Study type

Study topic

DiseaseĀ /health condition
Human medicinal product

Study type

Non-interventional study

Scope of the study

Effectiveness study (incl. comparative)

Data collection methods

Combined primary and secondary data collection
Non-interventional study

Non-interventional study design

Case-control
Study drug and medical condition

Name of medicine

COMIRNATY
COVID-19 Vaccine (inactivated, adjuvanted) Valneva (--) - Suspension for injection
JCOVDEN
NUVAXOVID
Vaxzevria

Name of medicine, other

COVID-19 vaccine (Ad26.COV2-S [recombinant])
COVID-19 Vaccine (ChAdOx1-S [recombinant])

Study drug International non-proprietary name (INN) or common name

COVID-19 MRNA VACCINE (NUCLEOSIDE-MODIFIED)
COVID-19 VACCINE (RECOMBINANT, ADJUVANTED)
FAMTOZINAMERAN
RAXTOZINAMERAN
RILTOZINAMERAN
TOZINAMERAN

Anatomical Therapeutic Chemical (ATC) code

(J07BN) Covid-19 vaccines

Medical condition to be studied

Respiratory tract infection
Population studied

Short description of the study population

The study population consists of individuals (patients), presenting at the participating hospitals during the study period, who were ever eligible for COVID-19 vaccination following the national/regional immunisation recommendations prior to hospital admission AND from whom informed consent is obtained (alternative: informed consent from legally acceptable representative) AND are hospitalised (=person admitted to the hospital with overnight stay) AND meet the severe acute respiratory infection (SARI) case definition but HAVE NOT BEEN hospitalised with COVID-19 within 3 months prior to the current admission and DO NOT HAVE any contraindication for swabbing and DID NOT receive their last vaccine dose with any other than EMA-approved COVID-19 vaccine brand (EMA approval status at time of hospitalisation).

Age groups

Adults (18 to < 46 years)
Adults (46 to < 65 years)
Adults (65 to < 75 years)
Adults (75 to < 85 years)
Adults (85 years and over)

Estimated number of subjects

15000
Study design details

Study design

This study is a multi-country, multi-centre, hospital-based case-control study with test-negative controls (TNCC design). A combination of primary and secondary data collection will be used to obtain the relevant data.

Main study objective

To estimate brand-specific COVID-19 vaccine effectiveness (CVE) against hospitalisation due to laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in SARI patients who have received [vaccine dose of interest], compared to [selected comparator group].

Setting

Hospitals

Comparators

Unvaccinated or not recently vaccinated

Outcomes

The outcome of interest for the primary analysis will be SARS-CoV-2 detection in patients hospitalised with SARI symptoms. SARS-CoV-2 infection should be laboratory-confirmed by reverse transcription polymerase chain reaction (RT-PCR) or another RNA amplification system with at least the same sensitivity as RT-PCR (e.g., transcription-mediated amplification (TMA)). As the SARS-CoV-2 testing practices might change over time, the test requirement for confirmation of COVID-19 disease might be revisited. The impact of such revisions on the potential for disease misclassification will be considered.

Data analysis plan

A SAP is developed prior to the conduct of the analysis. The SAP specifies all statistical analyses conducted, and includes tables shells and mock figures.

Summary results

See interim analysis by AstraZeneca (Study publications section)
Documents
Study publications