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Immune and Hormone Response to Influenza Vaccine

Primary Purpose

Healthy

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Seasonal Inactivated Influenza Vaccine
Sponsored by
Johns Hopkins Bloomberg School of Public Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Healthy focused on measuring influenza vaccine, cytokines, hormones, progesterone

Eligibility Criteria

18 Years - 39 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Women 18-39 years of age who are in good health.
  • Good general health as a result of review of medical history and/or clinical testing at the time of screening.
  • Available for the duration of the trial.
  • Willingness to participate in the study as evidenced by signing the informed consent document.
  • Willing to be abstinent or to use non-hormonal methods of contraception for the duration of the study.
  • History of normal menstrual cycles (26-35 days in length) for at least 3 months.
  • Willingness to refrain from routine vaccination (except as administered during study) for the duration of the study.

Exclusion Criteria:

  • Use of contraceptive pills, patch, injection or other hormonal therapies in the preceding 3 months (6 months for DepoProvera)
  • A history of hypersensitivity, including anaphylaxis to any of the components of IIV or to eggs.
  • Previous receipt of a same season licensed influenza vaccine.
  • Pregnancy as determined by a positive urine or serum human choriogonadotropin (β-hCG) test at any point during the study or in the preceding 3 months.
  • Currently is lactating or breast-feeding.
  • Fewer than 3 normal menstrual cycles since conclusion of last pregnancy or last use of hormonal birth control.
  • A history of autoimmune disease, or any other chronic medical condition considered clinically significant by the investigator.
  • History of HIV, Hepatitis C or active Hepatitis B.
  • Known immunodeficiency syndrome.
  • History of Guillain-Barré syndrome.
  • Use of chronic oral or intravenous administration (≥14 days) of immunosuppressive doses of steroids, i.e., prednisone >10 mg per day, immunosuppressants or other immune-modifying drugs within 30 days of starting this study. (Use of topical, nasal or inhaled steroids is permitted)
  • Receipt of a live vaccine within 4 weeks or a killed vaccine within 2 weeks prior to study start or during study.
  • Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to study vaccination.
  • Receipt of another investigational vaccine or drug within 30 days prior to study start, or during study.
  • Ongoing, daily use of analgesics or anti-inflammatory medications, including nonsteroidal anti-inflammatories. Occasional use, and use associated with menstrual periods is acceptable.

Sites / Locations

  • Center for Immunization Research; Johns Hopkins Bloomberg School of Public Health

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

healthy woman

Arm Description

All women are to receive the quadrivalent influenza vaccine

Outcomes

Primary Outcome Measures

Change in Levels of Progesterone After Influenza Vaccination
To explore whether receipt of IIV during the second week of the menstrual cycle (i.e., the week prior to ovulation) is associated with changes in steroid hormone levels, particularly decreases in progesterone, following ovulation.

Secondary Outcome Measures

Full Information

First Posted
October 24, 2013
Last Updated
December 6, 2018
Sponsor
Johns Hopkins Bloomberg School of Public Health
Collaborators
Centers for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT01978262
Brief Title
Immune and Hormone Response to Influenza Vaccine
Official Title
A Pilot Study of the Immune Response to Influenza Vaccination and Effect on Reproductive Hormones
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
August 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Johns Hopkins Bloomberg School of Public Health
Collaborators
Centers for Disease Control and Prevention

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this pilot research project is to look at the effect of the inactivated influenza vaccine (seasonal flu shot) on early signs of immune or germ-fighting response known as cytokines or signal molecules. The investigators also want to see if the timing of vaccine administration has any effect on women's reproductive hormones. The investigators hypothesis is that influenza vaccine given right before ovulation may change the hormone levels usually seen after ovulation. Thi
Detailed Description
This study is an open-label, longitudinal study of healthy young women of reproductive age, not on hormonal contraception who receive seasonal inactivated influenza vaccine (IIV). The women will be followed for one menstrual cycle to measure luteinizing hormone surge, estradiol, and progesterone, and then vaccinated with the seasonal inactivated influenza vaccine prior to ovulation during a second month. At the investigator's discretion, or if there is active circulation of influenza virus in Baltimore, the investigators will vaccinate during the first menstrual cycle (prior to ovulation) and then follow for a second menstrual cycle for comparison. After vaccination, they will be followed for cytokine and chemokine responses as well as changes in the concentrations of steroid hormones. This study will evaluate the effect of IIV on inflammatory cytokines and hormonal responses before and after ovulation. Each woman will have 13 visits in addition to a screening visit, and will be followed for 2 complete menstrual cycles.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
Keywords
influenza vaccine, cytokines, hormones, progesterone

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
healthy woman
Arm Type
Other
Arm Description
All women are to receive the quadrivalent influenza vaccine
Intervention Type
Biological
Intervention Name(s)
Seasonal Inactivated Influenza Vaccine
Other Intervention Name(s)
FluZone
Intervention Description
Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly
Primary Outcome Measure Information:
Title
Change in Levels of Progesterone After Influenza Vaccination
Description
To explore whether receipt of IIV during the second week of the menstrual cycle (i.e., the week prior to ovulation) is associated with changes in steroid hormone levels, particularly decreases in progesterone, following ovulation.
Time Frame
2 months
Other Pre-specified Outcome Measures:
Title
Cytokine Effect on Reproductive Hormone Levels
Description
To explore whether inflammatory cytokine responses to IIV receipt are associated with changes in reproductive and stress hormone levels.
Time Frame
2 months
Title
Cytokine Responses to Influenza Vaccine
Description
Identify optimal biomarkers of the inflammatory response after vaccination.
Time Frame
2 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
39 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women 18-39 years of age who are in good health. Good general health as a result of review of medical history and/or clinical testing at the time of screening. Available for the duration of the trial. Willingness to participate in the study as evidenced by signing the informed consent document. Willing to be abstinent or to use non-hormonal methods of contraception for the duration of the study. History of normal menstrual cycles (26-35 days in length) for at least 3 months. Willingness to refrain from routine vaccination (except as administered during study) for the duration of the study. Exclusion Criteria: Use of contraceptive pills, patch, injection or other hormonal therapies in the preceding 3 months (6 months for DepoProvera) A history of hypersensitivity, including anaphylaxis to any of the components of IIV or to eggs. Previous receipt of a same season licensed influenza vaccine. Pregnancy as determined by a positive urine or serum human choriogonadotropin (β-hCG) test at any point during the study or in the preceding 3 months. Currently is lactating or breast-feeding. Fewer than 3 normal menstrual cycles since conclusion of last pregnancy or last use of hormonal birth control. A history of autoimmune disease, or any other chronic medical condition considered clinically significant by the investigator. History of HIV, Hepatitis C or active Hepatitis B. Known immunodeficiency syndrome. History of Guillain-Barré syndrome. Use of chronic oral or intravenous administration (≥14 days) of immunosuppressive doses of steroids, i.e., prednisone >10 mg per day, immunosuppressants or other immune-modifying drugs within 30 days of starting this study. (Use of topical, nasal or inhaled steroids is permitted) Receipt of a live vaccine within 4 weeks or a killed vaccine within 2 weeks prior to study start or during study. Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to study vaccination. Receipt of another investigational vaccine or drug within 30 days prior to study start, or during study. Ongoing, daily use of analgesics or anti-inflammatory medications, including nonsteroidal anti-inflammatories. Occasional use, and use associated with menstrual periods is acceptable.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kawsar R Talaat, MD
Organizational Affiliation
Johns Hopkins Bloomberg School of Public Health
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Karen Broder, M.D.
Organizational Affiliation
Centers for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Center for Immunization Research; Johns Hopkins Bloomberg School of Public Health
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.jhsph.edu/research/centers-and-institutes/center-for-immunization-research/
Description
Center for Immunization Research Website
URL
http://hopkinsprojectsave.org
Description
Click here for information about enrolling in this study

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Immune and Hormone Response to Influenza Vaccine

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