NCT07093281

Brief Summary

The research of the investigators is focused on the understanding how the immune system functions and responds to intranasal vaccines. Intranasal vaccines do not lead to the same changes in the blood that intramuscular vaccines do. Therefore, the investigators want to look at the function of immune (lymphoid) organs that are near the nose. The closest immune organs are the adenoids and tonsils. Mice do not have tonsils allowing for the investigators to answer these questions. Human lymphoid tissue will allow the investigators to better understand the molecular behavior of these cells in humans. The purpose of this protocol is to administer the FDA approved live attenuated influenza vaccine or no vaccine to patients undergoing adenoidectomy and/or tonsillectomy for obstructive sleep apnea prior to surgery and then collect the tissue (adenoid and/or tonsil tissue) that would normally be discarded from surgery. This will allow for improved understanding of what happens after vaccination.

Trial Health

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Trial Health Score

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

Enrollment
25

participants targeted

Target at below P25 for phase_4

Timeline
2mo left

Started Feb 2026

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress64%
Feb 2026Jul 2026

First Submitted

Initial submission to the registry

July 14, 2025

Completed
16 days until next milestone

First Posted

Study publicly available on registry

July 30, 2025

Completed
6 months until next milestone

Study Start

First participant enrolled

February 1, 2026

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2026

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Expected
Last Updated

December 19, 2025

Status Verified

December 1, 2025

Enrollment Period

2 months

First QC Date

July 14, 2025

Last Update Submit

December 17, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Serological outcomes will be compared before and after vaccination and between groups.

    The comparisons will specifically compare: Mean HAI Ab titers in serum and mucosal secretions

    From enrollment to 4 weeks after surgery is completed

Secondary Outcomes (4)

  • Hemagglutinin Levels

    From enrollment to 4 weeks after surgery

  • Neuraminidase Levels

    From enrollment to 4 weeks after surgery

  • Influenza Specific Antibodies

    From enrollment to 4 weeks after surgery

  • Seroconversion rats

    From enrollment to 4 weeks post surgery

Study Arms (2)

Interventional LAIV

EXPERIMENTAL

Intranasal Flu Vaccine

Biological: Live Attenuated Influenza Vaccine

No Intervention

NO INTERVENTION

No Intervention

Interventions

Nasal spray

Interventional LAIV

Eligibility Criteria

Age2 Years - 89 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patient undergoing tonsillectomy and adenoidectomy as part of the standard of care for sleep apnea

You may not qualify if:

  • Chronic Tonsillitis
  • Immune Deficiency
  • Already received this year's flu vaccine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Maryland Medical Center

Baltimore, Maryland, 21231, United States

Location

MeSH Terms

Interventions

Influenza Vaccines

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Otolaryngology

Study Record Dates

First Submitted

July 14, 2025

First Posted

July 30, 2025

Study Start

February 1, 2026

Primary Completion

April 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

December 19, 2025

Record last verified: 2025-12

Locations