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Immune Responses After a Booster Immunisation With IXIARO® in Elderly Compared to Young Individuals.

Primary Purpose

Japanese Encephalitis Vaccine

Status
Unknown status
Phase
Phase 4
Locations
Austria
Study Type
Interventional
Intervention
IXIARO®- Japanese Encephalitis vaccine
Sponsored by
Medical University of Vienna
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Japanese Encephalitis Vaccine focused on measuring Japanese Encephalitis vaccine, immune responses

Eligibility Criteria

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

Inclusion Criteria:

  • participation in the preceeding study "IXIARO®-senescence" (EudraCTno: 2010-018630-52) without protocoll violation OR 2 documented IXIARO® vaccinations 28 days (-8/+ 30 days) apart between January 2010 and April 2014 at the age of 18 to 40 years or above the age of 60.
  • good state of health including individuals with medically controlled minor underlying disease (such as hypertension, hypercholesterinemia, NIDDM)
  • willingness to sign written informed consent

major Exclusion Criteria:

  • Already received an booster (3rd dose) of IXIARO ®
  • Vaccination with other JE vaccine (e.g. Je-vax)
  • clinically manifest infection with another Flavivirus within 1 year prior study inclusion (yellow fever, Dengue fever, West Nile, TBE)
  • past infection with the JEV
  • vaccination against yellow fever, Dengue, West Nile within 6 months prior to study inclusion
  • TBE vaccination within the last 30 days prior to study inclusion
  • immunosuppressive therapy (intake>14d) within 30 days before IXIARO booster till V3 (day 42+/-4), Corticosteroids like Prednisolon > and = 20mg/day; allowed: topic or inhalative application
  • immunodeficiency or st. p. organ transplantation
  • autoimmune disease except vitiligo or diseases of the thyroid gland with thyroid hormon substitution therapy
  • immuntherapy within 2 weeks before or after Ixiaro Booster
  • current acute infection or exacerbation of a chronic illness
  • cancer within the last 5 years
  • clinically significant haematological, renal, pulmonary, hepatic, neurological, cardiovascular disease which is not treated adequately within 12 weeks before Ixiaro booster
  • known infection with HIV, Hep B and Hep C
  • Guillain - Barré- Syndrome (GBS) - anamnestic
  • anamnestic anaphylaxie, atopy oder severe hypersensivity against ingredients of IXIARO
  • drug abuse/alcohol abuse
  • pregnancy and breastfeeding
  • plasma donation within the last 4 months
  • receiving blood or immunglobulins within 3 months before v1
  • significant mental disorder

Sites / Locations

  • Medical University of ViennaRecruiting
  • Medical University Vienna, Institute of Specific Prophylaxis and Tropical MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

young individuals

elderly individuals

Arm Description

Immune Responses After a Booster Immunisation With IXIARO®- Japanese Encephalitis vaccine

Immune Responses After a Booster Immunisation With IXIARO®- Japanese Encephalitis vaccine

Outcomes

Primary Outcome Measures

JEV antibody titer increase/course between visit 1 (before the booster vaccination) and Visit 3
Testing the difference of the JEV antibodies increase between young and elderly adults between Visit 1 (before booster vaccination) and Visit 3 (day 42+/-4 after Booster vaccination)

Secondary Outcome Measures

Testing the difference of the JEV antibody titer between young and elderly adults
Testing the difference of the JEV antibody titer before the booster vaccination with IXIARO® (Visite 1, day 0) till Visit 4 (day 168 +/- 14) in comparison between the age groups
Testing cellular immunity
Testing cellular immunity (cytokine production of IL-2, IFN-g, TNF-alpha, IL-6, IL-10, IL-21 after stimulation with JEV antigen) before the booster vaccination with IXIARO® (Visit 1, day 0), seven days (Visit 2, day 7 (+2) after and after 42 days (Visit 3, day 42 (+/-4)) after that in comparison between the age groups.
Testing of lymphocyte populations with FACS analysis
Testing of lymphocyte populations via testing surface markers of different B and T cell subsets with FACS and bloodcount
Testing of CMV serology
Testing of CMV Seropositivity at the time of the booster vaccination with IXIARO® at Visit 1 (day 0) in both age groups
TBE titer increase/course
Tick borne encephalitis titer before booster vaccination with IXIARO® (Visit 1, day 0), seven days after the booster vaccination (Visit 2, day 7 (+2),and 42 days (Visit 3, day 42 (+/-4) after the booster vaccination and 6 months (Visit 4, day 168 (+/- 14) after the booster vaccination and the in comparison between age groups.
Testing of cellular immunity-Testing of cytokine production
Testing of cellular immunity (cytokine production of IL-2, TNF-alpha, IL-6, IL-10 after stimulation mit TBE Antigen) before and seven days after the booster vaccination with IXIARO® (Visit 1, day 0; Visit 2, day 7 (+2) in comparison between the age groups

Full Information

First Posted
May 29, 2019
Last Updated
May 29, 2019
Sponsor
Medical University of Vienna
Collaborators
Valneva Austria GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT03971058
Brief Title
Immune Responses After a Booster Immunisation With IXIARO® in Elderly Compared to Young Individuals.
Official Title
Characterisation of Cellular and Humoral Immune Responses Following the First Booster Immunisation With the Inactivated, Purified Japanese Encephalitis Vaccine IXIARO® in Elderly Compared to Young Individuals.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Unknown status
Study Start Date
March 1, 2019 (Actual)
Primary Completion Date
December 2020 (Anticipated)
Study Completion Date
March 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Medical University of Vienna
Collaborators
Valneva Austria GmbH

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of this study is to investigate the immune responses following a booster immunisation with the Japanese Encephalitis vaccine in elderly subjects (above 60 years of age) in comparison to a young study group.
Detailed Description
The condition under investigation is the naturally aging immune system. The aim of this study is to investigate the immune responses following a booster immunisation with the Japanese Encephalitis vaccine in elderly subjects (above 60 years of age) in comparison to a young study group.Testing the difference of the JEV-antibody titre increase between young and elderly adults between visit 1 (before booster vaccination) and up to visit 4 (6 months after booster vaccination). Testing cellular immunity (cytokine production after JEV as well as TBE stimulation) on visit 1, 2 (one week after booster immunisation) and 3 between both age groups. Testing of surface markers of different T and B cell subsets before and after JE-booster vaccination (on visit 1-3) in comparison between both age groups. Testing TBE-antibody titres before and after JE-booster vaccination (on visit 1-4) in both age groups. Testing CMV serology at visit 1 in both age groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Japanese Encephalitis Vaccine
Keywords
Japanese Encephalitis vaccine, immune responses

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Model Description
Immune Responses After a Booster Immunisation With IXIARO® in Elderly Compared to Young Individuals.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
64 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
young individuals
Arm Type
Active Comparator
Arm Description
Immune Responses After a Booster Immunisation With IXIARO®- Japanese Encephalitis vaccine
Arm Title
elderly individuals
Arm Type
Active Comparator
Arm Description
Immune Responses After a Booster Immunisation With IXIARO®- Japanese Encephalitis vaccine
Intervention Type
Biological
Intervention Name(s)
IXIARO®- Japanese Encephalitis vaccine
Intervention Description
Booster Immunisation With IXIARO®- Japanese Encephalitis vaccine
Primary Outcome Measure Information:
Title
JEV antibody titer increase/course between visit 1 (before the booster vaccination) and Visit 3
Description
Testing the difference of the JEV antibodies increase between young and elderly adults between Visit 1 (before booster vaccination) and Visit 3 (day 42+/-4 after Booster vaccination)
Time Frame
Visit 3 day 42+/-4
Secondary Outcome Measure Information:
Title
Testing the difference of the JEV antibody titer between young and elderly adults
Description
Testing the difference of the JEV antibody titer before the booster vaccination with IXIARO® (Visite 1, day 0) till Visit 4 (day 168 +/- 14) in comparison between the age groups
Time Frame
Visit 1, day 0) till Visit 4 (day 168 +/- 14)
Title
Testing cellular immunity
Description
Testing cellular immunity (cytokine production of IL-2, IFN-g, TNF-alpha, IL-6, IL-10, IL-21 after stimulation with JEV antigen) before the booster vaccination with IXIARO® (Visit 1, day 0), seven days (Visit 2, day 7 (+2) after and after 42 days (Visit 3, day 42 (+/-4)) after that in comparison between the age groups.
Time Frame
Visit 1, day 0), seven days after booster vaccination (Visit 2, day 7 (+2).
Title
Testing of lymphocyte populations with FACS analysis
Description
Testing of lymphocyte populations via testing surface markers of different B and T cell subsets with FACS and bloodcount
Time Frame
Visit 1, day 0), seven days after booster vaccination (Visit 2, day 7 (+2) and 42 days (Visit 3, day 42 (+/-4) after booster vaccination
Title
Testing of CMV serology
Description
Testing of CMV Seropositivity at the time of the booster vaccination with IXIARO® at Visit 1 (day 0) in both age groups
Time Frame
Visit 1, day 0
Title
TBE titer increase/course
Description
Tick borne encephalitis titer before booster vaccination with IXIARO® (Visit 1, day 0), seven days after the booster vaccination (Visit 2, day 7 (+2),and 42 days (Visit 3, day 42 (+/-4) after the booster vaccination and 6 months (Visit 4, day 168 (+/- 14) after the booster vaccination and the in comparison between age groups.
Time Frame
Visit 1, day 0), seven days (Visit 2, day 7 (+2), 42 days (Visit 3, day 42 (+/-4) und 6 Months (Visit 4, day 168 (+/- 14)
Title
Testing of cellular immunity-Testing of cytokine production
Description
Testing of cellular immunity (cytokine production of IL-2, TNF-alpha, IL-6, IL-10 after stimulation mit TBE Antigen) before and seven days after the booster vaccination with IXIARO® (Visit 1, day 0; Visit 2, day 7 (+2) in comparison between the age groups
Time Frame
Visit 1, day 0; Visit 2, day 7 (+2)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: participation in the preceeding study "IXIARO®-senescence" (EudraCTno: 2010-018630-52) without protocoll violation OR 2 documented IXIARO® vaccinations 28 days (-8/+ 30 days) apart between January 2010 and April 2014 at the age of 18 to 40 years or above the age of 60. good state of health including individuals with medically controlled minor underlying disease (such as hypertension, hypercholesterinemia, NIDDM) willingness to sign written informed consent major Exclusion Criteria: Already received an booster (3rd dose) of IXIARO ® Vaccination with other JE vaccine (e.g. Je-vax) clinically manifest infection with another Flavivirus within 1 year prior study inclusion (yellow fever, Dengue fever, West Nile, TBE) past infection with the JEV vaccination against yellow fever, Dengue, West Nile within 6 months prior to study inclusion TBE vaccination within the last 30 days prior to study inclusion immunosuppressive therapy (intake>14d) within 30 days before IXIARO booster till V3 (day 42+/-4), Corticosteroids like Prednisolon > and = 20mg/day; allowed: topic or inhalative application immunodeficiency or st. p. organ transplantation autoimmune disease except vitiligo or diseases of the thyroid gland with thyroid hormon substitution therapy immuntherapy within 2 weeks before or after Ixiaro Booster current acute infection or exacerbation of a chronic illness cancer within the last 5 years clinically significant haematological, renal, pulmonary, hepatic, neurological, cardiovascular disease which is not treated adequately within 12 weeks before Ixiaro booster known infection with HIV, Hep B and Hep C Guillain - Barré- Syndrome (GBS) - anamnestic anamnestic anaphylaxie, atopy oder severe hypersensivity against ingredients of IXIARO drug abuse/alcohol abuse pregnancy and breastfeeding plasma donation within the last 4 months receiving blood or immunglobulins within 3 months before v1 significant mental disorder
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Studien Team
Phone
+43140160
Ext
38276
Email
isptm-studien@meduniwien.ac.at
First Name & Middle Initial & Last Name or Official Title & Degree
Ines Zwazl, BA
Phone
+43140160
Ext
38276
Email
ines.zwazl@meduniwien.ac.at
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ursula Wiedermann-Schmidt, Univ Prof MD
Organizational Affiliation
Medical University of Vienna, ISPTM
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical University of Vienna
City
Vienna
ZIP/Postal Code
1090
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Studien Team
Phone
+43140160
Ext
38276
Email
isptm-studien@meduniwien.ac.at
First Name & Middle Initial & Last Name & Degree
Ines Zwazl, BA
Phone
+43140160
Ext
38202
Email
ines.zwazl@meduniwien.ac.at
Facility Name
Medical University Vienna, Institute of Specific Prophylaxis and Tropical Medicine
City
Vienna
ZIP/Postal Code
1090
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ursula Wiedermann, MD, PhD
Phone
0043 1 40160
Ext
38260
Email
ursula.wiedermann@meduniwien.ac.at
First Name & Middle Initial & Last Name & Degree
Ursula Wiedermann, MD, PhD

12. IPD Sharing Statement

Learn more about this trial

Immune Responses After a Booster Immunisation With IXIARO® in Elderly Compared to Young Individuals.

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