Immunosuppression and pediatric rheumatic disease Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Negative medical history for chickenpox and herpes zoster, corroborated by negative VZV-IgG level 2. Not more than 1 prior dose of the VZV vaccine 3. Diagnosis of an inflammatory pediatric rheumatic disease 4. Clinical inactive pediatric rheumatic disease 5. No change of IS for at least 3 months prior to the vaccination
Exclusion criteria
Exclusion criteria: 1. Acute febrile disease 2. Current clinical or laboratory evidence for lack of immunologic reactivity 3. Known hypersensitivity to constituents of the varicella vaccine 4. Measles, mumps, rubella (MMR) vaccination within 4 weeks prior to VZV vaccination 5. Treatment with immunosuppressive therapy other than those mentioned in the pre-vaccination checklist, i.e. i.v. glucocorticoid pulse therapy or a prednisone-equivalent dose of more than 2mg/kg/day or more than 20mg/day for > 2 weeks within less than 4 weeks prior to vaccination, cyclophosphamide pulse <6 months ago, rituximab without B-cell reconstitution, intravenous immune globulins (IVIG) <6 months ago (high-dose IVIG (2g/kg) <11 months), therapy with aspirin until 6 week post-vaccination or any blood products <3 months prior to vaccination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Varicella zoster virus IgG level measured by commercial ELISA within 4 to 12 weeks after each vaccination | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Safety, assessed using a questionnaire of possible adverse effects at 12 weeks after vaccination 2. Long-term clinical efficacy, assessed using an interview regarding the occurrence of chickenpox or herpes zoster after 3 years | — |
Countries
Germany