Study of Seasonal Influenza Vaccine Against H5N1 Avian Influenza Virus

NCT ID: NCT01044095

Last Updated: 2013-07-23

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

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2012-06-30

Brief Summary

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This will be a randomized, open-label, pilot feasibility study of four 2-dose vaccine regimens in healthy volunteers using two commercially available seasonal influenza vaccines to compare immune responses and in vitro cross-reactivity against H5N1. Vaccine doses will be spaced by approximately 8 weeks to allow for optimal prime boost conditions. Humoral, cellular and secretory immune responses will be measured 2 and 4 weeks after each vaccine dose and compared with baseline values.

Detailed Description

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Conditions

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Autologous prime boost regimen 1

FluMist® live intranasal vaccine (LAIV) 0.2mL (0.1mL per nostril): 2 doses separated by 8 weeks (+/- 7 days)

Group Type ACTIVE_COMPARATOR

FluMist® live, attenuated, intranasal seasonal influenza vaccine

Intervention Type BIOLOGICAL

FluMist® live, attenuated, intranasal seasonal influenza vaccine 0.2mL (0.1mL per nostril)

Autologous prime boost regimen 2

Fluzone® inactivated seasonal influenza virus vaccine intramuscularly: 2 doses separated by 8 weeks (+7 days)

Group Type ACTIVE_COMPARATOR

Fluzone® inactivated influenza virus vaccine

Intervention Type BIOLOGICAL

Fluzone® inactivated influenza virus vaccine 0.5mL intramuscularly

Heterologous prime boost regimen 1

FluMist® live, intranasal vaccine single dose, followed by Fluzone® inactivated influenza virus vaccine 8 weeks (+/-7 days) later

Group Type EXPERIMENTAL

FluMist® live, attenuated, intranasal seasonal influenza vaccine

Intervention Type BIOLOGICAL

FluMist® live, attenuated, intranasal seasonal influenza vaccine 0.2mL (0.1mL per nostril)

Fluzone® inactivated influenza virus vaccine

Intervention Type BIOLOGICAL

Fluzone® inactivated influenza virus vaccine 0.5mL intramuscularly

Heterologous prime boost regimen 2

Fluzone® inactivated seasonal influenza virus vaccine single dose, followed by FluMist® live, intranasal seasonal influenza vaccine 0.2mL 8 weeks (+/- 7 days) later

Group Type EXPERIMENTAL

FluMist® live, attenuated, intranasal seasonal influenza vaccine

Intervention Type BIOLOGICAL

FluMist® live, attenuated, intranasal seasonal influenza vaccine 0.2mL (0.1mL per nostril)

Fluzone® inactivated influenza virus vaccine

Intervention Type BIOLOGICAL

Fluzone® inactivated influenza virus vaccine 0.5mL intramuscularly

Interventions

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FluMist® live, attenuated, intranasal seasonal influenza vaccine

FluMist® live, attenuated, intranasal seasonal influenza vaccine 0.2mL (0.1mL per nostril)

Intervention Type BIOLOGICAL

Fluzone® inactivated influenza virus vaccine

Fluzone® inactivated influenza virus vaccine 0.5mL intramuscularly

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Aged 18-49 years.
2. Healthy as determined by the PI or designate
3. Willing to give informed consent.
4. Willing to attend follow-up appointments and undergo study procedures.
5. US passport holder residing in Bangkok
6. If military, have a letter of approval for participation from the chain of command (Unit Commander).

Exclusion Criteria

1. History of hypersensitivity to eggs, egg proteins, gentamicin, gelatin or arginine.
2. Severe or life-threatening reaction to any previous vaccine.
3. History of chronic respiratory illness, including asthma and sinusitis.
4. History of heart disease
5. History of kidney disease
6. Metabolic disease such as diabetes
7. Immunocompromised as determined by the PI, or a household contact of an immunocompromised individual.
8. History of Guillain-Barre syndrome.
9. Blood disease including sickle cell disease and/or bleeding tendency (by history or based on medical records).
10. Any influenza vaccination within the previous 6 months, or any other vaccine within 30 days of either dose of influenza vaccine.
11. Pregnant woman or nursing mother or unwilling to use reliable contraception during the study period until the final day of follow-up.
12. Blood donation within the preceding 3 months, or screening hemoglobin value of \<12.5 g/dl.
13. Receipt of blood products including immunoglobulins within the preceding 3 months.
14. Receiving any of the following therapies: aspirin, warfarin, theophylline, phenytoin, aminopyrine, immunosuppressive drugs,
15. Receipt of any antiviral agents within 48 hours of vaccine administration.
16. HIV positive on screening blood tests.
17. Any other condition that in the opinion of the study investigator warrants exclusion from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

49 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Armed Forces Research Institute of Medical Sciences, Thailand

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Delia B Bethell, BM BCh

Role: PRINCIPAL_INVESTIGATOR

Armed Forces Research Institute of Medical Sciences, Thailand

Locations

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United States Embassy Medical Unit

Bangkok, , Thailand

Site Status

Countries

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Thailand

References

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Bethell D, Saunders D, Jongkaewwattana A, Kramyu J, Thitithayanont A, Wiboon-ut S, Yongvanitchit K, Limsalakpetch A, Kum-Arb U, Uthaimongkol N, Garcia JM, Timmermans AE, Peiris M, Thomas S, Engering A, Jarman RG, Mongkolsirichaikul D, Mason C, Khemnu N, Tyner SD, Fukuda MM, Walsh DS, Pichyangkul S. Evaluation of in vitro cross-reactivity to avian H5N1 and pandemic H1N1 2009 influenza following prime boost regimens of seasonal influenza vaccination in healthy human subjects: a randomised trial. PLoS One. 2013;8(3):e59674. doi: 10.1371/journal.pone.0059674. Epub 2013 Mar 26.

Reference Type RESULT
PMID: 23555741 (View on PubMed)

Related Links

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Other Identifiers

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HSRRB No. A-15223

Identifier Type: OTHER

Identifier Source: secondary_id

WRAIR1525

Identifier Type: -

Identifier Source: org_study_id

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