Immunosuppression
Conditions
Keywords
Influenza vaccination, Subunit, Virosomal, HIV/AIDS, Renal Dialysis, Kidney transplantation, Rheumatologic diseases, Immunogenicity, Reactogenicity
Brief summary
Evaluation of the immunogenicity and reactogenicity of two different formulations of commercially avail-able influenza vaccines in 4 different groups of immunocompromized outpatients (HIV positive patients, patients suffering from rheumatologic diseases and receiving treatment with immunosuppressive drugs and patients undergoing hemodialysis or continuous ambulatory peritoneal dialysis). The aim of the study was to investigate if the newest formulation of influenza vaccines (virosomal vaccines) offer a benefit in immunocompromized patients in comparison to an older subunit formulation.
Detailed description
The infection with influenza is associated with higher morbidity and mortality in risk groups including immunocompromized patients. The virosomal influenza vaccines have been associated with improved immunogenicity in former trials. No direct comparison with older formulations has been conducted so far.
Interventions
Influvacplus 2005/2006, Solvay Pharma AG, Bern, Switzerland Assigned to all 4 groups if immunocompromized patients
Influvac 2005/2006, Solvay Pharma AG, Bern, Switzerland Assigned to all 4 groups if immunocompromized patients
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult outpatients treated at the Inselspital Bern for: * HIV infection * rheumatologic diseases and receiving immunosuppressive drugs * kidney transplant recipients * undergoing hemodialysis or continuous ambulatory peritoneal dialysis * written informed consent
Exclusion criteria
* Allergy to egg proteins * Former adverse reactions to prior vaccination * Febrile conditions at the time of study inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Immunogenicity defined as seroconversion (1:>=4) and seroprotection rates (1:>=40) | >60 Wochen |
Secondary
| Measure | Time frame |
|---|---|
| Reactogenicity in rheumatologic patients by disease specific scores | Six weeks after vaccination |
| Immediate side effects at time of application of vaccination | Minutes after vaccination |
| Side effects after vaccination | First week after vaccination |
Countries
Switzerland