Immunogenicity and Safety of the Yellow Fever Vaccine in HIV Infected Individuals (YF-HIV)
Phase 4 study to evaluate the immunogenicity and Safety of the 17DD Yellow Fever vaccine in HIV infected individuals, compared to non-HIV-infected individuals.
Main objective:
To compare the proportion of seroconversion and the geometric mean of neutralizing antibodies 30 days and 365 days after vaccine.
Secondary objectives:
To evaluate whether the titles of neutralizing antibodies are associated with CD4 lymphocyte counts, CD8 lymphocyte counts, CD4 nadir, HIV viral load and use of antiretroviral therapy. To assess the yellow fever vaccine viremia at day 10 after vaccine.To compare the incidence of adverse events in HIV-infected and non-HIV-infected individuals.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Lara E Coelho, MD
- Phone Number: +552122707064
- Email: lara.coelho@ini.fiocruz.br
Study Contact Backup
- Name: Beatriz Grinsztejn, MD
- Phone Number: +552122707064
- Email: gbeatriz@ini.fiocruz.br
Study Locations
-
-
-
Rio de Janeiro, Brazil, 21040360
- Recruiting
- Instituto Nacional de Infectologia Evandro Chagas
-
Contact:
- Lara Coelho, MD
- Phone Number: +55 21 22707064
- Email: lara.coelho@ini.fiocruz.br
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- HIV infected adults, age >= 18 and <60 years old.
- CD4 > 200 cells/mm³ within the last 6 months prior to inclusion. Individuals with no CD4 results in the last 6 months which have undetectable HIV viral load and last CD4 count > 350 can be included.
- Healthy HIV-uninfected individuals (aged >= 18 and < 60)
- No history of Yellow Fever vaccination
- Willing to participate and to sign the consent
Exclusion Criteria:
- Individuals with chronic diseases such as: decompensated diabetes, kidney failure (in dialysis), liver failure/cirrhosis, cancer (except for non-melanoma skin cancer and in situ HIV related carcinoma), use of immunosuppressive agents (including prednisone ≥ 20mg/day, during 7 or more days in the last 30 days before inclusion).
- Pregnant women
- Hypersensitivity reaction to eggs, chicken protein. Allergy to erythomycin or kanamycin. Hereditary fructose intolerance.
- Administration of immunoglobulins or blood derivates < 3 months or life attenuated vaccine <1 month.
- History of thymic dysfunction (including thymoma and thymectomy).
- Use of anti-CCR5
- symptoms of severe acute illnesses or fever (axillary temperature ≥ 38°C)
- HIV positive rapid test for HIV negative subjects.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: HIV positive subjects
300 HIV positive adults with CD4 > 200 cells/mm3, stratified in 3 groups (100 patients in each group) according to CD4 counts (200-350; 351-500, >500 cells/mm3). Assigned intervention: Yellow fever vaccination (17 DD Biomanguinhos) |
One intramuscular injection
|
|
Active Comparator: HIV negative subjects
100 HIV negative adults. Assigned intervention: Yellow fever vaccination (17 DD Biomanguinhos) |
One intramuscular injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Immunogenicity
Time Frame: 30 days after the vaccine
|
Seroconversion
|
30 days after the vaccine
|
|
Immunogenicity
Time Frame: 30 days after the vaccine
|
Neutralizing antibodies titers
|
30 days after the vaccine
|
|
Immunogenicity
Time Frame: 365 days after the vaccine
|
Seroconversion
|
365 days after the vaccine
|
|
Immunogenicity
Time Frame: 365 days after the vaccine
|
Neutralizing antibodies titers
|
365 days after the vaccine
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Viremia
Time Frame: 7 days after the vaccine
|
Yellow Fever vaccine viremia
|
7 days after the vaccine
|
|
Adverse events
Time Frame: up to 30 days after the vaccine
|
Yellow Fever vaccine related adverse events
|
up to 30 days after the vaccine
|
|
Immunogenicity
Time Frame: 5 years after the vaccine
|
Neutralizing antibodies titles
|
5 years after the vaccine
|
|
Immunogenicity
Time Frame: 10 years after the vaccine
|
Neutralizing antibodies titles
|
10 years after the vaccine
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 001 (Buy Pharma Ecza Deposu San. Tic. Ltd.)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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