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Response to Inactivated Influenza Vaccine in Lymph Tissue and Blood (FLU-LN)

Primary Purpose

Influenza

Status
Recruiting
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Quadrivalent inactivated influenza vaccine (IIV)
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Influenza

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. 20-75-year-old male and female patients
  2. Body mass index (BMI) 20-35 kg/m2
  3. Acceptable laboratory values: Absolute neutrophil count (ANC) > 750 cells/mm3; Hemoglobin >10 g/dL; Platelet count >75,000/mm3; Partial thromboplastin time (PTT) >1.2x ULN; Prothrombin time (PT) >1.2x ULN
  4. Willing and able to complete the informed consent process
  5. Availability for follow-up for the planned duration of the study
  6. Acceptable medical history by review of inclusion/exclusion criteria

Exclusion Criteria:

  1. Prior off-study vaccination with seasonal influenza vaccine within three months of study vaccination
  2. Life-threatening reactions to previous influenza vaccinations
  3. Allergy to egg or egg products or to vaccine components
  4. Active systemic or serious concurrent illness, including febrile illness on the day of vaccination
  5. History of immunodeficiency (including HIV infection)
  6. Known or suspected impairment of immunologic function; may include significant liver disease, diabetes mellitus treated with insulin or moderate to severe renal disease
  7. Chronic Hepatitis B or C.
  8. Recent or current use of immunosuppressive medication, including systemic glucocorticoids (corticosteroid nasal sprays and topical steroids are permissible). Use of oral steroids (<20mg prednisone-equivalent/day) may be acceptable after review by the investigator.
  9. 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).
  10. 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.
  11. History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow up or hospitalization during the preceding year
  12. Use of any anti-coagulation medication such as Coumadin or Lovenox, or anti-platelet agents such as aspirin (except up to 325 mg per day), Plavix, or Aggrenox will be reviewed by investigators to determine if study participation would affect the volunteer's safety or compliance with the protocol.
  13. Receipt of blood or blood products within the past 6 months or planned used during the study.
  14. A medical or psychiatric condition or occupational responsibilities that preclude participant compliance with the protocol
  15. Receipt of an inactivated vaccine 14 days prior to study enrollment, or planned vaccinations prior to completion of last annual study visit (~ 28 days after study vaccination)
  16. Receipt of a live, attenuated vaccine within 60 days prior to enrollment of planned vaccination prior to completion of last study visit (~ 28 days after study enrollment)
  17. Need for allergy immunization (that cannot be postponed) until after the last study visit.
  18. History of Guillain-Barre# syndrome
  19. Use of investigational agents within 30 days prior to enrollment or planned use during the study.
  20. Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment or donation of platelets within 2 weeks of enrollment or planned donation prior to completion of the last visit.
  21. Pregnancy
  22. Any condition which, in the opinion of the investigator, might interfere with volunteer safety,

Sites / Locations

  • Stanford University Medical Center, Lane building L134Recruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Study Phase

Arm Description

Participants will be given the current year's a quadrivalent inactivated influenza vaccine (IIV)

Outcomes

Primary Outcome Measures

HAI titer
This measures response to influenza vaccine

Secondary Outcome Measures

Full Information

First Posted
March 30, 2019
Last Updated
May 3, 2022
Sponsor
Stanford University
Collaborators
National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT03898973
Brief Title
Response to Inactivated Influenza Vaccine in Lymph Tissue and Blood
Acronym
FLU-LN
Official Title
Response to Inactivated Influenza Vaccine in Lymph Tissue and Blood
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 11, 2019 (Actual)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University
Collaborators
National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is one project of a larger ongoing study related to the immune system's response to the flu virus. This study is designed to determine how immune memory develops at the actual site of exposure, and how immunization may alter this process.
Detailed Description
This is a Phase IV study of licensed influenza vaccines with up to 50 volunteers, 20-75 years of age. Each volunteer will participate for approximately 1 week including enrollment, vaccination, and completion of sample collection. The study has a total of 3 visits. Study Procedures: Screening Visit: Procedures during this visit are: Informed consent process, assess eligibility collect relevant clinical data and obtain 10 mL of blood to ensure the FNA will be safe (acceptable CBC and PT/PTT). Visit 1: Vaccination Visit: Eligible subjects will return and have a 20 mL blood sample. Participants will receive the inactivated flu vaccine into the right anterior quadriceps. Volunteers will be monitored for at least 15 minutes after study vaccination. Visit 2: FNA Procedure: Seven days after vaccination the participant will return for another collection of 20 ml of blood and a fine needle aspiration of a right inguinal lymph node under ultrasound guidance by a trained pathologist.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza

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
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Study Phase
Arm Type
Other
Arm Description
Participants will be given the current year's a quadrivalent inactivated influenza vaccine (IIV)
Intervention Type
Biological
Intervention Name(s)
Quadrivalent inactivated influenza vaccine (IIV)
Other Intervention Name(s)
Fluzone Quadrivalent
Intervention Description
Intramuscular Injection. Participants will receive the inactivated flu vaccine into anterior quadriceps.
Primary Outcome Measure Information:
Title
HAI titer
Description
This measures response to influenza vaccine
Time Frame
Day 7 after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 20-75-year-old male and female patients Body mass index (BMI) 20-35 kg/m2 Acceptable laboratory values: Absolute neutrophil count (ANC) > 750 cells/mm3; Hemoglobin >10 g/dL; Platelet count >75,000/mm3; Partial thromboplastin time (PTT) >1.2x ULN; Prothrombin time (PT) >1.2x ULN Willing and able to complete the informed consent process Availability for follow-up for the planned duration of the study Acceptable medical history by review of inclusion/exclusion criteria Exclusion Criteria: Prior off-study vaccination with seasonal influenza vaccine within three months of study vaccination Life-threatening reactions to previous influenza vaccinations Allergy to egg or egg products or to vaccine components Active systemic or serious concurrent illness, including febrile illness on the day of vaccination History of immunodeficiency (including HIV infection) Known or suspected impairment of immunologic function; may include significant liver disease, diabetes mellitus treated with insulin or moderate to severe renal disease Chronic Hepatitis B or C. Recent or current use of immunosuppressive medication, including systemic glucocorticoids (corticosteroid nasal sprays and topical steroids are permissible). Use of oral steroids (<20mg prednisone-equivalent/day) may be acceptable after review by the investigator. 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 per day), Plavix, or Aggrenox will be reviewed by investigators to determine if study participation would affect the volunteer's safety or compliance with the protocol. Receipt of blood or blood products within the past 6 months or planned used during the study. A medical or psychiatric condition or occupational responsibilities that preclude participant compliance with the protocol Receipt of an inactivated vaccine 14 days prior to study enrollment, or planned vaccinations prior to completion of last annual study visit (~ 28 days after study vaccination) Receipt of a live, attenuated vaccine within 60 days prior to enrollment of planned vaccination prior to completion of last study visit (~ 28 days after study enrollment) Need for allergy immunization (that cannot be postponed) until after the last study visit. History of Guillain-Barre# syndrome Use of investigational agents within 30 days prior to enrollment or planned use during the study. Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment or donation of platelets within 2 weeks of enrollment or planned donation prior to completion of the last visit. Pregnancy Any condition which, in the opinion of the investigator, might interfere with volunteer safety,
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Philip Grant
Phone
6507239443
Email
pmgrant@stanford.edu
Facility Information:
Facility Name
Stanford University Medical Center, Lane building L134
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Philip M Grant, MD
Phone
650-723-9443
Email
pmgrant@stanford.edu

12. IPD Sharing Statement

Plan to Share IPD
No

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Response to Inactivated Influenza Vaccine in Lymph Tissue and Blood

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