Genetic Variation in IgG in Alpha 1 Antitrypsin Deficiency

NCT ID: NCT07135427

Last Updated: 2025-11-10

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-03

Study Completion Date

2027-06-30

Brief Summary

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The goal of this study is to learn whether patients who have a genetic mutation in the genes that cause alpha 1 antitrypsin deficiency also have genetic variation in nearby genes that can increase risk for reduced immune function and respiratory infections.

To investigate this hypothesis, we will compare immune responses to the 20-valent pneumococcal conjugate vaccine (PCV20, Pfizer) between participants who have one abnormal copy of the SERPINA1 gene and either no COPD exacerbations, vs those with 2 or more COPD exacerbations in the past year.

Detailed Description

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Conditions

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Alpha 1-Antitrypsin COPD Antibody Deficiency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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SERPINA1 'Z' heterozygotes

Participants who are heterozygous for the SERPINA1 'Z' allele with either 0 or 2+ exacerbations in the previous year, and have not received pneumococcal vaccination within 5 years will be given PCV20.

Group Type EXPERIMENTAL

20-valent pneumococcal conjugate vaccine

Intervention Type BIOLOGICAL

Administration of PCV20

Interventions

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20-valent pneumococcal conjugate vaccine

Administration of PCV20

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Adults who are heterozygous for a SERPINA1 Z allele
* Have either had no COPD exacerbations or 2 or more exacerbations in the previous year
* Has not received a pneumococcal conjugate vaccine within the past 5 years, or has only received the pneumococcal polysaccharide vaccine in the past

Exclusion Criteria

* Received a pneumococcal conjugate vaccine within the past 5 years
* Known allergy, severe adverse reaction, or other sensitivity to pneumococcal conjugate vaccines
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alpha-1 Foundation

OTHER

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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David Lafon

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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David LaFon, MD

Role: CONTACT

Phone: 2059343411

Email: [email protected]

Facility Contacts

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LaFon

Role: primary

Other Identifiers

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Research award

Identifier Type: OTHER

Identifier Source: secondary_id

IRB300008528(000547878)

Identifier Type: -

Identifier Source: org_study_id