Spinal Cord Injuries Clinical Trial
— SCIVAXOfficial title:
Biomarkers of Immune Dysfunction and Vaccine Responsiveness in People With Chronic Traumatic Spinal Cord Injury
The purpose of this observational research study is to better understand immune responses to vaccines against viruses (influenza or SARS-CoV2). The goal is to determine any differences in immune responses to vaccines in uninjured people and in people living with spinal cord injuries, who are typically at increased risk of infections.
Status | Recruiting |
Enrollment | 140 |
Est. completion date | December 31, 2027 |
Est. primary completion date | September 30, 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 89 Years |
Eligibility | Inclusion Criteria SCI Participant Inclusion Criteria: To be eligible for prospective enrollment, participants are required to meet the following inclusion criteria: - 18-89 years old with traumatic SCI - initial traumatic SCI >/=1 year from enrollment (DOD funded study) - initial traumatic SCI <1 year from enrollment (non-DOD funded pilot study) - American Spinal Injury Association (ASIA) classification grade A-D - Neurological Injury Level C1-T10 - Demonstrate capacity to provide informed consent using the "teach back" method to verify understanding and appreciation of study objectives and procedures. Exclusion Criteria To be eligible for prospective enrollment, SCI participants are required to not meet the following exclusion criteria: - Stage III-IV pressure ulcers - Cancer, chemotherapy, neutropenia - Pregnancy or lactation - No known SCI - Autoimmune disease - Pre-existing neurological disease - History of dementia - Any other condition that would compromise their ability to provide informed consent - Any other condition that a study physician feels would preclude participation or be contraindicated Uninjured Control Group: Inclusion Criteria Uninjured Control Participant Inclusion Criteria: To be eligible for prospective enrollment, participants are required to meet the following inclusion criteria: - 18-89 years old without traumatic SCI - Demonstrate capacity to provide informed consent using the "teach back" method to verify understanding and appreciation of study objectives and procedures. Exclusion Criteria To be eligible for prospective enrollment, uninjured control participants are required to not meet the following exclusion criteria: - Cancer, chemotherapy, neutropenia - Pregnancy or lactation - Autoimmune disease - Pre-existing neurological disease - History of dementia - Any other condition that would compromise their ability to provide informed consent - Any other condition that a study physician feels would preclude participation or be contraindicated |
Country | Name | City | State |
---|---|---|---|
United States | Northwell Health | Manhasset | New York |
Lead Sponsor | Collaborator |
---|---|
Northwell Health | New York State Department of Health, United States Department of Defense |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | mRNA transcript levels for genes expressed according to white blood cell type after flu vaccination | Serum samples will be used to determine if gene expression levels made by specific types of white blood cells are different between participant groups and within the SCI group by injury level and severity. | 0-28 days after flu vaccination | |
Primary | Anti-flu antibody titers in response to vaccination | Serum samples will be used to determine antibody titers for anti-flu antibodies at baseline and after vaccination. These samples will be obtained to determine if vaccine responses are different between participant groups and within the SCI group by injury level and severity | 0-28 days after flu vaccination | |
Secondary | mRNA transcript levels for genes expressed according to white blood cell type after COVID-19 vaccination | Serum samples will be used to determine if gene expression levels made by specific types of white blood cells are different between participant groups and within the SCI group by injury level and severity. | 0-28 days after COVID-19 vaccination | |
Secondary | Anti-COVID-19 antibody titers in response to vaccination | Serum samples will be used to determine antibody titers for anti-COVID-19 antibodies at baseline and after vaccination. These samples will be obtained to determine if vaccine responses are different between participant groups and within the SCI group by injury level and severity | 0-28 days after COVID-19 vaccination | |
Secondary | Systemic inflammatory cytokine levels in response to vaccination | Serum samples will be used to determine systemic inflammatory cytokine levels at baseline and after flu or COVID-19 vaccination. These samples will be obtained to determine if cytokine levels are different between participant groups and within the SCI group by injury level and severity | 0-28 days after vaccination |
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