Antibody Titer Analysis After H1N1 Vaccination in Pediatric Haemato-oncology Patients

Antibody Titer Analysis Afer Monovalent Vaccination in Pediatric Haemato-oncology Patients

The patients of pediatric haemato-oncology have a higher risk for novel H1N1 influenza infection than general population, and they are strongly recommended to receive novel H1N1 vaccination. However, there is no previous data to answer how the efficacy and effectiveness of novel H1N1 vaccination is in patients of pediatric haemato-oncology. This study is designed to investigate the antibodies titers before and after the novel H1N1 influenza vaccination in these patients. Titer of H1N1 influenza virus antibodies will be determined by hemagglutinin inhibition assay (HAI). A HAI titer with a 4-fold rise or greater is defined as seroconversion. Study subjects with seroconversion are regarded as responsiveness to the vaccination. Meanwhile, if the patient presents influenza-like symptoms, we will perform throat swab or nasal swab for influenza rapid test, viral isolation, and novel H1N1 influenza PCR to confirm the diagnosis. After the study, we will be able to know whether or not current novel H1N1 influenza vaccination schedule is adequate and efficient for pediatric haemato-oncology patients.

Study Overview

• Status: Unknown
• Conditions: Serology Analysis; Novel H1N1 Influenza Vaccination; Pediatric Haemato-oncology Patients
• Intervention / Treatment: Biological: Influenza A (H1N1) 2009 monovalent vaccine, inactivated

Detailed Description

The emergence of novel H1N1 influenza in 2009 has a great impact to the societies in Taiwan and worldwide. The patients of pediatric haemato-oncology have a higher risk for novel H1N1 influenza infection than general population, and they are strongly recommended to receive novel H1N1 vaccination. However, there is no previous data to answer how the efficacy and effectiveness of novel H1N1 vaccination is in patients of pediatric haemato-oncology. This study is designed to investigate the antibodies titers before and after the novel H1N1 influenza vaccination in these patients. Thus two blood samples will be drawn. The first sample will be collected before the vaccination and the second one will be collected three weeks after the vaccination (If the patient is younger than 9 years old, the third sample will be collected three weeks after the booster vaccination). Titer of H1N1 influenza virus antibodies will be determined by hemagglutinin inhibition assay (HAI). A HAI titer with a 4-fold rise or greater is defined as seroconversion. Study subjects with seroconversion are regarded as responsiveness to the vaccination. We will analyze seroconversion rate as well. Meanwhile, if the patient presents influenza-like symptoms, we will perform throat swab or nasal swab for influenza rapid test, viral isolation, and novel H1N1 influenza PCR to confirm the diagnosis. After the study, we will be able to know whether or not current novel H1N1 influenza vaccination schedule is adequate and efficient for pediatric haemato-oncology patients.

• Study Type: Observational
• Enrollment (Anticipated): 50

Contacts and Locations

• Study Contact: Name: Luan-Yin Chang, MD; Phone Number: 75128 886-23123456; Email: ly7077@tpts6.seed.net.tw

Study Locations

• Taiwan
  • Taipei, Taiwan
    • Recruiting
    • National Taiwan University Hospital
    • Contact: Luan-Yin Chang, MD; Phone Number: 71528 886-2-23123456; Email: ly7077@tpts6.seed.net.tw

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 months to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

This study is designed to investigate the antibodies titers before and after the novel H1N1 influenza vaccination in pediatric haemato-oncology patients.

Description

Inclusion Criteria:

• Boys or girls aged ≧ 6 months old to 18 years old on the day of first vaccination;
• Subject and/or parents(s)/legal guardian(s) was willing to comply with planned study procedures and be available for all study visits;
• Subject was ever treated at pediatric haemato-oncology ward
• Subject and/or parents(s)/legal guardian(s) must read and signed the study-specific informed consent prior to initiation of any study procedure.

Exclusion Criteria:

• History of hypersensitivity to eggs or egg protein or similar pharmacological effects to study medication (AdimFlu-S (A/H1N1));
• Personal or family history of Guillain-Barré Syndrome;
• An acute febrile illness within the last 72 hours prior to vaccination;
• Subject with bleeding disorder or has any coagulation disorder that needs receipt of anticoagulants in the 3 weeks preceding inclusion contraindicating intramuscular injection;
• Subjects with influenza-like illness as defined by the presence of fever (temperature ≧38.5℃ ) and at least two of the following four symptoms: headache, muscle/joint aches and pains (e.g. myalgia/arthralgia), sore throat and cough;
• Female subjects who are pregnant, lactating or likely to become pregnant during the study; Women of childbearing potential disagree to use an acceptable method of contraception (e.g., hormonal contraceptives, IUD, barrier device or abstinence) throughout the study;
• Underlying condition in the investigator's opinion may be inappropriate for vaccination;

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Serology after Novel H1N1 vaccination; This study is designed to investigate the antibodies titers before and after the novel H1N1 influenza vaccination in pediatric haemato-oncology patients.	Biological: Influenza A (H1N1) 2009 monovalent vaccine, inactivated; Serology study before and after Influenza A (2009) monovalent vaccine, inactivated; Other Names: Influenza Virus Vaccine, AdimFlu-S (A/H1N1)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
This study is designed to investigate the antibodies titers before and after the novel H1N1 influenza vaccination in these patients. Titer of H1N1 influenza virus antibodies will be determined by hemagglutinin inhibition assay (HAI).	Dec, 2009 - Feb, 2010

Secondary Outcome Measures

Outcome Measure	Time Frame
If the patient presents influenza-like symptoms during the six month follow up period, we will perform throat swab or nasal swab for influenza rapid test, viral isolation, and novel H1N1 influenza PCR to confirm the diagnosis.	Dec, 2009 - Jun, 2010

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital
• Investigators: Principal Investigator: Luan-Yin Chang, MD, National Taiwan University Hospital, Taipei, Taiwan

Study record dates

Study Major Dates

• Study Start: December 1, 2009
• Primary Completion (Anticipated): February 1, 2010
• Study Completion (Anticipated): June 1, 2010

Study Registration Dates

• First Submitted: January 8, 2010
• First Submitted That Met QC Criteria: January 8, 2010
• First Posted (Estimate): January 11, 2010

Study Record Updates

• Last Update Posted (Estimate): January 11, 2010
• Last Update Submitted That Met QC Criteria: January 8, 2010
• Last Verified: December 1, 2009

More Information

Terms related to this study

• Keywords: Serology; Monovalent inactivated H1N1 vaccine; Pediatric haemato-oncology patients
• Additional Relevant MeSH Terms: Neoplasms; Physiological Effects of Drugs; Immunologic Factors; Vaccines
• Other Study ID Numbers: 200912031R