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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT00769002
Other study ID # Pro00000226 - R21AI077102
Secondary ID 5R21AI077102-03
Status Terminated
Phase N/A
First received
Last updated
Start date September 2008
Est. completion date August 2011

Study information

Verified date October 2020
Source Hackensack Meridian Health
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study is being done to learn how previous flu vaccination or previous infection with flu virus affects the immune response to vaccination.


Description:

Until recently, all recipients of influenza vaccine received a killed form of virus, typically in the same nondominant arm, each year before flu season. We hypothesize that natural infection, and some forms of vaccination, could allow vaccine induced responses to spread beyond the local lymph nodes near the vaccination site. From a practical perspective, if vaccine induced proliferation of specific immune cells in sites distant from the vaccination site lead to beneficial immune memory, it would suggest vaccination strategies that could be as simple as alternating the injected arm from year to year, or alternating inhaled vs. injected forms of vaccine. This will be a 4 armed prospective study of individuals receiving unilateral FluShield i.m. Healthy adult volunteers 21-55 will be grouped according to the following criteria: I. Documented history of prior natural infection with influenza A or B within the past 5 years (diagnostic test or high titer hemagglutinin HA Ab in absence of vaccination); II. History of FluMist vaccination within the past 2 years; III. History of TIV (Trivalent (Inactivated) Influenza Vaccine) vaccination, any number of times, but only in a single (e.g., non-dominant) arm. Within one month of screening and baseline blood draws for PBMCs (Peripheral blood mononuclear cells) and Ab (antibody) titers, individuals will receive FluShield injections. For those individuals with prior history of unilateral TIV injections, half will receive their shots in the same arm that has always been injected (Group IIIa). The other half of these individuals will receive Flushield in the opposite (dominant) arm (Group IIIb). Upon entering the study, 50cc of heparinized blood and 10 cc of serum will be drawn by antecubital venipuncture. Within 4 weeks of this blood draw, volunteers will receive a standard dose of i.m. TIV (FluShield). Four-seven days later they will have an FDG PET-CT scan performed after an 8 hour fast. Additional blood draws of 50cc heparinized blood and 10 cc serum will be obtained at 2, 4, and 6 weeks post vaccination, and at 10-12 months post vaccination. After the last blood draw, volunteers will also be asked questions pertaining to flu-like symptoms during the past 10 months.


Recruitment information / eligibility

Status Terminated
Enrollment 18
Est. completion date August 2011
Est. primary completion date August 2011
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 21 Years to 55 Years
Eligibility Inclusion Criteria: - Men and women 21-55 years old. - Willingness to participate in the study for a full year including multiple blood draws and PET-CT scanning Exclusion Criteria: - Diabetes - Use of systemic steroids - Pregnancy or unwillingness to practice birth control of some kind through the PET-CT scanning period - Recent vaccination for other reasons (e.g., traveler's vaccines) - Significant intercurrent illness that might interfere with vaccination "take" or interpretation of PET-CT scanning (e.g., chemotherapy for cancer)

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
FluShield
Flu vaccine
FluShield - same arm
Flu vaccine
FluShield - opposite arm
Flu vaccine
Procedure:
Blood Draws
50 cc of heparinized blood and 10 cc of serum at study entry and at 10-12 week post vaccination
FDG PET-CT Scan
PET scan
Genetic:
Cytokine Profiling
Blood draw for Cytokine Profiling Draw at 2,4 and 6 weeks post vaccination

Locations

Country Name City State
United States Hackensack Univarsity medical Center Hackensack New Jersey

Sponsors (3)

Lead Sponsor Collaborator
Hackensack Meridian Health National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary PET Scan AB Response Natural infection but not ipsilateral IM injection of FluShield, will prime the host for a specific activation of spleen and bilateral lymph nodes following a subsequent i.m injection of FluShield, as detected by PET-CT performed 4-7 days post- FluShield immunization. 4-7 days
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