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This prospective observational study aims to evaluate the robustness and persistence of immune responses to vaccination, define factors associated with impaired immune responses and assess the incidence of COVID-19 infections in vaccinated individuals. To do this, we will collect peripheral blood from patients with lymphoid cancers before and after their COVID-19 vaccination. The blood will be explored in the laboratory for antibodies to SARS-CoV-2 and T-cell responses to the spike protein. Detailed clinical information will also be collated on about their cancer and treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hodgkin lymphoma | Diagnoses: Hodgkin lymphoma (classical Hodgkin lymphoma) | ||
| Aggressive B-NHL | Diagnoses: Aggressive B-NHL (E.g. Diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma, high-grade B-cell lymphoma, Burkitt lymphoma, de novo transformed lymphoma, follicular lymphoma grade 3b) | ||
| Indolent B-NHL | Diagnoses: Indolent B-NHL (E.g.follicular lymphoma grades 1-3a, mantle cell lymphoma, marginal zone lymphoma, chronic lymphocytic leukaemia/small lymphocytic lymphoma, lymphoplasmacytic lymphoma, nodular lymphocyte predominant Hodgkin lymphoma) | ||
| Peripheral T/NK-cell | Diagnoses: Peripheral T/NK-cell lymphomas (any mature T/NK cell malignancy) |
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| Measure | Description | Time Frame |
|---|---|---|
| Serum IgG levels against SARS-CoV-2 post-COVID-19 vaccination and change over time. | To evaluate the robustness and persistence of anti-S IgG levels. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison between SARS-CoV-2 IgG responses with clinical parameters. | Correlation between anti-S IgG between different lymphoma subtypes and the impact of treatment. | 12 months |
| Symptomatic COVID-19 with positive SARS-CoV-2 PCR results. |
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INCLUSION CRITERIA
Patients having a confirmed diagnosis of either:
A) Hodgkin lymphoma B) Aggressive B-cell lymphoma (e.g. Burkitt's lymphoma, diffuse large B-cell lymphoma, grade 3b follicular lymphoma, de novo transformed follicular lymphoma) C) Indolent B-cell lymphoma (e.g. all grades of follicular lymphoma except grade 3b, marginal zone lymphoma, lymphoplasmacytic lymphoma, chronic or small lymphocytic lymphoma, mantle cell lymphoma) D) Mature T/NK-cell malignancy (any subtype)
Patient must be ≥ 18 years.
Patients will have provided written Informed Consent.
EXCLUSION CRITERIA
1) Serious medical or psychiatric illness likely to affect participation or that may compromise the ability to give informed consent.
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All patients with a confirmed lymphoma diagnosis who is under the care of a secondary or tertiary referral centre.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bedfordshire Hospitals NHS Foundation Trust | Bedford | Bedfordshire | MK42 9DJ | United Kingdom | ||
| Portsmouth Hospitals University NHS Trust |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35332334 | Derived | Lim SH, Stuart B, Joseph-Pietras D, Johnson M, Campbell N, Kelly A, Jeffrey D, Turaj AH, Rolfvondenbaumen K, Galloway C, Wynn T, Coleman AR, Ward B, Long K, Coleman H, Mundy C, Bates AT, Ayres D, Lown R, Falconer J, Brake O, Batchelor J, Willimott V, Bowzyk Al-Naeeb A, Robinson L, O'Callaghan A, Collins GP, Menne T, Faust SN, Fox CP, Ahearne M, Johnson PWM, Davies AJ, Goldblatt D. Immune responses against SARS-CoV-2 variants after two and three doses of vaccine in B-cell malignancies: UK PROSECO study. Nat Cancer. 2022 May;3(5):552-564. doi: 10.1038/s43018-022-00364-3. Epub 2022 Mar 24. |
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Plasma Serum Peripheral blood mononuclear cells
To assess the incidence of symptomatic, virologically proven COVID-19 in vaccinated individuals within 12 months of vaccine administration.
| 12 months |
| Portsmouth |
| Hampshire |
| PO6 3LY |
| United Kingdom |
| University Hospital Southampton NHS Foundation Trust | Southampton | Hampshire | SO16 6YD | United Kingdom |
| Wye Valley NHS Trust | Hereford | Herefordshire | HR1 2ER | United Kingdom |
| University Hospitals of Leicester NHS Trust | Leicester | Leicestershire | LE1 5WW | United Kingdom |
| Norfolk and Norwich University Hospitals NHS Foundation Trust | Norwich | Norfolk | NR4 7UY | United Kingdom |
| Nottingham University Hospitals NHS Trust | Nottingham | Nottinghamshire | NG7 2UH | United Kingdom |
| Oxford University Hospitals NHS Foundation Trust | Oxford | Oxfordshire | OX3 7LE | United Kingdom |
| The Newcastle Upon Tyne Hospitals NHS Foundation Trust | Newcastle upon Tyne | Tyne and Wear | NE7 7DN | United Kingdom |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D002051 | Burkitt Lymphoma |
| D008224 | Lymphoma, Follicular |
| D020522 | Lymphoma, Mantle-Cell |
| D018442 | Lymphoma, B-Cell, Marginal Zone |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| D006689 | Hodgkin Disease |
| D016411 | Lymphoma, T-Cell, Peripheral |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020031 | Epstein-Barr Virus Infections |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D014412 | Tumor Virus Infections |
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D016399 | Lymphoma, T-Cell |
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