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The primary objective of this study is to assess the relationship between rhinovirus specific T-cell immunity and the human host response to primary rhinovirus challenge and subsequent secondary challenge with either homologous or heterologous rhinovirus serotypes.
The primary objective of this study is to assess the relationship between RV-specific T-cell immunity and the human host response to primary RV challenge and subsequent secondary challenge with either homologous or heterologous RV serotypes. The overall hypothesis that will be addressed by the mechanistic studies in this proposal is that T helper (Th) and T follicular helper (Tfh) cells directed against conserved RV epitopes expand upon RV exposure and some of these cells persist as stable cross-reactive memory populations capable of displaying lineage-specific protective functions upon re-infection with related or unrelated strains of RV. The human specimens collected in this study will be analyzed with a variety of state-of-the-art techniques to provide an in depth description of T-cell responses to RV infection, and the correlation of these responses with viral infection, antibody responses, and illness. Beyond this objective, by using a systems biology approach, we aim to gain new insight into the role of diverse cell types involved in adaptive immunity to RV. .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RV16 infected volunteers re-challenged with RV16 | Active Comparator | volunteers re-challenged with RV16 |
|
| RV infected volunteers re-challenged with RV39 | Active Comparator | volunteers re-challenged with RV39 |
|
| RV infected not rechallenged | Other | Volunteers who were infected with RV16 and eligible for re-challenge but who were not re-challenged due to voluntary withdrawal (3) or removal for exclusion criteria |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| human rhinovirus | Biological | human rhinovirus |
|
| Measure | Description | Time Frame |
|---|---|---|
| Virus Infection | Number infected after re-challenge with RV16 compared to RV39 as determined by virus isolation in cell culture or viral serology | Volunteers were cultured daily for detection of virus shedding for 5 days after the virus re-challenge and serum was collected for viral serology 4 weeks after virus re-challenge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ronald Turner, MD | Univ of Virginia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Virginia | Charlottesville | Virginia | 22908 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34350827 | Derived | Barone SM, Paul AG, Muehling LM, Lannigan JA, Kwok WW, Turner RB, Woodfolk JA, Irish JM. Unsupervised machine learning reveals key immune cell subsets in COVID-19, rhinovirus infection, and cancer therapy. Elife. 2021 Aug 5;10:e64653. doi: 10.7554/eLife.64653. |
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Volunteers were initially challenged with RV16 to provide a uniform baseline for the subsequent randomization and re-challenge with either a homologous serotype (RV16) or a heterologous serotype (RV39). 46 subjects met the baseline criteria but 3 declined further participation and 1 was ill on the day of re-challenge and was removed from the study by the investigator. 42 subjects were randomized and re-challenged with rhinovirus.
Volunteers who participated in the study were individuals who had previously been challenged and infected with RV16 in the human rhinovirus experimental challenge model and agreed to be re-challenged with either RV16 or RV39
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| ID | Title | Description |
|---|---|---|
| FG000 | RV16 Infected Volunteers Re-challenged With RV16 | volunteers re-challenged with RV16 human rhinovirus: human rhinovirus |
| FG001 | RV16 Infected Volunteers Re-challenged With RV39 | volunteers re-challenged with RV39 human rhinovirus: human rhinovirus |
| FG002 | no Intervention | 4 volunteers were infected with RV16 and were eligible to be randomized to re-challenge. Three of these volunteers declined re-challenge and one was removed from the study prior to re-challenge |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Volunteers re-challenged with RV16 or RV39
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| ID | Title | Description |
|---|---|---|
| BG000 | RV16 Infected Volunteers Re-challenged With RV16 | volunteers re-challenged with RV16 human rhinovirus: human rhinovirus |
| BG001 | RV16 Infected Volunteers Re-challenged With RV39 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Virus Infection | Number infected after re-challenge with RV16 compared to RV39 as determined by virus isolation in cell culture or viral serology | all volunteers re-challenged | Posted | Count of Participants | Participants | Volunteers were cultured daily for detection of virus shedding for 5 days after the virus re-challenge and serum was collected for viral serology 4 weeks after virus re-challenge |
|
Adverse events were collected at each study visit from the virus challenge/re-challenge to 15 weeks.
Adverse events were collected by interactive interview with study staff at each study visit between challenge/re-challenge and week 15. 46 subjects were initially challenged with RV16. 42 subjects were re-challenged with either RV16 or RV39. Three subjects voluntarily withdrew from the study before re-challenge and one subject had common cold symptoms on the scheduled day of the re-challenge and was removed from the study by the investigator.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Volunteers Initially Challenged With RV16 | Volunteers challenged with RV16 to produce RV16 infected volunteers for subsequent arms Human rhinovirus |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| bloody nose | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ronald Turner, MD | University of Virginia School of Medicine | 4349819964 | rbt2n@virginia.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Oct 13, 2017 | Feb 9, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| C074995 | viral protein 1, rhinovirus |
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Volunteers who were infected with RV16 by experimental challenge were eligible for participation by re-challenge with either RV16 or RV39 to assess the host response to homologous or heterologous rechallenge.
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| no intervention | Other | 4 volunteers were not re-challenged and did not participate in the second challenge |
|
volunteers re-challenged with RV39
human rhinovirus: human rhinovirus
| BG002 | no Intervention | 4 volunteers were infected with RV16 and were eligible for re-challenge. Three volunteers declined re-challenge and one was removed from the study prior to re-challenge |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| previously infected with RV16 | Count of Participants | Participants |
|
|
|
| 0 |
| 46 |
| 0 |
| 46 |
| 2 |
| 46 |
| EG001 | RV16 Infected Volunteers Re-challenged With RV16 | volunteers re-challenged with RV16 human rhinovirus: human rhinovirus | 0 | 20 | 0 | 20 | 1 | 20 |
| EG002 | RV16 Infected Volunteers Re-challenged With RV39 | volunteers re-challenged with RV39 human rhinovirus: human rhinovirus | 0 | 22 | 0 | 22 | 1 | 22 |
| cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Headache | Musculoskeletal and connective tissue disorders | Systematic Assessment | increased headache after day 7 |
|
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