Regulation of Mucosal Immune Response to Systemic MenB Vaccine
Recruitment status was Recruiting
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Purpose
Meningitis or septicaemia (blood poisoning) caused by group B meningococcal infection (MenB) is an important cause of death and disability in the UK. Prevention through vaccination therefore remains a key public health priority. Research from national "meningitis" vaccine programmes against MenC, Hib and Streptococcus pneumoniae show us that their success is in part due to their ability to protect both the vaccinated and the unvaccinated, so−called herd immunity. This protection probably occurs by reducing carriage of these meningitis bacteria in the back of the throat (mucosal immunity). How this happens is poorly understood but our research shows that naturally acquired immunity (transient contact between the immune system and the meningococcus in the back of the throat without causing disease) may impact on this process. We believe that to develop a MenB vaccine that is able to cause mucosal immunity and prevent MenB carriage, it is important to understand the interaction between natural immunity and vaccination. In this study we propose to administer MenB vaccine to adults in order to investigate this process. Our findings will provide important insights into Men B immunity, inform the design of novel vaccine strategies and allow the rational testing of new vaccines as they become available.
| Condition | Intervention | Phase |
|---|---|---|
|
Meningococcal Infections |
Biological: NZ MenB OMV vaccine (NZ98/254) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Phase II, Open Label, Randomised, Single Centre Study To Evaluate The Importance Of Naturally Induced Immune Regulation On The Mucosal Immune Response To Meningococcal Serogroup B Outer Membrane Vesicle (Omv) Vaccine When Administered Intramuscularly To Adults & Adolescents |
- T−cell proliferation following vaccination and its regulation. [ Time Frame: After 2 or 3 doses of vaccine ] [ Designated as safety issue: No ]
- Serum bactericidal antibody and OMV ELISA antibody. [ Time Frame: After each does of vaccine ] [ Designated as safety issue: No ]
- Salivary antibody [ Time Frame: After each dose of vaccine ] [ Designated as safety issue: No ]
- B−cell memory [ Time Frame: After 2 or 3 doses of vaccine ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 35 |
| Study Start Date: | September 2009 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Immunisation with NZ MenB OMV vaccine (NZ98/254)
|
Biological: NZ MenB OMV vaccine (NZ98/254)
3 doses by intramuscular injection
|
|
No Intervention: 2
No vaccine
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 16 Years to 40 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- written informed consent and agreement for samples to be sent overseas
- adults and adolescents 16−40 years scheduled to undergo routine tonsillectomy
- in good health at the time of entry into the study as determined by medical history, physical examination and clinical judgment of the investigator
- availability for all the visits scheduled in the study
Exclusion Criteria:
- tonsillectomy for allergic conditions
- receipt of or intent to immunize with any vaccination (other than influenza vaccine or post−exposure tetanus vaccination) or investigational agents within 50 days prior to enrolment and throughout the study period
- previous receipt of any MenB vaccine
- chronic administration (defined as more than 14 days) of immunosuppressants or other immune−modifying drugs (Inhaled and topical steroids will not be allowed.)
- history of confirmed or suspected meningococcal infection or close contact with an individual with culture or PCR proven N. meningitidis serogroup B within the previous 60 days
- pregnancy (or plans to become pregnant during study)* or breast feeding
- not taking or unwilling to take sufficient measures to avoid pregnancy occurring for the duration of the study period**
- any chronic or progressive disease (eg neoplasm, cardiac, respiratory, liver, gastrointestinal, renal, neurological disease, autoimmune disease, blood dyscrasias or diathesis) or history of dependence/abuse of drugs or alcohol • any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection
- administration of immunoglobulins and/or any blood products in the last year or planned administration during the study period
- history of any anaphylactic shock, asthma, urticaria or any other allergic reaction after previous vaccinations, or known hypersensitivity to any vaccine component
- fever (oral temperature equal to or greater than 38.5°C) within the past 24 hours or significant acute or chronic infection within the previous 7 days
- significant acute or chronic infections requiring systemic antibiotic treatment within the past 14 days
- not available for all the visits scheduled during the study period
- any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives
participation in another clinical trial within last 90 days or planned for during the study * A pregnancy test (urine) on the scheduled day of each vaccination will be required for any female wishing to participate in the study as well as giving basic menstrual cycle information to cover the period in which and individual may be pregnant but this would not be ascertained by the chemical test.
- Females of childbearing age who have not used or do not plan to use acceptable birth control measures for the duration of the study. Oral, injected or implanted hormonal contraceptive, diaphragm or condom with spermicidal agent or intrauterine device are considered acceptable forms of birth control. If sexually active the subject should have been using one of the accepted birth control methods at least two months prior to study entry.
Contacts and Locations| Contact: Adam Finn, MA PhD FRCP FRCPCH | +44 117 342 0172 | Adam.Finn@bristol.ac.uk |
| United Kingdom | |
| UBHT | Recruiting |
| Bristol, Avon, United Kingdom, BS2 8HU | |
| Principal Investigator: Adam Finn, MA PhD FRCP FRCPCH | |
| North Bristol NHS Trust | Recruiting |
| Bristol, Avon, United Kingdom | |
More Information
No publications provided
| Responsible Party: | United Bristol Healthcare NHS Trust |
| ClinicalTrials.gov Identifier: | NCT00774384 History of Changes |
| Other Study ID Numbers: | SysVac01 - C60P2 |
| Study First Received: | October 16, 2008 |
| Last Updated: | February 3, 2012 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency United Kingdom: National Health Service United Kingdom: Research Ethics Committee |
Keywords provided by United Bristol Healthcare NHS Trust:
|
Neisseria meningitidis Mucosal Vaccination |
Immunity T cells T regulatory cells |
Additional relevant MeSH terms:
|
Meningococcal Infections Neisseriaceae Infections Gram-Negative Bacterial Infections Bacterial Infections |
ClinicalTrials.gov processed this record on May 16, 2013