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| Name | Class |
|---|---|
| Ministry of Health, Brazil | OTHER_GOV |
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This is a randomized, open label, phase II trial to evaluate the safety and immunogenicity of two different schedules of vaccination against influenza A H1N1 in HIV-infected individuals, in which each of the randomized groups will be compared with HIV-negative volunteers vaccinated with the regimen indicated by the Brazilian National Immunization Program. Will be included in the study HIV-infected patients, stratified by CD4 count (< 200 cells/mm3 or > 200 cells/mm3) at the time of screening for the study, not receiving antiretroviral therapy treatment or receiving stable treatment for at least 8 weeks, with no plans to change over the next 6 months, eligible to receive vaccine against influenza A H1N1. The control group will be formed by HIV-negative individuals, confirmed by serology performed at screening, eligible to receive vaccine against influenza A H1N1. Patients infected with HIV will receive one of two possible vaccination regimens: 1) 3.75 µg in two applications 21 days apart, 2) 7.5 µg in two applications 21 days apart. The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. The study's hypotheses are: 1) The vaccine against the H1N1 virus promotes antibody titers above the level specified for protection (seroconversion), being as safe and well tolerated in patients HIV-1 infected as in non HIV-infected volunteers; 2) The proportion of seroconversion for H1N1 virus vaccine at a dose of 3.75 µg in HIV-1-infected patients is similar to the proportion of seroconversion induced by the same vaccine at a dose of 7.5 µg; 3)The proportion of seroconversion with one dose of the vaccine against H1N1 virus is similar to the proportion after the second dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 3.75 µg of the vaccine on days 0 and 21 | Experimental | Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. |
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| 7.5 µg of the vaccine on days 0 and 21 | Experimental | Patients infected with HIV will receive 7.5µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. |
|
| 3.75 µg of the vaccine on day 0 | Active Comparator | The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adjuvanted vaccine against H1N1 influenza virus (GSK) | Biological | Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. |
| Measure | Description | Time Frame |
|---|---|---|
| proportions of seroconversion | proportions of seroconversion for influenza A H1N1 in each of the four subsets of HIV-positive patients, and in the control group | 21 days after vaccination regimen |
| proportions of seroprotection | proportions of seroprotection for influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group | 21 days after vaccination regimen |
| Safety of the A H1N1 vaccine at two different regimens in HIV-infected adults | Safety and tolerability of the vaccine against H1N1 virus in different doses and administration regimens in IV-infected adults | 1 months after vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of A H1N1 influenza symptomatic disease in the study population | proportions of the vaccine's protective factor against influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group | 12 months after vaccination |
| Persistence of antibodies against H1N1 virus |
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Inclusion Criteria - for all participants
Inclusion Criteria - unique to the participants with HIV infection:
Inclusion criteria - unique to the participants without HIV infection (control group):
Exclusion Criteria:
D5. Serious illness requiring systemic treatment and/or hospitalization within 45 days prior to entry into the study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto de Pesquisa Clinica Evandro Chagas (IPEC) - Fiocruz | Rio de Janeiro | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22761759 | Derived | Santini-Oliveira M, Camacho LA, Souza TM, Luz PM, Vasconcellos MT, Giacoia-Gripp CB, Morgado MG, Nunes EP, Lemos AS, Ferreira AC, Moreira RI, Veloso VG, Siqueira MM, Grinsztejn B. H1N1pdm09 adjuvanted vaccination in HIV-infected adults: a randomized trial of two single versus two double doses. PLoS One. 2012;7(6):e39310. doi: 10.1371/journal.pone.0039310. Epub 2012 Jun 25. |
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| Adjuvanted vaccine against H1N1 influenza virus (GSK) | Biological | Patients infected with HIV will receive 7.5 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. |
|
| Adjuvanted vaccine against H1N1 influenza virus (GSK) | Biological | Control group will receive 3.75 µg of an adjuvanted A H1N1 vaccine in one single application. |
|
Evaluate the persistence of antibody titers against H1N1 virus after the vaccine series in HIV-infected patients and control group |
| 12 months after vaccination |
| Changes in HIV viral load and CD4 | Assess changes in HIV-1 viral load and CD4+ counts after the vaccine series. | 12 months after vaccination |
| Cellular immune responses to H1N1 vaccination in HIV-infected patients | Determine the cellular immune responses and their correlation to the development and magnitude of responses to H1N1 virus, and compare the cellular immune responses | 12 months after vaccination |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D009976 | Orthomyxoviridae Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C023768 | halofantrine |
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