- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01021098
Acute Respiratory Infection Consortium (ARIC)
A Multi-center Military Consortium for Clinical Research Into the Natural History, Host Response, and Potential Therapy of Acute Respiratory Infection in Military Members and Their Families
Recently, the emergence and rapid global dissemination of novel swine-origin influenza A virus (H1N1) with unique epidemiologic characteristics has heightened awareness and concern of this viral pathogen, and its potential for major disruption of both civil and military stability. Although advances in medical and scientific technologies have improved our basic understanding of respiratory disease, many questions about the epidemiology and immunology of ARI remain unanswered. This study plans to initiate a multi-site, multi-disciplinary research collaboration, termed the Acute Respiratory Infection Consortium (ARIC) for the purpose of studying the etiology, epidemiology and immunology of influenza-like illness (ILI) in order to describe the natural history and risk factors for disease, as well as the characteristics of the host immune response.
At the core of the ARIC is the proposed observational, longitudinal study of the Natural History Study of ILI among active duty military members, healthy retirees, and their dependents recruited from both inpatient and outpatient settings of military treatment facilities (MTF) in the continental US to be followed for a total of four (4) visits over a 28-day period. Additionally, the investigators also propose to conduct a household-based study of influenza (Family Transmission Study) in which individuals who have a laboratory-confirmed influenza illness will be recruited and enrolled along with their family members for the purpose of studying transmission of influenza within households. Taken together, these studies will establish a longitudinal cohort of ILI among active duty members and their families, as well as a repository of biological specimens relevant to the epidemiology and immunology of infection. Ultimately, these studies will serve as a solid foundation on which future investigations of ARI epidemiology, treatment and prevention can be based.
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
This is an observational, longitudinal study of ARI/ILI among otherwise healthy active duty military members, retirees, as well as their spouses and dependents. An additional cohort of HIV-infected adults will also be evaluated. We will collect data from clinical findings, medical chart review, and diagnostic, virologic, and immunologic assays to describe the epidemiology and immunology of ARI/ILI. Subject recruitment will take place in both inpatient and outpatient settings of military treatment facilities (MTF) in the continental US. Additionally, subject self-referral will be encouraged through institutional review board (IRB) approved advertisements. Both adults under 65 years of age and children will be eligible for participation. Subjects will be followed for a total of up to 4 visits over a 28±7-day period. After their final visit (Day 28±7 applicable window), participants may only re-enroll into the study after 3 months have passed.
Nasal swabs, blood specimens (if consented to), buccal cytobrush samples (if consented to), and rectal swabs (in select subgroups of consenting inpatients) will be collected in order to characterize the etiologic, epidemiologic, and immunologic characteristics of ARI in the study population. In the HIV- positive cohort, additional clinical data and blood will be collected for HIV-specific factors (e.g., CD4 counts, HIV RNA levels) and for additional immunologic studies at days 0 and 28 (± 7) of the study. This is a prospective longitudinal study which will use data from clinical findings, medical chart review, and diagnostic, virologic and immunologic laboratories to describe the epidemiology and immunology of ARI/ILI.
Studietyp
Inskrivning (Förväntat)
Kontakter och platser
Studieorter
-
-
California
-
San Diego, California, Förenta staterna, 92134
- Rekrytering
- Naval Medical Center, San Diego, CA
-
Kontakt:
- John C Arnold, MD
- Telefonnummer: 619-532-7452
- E-post: john.c.arnold.mil@mail.mil
-
Kontakt:
- Sara Echols, RN
- Telefonnummer: 619-532-5683
- E-post: sara.j.echols.ctr@mail.mil
-
Underutredare:
- Alona Diem
-
-
Georgia
-
Columbus, Georgia, Förenta staterna, 31905
- Rekrytering
- Martin Army Community Hospital, Fort Benning, GA
-
Kontakt:
- Natasha Law, MA
- Telefonnummer: 706-544-6583
-
Kontakt:
- Arile Hadley
- Telefonnummer: 7065443496
-
Huvudutredare:
- CPT Naimyah Yehudah, PA-C
-
-
Maryland
-
Bethesda, Maryland, Förenta staterna, 20814
- Rekrytering
- Walter Reed National Military Medical Center
-
Kontakt:
- Heather Burris
- Telefonnummer: 301-295-5542
- E-post: heather.h.burris.ctr@mail.mil
-
Kontakt:
- Sheila Taylor-Means
- E-post: sheila.m.taylor-means.ctr@mail.mil
-
Huvudutredare:
- David Stagliano, MD
-
Underutredare:
- Anuradha Ganesan, MD
-
-
Texas
-
San Antonio, Texas, Förenta staterna, 78234
- Rekrytering
- San Antonio Military Medical Center/Wilford Hall
-
Kontakt:
- Charlotte Rhodes
- Telefonnummer: 210-916-5570
- E-post: charlotte.e.rhodes.ctr@mail.mil
-
Kontakt:
- Joanne Holloway
- Telefonnummer: 210-808-2335
- E-post: joanne.p.holloway.ctr@mail.mil
-
Huvudutredare:
- Patrick Danaher, MD
-
-
Virginia
-
Portsmouth, Virginia, Förenta staterna, 23708
- Rekrytering
- Naval Medical Center, Portsmouth, VA
-
Kontakt:
- Rezalina Tant
- Telefonnummer: 757-953-5603
- E-post: rezalina.g.tant.ctr@mail.mil
-
Kontakt:
- Realisha Smith
- Telefonnummer: 757-953-6971
- E-post: realisha.b.smith.ctr@mail.mil
-
Underutredare:
- Tahaniyat Lalani, MD
-
-
Washington
-
Tacoma, Washington, Förenta staterna, 98431
- Rekrytering
- Madigan Army Medical Center (MAMC)
-
Kontakt:
- Susan Chambers, RN
- Telefonnummer: 253-968-1643
- E-post: susan.e.chambers4.ctr@mail.mil
-
Kontakt:
- Debra Angell, CCRP
- Telefonnummer: 253-968-4596
- E-post: debra.a.angell.ctr@mail.mil
-
Underutredare:
- Mary Fairchok, MD
-
Huvudutredare:
- Christina Schofield, MD
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
Beskrivning
Natural History Study
Inclusion Criteria:
- Between 18 and 55 years of age (inclusive), or a 17 year old military service member
- Eligible for care in DoD facilities (DEERS eligible).
- Have an acute influenza-like illness (ILI) or severe acute respiratory infection (SARI) for </= 7 days
Exclusion Criteria:
- Proven Group A Streptococcal infection
Note that proven Group A Streptococcal infection will not be exclusionary IF it is proven to be a co-infection with another respiratory pathogen.
Studieplan
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
---|
Natural History Study
The core Natural History Study of ILI is an observational, longitudinal cohort study using data from clinical findings, medical chart review, and diagnostic, virologic and immunologic laboratories to describe the epidemiology and immunology of ILI.
This study aims to describe the clinical history of influenza and other viral respiratory pathogens in a population of US military active duty members and their dependents.
The primary focus will be the etiology, natural history and immunology of ILI in otherwise healthy adults and children.
We will recruit subjects with ILI in both the outpatient and inpatient setting, and will serially collect biological specimens (e.g.
nasal/throat swabs, blood, rectal swabs) over a 28-day period.
In addition, we will collect a single buccal (cheek) swab.
|
HIV-Positive Cohort
In addition, given a number of human immunodeficiency virus (HIV)-infected subjects who serve in the active duty force, we will also examine a subset of HIV-positive military beneficiaries as part of this consortium.
An additional objective of the study will be to descriptively examine the clinical and laboratory characteristics of ILI events among HIV-infected persons using the military's substantial experience in following a stable HIV-infected population.
We will recruit subjects with ILI in both the outpatient and inpatient setting, and will serially collect biological specimens (e.g.
nasal/throat swabs, blood, rectal swabs) over a 28-day period.
In addition, we will collect a single buccal (cheek) swab.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
---|---|
Develop a consortium of Department of Defense research sites capable of collecting detailed prospective clinical data, and biologic samples from active duty members and their families with ILI.
Tidsram: 7 years
|
7 years
|
Sekundära resultatmått
Resultatmått |
Tidsram |
---|---|
Develop and validate an influenza severity scale
Tidsram: 6 months
|
6 months
|
Study the relationship between health and fitness of young adults to outcomes of influenza and other respiratory viruses
Tidsram: 1 year
|
1 year
|
Examine the relationship of cell-mediated and humoral immune response to the severity of influenza and other respiratory viruses.
Tidsram: 1 year
|
1 year
|
Describe patterns of viral shedding in different influenza types and subtypes.
Tidsram: 1 year
|
1 year
|
Correlate clinical severity and cytokine/humoral response with underlying host genotype.
Tidsram: 1 year
|
1 year
|
Samarbetspartners och utredare
Samarbetspartners
Utredare
- Huvudutredare: Timothy H Burgess, MD, MPH, Uniformed Services University of the Health Sciences/Infectious Disease Clinical Research Program
Publikationer och användbara länkar
Allmänna publikationer
- Colombo RE, Schofield C, Richard SA, Fairchok M, Chen WJ, Danaher PJ, Lalani TN, Ridore M, Maves RC, Arnold JC, Ganesan A, Agan B, Millar EV, Coles C, Burgess TH. Effects of human immunodeficiency virus status on symptom severity in influenza-like illness in an otherwise healthy adult outpatient cohort. J Investig Med. 2021 Aug;69(6):1230-1237. doi: 10.1136/jim-2020-001694. Epub 2021 Apr 23.
- Deiss RG, Arnold JC, Chen WJ, Echols S, Fairchok MP, Schofield C, Danaher PJ, McDonough E, Ridore M, Mor D, Burgess TH, Millar EV. Vaccine-associated reduction in symptom severity among patients with influenza A/H3N2 disease. Vaccine. 2015 Dec 16;33(51):7160-7167. doi: 10.1016/j.vaccine.2015.11.004. Epub 2015 Nov 10.
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- IDCRP-045
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
IPD-planbeskrivning
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .