Efficacy of Different Doses of Influenza Vaccine in Chronic Hemodialysis Patients

NCT ID: NCT05070494

Last Updated: 2021-11-03

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2022-12-01

Brief Summary

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This study was a randomized controlled trial to investigate the immune response of influenza vaccines when doses were increased. and a second vaccination together with an increase in the amount of vaccine in patients with chronic kidney disease receiving hemodialysis

Detailed Description

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1. Patients with chronic kidney disease undergoing dialysis will be examined by an internist.
2. Collect the necessary basic information of patients who agree to participate in the treatment.
3. Patients will be randomized to be divided into 3 groups: those who will receive an standard dose of influenza vaccine, those who will receive double standard dose of influenza vaccine (double-dose) and those who will receive double standard dose of influenza vaccine and Six months after the first dose of vaccination (double-booster-dose), 50 people per group.
4. Non-dialysis volunteers will be invited to participate in the research. to be a control group of 25 people
5. Patients with chronic kidney disease and volunteers will receive basic laboratory blood tests.
6. Patients with chronic kidney disease and volunteers will be vaccinated against influenza. shoulder muscle area according to random groups The details of using Influvac vaccine of that year are produced by Abbott.
7. Patients with chronic kidney disease and volunteers are asked about the potential side effects of vaccination. according to research guidelines both systemic side effects and injection site Each time receiving hemodialysis 3 times a week for 2 weeks after vaccination
8. Patients with chronic kidney disease and volunteers were asked about the onset of symptoms of respiratory infection throughout the 12-month study period after vaccination.
9. Patients will receive a blood test to check their immune response to influenza vaccine. (Hemagglutination inhibition assays and activation and/or exhaustion T cell markers, T cell subpopulation by flow cytometry) at 1, 6, 7 and 12 months after influenza vaccination.

Conditions

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ESRD Influenza Vaccine Seroprotection

Keywords

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ESRD Influenza vaccine double dose Influenza vaccine double dose booster Influenza vaccine Immune response

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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้healthy subject with standard dose trivalent influenza vaccine

้healthy volunteer that received Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated) ( 0.5 ml : 15 mcg/strain)

Group Type OTHER

Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

Intervention Type BIOLOGICAL

study of immunologic response to different dose and duration of Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

ESRD patient with standard dose trivalent influenza vaccine

ESRD patient that received Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated) ( 0.5 ml : 15 mcg/strain)

Group Type ACTIVE_COMPARATOR

Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

Intervention Type BIOLOGICAL

study of immunologic response to different dose and duration of Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

ESRD patient with double dose trivalent influenza vaccine

ESRD patient that received Egg-derived double dose trivalent influenza vaccine (surface antigen, inactivated) total 1 ml ( 1 ml /(30 mcg/strain)

Group Type EXPERIMENTAL

Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

Intervention Type BIOLOGICAL

study of immunologic response to different dose and duration of Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

ESRD patient with double dose - booster trivalent influenza vaccine

ESRD patient that received Egg-derived double dose trivalent influenza vaccine (surface antigen, inactivated) ( 1 ml /(30 mcg/strain) and booster with Egg-derived double dose trivalent influenza vaccine (surface antigen, inactivated) ( 1 ml /(30 mcg/strain) at next 6 months after first dose

Group Type EXPERIMENTAL

Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

Intervention Type BIOLOGICAL

study of immunologic response to different dose and duration of Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

Interventions

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Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

study of immunologic response to different dose and duration of Egg-derived standard dose trivalent influenza vaccine (surface antigen, inactivated)

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* Received kidney replacement therapy with dialysis for more than 1 month.
* Hemodialysis at least 3 times a week
* (Kt/v) greater than 1.2
* Never received an organ transplant.
* Life expectancy of more than 1 year
* Research participants or representatives are welcome to join the project by signing.

Exclusion Criteria

* History of any vaccinations in the 4 weeks prior to the study.
* History of receiving influenza vaccine 6 months before entering this study.
* History of allergy to flu vaccine or allergic to egg white
* Fever or headache, muscle pain (influenza-like illness) 3 days before vaccination
* Thrombocytopenia
* On immunosuppressive drug (Prednisolone 15 mg daily or equivalent for two weeks in a row in the previous 3 months) or immunocompromised patient
* Patient or family history of having had Guillain-Barre disease. (Guillain-Barre syndrome)
* The research participant or his representative refuses or requests to withdraw.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bhumirajanagarindra Kidney Institute, Thailand

OTHER

Sponsor Role collaborator

Ministry of Health, Thailand

OTHER_GOV

Sponsor Role collaborator

Mahidol University

OTHER

Sponsor Role lead

Responsible Party

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Angsana Phuphuakrat

Angsana Phuphuakrat

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Angsana Phuphuakrat

Ratchathewi, ฺBangkok, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Angsana Phuphuakrat, MD, PhD

Role: CONTACT

Phone: 6622011581

Email: [email protected]

Facility Contacts

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Angsana Phuphuakrat, MD, PhD

Role: primary

References

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Related Links

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Other Identifiers

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MURA2019/1116

Identifier Type: -

Identifier Source: org_study_id