Trial of Antibody Responses by Vitamin Supplementation

NCT ID: NCT03859687

Last Updated: 2025-09-05

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

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-19

Study Completion Date

2025-07-10

Brief Summary

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Streptococcus pneumoniae, commonly called pneumococcus, can cause a wide range of diseases in children from mild ear infections to deadly pneumonia or meningitis. Vaccination is currently the single best way to protect children. Nutrition, especially the amount of vitamin A, may play a role in how well your body responds to infection or a vaccine. We call this an immune response. This research will look to see if children who take a vitamin with their vaccine have a better immune response than children who do not take a vitamin with their vaccine.

Primary Objective

To evaluate the influence of vitamin A supplementation on Prevnar vaccine immunogenicity based on changes in antibody scores in a commercial ELISA at Day 21 (after a booster vaccine dose) compared to pre-vaccine values.

Secondary Objectives

* To evaluate the relationship between baseline vitamin levels and pneumococcal or hepatitis A vaccine antibody responses (based on in commercial ELISAs) at Days 0 and 21.
* To evaluate the influence of vitamin A supplementation on hepatitis vaccine immunogenicity based on changes in antibody scores in a commercial ELISA at Day 21 compared to pre-vaccine values.
* To evaluate relationships between total serum antibodies (based on individual IgM, IgG1, IgG2, IgG3, IgG4, and IgA scores in a Luminex assay) at Day 0 and changes between Days 0 and 21 with baseline (Day 0) vitamin levels in young children, and with vitamin A supplementation.

Detailed Description

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Children between the ages of 1 and 4 years old (inclusive) will be enrolled. All will receive PCV and hepatitis A vaccination. Those randomized to the treatment arm will receive 10,000 IU orally at the time of vaccination, while those randomized to the control arm will only receive vaccines. Vitamin levels and antibody responses towards the vaccines will be measured at screening, Day 0 (vaccination day) and Day +21. Children will be randomized using a stratified permuted block method.

Conditions

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Healthy Participants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention group

PCV (Prevnar-13 Vaccine) and the hepatitis A vaccine (Havrix Vaccine) plus a liquid oral vitamin A supplementation

Group Type EXPERIMENTAL

Vitamin A supplementation

Intervention Type BIOLOGICAL

liquid oral vitamin A supplementation

Control group

PCV (Prevnar-13 Vaccine) and the hepatitis A vaccine (Havrix Vaccine) only, 'No vitamin A supplementation'

Group Type EXPERIMENTAL

No vitamin A supplementation

Intervention Type BIOLOGICAL

No vitamin A supplementation

Interventions

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Vitamin A supplementation

liquid oral vitamin A supplementation

Intervention Type BIOLOGICAL

No vitamin A supplementation

No vitamin A supplementation

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Between 1 and 4 years old (inclusive) at the time of enrollment
* Fully weaned from breast-feeding or formula-feeding for at least 4 weeks prior to vaccination date (Day 0).
* Received at least 2 doses of Prevnar-13 vaccination
* Parent or legal guardian willing and able to provide informed consent.

Exclusion Criteria

* Current use of investigational or immunosuppressive drugs (e.g., steroids) at the time of enrollment
* Parent/guardian planning to continue (or initiate) the administration of daily vitamin A, vitamin D, or multivitamin to the child during the study period.
* Evidence of developmental delay or evolving neurological disorders at screening.
* Current use of antibiotics or antivirals at enrollment.
* Currently receiving cancer related treatment.
* History of heart, kidney, or chronic respiratory condition (e.g., asthma) conditions.
* History of diabetes.
* Acute febrile illness \[e.g., \>100.0F (37.8oC) oral\] illness within 3 days prior to enrollment.
* Received a previous PCV13 vaccine within 2 months of the enrollment date (Day 0).
* Received hepatitis A vaccine previously.
* Ever had a life-threatening allergic reaction to a dose of PCV13 vaccine, to an earlier pneumococcal vaccine called PCV7, or to any vaccine containing diptheria toxoid (for example, DTaP).
Minimum Eligible Age

1 Year

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Gerber Foundation

OTHER

Sponsor Role collaborator

St. Jude Children's Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nehali Patel, MD

Role: PRINCIPAL_INVESTIGATOR

St. Jude Children's Research Hospital

Locations

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St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Site Status

Countries

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United States

Related Links

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http://www.stjude.org

St. Jude Children's Research Hospital

http://www.stjude.org

Clinical Trials Open at St. Jude

Other Identifiers

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PCVIT

Identifier Type: -

Identifier Source: org_study_id

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