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T Cell Responses to Varicella Zoster Virus (VZV) Vaccine SLVP020

Primary Purpose

Herpes Zoster

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Zostavax™
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Herpes Zoster focused on measuring Herpes zoster, immune response, Zostavax, twins, non-twins

Eligibility Criteria

40 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Otherwise healthy adult non-twins and twin pairs, 40-49 years of age (Cross-Sectional study) or 50 years of age and older (Vaccination study). If a volunteer cannot participate in the Vaccination study after screening, may be considered for Cross-Sectional study.
  • History of prior chicken pox infection or living within the continental U.S. for past 30 years
  • Willing to complete the informed consent process
  • Availability for follow-up for the planned duration of the study (Cross-Sectional study: 1 visit; Vaccination study: 5 visits within 4-5 weeks)
  • Acceptable medical history and vital signs

Exclusion Criteria:

  • History of shingles within 5 years of enrollment
  • Prior vaccination with Zostavax vaccine for prevention of shingles
  • Vaccination Study only: History of severe allergic reactions to vaccine components, including gelatin and neomycin.
  • Vaccination Study only: Life-threatening reactions to previous vaccinations.
  • Vaccination Study only: Adults weighing less than 110 pounds.
  • Active systemic or serious concurrent illness, including febrile illness on the day of enrollment/vaccination
  • History of immunodeficiency disorder
  • Chronic HIV, Hepatitis B or Hepatitis C infection
  • Known or suspected impairment of immunologic function, including, but not limited to clinically significant liver disease, diabetes mellitus treated with insulin, moderate to severe renal disease or any other chronic disorder which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol.
  • Recent or current use of immunosuppressive medication, or anticipated use during study period, including systemic corticosteroids (corticosteroid nasal sprays, inhaled steroids and topical steroids are permissible).
  • Blood pressure >150 systolic or > 95 diastolic at Visit 1
  • History of chemotherapy treatment for cancer.
  • Malignancy, other than squamous cell or basal cell skin cancer (includes solid tumors such as breast cancer with recurrence in the past year and any hematologic cancer such as leukemia or lymphoma) which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol. Prostate cancer may be acceptable if no metastases and not undergoing treatment with immunosuppressive medications.
  • Autoimmune disease, including rheumatoid arthritis, treated with immunosuppressive medication such as Plaquenil, methotrexate, prednisone, Enbrel, which in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol (thyroid disease may be acceptable).
  • History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow up or hospitalization during the preceding year
  • Use of anti-coagulation medication such as Coumadin or Lovenox, or anti-platelet agents such as aspirin (except aspirin up to 325 mg. daily), Plavix or Aggrenox which may, in the opinion of the investigator, jeopardize volunteer safety or compliance with the protocol.
  • Receipt of blood or blood products within 6 months prior to enrollment and during the study period
  • Use of antiviral medications within 24 hrs. prior to enrollment, and for the Vaccination study, for the 14 days following study vaccination.
  • Inactivated vaccine within 14 days prior to enrollment and during study period(avoid non-study related immunization during the study period)
  • Live, attenuated vaccine within 60 days prior to enrollment and during study period (avoid non-study related immunization during the study period)
  • Pregnant or lactating woman, planning to become pregnant (pregnancy should be avoided for 3 months following administration of Zostavax vaccine).
  • Use of investigational agents within 30 days prior to enrollment and during study period
  • Donation of a unit of blood within 6 weeks prior to enrollment and during study period
  • Medical or psychiatric condition or occupational responsibilities that preclude subject compliance with the protocol
  • Any condition which, in the opinion of the investigator, might interfere with volunteer safety, study objectives or the ability of the participant to understand or comply with the study protocol.

Sites / Locations

  • Stanford University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Zostavax™ vaccine group

Natural-acquired VZV immunity

Arm Description

Participants > 50 years will receive a single dose 0.65 ml Zostavax™ (live, attenuated zoster vaccine) administered by subcutaneous injection.

Participants 40-49 years of age will not receive any intervention with the objective of examining the influence of age and inherited factors on the varicella zoster virus (VZV)-specific immune response in those with a naturally-acquired VZV immunity (a prior history of chicken pox).

Outcomes

Primary Outcome Measures

Number of Participants Who Received Zostavax Immunization or Had Natural Exposure to VZV

Secondary Outcome Measures

Number of Participants With Related Adverse Events

Full Information

First Posted
July 17, 2013
Last Updated
April 3, 2017
Sponsor
Stanford University
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT01911065
Brief Title
T Cell Responses to Varicella Zoster Virus (VZV) Vaccine SLVP020
Official Title
T Cell Responses to Varicella Zoster Virus After Vaccination and Viral Escape
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
In this study the investigators are trying to identify immune signatures that are associated with effective or poor vaccine responses to naturally-acquired herpes zoster virus and the zoster (shingles) vaccine, Zostavax.
Detailed Description
This study will examine the frequency, phenotype and repertoire of VZV-specific T cells. The frequency and T-Cell Receptor (TCR) diversity of VZV-specific T cells on days 7 and 14 after vaccination will be examined. The titer of anti-VZV antibodies and T cell frequencies will be examined on day 28 post vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Herpes Zoster
Keywords
Herpes zoster, immune response, Zostavax, twins, non-twins

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Zostavax™ vaccine group
Arm Type
Experimental
Arm Description
Participants > 50 years will receive a single dose 0.65 ml Zostavax™ (live, attenuated zoster vaccine) administered by subcutaneous injection.
Arm Title
Natural-acquired VZV immunity
Arm Type
No Intervention
Arm Description
Participants 40-49 years of age will not receive any intervention with the objective of examining the influence of age and inherited factors on the varicella zoster virus (VZV)-specific immune response in those with a naturally-acquired VZV immunity (a prior history of chicken pox).
Intervention Type
Biological
Intervention Name(s)
Zostavax™
Other Intervention Name(s)
Zoster Vaccine Live
Intervention Description
In the Vaccination arm, healthy individuals will be vaccinated with the licensed zoster vaccine, Zostavax.
Primary Outcome Measure Information:
Title
Number of Participants Who Received Zostavax Immunization or Had Natural Exposure to VZV
Time Frame
Day 0 to Day 35
Secondary Outcome Measure Information:
Title
Number of Participants With Related Adverse Events
Time Frame
0 to 35 Days
Other Pre-specified Outcome Measures:
Title
Identify Predictors That Correlate With a Rapid and Diverse T Cell Response.
Description
The investigators will use the frequency and TCR diversity of VZV-specific T cells on days 7 and 14 after vaccination as outcome variable and identify predictors that positively or negatively correlate with a rapid and diverse T cell response in the different age groups.
Time Frame
0 to 14 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Otherwise healthy adult non-twins and twin pairs, 40-49 years of age (Cross-Sectional study) or 50 years of age and older (Vaccination study). If a volunteer cannot participate in the Vaccination study after screening, may be considered for Cross-Sectional study. History of prior chicken pox infection or living within the continental U.S. for past 30 years Willing to complete the informed consent process Availability for follow-up for the planned duration of the study (Cross-Sectional study: 1 visit; Vaccination study: 5 visits within 4-5 weeks) Acceptable medical history and vital signs Exclusion Criteria: History of shingles within 5 years of enrollment Prior vaccination with Zostavax vaccine for prevention of shingles Vaccination Study only: History of severe allergic reactions to vaccine components, including gelatin and neomycin. Vaccination Study only: Life-threatening reactions to previous vaccinations. Vaccination Study only: Adults weighing less than 110 pounds. Active systemic or serious concurrent illness, including febrile illness on the day of enrollment/vaccination History of immunodeficiency disorder Chronic HIV, Hepatitis B or Hepatitis C infection Known or suspected impairment of immunologic function, including, but not limited to clinically significant liver disease, diabetes mellitus treated with insulin, moderate to severe renal disease or any other chronic disorder which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol. Recent or current use of immunosuppressive medication, or anticipated use during study period, including systemic corticosteroids (corticosteroid nasal sprays, inhaled steroids and topical steroids are permissible). Blood pressure >150 systolic or > 95 diastolic at Visit 1 History of chemotherapy treatment for cancer. Malignancy, other than squamous cell or basal cell skin cancer (includes solid tumors such as breast cancer with recurrence in the past year and any hematologic cancer such as leukemia or lymphoma) which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol. Prostate cancer may be acceptable if no metastases and not undergoing treatment with immunosuppressive medications. Autoimmune disease, including rheumatoid arthritis, treated with immunosuppressive medication such as Plaquenil, methotrexate, prednisone, Enbrel, which in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol (thyroid disease may be acceptable). History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow up or hospitalization during the preceding year Use of anti-coagulation medication such as Coumadin or Lovenox, or anti-platelet agents such as aspirin (except aspirin up to 325 mg. daily), Plavix or Aggrenox which may, in the opinion of the investigator, jeopardize volunteer safety or compliance with the protocol. Receipt of blood or blood products within 6 months prior to enrollment and during the study period Use of antiviral medications within 24 hrs. prior to enrollment, and for the Vaccination study, for the 14 days following study vaccination. Inactivated vaccine within 14 days prior to enrollment and during study period(avoid non-study related immunization during the study period) Live, attenuated vaccine within 60 days prior to enrollment and during study period (avoid non-study related immunization during the study period) Pregnant or lactating woman, planning to become pregnant (pregnancy should be avoided for 3 months following administration of Zostavax vaccine). Use of investigational agents within 30 days prior to enrollment and during study period Donation of a unit of blood within 6 weeks prior to enrollment and during study period Medical or psychiatric condition or occupational responsibilities that preclude subject compliance with the protocol Any condition which, in the opinion of the investigator, might interfere with volunteer safety, study objectives or the ability of the participant to understand or comply with the study protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cornelia L Dekker, MD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jorg J Goronzy, MD, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stanford University School of Medicine
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
25535378
Citation
Wang C, Liu Y, Cavanagh MM, Le Saux S, Qi Q, Roskin KM, Looney TJ, Lee JY, Dixit V, Dekker CL, Swan GE, Goronzy JJ, Boyd SD. B-cell repertoire responses to varicella-zoster vaccination in human identical twins. Proc Natl Acad Sci U S A. 2015 Jan 13;112(2):500-5. doi: 10.1073/pnas.1415875112. Epub 2014 Dec 22.
Results Reference
background
PubMed Identifier
26832412
Citation
Fang F, Yu M, Cavanagh MM, Hutter Saunders J, Qi Q, Ye Z, Le Saux S, Sultan W, Turgano E, Dekker CL, Tian L, Weyand CM, Goronzy JJ. Expression of CD39 on Activated T Cells Impairs their Survival in Older Individuals. Cell Rep. 2016 Feb 9;14(5):1218-1231. doi: 10.1016/j.celrep.2016.01.002. Epub 2016 Jan 28.
Results Reference
background
PubMed Identifier
27030598
Citation
Qi Q, Cavanagh MM, Le Saux S, NamKoong H, Kim C, Turgano E, Liu Y, Wang C, Mackey S, Swan GE, Dekker CL, Olshen RA, Boyd SD, Weyand CM, Tian L, Goronzy JJ. Diversification of the antigen-specific T cell receptor repertoire after varicella zoster vaccination. Sci Transl Med. 2016 Mar 30;8(332):332ra46. doi: 10.1126/scitranslmed.aaf1725.
Results Reference
background
PubMed Identifier
27764254
Citation
Qi Q, Cavanagh MM, Le Saux S, Wagar LE, Mackey S, Hu J, Maecker H, Swan GE, Davis MM, Dekker CL, Tian L, Weyand CM, Goronzy JJ. Defective T Memory Cell Differentiation after Varicella Zoster Vaccination in Older Individuals. PLoS Pathog. 2016 Oct 20;12(10):e1005892. doi: 10.1371/journal.ppat.1005892. eCollection 2016 Oct.
Results Reference
background
Links:
URL
http://vaccines.stanford.edu/clinical_trials.html
Description
Stanford LPCH Vaccine Program Clinical Trials Website

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T Cell Responses to Varicella Zoster Virus (VZV) Vaccine SLVP020

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