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T-cell And General Immune Response to Seasonal Influenza Vaccine (SLVP018) - Year 1, 2009

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Fluzone® (intramuscular)
FluMist® (intranasal)
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Influenza focused on measuring Influenza vaccines, healthy participants, immunity to influenza, identical twins, fraternal twins, non-twins

Eligibility Criteria

8 Years - 100 Years (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Otherwise healthy, ambulatory children or adults, ages 8-17 years (identical twin pairs), 18-30 years (identical or fraternal twin pairs), 40-49 years (identical or fraternal twin pairs) or 70-100 years (twin or non-twin adults).
  2. Willing to complete the informed consent process.
  3. Availability for follow-up for the planned duration of the study at least 28 days after immunization.
  4. Acceptable medical history and vital signs.
  5. Negative urine pregnancy test for women of childbearing potential
  6. If the subject is female and of childbearing potential, she must use an acceptable method of contraception and not become pregnant for the duration of the study. (Acceptable contraception includes implants, injectables, combined oral contraceptives, effective intrauterine devices (IUDs), sexual abstinence, or a vasectomized partner).

Exclusion Criteria:

  1. Prior vaccination with TIV or LAIV in Fall 2009
  2. Allergy to egg or egg products, or to vaccine components, including gentamicin, gelatin, arginine or MSG (for LAIV only), or thimerosal (TIV multidose vials only).
  3. Life-threatening reactions to previous influenza vaccinations
  4. Asthma (LAIV groups only)
  5. Active systemic or serious concurrent illness, including febrile illness on the day of vaccination
  6. History of immune deficiency
  7. 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, blood pressure >150/95 at screening, or any other chronic disorder which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol.
  8. Hospitalization in the past year for congestive heart failure or emphysema.
  9. Chronic Hepatitis B or C
  10. Recent or current use of immunosuppressive medication, including glucocorticoids (corticosteroid nasal sprays are permissible).
  11. Subjects in close contact with anyone who has a severely weakened immune system should not receive LAIV.
  12. Malignancy, other than squamous cell or basal cell skin cancer (includes solid tumors such as breast cancer or prostate cancer with recurrence in the past year, and any hematologic cancer such as leukemia).
  13. 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.
  14. History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow up or hospitalization during the preceding year
  15. Use of any anti-coagulation medication such as Coumadin or Lovenox, or anti-platelet agents such as aspirin, Plavix, Aggrenox may be acceptable after review by investigator.
  16. Receipt of blood or blood products within the past 6 months
  17. Medical or psychiatric condition or occupational responsibilities that preclude subject compliance with the protocol
  18. Inactivated vaccine 14 days prior to vaccination
  19. Live, attenuated vaccine within 60 days of vaccination
  20. History of Guillain-Barre Syndrome
  21. Pregnant or lactating woman
  22. Use of investigational agents within 30 days prior to enrollment
  23. Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment
  24. 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 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Other

Other

Other

Other

Other

Other

Other

Arm Label

Group A: age 8-17 yo identical twins

Group B: 18-30 yo identical twins

Group C: 18-30 yo fraternal twins

Group D: 40-49 yo identical twins

Group E: 40-49 yo fraternal twins

Group F: 70-100 yo twins

Group G: 70-100 yo non-twins

Arm Description

Participants will be randomized to receive either Fluzone® (intramuscular) or FluMist® (intranasal)

Participants to receive FluMist® (intranasal)

Participants to receive FluMist® (intranasal)

Participants to receive FluMist® (intranasal)

Participants to receive FluMist® (intranasal)

Participants to receive Fluzone® (intramuscular)

Participants to receive Fluzone® (intramuscular)

Outcomes

Primary Outcome Measures

Number of Participants From Each Arm Who Received Influenza Vaccine Vaccine

Secondary Outcome Measures

Number of Participants With Related Adverse Events

Full Information

First Posted
October 24, 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
NCT01987349
Brief Title
T-cell And General Immune Response to Seasonal Influenza Vaccine (SLVP018) - Year 1, 2009
Official Title
Protective Mechanisms Against a Pandemic Respiratory Virus: B- Cell, T-cell, and General Immune Response to Seasonal Influenza Vaccine. Year 1, 2009
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
September 2009 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
January 2010 (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
This study will compare influenza vaccine responses in monozygotic and dizygotic twins.
Detailed Description
The investigators plan to study the response to different influenza vaccines much more broadly and deeply across different age groups and with different vaccine modalities and to probe the influence of genetics on these responses using monozygotic and dizygotic twins.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza vaccines, healthy participants, immunity to influenza, identical twins, fraternal twins, non-twins

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group A: age 8-17 yo identical twins
Arm Type
Other
Arm Description
Participants will be randomized to receive either Fluzone® (intramuscular) or FluMist® (intranasal)
Arm Title
Group B: 18-30 yo identical twins
Arm Type
Other
Arm Description
Participants to receive FluMist® (intranasal)
Arm Title
Group C: 18-30 yo fraternal twins
Arm Type
Other
Arm Description
Participants to receive FluMist® (intranasal)
Arm Title
Group D: 40-49 yo identical twins
Arm Type
Other
Arm Description
Participants to receive FluMist® (intranasal)
Arm Title
Group E: 40-49 yo fraternal twins
Arm Type
Other
Arm Description
Participants to receive FluMist® (intranasal)
Arm Title
Group F: 70-100 yo twins
Arm Type
Other
Arm Description
Participants to receive Fluzone® (intramuscular)
Arm Title
Group G: 70-100 yo non-twins
Arm Type
Other
Arm Description
Participants to receive Fluzone® (intramuscular)
Intervention Type
Biological
Intervention Name(s)
Fluzone® (intramuscular)
Intervention Description
Licensed seasonal trivalent inactivated influenza vaccine (IIV3)
Intervention Type
Biological
Intervention Name(s)
FluMist® (intranasal)
Intervention Description
Licensed trivalent seasonal live attenuated influenza vaccine (LAIV3)
Primary Outcome Measure Information:
Title
Number of Participants From Each Arm Who Received Influenza Vaccine Vaccine
Time Frame
Day 0 to 28
Secondary Outcome Measure Information:
Title
Number of Participants With Related Adverse Events
Time Frame
Day 0 to 28 post-immunization
Other Pre-specified Outcome Measures:
Title
Lymphocyte Response to Influenza Immunization
Description
Compare lymphocyte responses at Days 6-14 and the lymphocyte and serology responses at Day 28 post-immunization following annual administration of the influenza vaccines
Time Frame
Day 6-28 post-immunization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
8 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Otherwise healthy, ambulatory children or adults, ages 8-17 years (identical twin pairs), 18-30 years (identical or fraternal twin pairs), 40-49 years (identical or fraternal twin pairs) or 70-100 years (twin or non-twin adults). Willing to complete the informed consent process. Availability for follow-up for the planned duration of the study at least 28 days after immunization. Acceptable medical history and vital signs. Negative urine pregnancy test for women of childbearing potential If the subject is female and of childbearing potential, she must use an acceptable method of contraception and not become pregnant for the duration of the study. (Acceptable contraception includes implants, injectables, combined oral contraceptives, effective intrauterine devices (IUDs), sexual abstinence, or a vasectomized partner). Exclusion Criteria: Prior vaccination with TIV or LAIV in Fall 2009 Allergy to egg or egg products, or to vaccine components, including gentamicin, gelatin, arginine or MSG (for LAIV only), or thimerosal (TIV multidose vials only). Life-threatening reactions to previous influenza vaccinations Asthma (LAIV groups only) Active systemic or serious concurrent illness, including febrile illness on the day of vaccination History of immune deficiency 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, blood pressure >150/95 at screening, or any other chronic disorder which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol. Hospitalization in the past year for congestive heart failure or emphysema. Chronic Hepatitis B or C Recent or current use of immunosuppressive medication, including glucocorticoids (corticosteroid nasal sprays are permissible). Subjects in close contact with anyone who has a severely weakened immune system should not receive LAIV. Malignancy, other than squamous cell or basal cell skin cancer (includes solid tumors such as breast cancer or prostate cancer with recurrence in the past year, and any hematologic cancer such as leukemia). 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. History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow up or hospitalization during the preceding year Use of any anti-coagulation medication such as Coumadin or Lovenox, or anti-platelet agents such as aspirin, Plavix, Aggrenox may be acceptable after review by investigator. Receipt of blood or blood products within the past 6 months Medical or psychiatric condition or occupational responsibilities that preclude subject compliance with the protocol Inactivated vaccine 14 days prior to vaccination Live, attenuated vaccine within 60 days of vaccination History of Guillain-Barre Syndrome Pregnant or lactating woman Use of investigational agents within 30 days prior to enrollment Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment 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
Mark M Davis, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Garry Nolan, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ann Arvin, MD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Stephen Quake, 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
24154599
Citation
Horowitz A, Strauss-Albee DM, Leipold M, Kubo J, Nemat-Gorgani N, Dogan OC, Dekker CL, Mackey S, Maecker H, Swan GE, Davis MM, Norman PJ, Guethlein LA, Desai M, Parham P, Blish CA. Genetic and environmental determinants of human NK cell diversity revealed by mass cytometry. Sci Transl Med. 2013 Oct 23;5(208):208ra145. doi: 10.1126/scitranslmed.3006702.
Results Reference
background
PubMed Identifier
25594173
Citation
Brodin P, Jojic V, Gao T, Bhattacharya S, Angel CJ, Furman D, Shen-Orr S, Dekker CL, Swan GE, Butte AJ, Maecker HT, Davis MM. Variation in the human immune system is largely driven by non-heritable influences. Cell. 2015 Jan 15;160(1-2):37-47. doi: 10.1016/j.cell.2014.12.020.
Results Reference
background
PubMed Identifier
29706550
Citation
Cheung P, Vallania F, Warsinske HC, Donato M, Schaffert S, Chang SE, Dvorak M, Dekker CL, Davis MM, Utz PJ, Khatri P, Kuo AJ. Single-Cell Chromatin Modification Profiling Reveals Increased Epigenetic Variations with Aging. Cell. 2018 May 31;173(6):1385-1397.e14. doi: 10.1016/j.cell.2018.03.079. Epub 2018 Apr 26.
Results Reference
derived
Links:
URL
http://vaccines.stanford.edu/clinical_trials.html
Description
Stanford LPCH Vaccine Program Clinical Trials Website

Learn more about this trial

T-cell And General Immune Response to Seasonal Influenza Vaccine (SLVP018) - Year 1, 2009

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