Prospective Trial of Vaccine Responses Against Pneumococcus and Influenza in Adult Cancer Patients 65 Years of Age and Older

NCT00741039 | Completed Phase 2 Results

• 1 other identifier: 08-005
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 1

Brief Summary

Infections due to influenza and pneumococcus can be very serious and cause death. Anyone can get these infections. However, some people are at greater risk from the disease, including people 65 and older, the very young, and people with special health problems such as people with certain types of cancer, heart, lung, or kidney disease, or diabetes. Influenza can cause a very serious lung infection (pneumonia) and increase the risk of stroke and heart attacks. Pneumococcal disease can lead to serious infections in the lungs (pneumonia), the blood (bacteremia), and the covering of the brain (meningitis). People with the special health problems mentioned above are even more likely to die from the disease. Although there are drugs to treat these infections, they are not always effective. This makes prevention of the disease through vaccination even more important. This study will look at the body's response to influenza and pneumococcal vaccination. We want to see how well they it will protect. Immunization is the same as vaccination. Our goal is to protect as much as we can. We are doing the study because more information is needed to see how well older patients with cancer respond to these vaccines and how well they protect against disease caused by influenza and pneumococcus.

Conditions

Breast Cancer; Lung Cancer; Prostate Cancer

Keywords

Breast; Lung; Prostate; Vaccine

Outcome Measures

Primary Outcomes (1)

• Determine Response Rate of Patients > or = to 65 Yrs Diagnosed

  For Pneumovax, complete response will be either seroconversion or a \>3 fold rise in titer against at least 5 of the following serotypes contained in Pneumovax (serotypes 4, 14, 19, 23, 6B, 18C, and 9V).

  8-16 weeks following vaccination.

Study Arms (2)

1,

EXPERIMENTAL

Patients \> or = to 65 years of age with a diagnosis of prostate, lung, and/or breast cancer will be immunized with the inactivated influenza vaccine (0.5 ml intramuscularly) and/or the 23 valent pneumococcal vaccine (0.5 ml subcutaneously or intramuscularly).

Biological: inactivated influenza vaccine and the 23- valent pneumococcal vaccine

2

EXPERIMENTAL

MSKCC employee volunteer controls \> or = to 65 years of age without a cancer diagnosis will be immunized with the inactivated influenza vaccine (0.5 ml intramuscularly) and/or PPV23 vaccine (Pneumovax), (0.5 ml subcutaneously or intramuscularly).

Biological: inactivated influenza vaccine and the PPV23 vaccine (Pneumovax)

Interventions

inactivated influenza vaccine and the 23- valent pneumococcal vaccine BIOLOGICAL

Patients \>65 years of age with a diagnosis of prostate, lung, and/or breast cancer will be immunized with the inactivated influenza vaccine (0.5 ml intramuscularly) and/or the 23-valent pneumococcal vaccine (0.5 ml subcutaneously or intramuscularly). Prior to vaccination, titers against influenza and pneumococcus will be measured, as will serum IgG levels and IgG subtypes. At 8-16 weeks after vaccination, post vaccine titers, CBC, lymphoid phenotype and function will be assessed.

1,

inactivated influenza vaccine and the PPV23 vaccine (Pneumovax) BIOLOGICAL

MSKCC employee volunteer controls \> or = to 65 years of age without a cancer diagnosis will be immunized with the inactivated influenza vaccine (0.5 ml intramuscularly)and/or PPV23 vaccine (Pneumovax), (0.5 ml subcutaneously or intramuscularly). Prior to vaccination, titers against influenza and pneumococcus will be measured. At approximately 8-16 weeks after vaccination, post vaccine titers will be measured again.

2

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Patient must be \> or = to 65 years of age.
• Patient may be an in patient or an out-patient.
• Patient must have a diagnosis of prostate, lung, or breast cancer.
• Patient must have a life expectancy of \> or = to 6 months.
• Patient must have a Karnofsky score of \>40%
• Patient must be willing to return to the hospital in 8-12 weeks following immunization for blood work.
• Patients must have a platelet count of \>75,000 for intramuscular injection.
• Patient may be of either gender and of any ethnic background.
• Patients must be able to understand the nature and risk of the proposed study and be able to sign consent.
• Volunteer eligibility:
• MSKCC employee
• Age \> or = to 65 years of age
• No previous diagnosis of cancer except basal cell carcinoma, resected Stage I melanoma or in situ cervical carcinoma. Volunteers may have had a prior history of other cancers \> 3 years which required only local resection, local radiation and/or hormonal therapy such as androgen blockade.
• Patients must be able to understand the nature and risk of the proposed study and be able to sign consent.

You may not qualify if:

• Karnofsky score \<40%:
• Patients who have received an autologous or allogeneic HCT
• Active uncontrolled bacterial or fungal infection
• Hypersensitivity to egg protein (eggs or egg products), chicken proteins, or any component in the influenza vaccine
• Latex allergy if going to receive the influenza vaccine
• On-going neurologic disorder (mental status change, uncontrolled seizures, encephalopathy)
• Treatment or planned treatment with cyclophosphamide, ifosphamide, or \> or = to 1 mg/kg prednisone or its equivalent 12 weeks within 12 weeks of vaccination.
• HIV-1,2 seropositive patients.
• Patients not signing informed consent.
• Patients receiving the seasonal influenza vaccine may not have had it within 6 months of enrollment
• Volunteers ineligible to receive either vaccine
• Volunteers unwilling or unable to sign consent
• Hypersensitivity to egg protein (eggs or egg products), chicken proteins, or any component in the influenza vaccine
• Latex allergy

Sponsors & Collaborators

• Memorial Sloan Kettering Cancer Center: lead

Study Sites (1)

Memorial Sloan-Kettering Cancer Center

New York, New York, 10065, United States

Location

Related Links

• Memorial Sloan-Kettering Cancer Center

MeSH Terms

Conditions

Breast Neoplasms; Lung Neoplasms; Prostatic Neoplasms

Interventions

Pneumococcal Vaccines

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases; Respiratory Tract Neoplasms; Thoracic Neoplasms; Lung Diseases; Respiratory Tract Diseases; Genital Neoplasms, Male; Urogenital Neoplasms; Genital Diseases, Male; Genital Diseases; Urogenital Diseases; Prostatic Diseases; Male Urogenital Diseases

Intervention Hierarchy (Ancestors)

Streptococcal Vaccines; Bacterial Vaccines; Vaccines; Biological Products; Complex Mixtures

Results Point of Contact

• Title: Dr. Susan Seo
• Organization: Memorial Sloan Kettering Cancer Center

seos@mskcc.org

212-639-3151

Study Officials

• Trudy Small, MD

  Memorial Sloan Kettering Cancer Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 22, 2008
• First Posted: August 26, 2008
• Study Start: August 1, 2008
• Primary Completion: August 1, 2012
• Study Completion: August 1, 2012
• Last Updated: November 20, 2015
• Results First Posted: November 20, 2015

Record last verified: 2015-10

Locations

US (1)