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临床试验/NCT05070494
NCT05070494Unknown4 期

Efficacy of Different Doses of Influenza Vaccine in Chronic Hemodialysis Patients: Randomized Controlled Trial (Enhance Study)

Mahidol University2 个研究点 分布在 1 个国家目标入组 175 人开始时间: 2021年3月1日最近更新:
适应症

试验速览

阶段
4 期
入组人数
175
试验地点
2
主要终点
To compare proportion of seroprotection of different doses of influenza vaccine in hemodialysis patients at month 12

研究概览

简要总结

This study was a randomized controlled trial to investigate the immune response of influenza vaccines when doses were increased. and a second vaccination together with an increase in the amount of vaccine in patients with chronic kidney disease receiving hemodialysis

详细描述

  1. Patients with chronic kidney disease undergoing dialysis will be examined by an internist.
  2. Collect the necessary basic information of patients who agree to participate in the treatment.
  3. Patients will be randomized to be divided into 3 groups: those who will receive an standard dose of influenza vaccine, those who will receive double standard dose of influenza vaccine (double-dose) and those who will receive double standard dose of influenza vaccine and Six months after the first dose of vaccination (double-booster-dose), 50 people per group.
  4. Non-dialysis volunteers will be invited to participate in the research. to be a control group of 25 people
  5. Patients with chronic kidney disease and volunteers will receive basic laboratory blood tests.
  6. Patients with chronic kidney disease and volunteers will be vaccinated against influenza. shoulder muscle area according to random groups The details of using Influvac vaccine of that year are produced by Abbott.
  7. Patients with chronic kidney disease and volunteers are asked about the potential side effects of vaccination. according to research guidelines both systemic side effects and injection site Each time receiving hemodialysis 3 times a week for 2 weeks after vaccination
  8. Patients with chronic kidney disease and volunteers were asked about the onset of symptoms of respiratory infection throughout the 12-month study period after vaccination.
  9. Patients will receive a blood test to check their immune response to influenza vaccine. (Hemagglutination inhibition assays and activation and/or exhaustion T cell markers, T cell subpopulation by flow cytometry) at 1, 6, 7 and 12 months after influenza vaccination.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age ≥18 years
  • Received kidney replacement therapy with dialysis for more than 1 month.
  • Hemodialysis at least 3 times a week
  • (Kt/v) greater than 1.2
  • Never received an organ transplant.
  • Life expectancy of more than 1 year
  • Research participants or representatives are welcome to join the project by signing.

排除标准

  • History of any vaccinations in the 4 weeks prior to the study.
  • History of receiving influenza vaccine 6 months before entering this study.
  • History of allergy to flu vaccine or allergic to egg white
  • Fever or headache, muscle pain (influenza-like illness) 3 days before vaccination
  • Thrombocytopenia
  • On immunosuppressive drug (Prednisolone 15 mg daily or equivalent for two weeks in a row in the previous 3 months) or immunocompromised patient
  • Patient or family history of having had Guillain-Barre disease. (Guillain-Barre syndrome)
  • The research participant or his representative refuses or requests to withdraw.

结局指标

主要结局

To compare proportion of seroprotection of different doses of influenza vaccine in hemodialysis patients at month 12

时间窗: 12 months

Patients will receive a blood test to check their immune response to influenza vaccine. (Hemagglutination inhibition assays and activation and/or exhaustion T cell markers, T cell subpopulation by flow cytometry) at month 12 after influenza vaccination.

次要结局

  • To compare the prevention of influenza virus infection in different doses of influenza vaccination.(12 months of data collection)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Angsana Phuphuakrat

Angsana Phuphuakrat

Mahidol University

研究点 (2)

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