Influenza Vaccination in Immunocompromized Patients

NCT ID: NCT00783380

Last Updated: 2008-11-03

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

Clinical Phase

PHASE4

Total Enrollment

304 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2008-03-31

Brief Summary

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Evaluation of the immunogenicity and reactogenicity of two different formulations of commercially avail-able influenza vaccines in 4 different groups of immunocompromized outpatients (HIV positive patients, patients suffering from rheumatologic diseases and receiving treatment with immunosuppressive drugs and patients undergoing hemodialysis or continuous ambulatory peritoneal dialysis). The aim of the study was to investigate if the newest formulation of influenza vaccines (virosomal vaccines) offer a benefit in immunocompromized patients in comparison to an older subunit formulation.

Detailed Description

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The infection with influenza is associated with higher morbidity and mortality in risk groups including immunocompromized patients. The virosomal influenza vaccines have been associated with improved immunogenicity in former trials. No direct comparison with older formulations has been conducted so far.

Conditions

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Immunosuppression

Keywords

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Influenza vaccination Subunit Virosomal HIV/AIDS Renal Dialysis Kidney transplantation Rheumatologic diseases Immunogenicity Reactogenicity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Virosomal influenza vaccine

Group Type EXPERIMENTAL

Virosomal influenza vaccine

Intervention Type BIOLOGICAL

Influvacplus 2005/2006, Solvay Pharma AG, Bern, Switzerland Assigned to all 4 groups if immunocompromized patients

Subunit influenza vaccine

Group Type ACTIVE_COMPARATOR

Subunit influenza vaccine

Intervention Type BIOLOGICAL

Influvac 2005/2006, Solvay Pharma AG, Bern, Switzerland Assigned to all 4 groups if immunocompromized patients

Interventions

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Virosomal influenza vaccine

Influvacplus 2005/2006, Solvay Pharma AG, Bern, Switzerland Assigned to all 4 groups if immunocompromized patients

Intervention Type BIOLOGICAL

Subunit influenza vaccine

Influvac 2005/2006, Solvay Pharma AG, Bern, Switzerland Assigned to all 4 groups if immunocompromized patients

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Adult outpatients treated at the Inselspital Bern for:
* HIV infection
* rheumatologic diseases and receiving immunosuppressive drugs
* kidney transplant recipients
* undergoing hemodialysis or continuous ambulatory peritoneal dialysis
* written informed consent

Exclusion Criteria

* Allergy to egg proteins
* Former adverse reactions to prior vaccination
* Febrile conditions at the time of study inclusion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role collaborator

Abbott

INDUSTRY

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Solvay Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role lead

Responsible Party

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Universitätsklinik für Infektiologie, PKT 2B, Inselspital, 3011 Bern, Switzerland

Principal Investigators

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John M Evison, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Infectious Diseases, University Hospital Bern, 3010-Bern, Switzerland

Locations

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Department of Infectious Diseases, Bern University Hospital

Bern, , Switzerland

Site Status

Department of Nephrology/Hypertension, Bern University Hospital

Bern, , Switzerland

Site Status

Department of Rheumatic Diseases, Bern University Hospital

Bern, , Switzerland

Site Status

Countries

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Switzerland

References

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Vilchez RA, Fung J, Kusne S. The pathogenesis and management of influenza virus infection in organ transplant recipients. Transpl Infect Dis. 2002 Dec;4(4):177-82. doi: 10.1034/j.1399-3062.2002.t01-4-02001.x.

Reference Type BACKGROUND
PMID: 12535259 (View on PubMed)

Bridges CB, Fukuda K, Cox NJ, Singleton JA; Advisory Committee on Immunization Practices. Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2001 Apr 20;50(RR-4):1-44.

Reference Type BACKGROUND
PMID: 11334444 (View on PubMed)

Kroon FP, van Dissel JT, de Jong JC, van Furth R. Antibody response to influenza, tetanus and pneumococcal vaccines in HIV-seropositive individuals in relation to the number of CD4+ lymphocytes. AIDS. 1994 Apr;8(4):469-76. doi: 10.1097/00002030-199404000-00008.

Reference Type BACKGROUND
PMID: 7912086 (View on PubMed)

Dorrell L, Hassan I, Marshall S, Chakraverty P, Ong E. Clinical and serological responses to an inactivated influenza vaccine in adults with HIV infection, diabetes, obstructive airways disease, elderly adults and healthy volunteers. Int J STD AIDS. 1997 Dec;8(12):776-9. doi: 10.1258/0956462971919264.

Reference Type BACKGROUND
PMID: 9433953 (View on PubMed)

Chalmers A, Scheifele D, Patterson C, Williams D, Weber J, Shuckett R, Teufel A. Immunization of patients with rheumatoid arthritis against influenza: a study of vaccine safety and immunogenicity. J Rheumatol. 1994 Jul;21(7):1203-6.

Reference Type BACKGROUND
PMID: 7966058 (View on PubMed)

Abu-Shakra M, Press J, Varsano N, Levy V, Mendelson E, Sukenik S, Buskila D. Specific antibody response after influenza immunization in systemic lupus erythematosus. J Rheumatol. 2002 Dec;29(12):2555-7.

Reference Type BACKGROUND
PMID: 12465151 (View on PubMed)

Cavdar C, Sayan M, Sifil A, Artuk C, Yilmaz N, Bahar H, Camsari T. The comparison of antibody response to influenza vaccination in continuous ambulatory peritoneal dialysis, hemodialysis and renal transplantation patients. Scand J Urol Nephrol. 2003;37(1):71-6. doi: 10.1080/00365590310008749.

Reference Type BACKGROUND
PMID: 12745749 (View on PubMed)

Conne P, Gauthey L, Vernet P, Althaus B, Que JU, Finkel B, Gluck R, Cryz SJ Jr. Immunogenicity of trivalent subunit versus virosome-formulated influenza vaccines in geriatric patients. Vaccine. 1997 Oct;15(15):1675-9. doi: 10.1016/s0264-410x(97)00087-x.

Reference Type BACKGROUND
PMID: 9364699 (View on PubMed)

Baldo V, Menegon T, Bonello C, Floreani A, Trivello R; Collaborative Group. Comparison of three different influenza vaccines in institutionalised elderly. Vaccine. 2001 May 14;19(25-26):3472-5. doi: 10.1016/s0264-410x(01)00060-3.

Reference Type BACKGROUND
PMID: 11348713 (View on PubMed)

Zanetti AR, Amendola A, Besana S, Boschini A, Tanzi E. Safety and immunogenicity of influenza vaccination in individuals infected with HIV. Vaccine. 2002 Dec 20;20 Suppl 5:B29-32. doi: 10.1016/s0264-410x(02)00511-x.

Reference Type BACKGROUND
PMID: 12477415 (View on PubMed)

Evison J, Farese S, Seitz M, Uehlinger DE, Furrer H, Muhlemann K. Randomized, double-blind comparative trial of subunit and virosomal influenza vaccines for immunocompromised patients. Clin Infect Dis. 2009 May 15;48(10):1402-12. doi: 10.1086/598193.

Reference Type DERIVED
PMID: 19361304 (View on PubMed)

Other Identifiers

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KEK No 805 (EK 151/03)

Identifier Type: -

Identifier Source: org_study_id