

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Who can join

3 and older, any sex, with Immunodeficiencies or Immune Dysregulations. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in S and Receptor Binding Domain (RBD) Immunoglobulin G (IgG) Antibody Titer From Baseline Depending on Vaccine Manufacturer and Platform Primary · Baseline, post dose 1 (14-21 days), and post dose 2 (21-28 days), depending on vaccine manufacturer and platform

To characterize the immune response to coronavirus disease 2019 (COVID-19) vaccination among immunodeficient and immune dysregulated individuals compared to healthy volunteers

Change in anti-S titer from Baseline to Post-dose 1
GroupValue95% CI
Immune Deficient/Disordered0.447333± 1.118685
Healthy Control2.10678± 4.048595
Change in anti-S titer from Post-dose 1 to Post-dose 2
GroupValue95% CI
Immune Deficient/Disordered0.83819± 8.953689
Healthy Control2.8153± 5.749115
Incidence of Vaccine-associated Adverse Events (AE) Experienced by Immunodeficient Individuals Compared to Healthy Volunteers Secondary · Baseline up to a maximum of 24 months

To characterize the COVID-19 vaccine-associated adverse events among immunodeficient and immune dysregulated individuals compared to healthy volunteers. Note on terminology: "No vaccine-associated side effects" means participants reported zero symptoms or reactions after vaccination. A "mild vaccine-associated side effect" means a participant reported any symptom/reaction and reported is as "mild" on the scale of "mild", "moderate", or "severe". A participant could have reported several mild symptom/reactions and several moderate or severe symptoms/reactions. Therefore, the number of mild, mo

Vaccine-associated side-effects after dose 1 : No vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered31
Healthy Control6
Vaccine-associated side-effects after dose 1 : Mild vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered134
Healthy Control45
Vaccine-associated side-effects after dose 1 : Moderate vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered85
Healthy Control26
Vaccine-associated side-effects after dose 1 : Severe vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered19
Healthy Control9
Vaccine-associated side-effects after dose 1 : Total Volunteers completing dose survey
GroupValue95% CI
Immune Deficient/Disordered187
Healthy Control57
Vaccine-associated side-effects after dose 2 : No vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered28
Healthy Control8
Vaccine-associated side-effects after dose 2 : Mild vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered143
Healthy Control43
Vaccine-associated side-effects after dose 2 : Moderate vaccine-associated side effects
GroupValue95% CI
Immune Deficient/Disordered88
Healthy Control24

Sponsor's own description

Background: The immune system defends the body against disease and infection. Immune deficiencies are health conditions that decrease the strength of this response. Vaccines stimulate the immune system to create a defense against a specific type of germ. Researchers want to compare immune system responses to COVID-19 vaccines in people with and without immune deficiencies. Objective: To learn about how people with immune deficiencies respond to COVID-19 vaccines. Eligibility: People age 3 and older with an immune deficiency who plan to get a COVID-19 vaccine. Healthy volunteers are also needed. Design: Participants will be pre-screened for eligibility, including COVID-19 vaccination history and immune status. Participants will give a blood sample before they get their first COVID-19 vaccine. Blood will be drawn from an arm vein using a needle. Blood can be drawn at the NIH, at a local doctor's office, or at a laboratory. It may also be drawn through a fingerstick at home. Participants will also complete 2 online surveys about their health and COVID-19 history. Additional surveys are optional. Participants will give a second blood sample 2 to 4 weeks after they get the vaccine. They will complete 2 surveys about changes in their health and side effects from the vaccine. If participants get another COVID-19 vaccine dose, they will repeat the blood draw and surveys 3 to 4 weeks later. Participants may give 3 optional blood samples in the 24 months after their last vaccine. They may also give saliva samples every 2 weeks while they are in the study for 6 months following their last vaccine. Participation will last from 1 month to 2 years after the participant's last vaccine.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immunizing the imperfect immune system: Coronavirus disease 2019 vaccination in patients with inborn errors of immunity.
    Durkee-Shock JR, Keller MD. · · 2022 · cited 21× · PMID 35718282 · DOI 10.1016/j.anai.2022.06.009
  2. Multipolymer microsphere delivery of SARS-CoV-2 antigens.
    Shahjin F, Patel M, Machhi J, Cohen JD, et al · · 2023 · cited 9× · PMID 36581007 · DOI 10.1016/j.actbio.2022.12.043
  3. Characterization of the antispike IgG immune response to COVID-19 vaccines in people with a wide variety of immunodeficiencies.
    Zendt M, Bustos Carrillo FA, Kelly S, Saturday T, et al · · 2023 · cited 8× · PMID 37824621 · DOI 10.1126/sciadv.adh3150
  4. Breakthrough SARS-CoV-2 outcomes in immune-disordered people during the Omicron era: a prospective cohort study.
    Zendt M, Bustos Carrillo FA, Callier V, DeGrange M, et al · · 2025 · PMID 40919024 · DOI 10.1136/bmjph-2024-002436
  5. Immune response to COVID-19 vaccines in people with immunodeficiencies
    Ricotta E, Zendt M, Castillo FB, Kelly S, et al · · 2023 · DOI 10.21203/rs.3.rs-2514984/v1

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Other recruiting trials for Immunodeficiencies

Currently open trials in the same condition.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04852276.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing