B-cell Immunity to Influenza (SLVP017) - Years 2 (2010) & 3 (2011)
NCT ID: NCT03020498
Last Updated: 2018-06-06
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE4
91 participants
INTERVENTIONAL
2010-09-30
2011-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
NONE
Study Groups
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Group A: 8-17 yo identical twins
Group A: 8-17 year-old identical twin pairs randomly assigned to Fluzone (trivalent, inactivated influenza vaccine (TIV)) or FluMist (live, attenuated influenza vaccine (LAIV)) within the pair
Fluzone
Influenza Virus Vaccine Suspension for Intramuscular Injection
FluMist
Influenza Virus Vaccine Live, Intranasal Intranasal Spray
Group B: 8-30 yo non-twin
Group B: 8-30 years old non-twin individuals randomly assigned to Fluzone (trivalent, inactivated influenza vaccine (TIV)) or FluMist (live, attenuated influenza vaccine (LAIV))
Fluzone
Influenza Virus Vaccine Suspension for Intramuscular Injection
FluMist
Influenza Virus Vaccine Live, Intranasal Intranasal Spray
Group C: 70-100 yo non-twin
Group C: 70-100 years old non-twin elderly adults given Fluzone (trivalent, inactivated influenza vaccine (TIV))
Fluzone
Influenza Virus Vaccine Suspension for Intramuscular Injection
Interventions
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Fluzone
Influenza Virus Vaccine Suspension for Intramuscular Injection
FluMist
Influenza Virus Vaccine Live, Intranasal Intranasal Spray
Eligibility Criteria
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Inclusion Criteria
2. Willing to complete the informed consent process.
3. Availability for follow-up for the planned duration of the study at least 28 days after immunization.
4. Acceptable medical history by medical history and vital signs.
Exclusion Criteria
2. Prior off-study vaccination with the current seasonal TIV or LAIV
3. Allergy to egg or egg products, or to vaccine components
4. Life-threatening reactions to previous influenza vaccinations
5. Asthma or history of wheezing
6. Active systemic or serious concurrent illness, including febrile illness on the day of vaccination
7. History of immunodeficiency (including HIV infection)
8. Known or suspected impairment of immunologic function, including, but not limited to, clinically significant liver disease, diabetes mellitus treated with insulin, moderate to severe renal disease, or any other chronic disorder which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol.
9. Blood pressure \>150 systolic or \>95 diastolic at first study visit
10. Hospitalization in the past year for congestive heart failure or emphysema.
11. Chronic Hepatitis B or C.
12. Recent or current use of immunosuppressive medication, including systemic glucocorticoids (corticosteroid nasal sprays and topical steroids are permissible in all groups; inhaled steroid use is not permissible except for non-LAIV Group C only). Use of oral steroids (\<20mg prednisone-equivalent/day) may be acceptable for volunteers 70-100 yrs of age after review by the investigator.
13. Participants in close contact with anyone who has a severely weakened immune system should not receive LAIV (Groups A and B only)
14. Malignancy, other than squamous cell or basal cell skin cancer (includes solid tumors such as breast cancer or prostate cancer with recurrence in the past year, and any hematologic cancer such as leukemia).
15. Autoimmune disease (including rheumatoid arthritis treated with immunosuppressive medication such as Plaquenil, methotrexate, prednisone, Enbrel) which, in the opinion of the investigator, might jeopardize volunteer safety or compliance with the protocol.
16. History of blood dyscrasias, renal disease, or hemoglobinopathies requiring regular medical follow up or hospitalization during the preceding year
17. Use of any anti-coagulation medication such as Coumadin or Lovenox, or anti-platelet agents such as aspirin (except up to 325 mg. per day), Plavix, or Aggrenox must be reviewed by investigator to determine if this would affect the volunteer's safety.
18. Receipt of blood or blood products within the past 6 months
19. Medical or psychiatric condition or occupational responsibilities that preclude participant compliance with the protocol
20. Inactivated vaccine 14 days prior to vaccination
21. Live, attenuated vaccine within 60 days of vaccination
22. History of Guillain-Barré Syndrome
23. Pregnant or lactating woman
24. Use of investigational agents within 30 days prior to enrollment
25. Donation of the equivalent of a unit of blood within 6 weeks prior to enrollment
26. Any condition which, in the opinion of the investigator, might interfere with volunteer safety, study objectives or the ability of the participant to understand or comply with the study protocol.
8 Years
100 Years
ALL
Yes
Sponsors
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National Institute of Allergy and Infectious Diseases (NIAID)
NIH
Stanford University
OTHER
Responsible Party
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Cornelia L. Dekker
Study Principal Investigator
Principal Investigators
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Cornelia Dekker, MD
Role: PRINCIPAL_INVESTIGATOR
Stanford University
Harry Greenberg, MD
Role: PRINCIPAL_INVESTIGATOR
Stanford University
Stephen Quake, PhD
Role: PRINCIPAL_INVESTIGATOR
Stanford University
Xiaosong He, PhD
Role: PRINCIPAL_INVESTIGATOR
Stanford University
References
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Sasaki S, Holmes TH, Albrecht RA, Garcia-Sastre A, Dekker CL, He XS, Greenberg HB. Distinct cross-reactive B-cell responses to live attenuated and inactivated influenza vaccines. J Infect Dis. 2014 Sep 15;210(6):865-74. doi: 10.1093/infdis/jiu190. Epub 2014 Mar 27.
He XS, Holmes TH, Sanyal M, Albrecht RA, Garcia-Sastre A, Dekker CL, Davis MM, Greenberg HB. Distinct patterns of B-cell activation and priming by natural influenza virus infection versus inactivated influenza vaccination. J Infect Dis. 2015 Apr 1;211(7):1051-9. doi: 10.1093/infdis/jiu580. Epub 2014 Oct 21.
Brodin P, Jojic V, Gao T, Bhattacharya S, Angel CJ, Furman D, Shen-Orr S, Dekker CL, Swan GE, Butte AJ, Maecker HT, Davis MM. Variation in the human immune system is largely driven by non-heritable influences. Cell. 2015 Jan 15;160(1-2):37-47. doi: 10.1016/j.cell.2014.12.020.
de Bourcy CFA, Dekker CL, Davis MM, Nicolls MR, Quake SR. Dynamics of the human antibody repertoire after B cell depletion in systemic sclerosis. Sci Immunol. 2017 Sep 29;2(15):eaan8289. doi: 10.1126/sciimmunol.aan8289.
Other Identifiers
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SU-17218-2010-2011
Identifier Type: -
Identifier Source: org_study_id
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