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Plasmablast Trafficking and Antibody Response in Influenza Vaccination (SLVP021 2011-2014)

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Fluzone® (IM)
Fluzone® Intradermal (ID)
2011-2012 FluMist®
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 Intramuscular inactivated trivalent influenza vaccine, Intradermal inactivated trivalent influenza vaccine, Live, attenuated influenza vaccine, Young adults

Eligibility Criteria

8 Years - 34 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Otherwise healthy, ambulatory between the ages of 8-33 years, inclusively.
  • 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

Exclusion Criteria:

  • Prior vaccination with seasonal TIV or LAIV
  • Prior off-study vaccination with TIV or LAIV in the current flu season
  • Allergy to egg or egg products, or to vaccine components or thimerosal (TIV multidose vials only)
  • Life-threatening reactions to previous influenza vaccinations
  • Active systemic or serious concurrent illness, including febrile illness on the day of vaccination
  • Asthma or history of wheezing (for volunteers receiving LAIV only)
  • Participants in close contact with anyone who has a severely weakened immune system should not receive LAIV (for volunteers receiving LAIV only)
  • History of immunodeficiency (including HIV 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
  • Blood pressure >150 systolic or >95 diastolic at first study visit
  • Chronic Hepatitis B or C
  • Recent or current use of immunosuppressive medication, including systemic glucocorticoids (corticosteroid nasal sprays, inhaled steroids and topical steroids are permissible in both groups)
  • 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 (except up to 325 mg. aspirin per day), Plavix, or Aggrenox must be reviewed by investigator to determine if this would affect the volunteer's safety
  • Receipt of blood or blood products within the past 6 months or planned receipt of blood products prior to completion of study visits
  • Medical or psychiatric condition or occupational responsibilities that preclude participant compliance with the protocol
  • Inactivated vaccine 14 days prior to vaccination or planned non-study vaccination prior to completion of Visit 03 (~Day 28 after the study vaccination)
  • Live, attenuated vaccine within 60 days of vaccination or planned non-study vaccination prior to completion of Visit 03 (~Day 28 after the study vaccination)
  • Need an allergy immunization (that cannot be postponed) during the study period V01 to V03 (~Day 28)
  • History of Guillain-Barré Syndrome
  • Pregnant or lactating woman
  • Use of investigational agents within 30 days prior to enrollment or planned use of investigational agents prior to completion of study visits
  • Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment or planned blood donation prior to completion of study visits
  • 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 LPCH Vaccine Program

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group A Fluzone® (IM)

Group B Fluzone® Intradermal (ID)

Group C 2011-2012 FluMist®

Arm Description

Participants in this group will be randomized to the trivalent inactivated influenza vaccine (TIV), Fluzone®, administered intramuscularly (IM) 2011-2012, 2012-2013 or 2013-2014 Fluzone was used as appropriate for the current year of study

Participants in this group will be randomized to the trivalent inactivated influenza vaccine (TIV), Fluzone® Intradermal, administered intradermally (ID) 2011-2012, 2012-2013 or 2013-2014 Fluzone Intradermal was used as appropriate for the current year of study

Participants in this group will be randomized to 2011-2012 live attenuated influenza vaccine, FluMist®, administered intranasally. FluMist was only used in the first year of study.

Outcomes

Primary Outcome Measures

Number of Participants From Each Arm Who Received Influenza Vaccine

Secondary Outcome Measures

Number of Participants With Related Adverse Events
Number of participants with Related Adverse Events with a 0% Frequency Threshold

Full Information

First Posted
May 15, 2014
Last Updated
April 5, 2018
Sponsor
Stanford University
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT02141581
Brief Title
Plasmablast Trafficking and Antibody Response in Influenza Vaccination (SLVP021 2011-2014)
Official Title
Vaccination and Infection: Indicators of Immunological Health and Responsiveness. Project 1: Plasmablast Trafficking and Antibody Response in Influenza Vaccination;
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (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
The purpose of this study is to investigate the responses to licensed trivalent, inactivated influenza vaccine (TIV) delivered by different routes: intramuscular (IM) and intradermal (ID) and to the live, attenuated influenza vaccine (LAIV) administered intranasally -- all given to generally healthy male and female adult volunteers.
Detailed Description
The aim of this study is to compare the response to different formulations of licensed influenza vaccines. The type of seasonal influenza vaccination(s) received independently by volunteers in the year(s) since their last study visit will not impact eligibility. Volunteers will be assigned into one of three vaccine groups (intramuscular trivalent inactivated influenza vaccine (TIV); live attenuated influenza vaccine (LAIV- given year 1 only) or intradermal TIV, based on the type of study vaccine they received in 2010, 2011, 2012, or 2013. All participants will receive a single dose of their assigned seasonal influenza vaccine. Volunteers will complete 3 study visits at Day 0, Day 6-8 and Day 24-32.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Intramuscular inactivated trivalent influenza vaccine, Intradermal inactivated trivalent influenza vaccine, Live, attenuated influenza vaccine, Young adults

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group A Fluzone® (IM)
Arm Type
Experimental
Arm Description
Participants in this group will be randomized to the trivalent inactivated influenza vaccine (TIV), Fluzone®, administered intramuscularly (IM) 2011-2012, 2012-2013 or 2013-2014 Fluzone was used as appropriate for the current year of study
Arm Title
Group B Fluzone® Intradermal (ID)
Arm Type
Experimental
Arm Description
Participants in this group will be randomized to the trivalent inactivated influenza vaccine (TIV), Fluzone® Intradermal, administered intradermally (ID) 2011-2012, 2012-2013 or 2013-2014 Fluzone Intradermal was used as appropriate for the current year of study
Arm Title
Group C 2011-2012 FluMist®
Arm Type
Experimental
Arm Description
Participants in this group will be randomized to 2011-2012 live attenuated influenza vaccine, FluMist®, administered intranasally. FluMist was only used in the first year of study.
Intervention Type
Biological
Intervention Name(s)
Fluzone® (IM)
Other Intervention Name(s)
Trivalent inactivated influenza vaccine (TIV), FDA-licensed seasonal influenza vaccine
Intervention Description
This vaccine is given intramuscularly (IM)
Intervention Type
Biological
Intervention Name(s)
Fluzone® Intradermal (ID)
Other Intervention Name(s)
Trivalent inactivated influenza vaccine (TIV), FDA-licensed seasonal Influenza Vaccine
Intervention Description
This vaccine is given intradermally (ID)
Intervention Type
Biological
Intervention Name(s)
2011-2012 FluMist®
Other Intervention Name(s)
Live, attenuated influenza vaccine (LAIV), FDA-licensed seasonal influenza vaccine
Intervention Description
This vaccine is given intranasally
Primary Outcome Measure Information:
Title
Number of Participants From Each Arm Who Received Influenza Vaccine
Time Frame
Baseline to Day 28
Secondary Outcome Measure Information:
Title
Number of Participants With Related Adverse Events
Description
Number of participants with Related Adverse Events with a 0% Frequency Threshold
Time Frame
Baseline to Day 28
Other Pre-specified Outcome Measures:
Title
Frequency of Vaccine-specific Antibody Secreting Cells on Day 5 and Day 7 After Vaccination
Time Frame
Baseline to Day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
8 Years
Maximum Age & Unit of Time
34 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Otherwise healthy, ambulatory between the ages of 8-33 years, inclusively. 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 Exclusion Criteria: Prior vaccination with seasonal TIV or LAIV Prior off-study vaccination with TIV or LAIV in the current flu season Allergy to egg or egg products, or to vaccine components or thimerosal (TIV multidose vials only) Life-threatening reactions to previous influenza vaccinations Active systemic or serious concurrent illness, including febrile illness on the day of vaccination Asthma or history of wheezing (for volunteers receiving LAIV only) Participants in close contact with anyone who has a severely weakened immune system should not receive LAIV (for volunteers receiving LAIV only) History of immunodeficiency (including HIV 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 Blood pressure >150 systolic or >95 diastolic at first study visit Chronic Hepatitis B or C Recent or current use of immunosuppressive medication, including systemic glucocorticoids (corticosteroid nasal sprays, inhaled steroids and topical steroids are permissible in both groups) 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 (except up to 325 mg. aspirin per day), Plavix, or Aggrenox must be reviewed by investigator to determine if this would affect the volunteer's safety Receipt of blood or blood products within the past 6 months or planned receipt of blood products prior to completion of study visits Medical or psychiatric condition or occupational responsibilities that preclude participant compliance with the protocol Inactivated vaccine 14 days prior to vaccination or planned non-study vaccination prior to completion of Visit 03 (~Day 28 after the study vaccination) Live, attenuated vaccine within 60 days of vaccination or planned non-study vaccination prior to completion of Visit 03 (~Day 28 after the study vaccination) Need an allergy immunization (that cannot be postponed) during the study period V01 to V03 (~Day 28) History of Guillain-Barré Syndrome Pregnant or lactating woman Use of investigational agents within 30 days prior to enrollment or planned use of investigational agents prior to completion of study visits Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment or planned blood donation prior to completion of study visits 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
Harry B Greenberg, MD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Xiaosong He, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stanford LPCH Vaccine Program
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
The NIH Human Immunology Project Consortium (HIPC) data repositories (ImmPORT) may store the results of the research assays results. Genetic data that is developed in this study may be made available to other researchers through the National Center for Biotechnology Information (NCBI) databases. Results from research assays will be labeled with a unique ID code and the volunteer identity (except for age) will not be disclosed.
Citations:
PubMed Identifier
23898164
Citation
Vollmers C, Sit RV, Weinstein JA, Dekker CL, Quake SR. Genetic measurement of memory B-cell recall using antibody repertoire sequencing. Proc Natl Acad Sci U S A. 2013 Aug 13;110(33):13463-8. doi: 10.1073/pnas.1312146110. Epub 2013 Jul 29.
Results Reference
background
PubMed Identifier
25336731
Citation
He XS, Holmes TH, Sanyal M, Albrecht RA, Garcia-Sastre A, Dekker CL, Davis MM, Greenberg HB. Distinct patterns of B-cell activation and priming by natural influenza virus infection versus inactivated influenza vaccination. J Infect Dis. 2015 Apr 1;211(7):1051-9. doi: 10.1093/infdis/jiu580. Epub 2014 Oct 21.
Results Reference
background
PubMed Identifier
27655870
Citation
Le Gars M, Kay AW, Bayless NL, Aziz N, Dekker CL, Swan GE, Davis MM, Blish CA. Increased Proinflammatory Responses of Monocytes and Plasmacytoid Dendritic Cells to Influenza A Virus Infection During Pregnancy. J Infect Dis. 2016 Dec 1;214(11):1666-1671. doi: 10.1093/infdis/jiw448. Epub 2016 Sep 21.
Results Reference
background
Links:
URL
http://vaccines.stanford.edu/completed_studies.html
Description
Stanford-LPCH Vaccine Program clinical trial website

Learn more about this trial

Plasmablast Trafficking and Antibody Response in Influenza Vaccination (SLVP021 2011-2014)

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