Healthy Clinical Trial
Official title:
A Pilot Study to Characterize the Immune Response Induced by a Commercial Varicella Zoster Virus Vaccine in Healthy Adult Females in Nairobi, Kenya.
The re-activating nature of Varicella Zoster Virus (VZV) may allow life long boosting when used as a vaccine vector in conjunction with HIV to generate durable immunity systemically and at the mucosa. This study aims to characterize mucosal immunity before and after vaccination with a commercial live-attenuated varicella-zoster virus vaccine with respect to immune activation state, mucosal homing properties and VZV-specific effector immune responses in healthy women at low risk for HIV acquisition.
An ideal HIV vaccine should be able to induce an effector specific immune response at the
mucosal site which serves as the portal of HIV entry. The use of a persistent replicating
viral vector such as Varicella-Zoster Virus (VZV) has great potential to assemble this
specific response. Live-attenuated varicella-zoster virus has been used as a vaccine
worldwide for over 25 years and has a well-described safety profile. However, its
immunogenicity data in the African population are lacking.
The general objective of this study will be to measure the magnitude and kinetics of the
effector immune response and immune activation induced by live-attenuated varicella-zoster
virus vaccine in a population of Kenyan women. Specifically, the study will measure immune
activation in both cervical and rectal mucosae in the context of VZV-effector responses
after vaccination and compare the observed immune activation in mucosal tissues and in
blood.
A total of 44 healthy women in Nairobi, aged 18-50 years will be recruited into the study,
after obtaining their written informed consent. Eligibility to participate in the study will
depend on results of laboratory tests, review of medical history, physical examination and
answers to questions about HIV risk behaviours.
The study will assess immune responses to both immediate and delayed administration of
live-attenuated virus varicella-zoster vaccine in VZV-seropositive individuals. Participants
will be randomly divided into 2 groups. Group 1 will receive a single dose of the vaccine at
day 0 and Group 2 at day 84. The participants will be followed for a period of 9-12 months
after receiving the vaccine.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
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