Idiopathic Nephrotic Syndrome Clinical Trial
Official title:
Study of Safety, Immunogenicity and Immunological Memory of 7-valent Pneumococcal Conjugate Vaccine in Children With Idiopathic Nephrotic Syndrome
The purpose of this study is to determine whether 7-valent pneumococcal conjugate vaccine safely induces immune responses and immunological memory in children with idiopathic nephrotic syndrome in remission.
Idiopathic nephrotic syndrome (INS) is the most frequent glomerular disease in children
under 16 years old with incidence rate 2-7/100,000 patients/year depending on ethnicity.
Those patients are susceptible to invasive pneumococcal disease (IPD) including peritonitis,
pneumonia with or without pleural effusion and meningitis. Due to increased mortality and
risk of relapses associated with IPD, it has been recommended that children with INS should
be immunized with pneumococcal conjugate vaccine [1]. However, concerns on vaccine safety
and impaired immunogenicity due to INS pathogenesis and immunosuppressive treatment are a
hurdle for universal implementation of existing guidelines.
To thoroughly evaluate safety of 7-valent pneumococcal conjugate vaccine (PCV7) in children
with INS in remission, we will investigate a possible association of vaccination with
increased risk for recurrences of INS. We will also study immunogenicity and kinetics of
immune response in INS patients and healthy subjects and the effect of different types of
treatment on primary immune response and antibody persistence at 12-14 months following
vaccination with PCV7.
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Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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