Th1 Response to Influenza: Aging and Vaccine Efficacy
Influenza
About this trial
This is an interventional prevention trial for Influenza focused on measuring Influenza, vaccine, efficacy, elderly
Eligibility Criteria
Inclusion Criteria:
- Healthy males and females 21 to 40 years of age or between 60 and 89, or 90 years or older at the time of enrollment.
- Subjects must provide written informed consent prior to first study intervention.
- Subject is judged to be healthy on the basis of verbal history and physical examination.
- Subject is able to cooperate with the requirements of the study (must be able to complete the diary cards and will be available for 6 months after enrollment).
- Subject is mentally capable to give consent based on investigator judgment.
- Females of childbearing potential (all women under the age of 40) must agree to use medically approved contraception and must agree to continue using this method for at least three months after enrollment. Females of childbearing potential on hormonal contraception must be stable on hormonal contraception and must agree to use this method of contraception for at least three months after enrollment. Acceptable forms of medically approved contraception include the use of: oral contraceptives, injectable contraceptives (i.e., Depo-Provera), transdermal contraceptives or double barrier method.
- All females 40 years of age and under must have a negative urine pregnancy test prior to any vaccination in this trial. Please note that even those participants that have a history of tubal ligation or hysterectomy or are post menopausal (at least one year of no menses) must still have a negative urine pregnancy test prior to any vaccination in this trial.
- Physical examination must be normal, or abnormal findings must be judged not clinically significant for this patient population by the Physician Investigator.
Exclusion Criteria:
- Had physician-diagnosed influenza at any time during the past two years.
- Received an influenza vaccine 6 months preceding enrollment in the study.
- Received any other vaccine within 30 days before starting this study or plan to receive any vaccine during the 30 days after enrollment.
- Received immunoglobulin therapy or transfusion with blood or blood products within the previous three months.
- Have known chemical dependency liable to compromise immune function (e.g., alcoholism or illegal drug use not including nicotine or caffeine).
- Are allergic to eggs or egg products, contact lens solution, or have ever had a severe reaction to any vaccine.
- Have a history of hypersensitivity (allergy) to thimerosal or formaldehyde.
- Have chronic respiratory illnesses (clinically significant and/or on systemic immunosuppressive medications e.g., asthma, COPD, emphysema).
- Have had symptoms of an active acute respiratory or other active infections or illnesses in the past 72 hours.
- Have a temperature greater than or equal to 100.4 degrees F (38 degrees C) at enrollment.
- Known or suspected diseases of the immune system (i.e., rheumatoid arthritis, lupus erythematosis, lymphoma, HIV, etc.).
- Have active neurologic disorders (i.e., encephalopathy, optic neuritis/neuropathy, partial facial paralysis, and brachial plexus neuropathy).
- Prior history of Guillain-Barré Syndrome.
- Have underlying unstable (require frequent physician office visits, have required a medication change in the past 3 months and/or require frequent medication dose changes) chronic disease such as cardiovascular disease (i.e., uncontrolled hypertension, congestive heart failure, recent heart attack (within past 6 months), cardiomyopathy; diabetes mellitus, liver disease (i.e., hepatitis, cirrhosis), functional or anatomic asplenia, cancer (excluding skin and prostate cancer) or kidney disease.
- Have a history of hematologic malignancy.
- Current treatment with an immunosuppressive medication (i.e., cancer therapeutic agents, corticosteroids, excluding topical and inhaled corticosteroids).
- Pregnant or breastfeeding females or females planning to become pregnant in the next 6 months.
- Have a latex allergy.
- Are participating in another clinical research trial within 30 days of starting this trial or planning to participate in another clinical research trial at any time during this trial.
- Have any condition that would, in the opinion of the investigator, place subject at risk of injury or render subject unable to meet study requirements.
Sites / Locations
- Eastern Virginia Medical School
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Active Comparator
Experimental
Group 2, Control Double Dose
Group 3-Control late booster
Group 1, Control
Group 4-Control early booster
12 elderly and 6 young participants. This group will be vaccinated with a double dose of vaccine without booster on Day 0. These subjects will receive a double-dose of vaccine administered as 2 consecutive injections (2 injections of 0.5 mL) in the same deltoid. The control group for Group 2 is group 1, Cohort 2.
12 elderly and 6 young participants. This group will be vaccinated with the standard dose of vaccine (0.5 mL) on Day 0 and with a booster dose of vaccine (0.5 mL) on Day 21. The control for Group 3 is Group 1, Cohort 3.
12 elderly and 8 young participants. Group 1 will be further divided into 4 equal cohorts (each containing 3 elderly and 2 young adults). Cohorts 2, 3, and 4 will receive the standard dose of vaccine and placebo (0.5 mL saline) on Day 0, 21, or 7 respectively. Cohort 1 will be vaccinated with the standard dose of vaccine without placebo/vaccine booster.
12 elderly and 6 young participants. This group will be vaccinated with the standard dose of vaccine (0.5 mL) on Day 0 and with a booster dose of vaccine (0.5 mL) on Day 7. The control for Group 4 is Group 1, Cohort 4.