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. 2021 Jun 15;18(10):611–622. doi: 10.1038/s41585-021-00481-1

Table 1.

Summary of randomized controlled trials of BCG vaccination and COVID-19

Study Location Primary outcome Estimated enrolment Status Projected end date

Application of BCG vaccine for immune-prophylaxis among Egyptian health-care workers during the pandemic of COVID-19

(NCT04350931)166

Egypt Incidence of COVID-19 infection 900 Not yet recruiting December 2020

Efficacy of BCG vaccination in the prevention of COVID-19 via the strengthening of innate immunity in health-care workers (COVID-BCG)

(NCT04384549)167

France Incidence of documented COVID-19 among health-care workers exposed to SARS-CoV-2 and vaccinated with BCG compared with placebo 1,120 Recruiting February 2021

Reducing health-care workers absenteeism in the COVID-19 pandemic through the BCG vaccine (BCG-CORONA)

(NCT04328441)168

Netherlands Number of days of health-care workers’ unplanned absenteeism for any reason 1,500 Active, not recruiting April 2021

BCG vaccination for health-care workers in COVID-19 pandemic

(NCT04379336)169

South Africa Incidence of health-care workers hospitalized owing to COVID-19 500 Recruiting April 2021

Prevention of respiratory tract infection and COVID-19 through BCG vaccination in vulnerable older adults (BCG-PRIME)

(NCT04537663)170

Netherlands Incidence of clinically relevant respiratory tract infection or COVID-19 infection 5,200 Recruiting April 2021

Clinical trial evaluating the effect of BCG vaccination on the incidence and severity of SARS-CoV-2 infections among health-care professionals during the COVID-19 pandemic in Poland

(NCT04648800)171

Poland Incidence of COVID-19 infections 1,000 Recruiting April 2021

BCG vaccination to prevent COVID-19 (ACTIVATEII)

(NCT04414267)172

Greece Positive for the respiratory questionnaire consisting of questions concerning the appearance of symptoms possibly, probably and/or definitively related to COVID-19 on visit 3 900 Recruiting May 2021

Study to assess VPM1002 in reducing health-care professionals’ absenteeism in the COVID-19 pandemic

(NCT04387409)131

Germany Number of days absent from work due to respiratory disease (with or without documented SARS-CoV-2) 59 Active, not recruiting May 2021

Reducing COVID-19-related hospital admission in the elderly by BCG vaccination

(NCT04417335)173

Netherlands SARS-CoV-2 hospital admission 2,014* Active, not recruiting May 2021

Study to assess VPM1002 in reducing hospital admissions and/or severe respiratory infectious diseases in the elderly in the COVID-19 pandemic

(NCT04435379)133

Germany Number of days with severe respiratory disease at hospital and/or at home 2,038 Active, not recruiting September 2021

Efficacy and safety of VPM1002 in reducing SARS-CoV-2 (COVID-19) infection rate and severity (COBRA)

(NCT04439045)132

Canada Incidence of COVID-19 infection 3,626 Active, not recruiting December 2021

Using BCG vaccine to protect health-care workers in the COVID-19 pandemic

(NCT04373291)174

Denmark Days of unplanned absenteeism for any reason 1,500 Active, not recruiting December 2021

BCG to reduce absenteeism among health-care workers during the COVID-19 pandemic (EDCTP)

(NCT04641858)175

Denmark Days of unplanned absenteeism due to illness 1,050 Recruiting March 2022

Using BCG to protect senior citizens during the COVID-19 pandemic

(NCT04542330)176

Denmark Incidence of acute infection 1,900 Recruiting March 2022

Use of BCG vaccine as a preventive measure for COVID-19 in health-care workers (ProBCG)

(NCT04659941)177

Brazil Incidence of SARS-CoV-2 infection; incidence of severe forms of COVID-19 1,000 Recruiting October 2022

BCG against COVID-19 for prevention and amelioration of severity trial (BAC to the PAST)

(NCT04534803)178

USA Incidence of severe COVID-19 disease 2,100 Not yet recruiting November 2022

COVID-19: BCG as therapeutic vaccine, transmission limitation and immunoglobulin enhancement (BATTLE)

(NCT04369794)179

Brazil Clinical evolution of COVID-19; SARS-CoV-2 elimination; seroconversion rate and titration (IgA, IgM, IgG) 1,000 Recruiting August 2023

*Actually enrolled. BCG, Bacillus Calmette–Guérin.