Inflammatory Bowel Diseases Clinical Trial
Official title:
Immunogenicity and Safety of the Adjuvanted Recombinant Zoster Vaccine in Adults With Inflammatory Bowel Disease on Biologic Immunosuppressive Therapies
This multi-center study will evaluate the safety and immune response to recombinant zoster vaccine (RZV) series in 264 patients with inflammatory bowel disease (IBD) on immunosuppressive therapy recruited from 6 study sites who can expect to be on study for up to 14 months.
Study Visits: - Visit 1 (V1) - day 1 - blood draw, RZV dose 1 - Follow up (FU) 1 - between days 7-15 - FU 2 - between days 22-29 - Visit 2 (V2) - between days 30-90 - RZV dose 2 - FU 3 - V2 + 7-14 days - Visit 3 (V3) - V2 + 21-50 days - blood draw - Visit 4 (V4) - V2 + approximately 360 days - blood draw Primary Objective: • To demonstrate higher humoral immunogenicity following two doses of RZV in patients on non-TNF biologic therapy compared to those on anti-TNF biologic therapy. Secondary Objectives: - To evaluate the vaccine response rate (VRR) for anti-glycoprotein E (gE) humoral immune responses in patients on non-TNF biologic therapy compared to those on anti-TNF biologic therapy. - To characterize the anti-gE humoral immunogenicity at visit 1 (V1), visit 3 (V3), and visit 4 (V4) in patients on non-TNF biologic therapy compared to those on anti-TNF biologic therapy. - To evaluate the safety and reactogenicity following administration of RZV, up to 30 days post-last vaccination and during the entire post-vaccination follow-up period. - To evaluate IBD activity following administration of RZV, up to 30 days post-last vaccination and during the entire post-vaccination follow-up period. Tertiary/Exploratory Objectives: - To characterize gE-specific CD4+ T-cell mediated immune responses in patients on non-TNF biologic therapy compared to those on anti-TNF biologic therapy. - To characterize gE-specific CD4+ T-cell mediated immune responses in patients on JAKs. - To evaluate the VRR for anti-gE humoral immune responses in patients on Janus Kinase inhibitors (JAKs). - To characterize the anti-gE humoral immunogenicity at V1, V3, and V4 in patients on JAKs. - To determine the relationship between gut microbiota and response to RZV series. ;
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