UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053107
Receipt number R000060600
Scientific Title Cutaneous adverse events following the COVID-19 vaccination: a case series of 30 Japanese patients and a review of 93 Japanese studies
Date of disclosure of the study information 2023/12/14
Last modified on 2023/12/14 15:49:12

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Basic information

Public title

Cutaneous adverse events following the COVID-19 vaccination: a case series of 30 Japanese patients and a review of 93 Japanese studies

Acronym

Cutaneous adverse events following the COVID-19 vaccination: a case series of 30 Japanese patients and a review of 93 Japanese studies

Scientific Title

Cutaneous adverse events following the COVID-19 vaccination: a case series of 30 Japanese patients and a review of 93 Japanese studies

Scientific Title:Acronym

Cutaneous adverse events following the COVID-19 vaccination: a case series of 30 Japanese patients and a review of 93 Japanese studies

Region

Japan


Condition

Condition

Cutameous adverse events to COVID-19 vaccination

Classification by specialty

Dermatology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In late 2019, coronavirus disease 2019 (COVID-19), first reported in Wuhan, China, triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), swiftly spread worldwide and was declared a global pandemic by the World Health Organization. An enormous number of people have been infected, resulting in morbidity and mortality. To reduce COVID-19 aggravation within Japan, there was a need to increase vaccination coverage; accordingly, the BNT162b2 (Pfizer-BioNTech) vaccine was approved on February 14, 2021, followed by the mRNA-1273 (Moderna/Takeda) and ChAdOx1-S (AstraZeneca) vaccines on May 21, 2021, and NVX-CoV2373 (Novavax/Takeda) on April 19, 2022.

Basic objectives2

Others

Basic objectives -Others

Although vaccines were effective in most cases at protecting people from developing serious symptoms and being hospitalized, some people showed cutaneous adverse events (AEs). While a considerable amount of time has passed since the first worldwide vaccination effort, Japan has yet to establish a national database of cutaneous AEs in vaccinated people that can be actively monitored. Cutaneous reactions following COVID-19 vaccination in Japanese people have been described in single case reports as well as in a few small case series and reviews; however, these reports are insufficient to understand cutaneous AEs. As single-center case series with non-selected patients are lacking, we aimed to analyze patients with cutaneous AEs after COVID-19 vaccination in our hospital and review previous studies of cutaneous AEs. To our knowledge, this is the largest long-term single-center study including booster vaccination doses performed in a department of dermatology at a public hospital in Japan.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

This study was approved by the Medical Ethics Committee of Kagoshima City Hospital, Kagoshima, Japan (No 2021-47). A case series analysis was conducted at our hospital, and all patients with skin manifestations within 30 days or less following the COVID-19 vaccination were enrolled. All patients included in our study were diagnosed based on clinical and/or histopathological evaluations, and all other possible differential diagnoses were excluded. Next, we extracted cutaneous AEs induced by COVID-19 vaccines reported to the Ministry of Health, Labor, and Welfare,3 categorized them, and counted the number of cases. Finally, we performed a literature review by searching PubMed, Google Scholar, and Ichushi Web Library databases for articles about Japanese cases of cutaneous manifestations after COVID-19 vaccination between April 2021 and March 2023 written in English or Japanese. We considered cases or studies describing patients with new-onset or pre-existing skin disease following COVID-19 vaccination eligibility and excluded studies with unknown vaccine types and insufficient diagnoses.
Results are expressed as mean SD. Comparisons between the two groups were performed using Welch s t-tests. Differences with p 0.05 were considered significant.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

12 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

All patients with skin manifestations within 30 days or less following the COVID-19 vaccination

Key exclusion criteria

All patients included in our study were diagnosed based on clinical and/or histopathological evaluations, and all other possible differential diagnoses were excluded.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Atsunori
Middle name
Last name Baba

Organization

Kagoshima City Hospital

Division name

Department of Dermatology

Zip code

8908760

Address

1-37 Uearata-cho, Kagoshima, Japan

TEL

0992307000

Email

baba-a16@kch.kagoshima.jp


Public contact

Name of contact person

1st name Atsunori
Middle name
Last name Baba

Organization

Kagoshima City Hospital

Division name

Department of Dermatology,

Zip code

8908760

Address

1-37 Uearata-cho, Kagoshima, Japan

TEL

0992307000

Homepage URL


Email

baba-a16@kch.kagoshima.jp


Sponsor or person

Institute

Kagoshima City Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kagoshima City Hospital

Address

1-37 Uearata-cho, Kagoshima, Japan

Tel

0992307000

Email

kch-kenkyu@kch.kagoshima.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 12 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

30

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 02 Month 24 Day

Date of IRB

2022 Year 03 Month 16 Day

Anticipated trial start date

2021 Year 04 Month 01 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2023 Year 12 Month 14 Day

Last modified on

2023 Year 12 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060600


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name