Immunogenicity of pneumococcal vaccines in liver and kidney transplant patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive adult (>18 years) liver and kidney transplant patients are enrolled as they enter the transplant waiting list Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 125 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 25
Exclusion criteria
Exclusion criteria: Age< 18 years Previous Pneumococcal vaccination < 3 years ago Febrile illness at the time of vaccination Any sign of graft failure or rejection at the time of vaccination Splenectomy Pregnancy Critically ill patient due to any cause, including terminal uncompensated liver disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To show the non-inferiority of Prevenar 13 compared to pneumovax;Secondary Objective: To show the safety of Prevenar 13 in these patient groups. To show possible superiority of the Prevenar 13 compared to Pneumovax and to see if an additive dose of Prevenar13 brings better immunogenicity;Primary end point(s): To detect any difference in immunogenicity (valued as the concenration of sertoype spcific IgG antibodies and their opsonophagocytic activity) between the PCV13 and PPV23 groups before and after the initialvaccination and 7 months after the transplantation ( 1 month after the second PCV vaccination);Timepoint(s) of evaluation of this end point: Before and after the first vaccination (prevener or Pneumovax) and before and after the second Prevenar13 vaccination which is administerated at 6 months posttransplant | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To detect the safety aspects of repeated PCV13 doses in these patient groups;Timepoint(s) of evaluation of this end point: Patients are followed and monitored for AEs and SAEs throughout the study but especially 8 weeks time after each vaccination | — |
Countries
Finland