Vaccination in Inflammatory Rheumatic Disease (VACCIMIL). The Impact of Antirheumatic Treatment on Antibody Response

NCT ID: NCT02240888

Last Updated: 2018-10-03

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

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2018-05-31

Brief Summary

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The overall objective of this project is to study the influence of modern anti-inflammatory treatments in established inflammatory rheumatic diseases (IRD) on immune response elicited by pneumococcal vaccination using 13-valent conjugate vaccine and influenza vaccination. In addition, the aim is to study the clinical aspects of vaccination regarding: tolerability in immunosuppressed patients with IRD, impact on existing rheumatic disease, possible association with onset of new autoimmune diseases, long-term immunity following pneumococcal vaccination, efficacy in preventing invasive pneumococcal diseases and influenza related serious infections. Results from this study are expected to bridge the existing knowledge gap and contribute to body of evidence needed for recommendations and implementation of vaccination program in IRD patients.

Detailed Description

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Conditions

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RA SLE Vasculitis Scleroderma Sjögrens Syndrome

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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vaccinated patients

patients with different inflammatory rheumatic disease immunized with 0,5 mg pneumococcal conjugate vaccine i.m.

Group Type ACTIVE_COMPARATOR

0,5 mg Prevenar i.m.

Intervention Type BIOLOGICAL

0,5 mg seasonal influenza vaccine i.m.

Intervention Type BIOLOGICAL

vaccinated controls

healthy controls immunized with 0,5 mg pneumococcal conjugate vaccine i.m.

Group Type ACTIVE_COMPARATOR

0,5 mg Prevenar i.m.

Intervention Type BIOLOGICAL

0,5 mg seasonal influenza vaccine i.m.

Intervention Type BIOLOGICAL

seasonal influenza vaccine

patients with different inflammatory rheumatic diseases immunized with 0,5 mg seasonal influenza vaccine i.m.

Group Type ACTIVE_COMPARATOR

0,5 mg Prevenar i.m.

Intervention Type BIOLOGICAL

0,5 mg seasonal influenza vaccine i.m.

Intervention Type BIOLOGICAL

non-vaccinated controls

healthy controls immunized with 0,5 mg seasonal influenza vaccine i.m.

Group Type ACTIVE_COMPARATOR

0,5 mg Prevenar i.m.

Intervention Type BIOLOGICAL

0,5 mg seasonal influenza vaccine i.m.

Intervention Type BIOLOGICAL

Interventions

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0,5 mg Prevenar i.m.

Intervention Type BIOLOGICAL

0,5 mg seasonal influenza vaccine i.m.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Adult patients with IRD receiving active anti-rheumatic treatments with DMARDs or biological remedies are offered to participate in the study. The protocol permits stratification for prednisolone usage, smoking habits and alcohol consumption.

Exclusion Criteria

* age \<18 years;
* pregnancy,
* known intolerance of vaccine,
* ongoing infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Region Skane

OTHER

Sponsor Role lead

Responsible Party

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meliha crnkic kapetanovic

MD, PhD, associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Meliha C Kapetanovic, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Region Skåne

Jehns Martineus, MD

Role: STUDY_DIRECTOR

Skåne Universitets sjukhus, dept of rheumatology

Locations

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Skåne University hospital, Dept of rheumatology

Lund, , Sweden

Site Status

Countries

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Sweden

References

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Nived P, Saxne T, Geborek P, Mandl T, Skattum L, Kapetanovic MC. Antibody response to 13-valent pneumococcal conjugate vaccine is not impaired in patients with rheumatoid arthritis or primary Sjogren's syndrome without disease modifying treatment. BMC Rheumatol. 2018 Apr 5;2:12. doi: 10.1186/s41927-018-0019-6. eCollection 2018.

Reference Type DERIVED
PMID: 30886963 (View on PubMed)

Hesselstrand R, Nagel J, Saxne T, Geborek P, Skattum L, Kapetanovic MC. Immunogenicity and safety of pneumococcal vaccination in patients with systemic sclerosis. Rheumatology (Oxford). 2018 Apr 1;57(4):625-630. doi: 10.1093/rheumatology/kex471.

Reference Type DERIVED
PMID: 29325173 (View on PubMed)

Nived P, Nagel J, Saxne T, Geborek P, Jonsson G, Skattum L, Kapetanovic MC. Immune response to pneumococcal conjugate vaccine in patients with systemic vasculitis receiving standard of care therapy. Vaccine. 2017 Jun 22;35(29):3639-3646. doi: 10.1016/j.vaccine.2017.05.044. Epub 2017 May 25.

Reference Type DERIVED
PMID: 28552512 (View on PubMed)

Kapetanovic MC, Nagel J, Nordstrom I, Saxne T, Geborek P, Rudin A. Methotrexate reduces vaccine-specific immunoglobulin levels but not numbers of circulating antibody-producing B cells in rheumatoid arthritis after vaccination with a conjugate pneumococcal vaccine. Vaccine. 2017 Feb 7;35(6):903-908. doi: 10.1016/j.vaccine.2016.12.068. Epub 2017 Jan 9.

Reference Type DERIVED
PMID: 28081972 (View on PubMed)

Other Identifiers

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Vaccimil

Identifier Type: OTHER

Identifier Source: secondary_id

2011/341

Identifier Type: -

Identifier Source: org_study_id

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