Trial Outcomes & Findings for Effect of Obesity on Immune Response to Pneumovax 23 (NCT NCT02471014)

NCT ID: NCT02471014

Last Updated: 2020-12-01

Results Overview

IgG antibody titers specific for each serotype in Pneumovax 23 (i.e. 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, and 33F) will be analyzed.

Recruitment status

COMPLETED

Target enrollment

50 participants

Primary outcome timeframe

Changes in baseline and up to 6 weeks

Results posted on

2020-12-01

Participant Flow

56 consented. 6 participants failed secondary screening during the first visit.

Participant milestones

Participant milestones
Measure
Obese Individuals
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Normal Individuals
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
23
23
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Obese Individuals
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Normal Individuals
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Overall Study
Lost to Follow-up
2
2

Baseline Characteristics

Effect of Obesity on Immune Response to Pneumovax 23

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Obese Individuals
n=23 Participants
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Normal Individuals
n=23 Participants
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Total
n=46 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
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
23 Participants
n=7 Participants
46 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
29.0 years
STANDARD_DEVIATION 5.32 • n=5 Participants
23.0 years
STANDARD_DEVIATION 3.08 • n=7 Participants
26.0 years
STANDARD_DEVIATION 5.24 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
13 Participants
n=7 Participants
28 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
17 Participants
n=7 Participants
29 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
23 participants
n=7 Participants
46 participants
n=5 Participants

PRIMARY outcome

Timeframe: Changes in baseline and up to 6 weeks

IgG antibody titers specific for each serotype in Pneumovax 23 (i.e. 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, and 33F) will be analyzed.

Outcome measures

Outcome measures
Measure
Obese Individuals
n=23 Participants
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Normal Individuals
n=23 Participants
Participants in this group will receive one 0.5mL Pneumovax23 intramuscular vaccine at baseline, four questionnaires administered at baseline, and one 50mL blood draw at baseline and one 50mL blood draw up to 6 weeks later. Pneumovax 23: All participants will receive a single 0.5 mL Pneumovax 23 intramuscular vaccine at baseline. Blood tests: All participants will have two 50 milliliter blood draws: at baseline and up to 6 weeks later. Questionnaires: All participants will answer the following questionnaires: UCLA Loneliness Scale Questionnaire will be used to measure a difference between the groups. Perceived Stress Scale-10 Questionnaire will be used to measure a difference between the groups. Interpersonal Support Evaluation List-12 will be used to measure a difference between the groups Life Orientation Test-Revised will be used to measure a difference between the groups.
Anti-pneumococcal Antibodies Between the Groups
34.1 titer
Standard Deviation 3.51
19.8 titer
Standard Deviation 1.52

SECONDARY outcome

Timeframe: Baseline

The UCLA loneliness scale is a 20-item questionnaire, on a scale of 0-3 for each question. This questionnaire measures subjective feelings of loneliness and social isolation. Final score of 0 reflects no loneliness and 60 reflects the maximum amount of loneliness.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

The Perceived Stress Scale-10 is a 10-item questionnaire assessing how stressful participants perceive their lives to be. Each question is assessed on a scale of 0 to 4. Final score of 0 reflects no stress and 40 indicates maximum amount of stress.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

The Interpersonal Support Evaluation List-12, a 12-item questionnaire that measures perceived social support along 3 dimensions: appraisal support (availability of someone to talk to), belonging support (availability of people to do things with), and tangible support (e.g. material aid). This is measured on a scale of 0 to 36. The greater the number the greater perceived support.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

The Life Orientation Test-Revised, a 10-item scale measuring optimism versus pessimism along a continuous scale; a higher score indicates more optimism. The lowest score is 0 and the highest is 24.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Test to be performed in a research laboratory after Visits are completed

A small amount of blood will be sent to a research laboratory for an analysis of genetic markers Specifically, we will be analyzing the the stimulator of interferon genes (STING). This will help us determine if this gene, which has been previously thought to contribute to Pneumovax efficacy, helps explain individual differences in immune response.

Outcome measures

Outcome data not reported

Adverse Events

Obese Individuals

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

Normal Individuals

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Mathew Sebastian, PhD

University of Florida

Phone: 8644901978

Results disclosure agreements

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