VidPrevtyn Beta® vaccine effectiveness against COVID-19 hospitalisations in the UK

ISRCTN ISRCTN95900937
DOI https://doi.org/10.1186/ISRCTN95900937
Submission date
20/07/2023
Registration date
24/07/2023
Last edited
12/09/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
This study aims to assess the vaccine effectiveness of VidPrevtyn Beta as a booster vaccine against severe COVID-19-related outcomes. This study additionally will assess the effectiveness of the vaccine in at-risk populations such as immunocompromised individuals, the elderly, and pregnant women (pending data availability).

Who can participate?
This study will use a series of de-identified patient datasets in England, accessible through National Health Service (NHS) England (formerly known as NHS Digital).

What does the study involve?
The data analysed will start on March 1, 2018, and end at the time of data extraction (i.e., the latest day of data overlap across required datasets). Two campaign periods will be assessed for this study: The spring campaign and the autumn campaign. Three cohorts will be constituted for both vaccine campaign periods:
1. VidPrevtyn Boosted Cohort: Patients who received VidPrevtyn Beta during the campaign
2. Boosted Cohort: Patients who received another vaccine other than VidPrevtyn Beta during the campaign
3. Un-Boosted Cohort: Patients who did not receive any vaccine during the campaign
Individuals in the VidPrevtyn Boosted Cohort will be matched to those in the Un-boosted Cohort. The follow-up period will begin on the index date and end at the earliest of death, the new vaccine, the outcome of interest, or 6-months after the index date. The index date for the VidPrevtyn Boosted Cohort will be 14 days after receiving the vaccine. The index date for the Un-Boosted Cohort will be the same date as their matched VidPrevtyn Boosted counterpart. Hazard Ratios (HR) of COVID-19-related hospitalization or COVID-19-related death following matching will be performed. Vaccine effectiveness (VE) will be calculated per each outcome. Analyses will be performed for the entire sample, as well as stratified by a selected set of measures which may include, age group, time since last vaccine dose immunocompromised status; groups at a greater risk of poor COVID-19 outcomes (e.g., immunosuppressed, liver cirrhosis, Down’s syndrome, diabetes mellitus), pregnancy status. Individuals in the VidPrevtyn Boosted Cohort will also be matched to those in the Boosted Cohort. HR and VE estimates will be calculated using the same methodology as described previously.

Where is the study run from?
Evidera (USA)

When is the study starting and how long is it expected to run for?
January 2023 to March 2025

Who is funding the study?
Sanofi Pasteur (France)

Who is the main contact?
Dr Mark Yates, mark.yates@evidera.com (UK)

Contact information

Dr Mark Yates
Principal Investigator

The Ark
Talgarth Road
Hammersmith
London
W6 8BJ
United Kingdom

ORCiD logoORCID ID 0000-0001-5449-5211
Phone None provided
Email mark.yates@evidera.com
Dr Mark Yates
Scientific

The Ark
Talgarth Road
Hammersmith
London
W6 8BJ
United Kingdom

Phone None provided
Email mark.yates@evidera.com
Dr Mark Yates
Public

The Ark
Talgarth Road
Hammersmith
London
W6 8BJ
United Kingdom

Phone None provided
Email mark.yates@evidera.com

Study information

Study designObservational retrospective matched cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Medical and other records
Study typeEfficacy
Participant information sheet No participant information sheet available
Scientific titleVidPrevtyn Beta® vaccine effectiveness against hospitalization due to SARS-CoV-2 infection – a secondary database study in the UK
Study hypothesisThis is an observational study. It is anticipated that the findings from this study will:
1. Enhance the understanding of vaccine effectiveness of VidPrevtyn Beta as a booster vaccine against severe COVID-19-related outcomes
2. Help assess the effectiveness of the vaccine in at-risk populations such as immunocompromised individuals, the elderly and pregnant women.
Ethics approval(s)Ethics approval not required
Ethics approval additional informationThe Health Research Authority (HRA) tool was used to assess the need for HRA approval. HRA approval is not required as this study utilized deidentified data and does not include any contact with patients or subjects.
ConditionCOVID-19
InterventionThis is an observational retrospective matched cohort study using a series of datasets in England, accessible through National Health Services (NHS) England (formerly NHS Digital).

The overall study population will consist of individuals in England that were ≥18 years of age as of March 1, 2023. The study period will begin on April 1, 2018, and end six months after the end of the autumn 2023/2024 booster campaign (the study end date is the end of June 2024). Two campaign periods will be assessed for this study: The Spring campaign and the autumn campaign.

Three cohorts will be constituted for both vaccine campaign periods:
1. VidPrevtyn Boosted Cohort: Patients who received VidPrevtyn Beta during the campaign
2. Boosted Cohort: Patients who received another vaccine other than VidPrevtyn Beta during the campaign
3. Un-Boosted Cohort: Patients who did not receive any vaccine during the campaign

Individuals in the VidPrevtyn Boosted Cohort will be matched to those in the Un-boosted Cohort. The follow-up period will begin on the index date and end at the earliest of death, another COVID-19 vaccine administered, the outcome of interest, or 6-months after the index date. The index date for the VidPrevtyn Boosted Cohort will be 14 days after receiving the vaccine. The index date for the Un-Boosted Cohort will be the same date as their matched VidPrevtyn Boosted counterpart. Hazard Ratios (HR) of COVID-19-related hospitalization or COVID-19-related death following matching will be estimated. Vaccine effectiveness (VE) will be calculated per each outcome. Analyses will be performed for the entire sample, as well as stratified by a selected set of measures which may include, age group, time since last vaccine dose, immunocompromised status; groups at a greater risk of poor COVID-19 outcomes (e.g., immunosuppressed, liver cirrhosis, Down’s syndrome, diabetes mellitus), pregnancy status. Individuals in the VidPrevtyn Boosted Cohort will also be matched to those in the Boosted Cohort. HR and VE estimates will be calculated as described above.
Intervention typeDrug
Pharmaceutical study type(s)Vaccine effectiveness study
PhaseNot Applicable
Drug / device / biological / vaccine name(s)VidPrevtyn Beta
Primary outcome measureVaccine effectiveness of VidPrevtyn Beta against hospitalisation due to laboratory-confirmed SARS-CoV-2 infection in patients who have received at least one additional dose of VidPrevtyn Beta as their last dose, compared with patients who have not received a booster dose measured using patient medical records within the same campaign period
Secondary outcome measuresSecondary outcome measures are measured using patient medical records:
1. Vaccine effectiveness of VidPrevtyn Beta against death due to laboratory-confirmed SARS-CoV-2 infection in patients who have received at least one additional dose of VidPrevtyn Beta as their last dose, compared with patients who have not received a booster dose within the same campaign period
2. Relative vaccine effectiveness of VidPrevtyn Beta against hospitalisation due to laboratory-confirmed SARS-CoV-2 infection in patients who have received at least one additional dose of VidPrevtyn Beta as their last dose, compared with patients who have received an mRNA booster dose within the same campaign period

Exploratory outcome measures:
1. Vaccine effectiveness of VidPrevtyn Beta against hospitalisation due to laboratory-confirmed SARS-CoV-2 infection in patients who have received at least one additional dose of VidPrevtyn Beta as their last dose, compared with patients who have not received a booster dose within the same campaign period, stratified by:
1.1. Age groups
1.2. Gender
1.3. COVID-19 vaccination history
1.3.1. Compare by heterologous vs homologous (platform) history of vaccination
1.3.2. Compare by number of previous COVID-19 vaccine doses received
1.3.3. Subgroups of special interest (e.g. pregnant women, immunocompromised patients, frail patients with unstable health conditions and co-morbidities (eg, chronic obstructive pulmonary disease [COPD], diabetes, chronic neurological disease, cardiovascular disorders), patients with the autoimmune or inflammatory disorder)
Overall study start date01/01/2023
Overall study end date01/03/2025

Eligibility

Participant type(s)All
Age groupMixed
Lower age limit18 Years
SexBoth
Target number of participants617,000
Participant inclusion criteriaThis study will include all individuals aged 18 years or older who are eligible to receive a VidPrevtyn Beta vaccine.
Participant exclusion criteriaIndividuals <18 years and those who are ineligible to receive a VidPrevtyn Beta vaccine.
Recruitment start date01/03/2023
Recruitment end date31/12/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

-
-
United Kingdom

Sponsor information

Sanofi (France)
Industry

14, Espace Henry Vallée
Lyon
69007
France

Phone Not available
Email Nabila.Shaikh@sanofi.com
Website https://www.sanofi.com/en
ROR logo "ROR" https://ror.org/02n6c9837

Funders

Funder type

Industry

Sanofi Pasteur
Private sector organisation / For-profit companies (industry)
Location
France

Results and Publications

Intention to publish date01/03/2026
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available. The data obtained from NHS England for this study will be accessed via a secure data environment (SDE), managed by NHSE. Access to the ‘raw data’ would therefore need to be requested from NHSE. Evidera does not hold or manage this data in-house, and thus cannot make this data publicly available.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file Synopsis 15/06/2023 24/07/2023 No No

Additional files

43984_Protocol_15June2023.pdf
Synopsis

Editorial Notes

12/09/2024: The following changes were made to the trial record:
1. The overall end date was changed from 01/09/2024 to 01/03/2025.
2. The intention to publish date was changed from 01/09/2025 to 01/03/2026.
3. The plain English summary was updated to reflect these changes.
24/07/2023: Trial's existence confirmed by the Medicines and Healthcare products Regulatory Agency (MHRA) (UK).