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RSV Observational Study 2

6. september 2018 oppdatert av: University of Oxford

Analysis of the Immune Response to Respiratory Syncytial Virus (RSV) Exposure in a Paediatric Population

Respiratory Syncytial Virus (RSV) is a virus that causes chest infections. It is the single most important cause of severe respiratory illness in infants and young children, and severe RSV infection early in life is associated with an increased risk of later developing asthma. RSV also causes severe disease in elderly and immune-compromised adults, and the amount of RSV disease in the elderly is similar to that from seasonal flu. The virus is transmitted in the secretions of the upper respiratory tract of infected individuals and by contact with contaminated surfaces (such as toys). Hospital outbreaks, especially on paediatric and neonatal wards, are not uncommon.

Infection by RSV does not develop a natural long-lasting protection against re-infection (like, for example, measles does). In the USA nearly all children by 24 months of age have been infected at least once with RSV, and about half will have experienced two infections. There is no effective anti-viral drug to treat an infection and the only way of managing cases of severe infection is through supporting organs, such as the lungs, to withstand and recover from the illness.

There remains a real need to develop an effective vaccine to prevent severe infections caused by RSV. A better understanding of the way the immune system responds to RSV in children would aid the development of such a vaccine.

The purpose of this study is to increase our understanding of how the immune system responds to RSV. Only limited data is available on some important components of the immune response and this study is designed to measure these in more detail. This is done using a single blood sample.

A total of 35 children are anticipated to be recruited to this study, at ages when we expect to see differences in the immune response to RSV;

  • 5 infants aged between 2 and 4 months (Group 1), who have not yet been exposed to RSV
  • 20 infants aged between 6 and 12 months (Group 2), who will have had exposure to one single RSV season in the winter of 2011/12
  • 10 children aged between 3 and 6 years (Group 3), who have been exposed to RSV over several winter seasons

Studieoversikt

Status

Fullført

Intervensjon / Behandling

Studietype

Observasjonsmessig

Registrering (Faktiske)

35

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Oxford, Storbritannia, OX3 9DU
        • Oxford University Hopsitals NHS Trust

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

2 måneder til 6 år (Barn)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Infants aged 2-4 months inclusive Infants aged 6-12 months inclusive Children aged 3-6 years inclusive

Beskrivelse

Inclusion Criteria:

  • Parent or guardian is willing and able to give informed consent for participation in the study
  • Age suitable for Group 1, 2 or 3 as defined in above (Section 6.2)
  • Delivery at 36 weeks gestation or later
  • Having a blood sample for clinical reasons

Exclusion Criteria:

  • Parent or guardian unable or unwilling to give informed consent for participation in the study
  • Any impaired function of the immune system, by medication or pathological process, which could augment or impair the immune response to RSV
  • Concurrent acute or chronic infection
  • Any chronic illness which, in the opinion of the Investigator, may lead to incorrect or inaccurate immunology data
  • History of immunoprophylaxis with Palivizumab
  • Delivery prior to 36 weeks gestation

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
2-4 months
Infants aged between 2 and 4 months (Group 1), who have not yet been exposed to RSV
An extra volume of blood is obtained, with prior consent, when phlebotomy is required for another unrelated clinical reason.
6 - 12 months
Infants aged between 6 and 12 months (Group 2), who will have had exposure to one single RSV season in the winter of 2011/12
An extra volume of blood is obtained, with prior consent, when phlebotomy is required for another unrelated clinical reason.
3 - 6 years
Children aged between 3 and 6 years (Group 3), who have been exposed to RSV over several winter seasons
An extra volume of blood is obtained, with prior consent, when phlebotomy is required for another unrelated clinical reason.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
To assess the induction of RSV-specific immune responses in blood following natural exposure
Tidsramme: one year

The following assays characterise the primary objective:

  • Anti-RSV antibody concentration and neutralisation capacity
  • T-cell immune responses
one year

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Andrew J Pollard, University of Oxford

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. juni 2013

Primær fullføring (Faktiske)

1. april 2015

Datoer for studieregistrering

Først innsendt

12. august 2013

Først innsendt som oppfylte QC-kriteriene

13. august 2013

Først lagt ut (Anslag)

14. august 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

10. september 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

6. september 2018

Sist bekreftet

1. september 2018

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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