- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07721649
Intrahospital Influenza Vaccination in Patients at High Cardiovascular Risk (VACC-UP) (VACC-UP)
Intrahospital Vaccination and Active Counseling Versus Active Counseling Alone to Increase Seasonal Influenza immUnization in Patients at High Cardiovascular Risk in Germany: The Randomized Controlled VACC-UP Study
The aim of this study is to evaluate the effect of offering intrahospital influenza vaccination as an adjunct to active counseling during the index hospitalization to adult patients hospitalized for acute coronary syndrome (ACS) or congestive heart failure (CHF), compared with active counseling alone, on influenza vaccination rates in patients at high cardiovascular risk.
Patients are randomized 1:1 to either an offer of bedside intrahospital influenza vaccination according to the recommendations of the German Standing Vaccination Committee (STIKO) in addition to standardized active counseling (intervention group), or standardized active counseling plus the standard-of-care recommendation for ambulatory vaccination in the discharge papers (control group). The primary endpoint is the influenza vaccination rate at the end of the index season (March 31).
Panoramica dello studio
Stato
Condizioni
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Sebastian Heyne, Dr. med.
- Numero di telefono: +49 221 478-82019
- Email: sebastian.heyne@uk-koeln.de
Backup dei contatti dello studio
- Nome: Stephan Baldus, Prof. Dr. med.
- Numero di telefono: +49 221 478-32511
- Email: stephan.baldus@uk-koeln.de
Luoghi di studio
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Cologne, Germania, 50937
- Clinic III for Internal Medicine, University Hospital of Cologne
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Contatto:
- Sebastian Heyne, Dr. med.
- Numero di telefono: +49 221 478-82019
- Email: sebastian.heyne@uk-koeln.de
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Investigatore principale:
- Stephan Baldus, Prof. Dr. med.
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Hamburg, Germania, 20246
- Department of Cardiology, University Heart and Vascular Centre Hamburg
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Investigatore principale:
- Natalie Arnold, Dr. med.
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Age 18 years or older
- Hospitalized due to acute coronary syndrome (ACS) or congestive heart failure (CHF) and fulfilling the criteria for influenza vaccination according to the recommendations of the German Standing Vaccination Committee (STIKO)
- Written informed consent
Exclusion Criteria:
- Already received seasonal influenza vaccination in the current season, based on self-reported vaccination status and/or vaccination certificate
- Laboratory-confirmed active influenza infection during the index hospitalization
- Contraindication for vaccination (e.g., known allergy)
- Inability to provide written informed consent
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Ricerca sui servizi sanitari
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: Intrahospital vaccination offer
Patients receive standardized active influenza vaccination counseling and are additionally offered bedside intrahospital vaccination against seasonal influenza according to the latest STIKO recommendations at any time prior to discharge during the index hospitalization.
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Offer of bedside vaccination against seasonal influenza during the index hospitalization, administered in a standardized manner by trained treating physicians according to the latest STIKO recommendations and the respective product information.
The appropriate vaccine is selected according to current recommendations (e.g., high-dose quadrivalent vaccine for patients aged 60 years and older, standard-dose quadrivalent vaccine otherwise).
Vaccination is offered from September 1 to February 28 of the respective influenza season.
Altri nomi:
Standardized active counseling on influenza vaccination using a cardiovascular gain-framed information sheet, including the recommendation to be vaccinated and the opportunity to discuss vaccination with the treating physician.
Counseling is provided to all patients in both arms after completion of the baseline 7C questionnaire and prior to randomization.
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Comparatore attivo: Active counseling alone (standard of care)
Patients receive standardized active influenza vaccination counseling and the current standard of care in Germany, i.e., the recommendation to obtain ambulatory influenza vaccination as stated in the discharge papers.
No intrahospital influenza vaccination is administered during the index hospitalization.
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Standardized active counseling on influenza vaccination using a cardiovascular gain-framed information sheet, including the recommendation to be vaccinated and the opportunity to discuss vaccination with the treating physician.
Counseling is provided to all patients in both arms after completion of the baseline 7C questionnaire and prior to randomization.
Current standard of care in Germany: the recommendation to obtain ambulatory influenza vaccination from the primary care physician, stated in the discharge papers.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Influenza vaccination rate at the end of the index influenza season
Lasso di tempo: From randomization to the end of the index influenza season (March 31), up to approximately 7 months
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Proportion of patients vaccinated against seasonal influenza at the end of the index season (defined as March 31).
For intervention group patients vaccinated during the index hospitalization, vaccination status is documented from inpatient medical records.
For control group patients and intervention group patients who declined intrahospital vaccination, self-reported vaccination status is assessed by telephone interview beginning April 1 and cross-validated with data from the treating general practitioner.
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From randomization to the end of the index influenza season (March 31), up to approximately 7 months
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Influenza vaccination rate at the end of the post-index influenza season
Lasso di tempo: From randomization to the end of the post-index influenza season (March 31 of the following year), up to approximately 19 months
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Proportion of patients vaccinated against seasonal influenza at the end of the post-index season.
For all patients, self-reported vaccination status is assessed by telephone interview beginning April 1 of the post-index season and cross-validated with data from the treating general practitioner.
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From randomization to the end of the post-index influenza season (March 31 of the following year), up to approximately 19 months
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Association of the individual components of the 7C psychological antecedents of vaccination questionnaire with vaccination status
Lasso di tempo: Baseline (prior to counseling and randomization) and end of the index influenza season (March 31), up to approximately 7 months
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Association of the individual components of the 7C psychological antecedents of vaccination questionnaire (7-point scale, long version), assessed at baseline prior to active counseling, with vaccination status at the end of the index season.
Assessed using univariate and multivariable regression models reporting odds ratios with 95% confidence intervals.
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Baseline (prior to counseling and randomization) and end of the index influenza season (March 31), up to approximately 7 months
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Patient satisfaction with the offer of intrahospital influenza vaccination
Lasso di tempo: During the index hospitalization, up to approximately 14 days
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Descriptive assessment of patient satisfaction with the intrahospital vaccination offer, based on a study-specific patient satisfaction questionnaire completed by patients in the intervention group.
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During the index hospitalization, up to approximately 14 days
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Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Investigatore principale: Stephan Baldus, Prof. Dr. med., Clinic III for Internal Medicine, University Hospital of Cologne
- Direttore dello studio: Sebastian Heyne, Dr. med., Clinic III for Internal Medicine, University Hospital of Cologne
Pubblicazioni e link utili
Pubblicazioni generali
- Frobert O, Gotberg M, Erlinge D, Akhtar Z, Christiansen EH, MacIntyre CR, Oldroyd KG, Motovska Z, Erglis A, Moer R, Hlinomaz O, Jakobsen L, Engstrom T, Jensen LO, Fallesen CO, Jensen SE, Angeras O, Calais F, Karegren A, Lauermann J, Mokhtari A, Nilsson J, Persson J, Stalby P, Islam AKMM, Rahman A, Malik F, Choudhury S, Collier T, Pocock SJ, Pernow J. Influenza Vaccination After Myocardial Infarction: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial. Circulation. 2021 Nov 2;144(18):1476-1484. doi: 10.1161/CIRCULATIONAHA.121.057042. Epub 2021 Aug 30.
- Lawrence DS, Muthoga C, Meya DB, Tugume L, Williams D, Rajasingham R, Boulware DR, Mwandumba HC, Moyo M, Dziwani EN, Maheswaran H, Kanyama C, Hosseinipour MC, Chawinga C, Meintjes G, Schutz C, Comins K, Bango F, Muzoora C, Jjunju S, Nuwagira E, Mosepele M, Leeme T, Ndhlovu CE, Hlupeni A, Shamu S, Boyer-Chammard T, Molloy SF, Youssouf N, Chen T, Shiri T, Jaffar S, Harrison TS, Jarvis JN, Niessen LW; AMBITION Study Group. Cost-effectiveness of single, high-dose, liposomal amphotericin regimen for HIV-associated cryptococcal meningitis in five countries in sub-Saharan Africa: an economic analysis of the AMBITION-cm trial. Lancet Glob Health. 2022 Dec;10(12):e1845-e1854. doi: 10.1016/S2214-109X(22)00450-8.
- Betsch C, Schmid P, Heinemeier D, Korn L, Holtmann C, Bohm R. Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PLoS One. 2018 Dec 7;13(12):e0208601. doi: 10.1371/journal.pone.0208601. eCollection 2018.
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Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie vascolari
- Malattie cardiache
- Infezioni delle vie respiratorie
- Infezioni
- Infezioni da Orthomyxoviridae
- Infezioni da virus a RNA
- Malattie virali
- Malattie delle vie respiratorie
- Ischemia miocardica
- Comportamento
- Aderenza e conformità al trattamento
- Comportamento sanitario
- Rifiuto del trattamento
- Arresto cardiaco
- Influenza, umana
- Malattia cardiovascolare
- Sindrome coronarica acuta
- Rifiuto della vaccinazione
- Esitazione vaccinale
Altri numeri di identificazione dello studio
- 26-1232
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Informazioni su farmaci e dispositivi, documenti di studio
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