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Phase 2 Completed N=101 Health Services Research

Shedding, Immunogenicity and Safety of Quadrivalent Live Intranasal Influenza Vaccine (QLAIV) in HIV-infected Children and Young Adults

Source: ClinicalTrials.gov NCT02474901 ↗
Enrolled (actual)
101
Serious AEs
1.0%
Results posted
Oct 2017
Primary outcomePrimary: Number of Participants With Shedding for at Least One of the Influenza Strains Included in the QLAIV in the First 21 Days After Vaccine Administration Days in HIV-positive and Control Groups. — 0; 0; 30; 28 Participants

Summary

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).

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Shedding for at Least One of the Influenza Strains Included in the QLAIV in the First 21 Days After Vaccine Administration Days in HIV-positive and Control Groups.
0; 0; 30; 28
PRIMARY
Number of Participants With Shedding for at Least One of the Influenza Strains Included in the QLAIV Vaccine at Each of the 4 Study Visits, Days 0 (Baseline), 2-5, 7-10, and 14-21 in HIV-positive and Control Groups.
0; 0; 30; 27; 13; 11
SECONDARY
Number of Participants With Adverse Events Within 14 Days After Vaccination
0; 1; 17; 16; 17; 16 <0.05 sig
SECONDARY
Number of Participants Reaching Seroprotection (HAI ≥ 40) Within the HIV-positive and Control Groups.
35; 35; 27; 35; 7; 4

Eligibility Criteria

Inclusion Criteria

  • 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.

Exclusion Criteria

  • 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
  • Pregnant
  • Breastfeeding
  • 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 any experimental medication at time of immunization or planned over 21 days of shedding collection
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02474901). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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