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Kinetics of B-Cell Responses to Live, Attenuated Influenza Vaccine (LAIV) in Young Children Two Years of Age (SLVP016)

Primary Purpose

Influenza

Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
2008-2009 FluMist LAIV (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 Live, attenuated influenza vaccine, Children

Eligibility Criteria

24 Months - 35 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  1. Otherwise healthy children, aged 24-35 months of age, inclusive.
  2. Parent(s) or guardian(s) willing to sign informed consent.
  3. Availability for follow-up for the planned duration of the study.
  4. Acceptable medical history by screening evaluation and brief clinical assessment.
  5. Able to understand and comply with planned study procedures

Exclusion Criteria

  1. Prior vaccination with LAIV.
  2. TIV vaccination during two prior influenza vaccine seasons
  3. Known prior MD diagnosis of, or hospitalization for influenza
  4. History of asthma, active/recurrent wheezing or reactive airways disease
  5. History of immunodeficiency
  6. Known or suspected impairment of immunologic function including, but not limited to, clinically significant liver disease; diabetes mellitus; moderate to severe kidney impairment.
  7. Known underlying medical conditions (e.g. hemoglobinopathy, congestive heart failure) predisposing to influenza complications.
  8. Household contact with immunodeficiency due to disease, medication or radiation
  9. Child receiving aspirin therapy or aspirin-containing therapy
  10. History of Guillain-Barré syndrome
  11. Malignancy, other than squamous cell or basal cell skin cancer
  12. Autoimmune disease
  13. Use of immunosuppressive medication. Corticosteroid nasal sprays are permissible.
  14. Use of antiviral agents against Influenza A and/or B (such as Tamiflu, Relenza, Flumodine, Symmetrel) less than 48 hours before and/or less than two weeks after administration of FluMist.
  15. History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow-up or hospitalization during the preceding year.
  16. Use of investigational agents within 30 days prior to study
  17. Receipt of blood products or immunoglobulin in the past 6 months
  18. Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment
  19. Acute febrile illness on the day of vaccination
  20. Known allergies to any component of the vaccine, including eggs or egg products, gentamicin, gelatin,or arginine, or known life-threatening reactions to previous influenza vaccinations.
  21. Concurrent participation in other investigational protocols or receipt of an investigational product within the previous 30 days or planned receipt of an investigational product within 28 days following the last immunization dose.
  22. Any condition that, in the opinion of the investigator, might interfere with study objectives

Sites / Locations

  • Stanford University School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

2008-2009 FluMist LAIV (Intranasal)

Arm Description

2008-2009 FluMist LAIV (Intranasal) Seasonal live, attenuated influenza vaccine

Outcomes

Primary Outcome Measures

Number of Participants Who Received Influenza Vaccine

Secondary Outcome Measures

Number of Participants With Related Adverse Events

Full Information

First Posted
January 11, 2017
Last Updated
September 21, 2021
Sponsor
Stanford University
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT03020472
Brief Title
Kinetics of B-Cell Responses to Live, Attenuated Influenza Vaccine (LAIV) in Young Children Two Years of Age
Acronym
SLVP016
Official Title
U19 Year 6: Kinetics of B-Cell Responses to Live, Attenuated Influenza Vaccine (LAIV) in Young Children Two Years of Age, SLVP016
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Terminated
Why Stopped
Due to low enrollment
Study Start Date
November 2008 (undefined)
Primary Completion Date
January 2009 (Actual)
Study Completion Date
January 2009 (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 pilot study will investigate B-cell responses following vaccination with live, attenuated influenza vaccine (LAIV) in healthy children 2 years of age from blood samples taken at designated time points before and after vaccination.
Detailed Description
This is an exploratory study to determine the peripheral antibody secreting cell response during Days 5-13 after immunization with live, attenuated influenza vaccine (LAIV). Investigators hoped to enroll 27 healthy children, 2 years of age who had not had any prior LAIV or trivalent inactivated vaccine (TIV) within the past 2 years. Due to low enrollment, the study was halted. Due to the limited number of samples, no analysis was performed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Live, attenuated influenza vaccine, Children

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Actual)

8. Arms, Groups, and Interventions

Arm Title
2008-2009 FluMist LAIV (Intranasal)
Arm Type
Experimental
Arm Description
2008-2009 FluMist LAIV (Intranasal) Seasonal live, attenuated influenza vaccine
Intervention Type
Biological
Intervention Name(s)
2008-2009 FluMist LAIV (Intranasal)
Intervention Description
2008-2009 FluMist vaccine delivered intranasally
Primary Outcome Measure Information:
Title
Number of Participants Who Received Influenza Vaccine
Time Frame
Day 0 to Day 28
Secondary Outcome Measure Information:
Title
Number of Participants With Related Adverse Events
Time Frame
Day 0 to Day 28
Other Pre-specified Outcome Measures:
Title
Post- Immunization B- Cell Response
Description
Identify peak of the post-immunization B-cell responses following vaccination with live, attenuated influenza vaccine (LAIV)
Time Frame
5-13 days post immunization
Title
PBMC Samples Will be Tested by Flow Cytometry to Determine the Percentage of Influenza-specific Antibody Cells That Are CD27+CD38+CD19+ Plasmablasts and by ELISPOT.
Time Frame
Day 0 to Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
24 Months
Maximum Age & Unit of Time
35 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Otherwise healthy children, aged 24-35 months of age, inclusive. Parent(s) or guardian(s) willing to sign informed consent. Availability for follow-up for the planned duration of the study. Acceptable medical history by screening evaluation and brief clinical assessment. Able to understand and comply with planned study procedures Exclusion Criteria Prior vaccination with LAIV. TIV vaccination during two prior influenza vaccine seasons Known prior MD diagnosis of, or hospitalization for influenza History of asthma, active/recurrent wheezing or reactive airways disease History of immunodeficiency Known or suspected impairment of immunologic function including, but not limited to, clinically significant liver disease; diabetes mellitus; moderate to severe kidney impairment. Known underlying medical conditions (e.g. hemoglobinopathy, congestive heart failure) predisposing to influenza complications. Household contact with immunodeficiency due to disease, medication or radiation Child receiving aspirin therapy or aspirin-containing therapy History of Guillain-Barré syndrome Malignancy, other than squamous cell or basal cell skin cancer Autoimmune disease Use of immunosuppressive medication. Corticosteroid nasal sprays are permissible. Use of antiviral agents against Influenza A and/or B (such as Tamiflu, Relenza, Flumodine, Symmetrel) less than 48 hours before and/or less than two weeks after administration of FluMist. History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow-up or hospitalization during the preceding year. Use of investigational agents within 30 days prior to study Receipt of blood products or immunoglobulin in the past 6 months Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment Acute febrile illness on the day of vaccination Known allergies to any component of the vaccine, including eggs or egg products, gentamicin, gelatin,or arginine, or known life-threatening reactions to previous influenza vaccinations. Concurrent participation in other investigational protocols or receipt of an investigational product within the previous 30 days or planned receipt of an investigational product within 28 days following the last immunization dose. Any condition that, in the opinion of the investigator, might interfere with study objectives
Overall Study Officials:
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 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

Learn more about this trial

Kinetics of B-Cell Responses to Live, Attenuated Influenza Vaccine (LAIV) in Young Children Two Years of Age

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