Influenza Vaccine in Lung Transplant Patients

NCT ID: NCT00205270

Last Updated: 2020-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

126 participants

Study Classification

OBSERVATIONAL

Study Start Date

2004-12-31

Study Completion Date

2009-07-31

Brief Summary

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This 5-year study was designed to investigate how antibody and T cell responses following influenza vaccine compare among lung transplant patients, patients waiting for lung transplantation, and healthy individuals.

Detailed Description

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\[Note: there are 6 ClinicalTrials.gov records associated with this study, each representing a different sub-study of the population over the 5-year period, please see NCT04533061, NCT04533139, NCT04531787, NCT04530786, and NCT04531657 for related data\]

Although pre-transplant immunization is routinely recommended, this recommendation is based on little data. The primary objective of this study is to compare antibody responses in lung transplant patients who receive influenza vaccine before transplant, within the first six months of transplant, between 13 and 60 months post-transplant, and 110 months or beyond transplant.

This prospective cohort study is to include immunization events performed over five years to measure H1N1, H3N2, and B antibody responses to the influenza vaccine in pre- and post-lung transplant patients. The pre-transplant patients will move to the post-transplant group as the study progressed. Similarly, participants are allowed to move to the next time-since-transplant group as time elapsed.

Serum was collected from participants prior to and two-four weeks following trivalent inactivated influenza immunization for each season.

Geometric mean titers, seroprotection (antibody titer at least 1:40), seroconversion (fourfold increase between pre and post), and mean fold increases will be compared.

Conditions

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Influenza

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pre-transplant Vaccine

Cohort consists of individuals waiting for lung transplantation. Inactivated influenza vaccine will be administered intramuscularly annually.

Influenza vaccine

Intervention Type DRUG

influenza vaccine 0.5 ml intramuscularly each season

0-6 Months Post-transplant Vaccine

Cohort consist of individuals who have received lung transplants and received inactivated influenza vaccine 0-6 months post transplant.

Influenza vaccine

Intervention Type DRUG

influenza vaccine 0.5 ml intramuscularly each season

13-60 months Post-transplant Vaccine

Cohort consist of individuals who have received lung transplants and received inactivated influenza vaccine 13-60 months post transplant.

Influenza vaccine

Intervention Type DRUG

influenza vaccine 0.5 ml intramuscularly each season

Greater than 110 months Post-transplant Vaccine

Cohort consist of individuals who have received lung transplants and received inactivated influenza vaccine greater than 110 months post transplant.

Influenza vaccine

Intervention Type DRUG

influenza vaccine 0.5 ml intramuscularly each season

Healthy Controls

Healthy controls to measure normal immune response to the influenza vaccine

Influenza vaccine

Intervention Type DRUG

influenza vaccine 0.5 ml intramuscularly each season

Interventions

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Influenza vaccine

influenza vaccine 0.5 ml intramuscularly each season

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Receiving care pre- or post-lung transplant at University of Wisconsin Hospital
* Healthy adult

Exclusion Criteria

* Allergy to eggs
* Moderate to severe febrile illness
* Active treatment for acute rejection
* Received season's influenza vaccine prior to enrollment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mary S Hayney, PharmD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

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University of Wisconsin

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Dopp JM, Wiegert NA, Moran JJ, Francois ML, Radford KL, Thomas H, Love RB, Hayney MS. Effect of annual influenza immunization on antibody response in lung transplant patients. Prog Transplant. 2009 Jun;19(2):153-9. doi: 10.1177/152692480901900209.

Reference Type RESULT
PMID: 19588665 (View on PubMed)

Hayney MS, Moran J, Wiegert NA, Burlingham WJ. Lung transplant patients' T cell responses to influenza vaccine viruses between seasons. Vaccine. 2008 May 19;26(21):2596-600. doi: 10.1016/j.vaccine.2008.03.012. Epub 2008 Mar 31.

Reference Type RESULT
PMID: 18420314 (View on PubMed)

Moran JJ, Rose WE, Darga AJ, Rohde KA, Hayney MS. Persistence of influenza vaccine-induced antibodies in lung transplant patients between seasons. Transpl Infect Dis. 2011 Oct;13(5):466-70. doi: 10.1111/j.1399-3062.2011.00654.x. Epub 2011 May 27.

Reference Type RESULT
PMID: 21615847 (View on PubMed)

Severson JJ, Richards KR, Moran JJ, Hayney MS. Persistence of influenza vaccine-induced antibody in lung transplant patients and healthy individuals beyond the season. Hum Vaccin Immunother. 2012 Dec 1;8(12):1850-3. doi: 10.4161/hv.21735. Epub 2012 Aug 21.

Reference Type RESULT
PMID: 22906937 (View on PubMed)

Long AJ, Worzella SL, Moran JJ, Hayney MS. Influenza vaccine antibody response and 6-month persistence in lung transplant recipients using two definitions of seroprotection. Transplantation. 2015 Apr;99(4):885-9. doi: 10.1097/TP.0000000000000391.

Reference Type RESULT
PMID: 25148380 (View on PubMed)

Miller RM, Rohde KA, Tingle MT, Moran JJ, Hayney MS. Antibody responses to influenza vaccine in pre- and post-lung transplant patients. Clin Transplant. 2016 May;30(5):606-12. doi: 10.1111/ctr.12726. Epub 2016 Mar 20.

Reference Type RESULT
PMID: 26928266 (View on PubMed)

Other Identifiers

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A561000

Identifier Type: OTHER

Identifier Source: secondary_id

PHARM/PHARMACY/PHARMACY

Identifier Type: OTHER

Identifier Source: secondary_id

H-2004-0240

Identifier Type: -

Identifier Source: org_study_id

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