Trial Outcomes & Findings for Systems Biology of PNEUMOVAX®23 and PREVNAR 13® (NCT NCT01307449)

NCT ID: NCT01307449

Last Updated: 2018-10-02

Results Overview

Expression of select gene modules reporting on innate and adaptive responses in young and elderly vaccine recipients. Gene expression was compared between pre-vaccination baseline and post-vaccination day 7 for each subject. The number of subjects with significant (by FDR \< 0.05) positive enrichment of Monocyte Module M4.15 is reported.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

88 participants

Primary outcome timeframe

Day 7

Results posted on

2018-10-02

Participant Flow

Participant milestones

Participant milestones
Measure
Older Group (60-89) PNEUMOVAX
Older Group (60-89) receiving single dose of PNEUMOVAX
Older Group (60-89) PREVNAR
Older Group (60-89) receiving single dose of PREVNAR
Younger Group (25-40) PNEUMOVAX
Younger Group (25-40) receiving single dose of PNEUMOVAX
Younger Group (25-40) PREVNAR
Younger Group (25-40) receiving single dose of PREVNAR
Overall Study
STARTED
33
33
11
11
Overall Study
COMPLETED
32
33
11
11
Overall Study
NOT COMPLETED
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Older Group (60-89) PNEUMOVAX
Older Group (60-89) receiving single dose of PNEUMOVAX
Older Group (60-89) PREVNAR
Older Group (60-89) receiving single dose of PREVNAR
Younger Group (25-40) PNEUMOVAX
Younger Group (25-40) receiving single dose of PNEUMOVAX
Younger Group (25-40) PREVNAR
Younger Group (25-40) receiving single dose of PREVNAR
Overall Study
Adverse Event
1
0
0
0

Baseline Characteristics

Systems Biology of PNEUMOVAX®23 and PREVNAR 13®

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Older Group (60-89) PNEUMOVAX
n=33 Participants
Older Group (60-89) receiving single dose of PNEUMOVAX
Older Group (60-89) PREVNAR
n=33 Participants
Older Group (60-89) receiving single dose of PREVNAR
Younger Group (25-40) PNEUMOVAX
n=11 Participants
Younger Group (25-40) receiving single dose of PNEUMOVAX
Younger Group (25-40) PREVNAR
n=11 Participants
Younger Group (25-40) receiving single dose of PREVNAR
Total
n=88 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
8 Participants
n=7 Participants
11 Participants
n=5 Participants
11 Participants
n=4 Participants
36 Participants
n=21 Participants
Age, Categorical
>=65 years
27 Participants
n=5 Participants
25 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
52 Participants
n=21 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
18 Participants
n=7 Participants
7 Participants
n=5 Participants
4 Participants
n=4 Participants
47 Participants
n=21 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
15 Participants
n=7 Participants
4 Participants
n=5 Participants
7 Participants
n=4 Participants
41 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
22 Participants
n=21 Participants
Race (NIH/OMB)
White
24 Participants
n=5 Participants
23 Participants
n=7 Participants
6 Participants
n=5 Participants
6 Participants
n=4 Participants
59 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Region of Enrollment
United States
33 participants
n=5 Participants
33 participants
n=7 Participants
11 participants
n=5 Participants
11 participants
n=4 Participants
88 participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 7

Population: One of the subjects in Young Pneumovax group is missing the baseline (day 0) sample, which makes the analysis impossible. RNA was never isolated from this time point. The participant has completed the rest of the visits, but these samples can't be used for the analysis in the absence of baseline.

Expression of select gene modules reporting on innate and adaptive responses in young and elderly vaccine recipients. Gene expression was compared between pre-vaccination baseline and post-vaccination day 7 for each subject. The number of subjects with significant (by FDR \< 0.05) positive enrichment of Monocyte Module M4.15 is reported.

Outcome measures

Outcome measures
Measure
Older Group (60-89) on PNEUMOVAX
n=33 Participants
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) on PREVNAR
n=33 Participants
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) on PNEUMOVAX
n=10 Participants
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) on PREVNAR
n=11 Participants
Participants between the ages of 25-40 years received single dose of PREVNAR
Number of Participants With Innate Immunity Signatures That Correlate With the Quality of Antibodies After PNEUMOVAX and PREVNAR - Monocyte Module M4.15
1 Participants
2 Participants
0 Participants
2 Participants

PRIMARY outcome

Timeframe: Day 7

Population: One of the subjects in Young Pneumovax group is missing the baseline (day 0) sample, which makes the analysis impossible. RNA was never isolated from this time point. The participant has completed the rest of the visits, but these samples can't be used for the analysis in the absence of baseline.

Expression of select gene modules reporting on innate and adaptive responses in young and elderly vaccine recipients. Gene expression was compared between pre-vaccination baseline and post-vaccination day 7 for each subject. The number of subjects with significant (by FDR \< 0.05) positive enrichment of Monocyte Module M11 is reported.

Outcome measures

Outcome measures
Measure
Older Group (60-89) on PNEUMOVAX
n=33 Participants
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) on PREVNAR
n=33 Participants
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) on PNEUMOVAX
n=10 Participants
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) on PREVNAR
n=11 Participants
Participants between the ages of 25-40 years received single dose of PREVNAR
Number of Participants With Innate Immunity Signatures That Correlate With the Quality of Antibodies After PNEUMOVAX and PREVNAR - Monocyte Module M11
1 Participants
5 Participants
0 Participants
3 Participants

PRIMARY outcome

Timeframe: Day 7

Population: One of the subjects in Young Pneumovax group is missing the baseline (day 0) sample, which makes the analysis impossible. RNA was never isolated from this time point. The participant has completed the rest of the visits, but these samples can't be used for the analysis in the absence of baseline.

Expression of select gene modules reporting on innate and adaptive responses in young and elderly vaccine recipients. Gene expression was compared between pre-vaccination baseline and post-vaccination day 7 for each subject. The number of subjects with significant (by FDR \< 0.05) positive enrichment of Monocyte Module M73 is reported.

Outcome measures

Outcome measures
Measure
Older Group (60-89) on PNEUMOVAX
n=33 Participants
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) on PREVNAR
n=33 Participants
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) on PNEUMOVAX
n=10 Participants
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) on PREVNAR
n=11 Participants
Participants between the ages of 25-40 years received single dose of PREVNAR
Number of Participants With Innate Immunity Signatures That Correlate With the Quality of Antibodies After PNEUMOVAX and PREVNAR - Monocyte Module M73
0 Participants
3 Participants
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Day 7

Population: One of the subjects in Young Pneumovax group is missing the baseline (day 0) sample, which makes the analysis impossible. RNA was never isolated from this time point. The participant has completed the rest of the visits, but these samples can't be used for the analysis in the absence of baseline.

Expression of select B cell modules was compared between pre-vaccination baseline and 7 days post-vaccination for each subject individually. The number of subjects with significant (by FDR \< 0.05) positive enrichment of B cell module S3 is reported.

Outcome measures

Outcome measures
Measure
Older Group (60-89) on PNEUMOVAX
n=33 Participants
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) on PREVNAR
n=33 Participants
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) on PNEUMOVAX
n=10 Participants
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) on PREVNAR
n=11 Participants
Participants between the ages of 25-40 years received single dose of PREVNAR
Number of Participants With Specific B Cell Responses at Day 7 That Correlate With the Innate Immune Signatures After PNEUMOVAX and PREVNAR - B Cell Module S3
9 Participants
10 Participants
7 Participants
8 Participants

SECONDARY outcome

Timeframe: Day 7

Population: One of the subjects in Young Pneumovax group is missing the baseline (day 0) sample, which makes the analysis impossible. RNA was never isolated from this time point. The participant has completed the rest of the visits, but these samples can't be used for the analysis in the absence of baseline.

Expression of select B cell modules was compared between pre-vaccination baseline and 7 days post-vaccination for each subject individually. The number of subjects with significant (by FDR \< 0.05) positive enrichment of B cell module M156.0 is reported.

Outcome measures

Outcome measures
Measure
Older Group (60-89) on PNEUMOVAX
n=33 Participants
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) on PREVNAR
n=33 Participants
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) on PNEUMOVAX
n=10 Participants
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) on PREVNAR
n=11 Participants
Participants between the ages of 25-40 years received single dose of PREVNAR
Number of Participants With Specific B Cell Responses at Day 7 That Correlate With the Innate Immune Signatures After PNEUMOVAX and PREVNAR - B Cell Module M156.0
28 Participants
25 Participants
9 Participants
9 Participants

SECONDARY outcome

Timeframe: Day 7

Population: One of the subjects in Young Pneumovax group is missing the baseline (day 0) sample, which makes the analysis impossible. RNA was never isolated from this time point. The participant has completed the rest of the visits, but these samples can't be used for the analysis in the absence of baseline.

Expression of select B cell modules was compared between pre-vaccination baseline and 7 days post-vaccination for each subject individually. The number of subjects with significant (by FDR \< 0.05) positive enrichment of B cell module M156.1 is reported.

Outcome measures

Outcome measures
Measure
Older Group (60-89) on PNEUMOVAX
n=33 Participants
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) on PREVNAR
n=33 Participants
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) on PNEUMOVAX
n=10 Participants
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) on PREVNAR
n=11 Participants
Participants between the ages of 25-40 years received single dose of PREVNAR
Number of Participants With Specific B Cell Responses at Day 7 That Correlate With the Innate Immune Signatures After PNEUMOVAX and PREVNAR - B Cell Module M156.1
32 Participants
30 Participants
10 Participants
11 Participants

Adverse Events

Older Group (60-89) PNEUMOVAX

Serious events: 3 serious events
Other events: 1 other events
Deaths: 0 deaths

Older Group (60-89) PREVNAR

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Younger Group (25-40) PNEUMOVAX

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Younger Group (25-40) PREVNAR

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Older Group (60-89) PNEUMOVAX
n=33 participants at risk
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) PREVNAR
n=33 participants at risk
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) PNEUMOVAX
n=11 participants at risk
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) PREVNAR
n=11 participants at risk
Participants between the ages of 25-40 years received single dose of PREVNAR
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/33 • 6 months follow up (started at baseline)
3.0%
1/33 • Number of events 1 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
Gastrointestinal disorders
Lynch syndrome
3.0%
1/33 • Number of events 1 • 6 months follow up (started at baseline)
0.00%
0/33 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
Nervous system disorders
Cerebrovascular accident
0.00%
0/33 • 6 months follow up (started at baseline)
3.0%
1/33 • Number of events 1 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
Cardiac disorders
Acute Coronary Syndrome
3.0%
1/33 • Number of events 1 • 6 months follow up (started at baseline)
0.00%
0/33 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
Renal and urinary disorders
Bladder cancer recurrence
3.0%
1/33 • Number of events 1 • 6 months follow up (started at baseline)
0.00%
0/33 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)

Other adverse events

Other adverse events
Measure
Older Group (60-89) PNEUMOVAX
n=33 participants at risk
Participants between the ages of 60-89 received single dose of PNEUMOVAX
Older Group (60-89) PREVNAR
n=33 participants at risk
Participants between the ages of 60-89 received single dose of PREVNAR
Younger Group (25-40) PNEUMOVAX
n=11 participants at risk
Participants between the ages of 25-40 years received single dose of PNEUMOVAX
Younger Group (25-40) PREVNAR
n=11 participants at risk
Participants between the ages of 25-40 years received single dose of PREVNAR
Renal and urinary disorders
Hematuria
3.0%
1/33 • Number of events 1 • 6 months follow up (started at baseline)
0.00%
0/33 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)
0.00%
0/11 • 6 months follow up (started at baseline)

Additional Information

Rouphael, Nadine

Emory University

Phone: 404-712-1435

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place