Persistent Readiness Through Early Prediction Immunization Study

NCT ID: NCT05346302

Last Updated: 2023-02-14

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

Clinical Phase

EARLY_PHASE1

Total Enrollment

249 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-08

Study Completion Date

2022-12-21

Brief Summary

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This study will enroll volunteers in an open-format (outside hospital) setting, to complete novel data collection/analysis of biomarkers, facial images, and audio-recording to establish an optimal set of parameters to predict emergent cases of infection via an early warning score, along with actionable personalized information.

Detailed Description

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The objective of the study is to collect data from participants for a period of 4 weeks. These data will be used for developing and testing an algorithm for early detection of infection.

At the end of week two, subjects will receive an immunization in a double-blind randomized placebo-controlled fashion. Vaccines to be administered will be pneumococcal (PPSV23), typhoid (inactivated), or saline. Administration of these vaccines often cause mild 'infection-like' inflammation response. Pneumococcal infection causes pneumonia and can lead to sepsis and the PPSV23 vaccination will induce mild symptoms related to the immune system activation including local reaction in 50% of the cases and fever and malaise in 1% of the cases. Typhoid fever is caused by salmonella Typhi bacteria and its effects can range from gastrointestinal symptoms to sepsis. Injectable typhoid vaccine (inactivated) side effects will induce mild symptoms related to the immune system activation and can include local reaction in 6% of the cases and fever, malaise, headache and sometimes diarrhea in 1% of the cases.

Conditions

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Inflammatory Response

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double-blind randomized placebo-controlled vaccine administration (pneumococcal (PPSV23), typhoid (inactivated), or saline)
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Pneumococcal (PPSV23) vaccine

PNEUMOVAX 23 is a clear, colorless solution. Each 0.5-mL dose of vaccine contains 25 micrograms of each polysaccharide type in isotonic saline solution containing 0.25% phenol as a preservative under the supervision of a licensed pharmacist.

Group Type ACTIVE_COMPARATOR

Pneumovax 23

Intervention Type DRUG

At +14 days from enrollment in the trial, participants will receive a vaccine administered via intramuscular route only.

Typhoid (inactivated) vaccine

Typhoid vaccine is a clear, colorless solution. Each dose of 0.5 mL is formulated to contain 25 mcg of purified Vi polysaccharide in a colorless isotonic phosphate buffered saline (pH 7 ± 0.3), 4.150 mg of Sodium Chloride, 0.065 mg of Disodium Phosphate, 0.023 mg of Monosodium Phosphate, and 0.5 mL of Sterile Water for Injection under the supervision of a licensed pharmacist.

Group Type ACTIVE_COMPARATOR

Typhim VI

Intervention Type DRUG

At +14 days from enrollment in the trial, participants will receive a vaccine administered via intramuscular route only.

Saline

Saline will be purchased commercially and compounded under the supervision of a licensed pharmacist in sterile syringes for administration of the placebo group.

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type OTHER

At +14 days from enrollment in the trial, participants will receive a vaccine administered via intramuscular route only.

Interventions

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Pneumovax 23

At +14 days from enrollment in the trial, participants will receive a vaccine administered via intramuscular route only.

Intervention Type DRUG

Typhim VI

At +14 days from enrollment in the trial, participants will receive a vaccine administered via intramuscular route only.

Intervention Type DRUG

Saline

At +14 days from enrollment in the trial, participants will receive a vaccine administered via intramuscular route only.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ages 18-40 (inclusive)
* Subject is judged to be in satisfactory health based on medical history, physical examination
* Ability to walk, sit down and stand up independently
* Willingness and ability to comply with the protocol
* ownership and use of smartphone
* ownership and use of laptop

Exclusion Criteria

* Subject has planned elective surgery requiring 2 or more days of hospitalization during the entire study
* Active dependence of alcohol or drugs (self-reported)
* Known allergy to any of the following:
* Components of the vaccine/placebo
* Diagnosed and active treatment of chronic disease:
* Diabetes (Type 1 or 2)
* Active malignancy
* Heart disease
* Kidney disease
* Liver disease
* HIV/AIDS
* Hepatitis A, B, or C
* Asthma (moderate to severe)
* (possible/desire to be) pregnancy (confirmed via urine pregnancy test)
* Subject is currently enrolled in a study with an investigational compound or device
* Subject has already received the pneumococcal (PPSV23) vaccine
* Subject has already received the typhoid (inactivated) vaccine
* Subject has received any other investigational vaccination within 4 weeks of enrollment
* Any other condition that interfere with the definition 'healthy" based on self-report and according to the PI/study physician's judgement based on medical history, use of medication, and physical exam.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Philips Healthcare

INDUSTRY

Sponsor Role collaborator

US Department of Defense - Defense Threat Reduction Agency

UNKNOWN

Sponsor Role collaborator

Texas A&M University

OTHER

Sponsor Role lead

Responsible Party

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Marielle PKJ Engelen, PhD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Texas A&M University - CTRAL

College Station, Texas, United States

Site Status

Countries

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United States

References

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Schrader SE, Hansen JR, O'Bryon I, Ruebush LE, Deutz NE, Wahl JH, Deatherage Kaiser BL. Volatile organic compound and proteomics data from the same exhaled breath condensate sample. J Breath Res. 2025 Aug 4;19(4). doi: 10.1088/1752-7163/adf34d.

Reference Type DERIVED
PMID: 40701160 (View on PubMed)

Wang C, Damiano RJ, Ruebush LE, Engelen MPKJ, Mariani S, Liu L, Silva I, Borhani S, Cote GL, Conroy B, McFarlane D, Deutz NEP. A randomized, triple-blinded, placebo-controlled clinical trial evaluating immune responses of Typhim Vi and PPSV23 vaccines in healthy adults: The PREP study. Vaccine. 2024 Dec 2;42(26):126292. doi: 10.1016/j.vaccine.2024.126292. Epub 2024 Sep 7.

Reference Type DERIVED
PMID: 39245584 (View on PubMed)

Other Identifiers

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PREP DOD

Identifier Type: -

Identifier Source: org_study_id

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