Shedding, Immunogenicity and Safety of Quadrivalent Live Intranasal Influenza Vaccine (QLAIV) in HIV-infected Children and Young Adults
This trial has been completed.
|Condition||human immunodeficiency virus (hiv)|
|Treatment||quadrivalent live attenuated influenza vaccine|
|Sponsor||University of Colorado, Denver|
|Start date||July 2013|
|End date||March 2016|
|Trial size||106 participants|
|Trial identifier||NCT02474901, 13-1752|
The goal of this study is to determine if there is a difference in shedding (primary objective) and in immunogenicity and safety (secondary objectives) between HIV-positive and HIV-negative children and young adults who are receiving the quadrivalent live-attenuated influenza vaccine (QLAIV).
|Intervention model||parallel assignment|
|Primary purpose||health services research|
Rate of shedding for at least one of the influenza strains included in the QLAIV at day 0 in HIV-positive and control groups.
time frame: 2-5 days
Rate of shedding for at least one of the influenza strains included in the QLAIV vaccine at days 2-5 in HIV-positive and control group.
time frame: 5 days
Rate of shedding for at least one of the influenza strains included in the QLAIV vaccine at days 7-10 in HIV-positive and control groups.
time frame: 7 days
Rate of shedding for at least one of the influenza strains included in the QLAIV at day 14-21 in HIV-positive and control groups.
time frame: 10 days
Proportion of adverse events between HIV-infected and HIV-uninfected subjects within 14 days after vaccination.
time frame: 14 days
Proportion of adverse events between HIV-infected and HIV-uninfected subjects between 14 and 30 days after vaccination.
time frame: 16 days
Proportion of seroconversion between HIV-positive and control groups
time frame: 14-21 days
All participants from 2 years up to 25 years old.
- Age 2-25
- Only supposed to get one dose of vaccine for upcoming influenza season
- No viral respiratory symptoms at time of immunization
- HIV-infected group: must have HIV-infection documented by 2 tests such as positive serology, positive HIV DNA or positive HIV RNA; must thave a CD4>25% or 500 OR must have CD4>15% or 200 and be on HAART
- Healthy controls:no major medical problems affecting the immune system
- Recruited among HIV-unifected clients of the Children's Immunodeficiency Program(CHIP), Children's Hospital Colorado Child Health Clinic and Adolescent Clinics
- History of reactive airway disease, recurrent wheezing, or asthma
- Active wheezing at time of immunization
- On any antiviral agents active against influenza (amantadien/rimantadine, zanamavir, oseltamivir)at time of immunization or planned over 21 days of shedding collection
- Receipt of IVIG within 3 months prior to enrollment
- Plan to receive IVIG during the 4 weeks after immunization
- Moderate to severely immunocompromised individual living in the home
- Plan to start immunosupressive medications or stop HAART over the 4 weeks following immmunization
- Temperature > 100F or 37.8C
- Rhinorrhea or cough not related to allergies at the time of immunization
- History of fungal sinusitis
- History of Guillain-Barre Syndrome
- Current on antibiotics
- Currently taking aspirin
- On an investigational drug at the time of immunization or planned over the 28 days of shedding collection
- On nay experimental medication at time of immunization or planned over 21 days of shedding collection
|Official title||Shedding, Immunogenicity and Safety of Quadrivalent Live Intranasal Influenza Vaccine (QLAIV) in HIV-infected Children and Young Adults|
|Principal investigator||Adriana Weinberg, MD|
|Description||QLAIV is an intranasal vaccine that works by using 4 different attenuated strains of influenza virus that will replicate in the nose and stimulate an immune response in recipients that should protect them if they are infected with one of those strains of influenza in the future. A couple of studies have shown an increase in duration that the viruses remain in the nose in immunocompromised people. Those studies were done using the trivalent vaccine, so we would like to evaluate the quadrivalent vaccine, and there is still a need for additional data to help understand the duration of shedding. If shedding is prolonged in HIV-infected children and young adults, it would be important to know for contacts of those individuals who are very immunocompromised. Shedding will be measured by looking for influenza RNA in nasopharyngeal swabs taken at baseline, 2-5 days, 7-10 days and 14-21 days after the intranasal immunization. The live-attenuated influenza vaccines have been shown to have increased effectiveness in children and they stimulate the immune system in a different way than the inactivated influenza vaccines (TIV or QIV). In this study, we will have the opportunity to compare the immunogenicity of QLAIV, measured at baseline and 14-21 dayspost-vaccination, in HIV-infected and uninfected children, adolescents and young adults. Although prior studies of LAIV in HIV-infected and other immunocompromised children and adults have not shown any increase in serious adverse events, safety will be actively monitored for the first 30-45 days through a study-specific questionnaire administered at each clinic or phone visit and by asking the subjects to keep a diary of side effects. Safety will be monitored passively throughout the course of the study.|
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