Vaccine Efficacy in Diabetic and Elderly Patients

NCT ID: NCT02675608

Last Updated: 2017-01-13

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

Total Enrollment

164 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-08-31

Brief Summary

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This study evaluates the effectiveness of the seasonal flu vaccine in adults of different ages and diabetic disease statuses. These studies will help our understanding of how chronic inflammatory diseases impact immunologic function and future research on mitigation strategies.

Detailed Description

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Our goal is to determine if an individual's level of inflammation determines their response to vaccination. The aging process and certain diseases, like type-2 diabetes, have been characterized as chronic inflammatory conditions. These individuals have higher rates of influenza disease and health care costs; hence, yearly vaccination is recommended. There is a paucity of information comparing vaccination in these high-risk groups and identifying biomarkers that can predict vaccine efficacy. The investigators hypothesize that elderly and diabetic patients have reduced responses to seasonal influenza vaccination that are inversely proportional to their level of chronic inflammation. In this pilot proposal, the investigators will examine adult and elderly diabetic and non-diabetic adults for markers of inflammation and vaccine efficacy before and after influenza vaccination. These studies will help our understanding of how chronic inflammatory diseases impact immunologic function and future research on mitigation strategies.

Conditions

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Inflammation

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Year 1 Group 1

They are between 18-65 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; have no history of immunodeficiency or weakened immunologic function; do not have diabetes; and do not have chronic HIV or hepatitis B or C infection.

Influenza Virus Vaccine

Intervention Type BIOLOGICAL

On the first visit, subjects are vaccinated with the 2015-2016 seasonal flu vaccine.

Year 1 Group 2

They are ≥65 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; have no history of immunodeficiency or weakened immunologic function; do not have diabetes; and do not have chronic HIV or hepatitis B or C infection.

Influenza Virus Vaccine

Intervention Type BIOLOGICAL

On the first visit, subjects are vaccinated with the 2015-2016 seasonal flu vaccine.

Year 1 Group 3

They are between 18-65 years of age, are currently diabetic, and meet the criteria listed above for not diabetic subjects in Group 1, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).

Influenza Virus Vaccine

Intervention Type BIOLOGICAL

On the first visit, subjects are vaccinated with the 2015-2016 seasonal flu vaccine.

Year 1 Group 4

They are ≥65 years of age, are currently diabetic, and meet the criteria listed above for non-diabetic subjects in Group 2, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).

Influenza Virus Vaccine

Intervention Type BIOLOGICAL

On the first visit, subjects are vaccinated with the 2015-2016 seasonal flu vaccine.

Year 1 Group 5

They are between 35-50 years of age, meet the criteria listed above for non-diabetic subjects in Group 1, with the exception of chronic HIV with or without hepatitis B or C infection, and have current medical history of CD4 T-cell counts 300-800.

Influenza Virus Vaccine

Intervention Type BIOLOGICAL

On the first visit, subjects are vaccinated with the 2015-2016 seasonal flu vaccine.

Year 2 Group 1

They are between 18-64 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; do not have diabetes.

No interventions assigned to this group

Year 2 Group 2

They are ≥65 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; do not have diabetes.

No interventions assigned to this group

Year 2 Group 3

If they are between 18-64 years of age, are currently diabetic, and meet the criteria listed above for not diabetic subjects in Group 1, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).

No interventions assigned to this group

Year 2 Group 4

If they are ≥65 years of age, are currently diabetic, and meet the criteria listed above for non-diabetic subjects in Group 2, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).

No interventions assigned to this group

Interventions

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Influenza Virus Vaccine

On the first visit, subjects are vaccinated with the 2015-2016 seasonal flu vaccine.

Intervention Type BIOLOGICAL

Other Intervention Names

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FLUVIRIN® NDC 66521-118-11

Eligibility Criteria

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Inclusion Criteria

* Group 1: Must be 18-64 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; have no history of immunodeficiency or weakened immunologic function; do not have diabetes; and do not have chronic HIV or hepatitis B or C infection.
* Group 2: Must be ≥65 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; have no history of immunodeficiency or weakened immunologic function; do not have diabetes; and do not have chronic HIV or hepatitis B or C infection.
* Group 3: Must be between 18-64 years of age, are currently diabetic, and meet the criteria listed above for not diabetic subjects in Group 1, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).
* Group 4: Must be ≥65 years of age, are currently diabetic, and meet the criteria listed above for non-diabetic subjects in Group 2, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).
* Group 5: Must be between 35-50 years of age, meet the criteria listed above for non-diabetic subjects in Group 1, with the exception of chronic HIV with or without hepatitis B or C infection, and have current medical history of CD4 T-cell counts 300-800.

* a history of a bleeding disorder or received anticoagulants within the last 3 weeks
* received the influenza vaccine in the past 6 months or any other vaccines within the last 3 months
* received immunosuppressive therapy within the last 6 months
* received long-term systemic corticosteroid therapy for more than 2 consecutive weeks within 3 months
* received blood or blood-derived products within the last 3 months
* a daily aspirin intake of \>81mg
* a blood pressure \>150/95 at screening


Group 1: They are between 18-64 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; do not have diabetes.

Group 2: They are ≥65 years of age, are medically stable and ambulatory; have no active systemic or serious concurrent illness; do not have diabetes.

Group 3: If they are between 18-64 years of age, are currently diabetic, and meet the criteria listed above for not diabetic subjects in Group 1, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).

NOTE: Current diabetes is defined by patient report of physician diagnosis. Subjects with a history of diabetes which has resolved and no longer requires therapy are not considered to have current diabetes, e.g, women with a history of gestational diabetes, steroid-induced or medication-induced.

Group 4: If they are ≥65 years of age, are currently diabetic, and meet the criteria listed above for non-diabetic subjects in Group 2, with the exception of having pre-diagnosed type-2 diabetes mellitus (e.g., a history of hemoglobin A1C or HbA1C scores of \> 6.5%).

Year 2 Subjects will be excluded if they have any of the following:

* a history of known or suspected impairment of immunologic function, including clinically significant liver disease, arthritis, moderate to severe renal (kidney) disease, HIV, and ongoing infections
* a history of a bleeding disorder or received anticoagulants within the last 3 weeks
* a history of heart failure
* a history of receiving immunosuppressive therapy within the last 6 months
* a history of receiving long-term systemic corticosteroid therapy for more than 2 consecutive weeks within 3 months
* a history of receiving blood or blood-derived products within the last 3 months
* a daily aspirin intake of \>325mg
* are pregnant

Exclusion Criteria

* a history of sensitivity to any of the vaccine components or to influenza vaccine
* a history of Guillain-Barré syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Louisiana Clinical and Translational Science Center

OTHER

Sponsor Role collaborator

Tulane University

OTHER

Sponsor Role lead

Responsible Party

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Elizabeth Norton

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elizabeth B Norton, MPH, PhD

Role: PRINCIPAL_INVESTIGATOR

Tulane University School of Medicine

Locations

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Tulane Clinical Translational Unit

New Orleans, Louisiana, United States

Site Status

Countries

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United States

Other Identifiers

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15-727936

Identifier Type: -

Identifier Source: org_study_id

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