BCG Vaccination
Conditions
Keywords
BCG, Salmonella, Trained immunity, Non-specific effect vaccines
Brief summary
The BCG (bacillus Calmette-Guerin) vaccine is used for the protection against tuberculosis. Apart from it's protective effect against tuberculosis BCG vaccine has been shown to have non-specific effects on the innate immune system and is in epidemiological studies associated with reduced mortality due to infectious diseases. Several studies have shown that BCG can boost the effect of other vaccines. The present study aims to investigate the boosting effect of BCG on the response to typhoid fever vaccine (TFV) and to assess the non-specific effects of BCG on the innate immune system at early timepoints by vaccinating volunteers with either TFV alone or BCG followed by TFV 14 days later. The study hypothesis is that when BCG is given 14 days before typhoid fever vaccine a better vaccination result in terms of antibody production will be accomplished against typhoid fever due to the effects of BCG on the innate immune system.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy volunteers
Exclusion criteria
* Born in Salmonella typhi endemic country * Pregnancy * Oral medication except anticonceptive drugs * Previous vaccination with BCG and/or TFV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anti-salmonella typhi Vi antigen antibody titer 2 weeks post TFV | 2 weeks | anti-salmonella typhi Vi antigen antibody titers at 2 weeks after TFV will be compared between TFV only and TFV after BCG groups. |
| anti-salmonella typhi Vi antigen antibody titer 3 months post TFV | 3 months | anti-salmonella typhi Vi antigen antibody titers at 3 months after TFV will be compared between TFV only and TFV after BCG groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in ex vivo cytokine responses | 0, 1 and 4 days; 2 weeks, 3 months | Ex vivo cytokine response to unrelated antigens |
Countries
Netherlands