Trial Outcomes & Findings for Immune and Hormone Response to Influenza Vaccine (NCT NCT01978262)

NCT ID: NCT01978262

Last Updated: 2018-12-27

Results Overview

To explore whether receipt of IIV during the second week of the menstrual cycle (i.e., the week prior to ovulation) is associated with changes in steroid hormone levels, particularly decreases in progesterone, following ovulation.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

103 participants

Primary outcome timeframe

2 months

Results posted on

2018-12-27

Participant Flow

103 adult female subjects enrolled and 92 completed study over 3 vaccination seasons from 2013-2017. Each participant served as her own control and followed for 2 months: an Inactivated influenza vaccination (IIV) month and a observation/comparator month.

Study specific screening occurred prior to enrollment. 180 screens completed

Participant milestones

Participant milestones
Measure
Healthy Women
All women are to receive the quadrivalent influenza vaccine Seasonal Inactivated Influenza Vaccine: Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly
Overall Study
STARTED
103
Overall Study
COMPLETED
92
Overall Study
NOT COMPLETED
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Women
All women are to receive the quadrivalent influenza vaccine Seasonal Inactivated Influenza Vaccine: Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly
Overall Study
Withdrawal by Subject
9
Overall Study
Lost to Follow-up
2

Baseline Characteristics

Immune and Hormone Response to Influenza Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Women
n=92 Participants
All women are to receive the quadrivalent influenza vaccine Seasonal Inactivated Influenza Vaccine: Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly
Age, Continuous
28 years
n=93 Participants
Sex: Female, Male
Female
92 Participants
n=93 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
86 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=93 Participants
Race (NIH/OMB)
Asian
11 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
54 Participants
n=93 Participants
Race (NIH/OMB)
White
23 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
Region of Enrollment
United States
92 participants
n=93 Participants

PRIMARY outcome

Timeframe: 2 months

To explore whether receipt of IIV during the second week of the menstrual cycle (i.e., the week prior to ovulation) is associated with changes in steroid hormone levels, particularly decreases in progesterone, following ovulation.

Outcome measures

Outcome measures
Measure
Healthy Women (Vaccine)
n=92 Participants
All women are to receive the quadrivalent influenza vaccine Seasonal Inactivated Influenza Vaccine: Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly
Healthy Women (Comparator)
n=92 Participants
All women are to receive the quadrivalent influenza vaccine Seasonal Inactivated Influenza Vaccine: Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly Comparator Month
Change in Levels of Progesterone After Influenza Vaccination
Progesterone Day 11
0.73 ng/ml
Standard Deviation 1.40
0.59 ng/ml
Standard Deviation 0.92
Change in Levels of Progesterone After Influenza Vaccination
Progesterone Day 0
0.62 ng/ml
Standard Deviation 1.60
0.43 ng/ml
Standard Deviation 0.80
Change in Levels of Progesterone After Influenza Vaccination
Progesterone Day 17
4.59 ng/ml
Standard Deviation 4.42
4.53 ng/ml
Standard Deviation 4.13
Change in Levels of Progesterone After Influenza Vaccination
Progesterone Day 21
6.72 ng/ml
Standard Deviation 4.59
6.32 ng/ml
Standard Deviation 3.70
Change in Levels of Progesterone After Influenza Vaccination
Progesterone Day 28
0.55 ng/ml
Standard Deviation 1.03
0.92 ng/ml
Standard Deviation 1.98

OTHER_PRE_SPECIFIED outcome

Timeframe: 2 months

To explore whether inflammatory cytokine responses to IIV receipt are associated with changes in reproductive and stress hormone levels.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 2 days

Identify optimal biomarkers of the inflammatory response after vaccination.

Outcome measures

Outcome data not reported

Adverse Events

Healthy Women

Serious events: 0 serious events
Other events: 73 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Healthy Women
n=92 participants at risk
All women are to receive the quadrivalent influenza vaccine Seasonal Inactivated Influenza Vaccine: Quadrivalent seasonal inactivated influenza vaccine, 0.5 mL intramuscularly
Immune system disorders
Chills
2.2%
2/92 • Number of events 2 • 7 days after vaccination, up to 2 months
Skin and subcutaneous tissue disorders
Ecchymosis
2.2%
2/92 • Number of events 2 • 7 days after vaccination, up to 2 months
Skin and subcutaneous tissue disorders
Eythema
9.8%
9/92 • Number of events 9 • 7 days after vaccination, up to 2 months
Immune system disorders
Headache
25.0%
23/92 • Number of events 31 • 7 days after vaccination, up to 2 months
Skin and subcutaneous tissue disorders
Induration
9.8%
9/92 • Number of events 9 • 7 days after vaccination, up to 2 months
Immune system disorders
Malaise
12.0%
11/92 • Number of events 11 • 7 days after vaccination, up to 2 months
Musculoskeletal and connective tissue disorders
Myalgia
10.9%
10/92 • Number of events 10 • 7 days after vaccination, up to 2 months
Skin and subcutaneous tissue disorders
Pain
67.4%
62/92 • Number of events 72 • 7 days after vaccination, up to 2 months
Skin and subcutaneous tissue disorders
Pruritis
2.2%
2/92 • Number of events 2 • 7 days after vaccination, up to 2 months
Skin and subcutaneous tissue disorders
Swelling
9.8%
9/92 • Number of events 9 • 7 days after vaccination, up to 2 months

Additional Information

Kawsar Talaat

Johns Hopkins University

Phone: 410-502-9627

Results disclosure agreements

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