NCT01733056

Brief Summary

Biomedical Lay Summary Title: Characterization of immune response to vaccination in patients receiving single-drug immunosuppressive therapy Principal Investigator: Robert Swerlick, MD Other Investigators: Rafi Ahmed, PhD Suephy Chen, MD Jens Wrammert, PhD Adam Sperduto

  1. 1.Problem of Interest We are proposing to study the effectiveness of vaccines in people who are taking drugs that affect the immune system. There are many populations of people who have chronic medical conditions that require them to have long-term treatment with immunosuppressive medications (drugs that decrease the function of the immune system). Examples of these patients include organ transplant recipients, patients with immune cell cancers such as leukemia and lymphoma, patients with inflammatory disorders such as lupus or scleroderma, and patients with skin conditions requiring steroid-based creams, ointments, pills, or injections. Patients who are taking these medications should receive appropriate vaccinations such as tetanus boosters, influenza vaccines, and pneumonia vaccines. The effectiveness of vaccinations depends in large part on a strong response to the vaccine by the immune system. Drugs that decrease immune system function therefore, may also decrease the effectiveness of vaccines.
  2. 2.How the Problem of Interest will be studied
  3. 3.Healthy people taking no immunosuppressive medications
  4. 4.Patients with skin conditions requiring treatment with azathioprine and currently taking no other immunosuppressive agents
  5. 5.Patients with psoriasis requiring treatment with TNF-alpha (tumor necrosis factor-alpha) and currently taking no other immunosuppressive medications.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
43

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2011

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2011

Completed
1.9 years until next milestone

First Submitted

Initial submission to the registry

November 20, 2012

Completed
6 days until next milestone

First Posted

Study publicly available on registry

November 26, 2012

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2013

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

July 21, 2014

Completed
Last Updated

July 21, 2014

Status Verified

June 1, 2014

Enrollment Period

2 years

First QC Date

November 20, 2012

Results QC Date

July 16, 2013

Last Update Submit

June 19, 2014

Conditions

Keywords

DermatologyInfluenza Vaccine

Outcome Measures

Primary Outcomes (2)

  • Influenza Hemagluttination Inhibition Titers Measured Against H3N2 Perth Before and After Influenza Vaccination

    Influenza hemagluttination inhibition titers were measured against H3N2 Perth before and after influenza vaccination. Titers greater than or equal to 1:40 constitute a protective response to influenza strains.

    28 days

  • Influenza Hemagluttination Inhibition Titers Measured Against Pandemic H1N1 Strains Before and After Influenza Vaccination

    Influenza hemagluttination inhibition titers were measured against pandemic H1N1 strains before and after influenza vaccination. Titers greater than or equal to 1:40 constitute a protective response to influenza strains.

    28 days

Study Arms (3)

Healthy Volunteer

PLACEBO COMPARATOR

Healthy volunteers without skin disease that received administration of Fluzone

Biological: Flu Vaccine

Azathioprine

EXPERIMENTAL

Patients with skin diseases taking azathioprine that received administration of Fluzone

Biological: Flu Vaccine

TNF alpha blocker

EXPERIMENTAL

Patients with skin diseases taking azathioprine that received administration of Fluzone

Biological: Flu Vaccine

Interventions

Flu VaccineBIOLOGICAL

Administration of Fluzone (Influenza Vaccine)

AzathioprineHealthy VolunteerTNF alpha blocker

Eligibility Criteria

Age18 Years - 89 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • to 89 years of age
  • Patient Taking azathioprine, Humira, Enbrel or Remicade
  • Willing to participate in the healthy volunteer arm

You may not qualify if:

  • Has received flu vaccine in past year
  • Taking systemic corticosteroids or any other immunosuppressive drug

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Emory University, Department of Dermatology

Atlanta, Georgia, 30322, United States

Location

Emory University

Atlanta, Georgia, 30322, United States

Location

MeSH Terms

Conditions

Influenza, Human

Interventions

Influenza Vaccines

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Results Point of Contact

Title
Dr. Robert Swerlick
Organization
Emory University

Study Officials

  • Robert Swerlick, MD

    Emory University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

November 20, 2012

First Posted

November 26, 2012

Study Start

January 1, 2011

Primary Completion

January 1, 2013

Study Completion

January 1, 2013

Last Updated

July 21, 2014

Results First Posted

July 21, 2014

Record last verified: 2014-06

Locations