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临床试验/ISRCTN17879306
ISRCTN17879306已完成未知

Serotype 3 experimental human pneumococcal challenge; dose-ranging and reproducibility in a healthy volunteer population

iverpool School of Tropical Medicine0 个研究点目标入组 90 人开始时间: 2022年4月4日最近更新:

试验速览

阶段
未知
状态
已完成
发起方
入组人数
90

研究概览

简要总结

暂无简介。

研究设计

研究类型
Observational

入排标准

性别
All

入选标准

  • 1. Healthy young adults aged 18-50 years (inclusive). This age range minimises the risk of invasive pneumococcal infection and allows comparison with previously published experimental work done by our group.
  • 2. Fluent spoken English - to ensure a comprehensive understanding of the research project and their proposed involvement, enabling valid consent to be given
  • 3. Access to their own mobile telephone - to ensure safety and timely communication
  • 4. Capacity to give informed consent

排除标准

  • 1. Currently involved in another study unless observational or non-interventional, excluding the EHPC bronchoscopy study (at the discretion of the study team). This is to ensure no harm comes to the participants through over-sampling.
  • 2. Participant in any previous EHPC trial in the past year
  • 3. Participant in previous EHPC trial inoculated with SPN3 in the last 3 years
  • 4. Participant in EHPC Pneumo 2 trial
  • 5. Vaccination: previous pneumococcal vaccination PPV23 or PCV13 (routine in babies born in the UK since 2005) or PCV10. This can be self-reported or confirmed from GP questionnaire (GPQ) if deemed necessary at clinician discretion.
  • 6. Allergy to penicillin/amoxicillin
  • 7. Health history (self-reported or confirmed by GPQ or medical summary if felt to be necessary at clinician discretion):
  • 8. Chronic ill health including immunosuppressive history, diabetes, asthma (on regular medication), recurrent otitis media or other respiratory disease
  • 9. Medication that may affect the immune system e.g., steroids, inflammation altering or disease-modifying anti-rheumatoid drugs
  • 10. Long term use of antibiotics for chronic infection
  • 11. Major pneumococcal illness requiring hospitalisation in the last 10 years
  • 12. Other conditions considered by the clinical team as a concern for participant safety or integrity of the study
  • 13. Significant mental health problems (uncontrolled condition or requiring previous admission to a psychiatric unit) that would impair ability to participate
  • 14. Direct caring role or close contact with individuals at higher risk of infection during the inoculation period if personal protective equipment (PPE) not worn:
  • 14.1. Children under 5 years of age
  • 14.2. Adults with chronic ill health or immunosuppression
  • 14.3. Hospital patients
  • 15. Current or ex-smoker (daily cigarettes, daily e-cigarettes/vaping and daily smoking of recreational drugs) in the last 6 months. Participants who smoke <5 cigarettes per week may be included.
  • 16. Previous significant smoking history (>20 cigarettes per day for 20 years or equivalent [>20 pack years])
  • 17. Biologically female participants of child-bearing potential (WOCBP) who are:
  • 17.1. Currently pregnant/lactating
  • 17.2. Intending on becoming pregnant during the study
  • 17.3. Not deemed to have effective birth control
  • 18. History of or current drug or alcohol abuse:
  • 18.1. Men should not drink >3 units/day regularly
  • 18.2. Women should not drink >2 units/day regularly
  • 19. Overseas travel planned in follow up period of study visits
  • 20. Natural SPN3 colonisation in baseline nasal wash – if a participant is colonised with non-SPN3 pneumococcus, they can be included as part of exploratory analyses, but would not be included in the primary analysis
  • 21. STOP criteria – participants who meet STOP criteria at the time of screening:
  • 21.1. Clinical history and examination: STOP if unexplained or concerning findings on history or examination
  • 21.2. Severe adverse event (SAE) or research-related injury (RRI): STOP if related SAE or RRI reported
  • 21.3. Engagement with research team: STOP if the research team have concerns about the participant’s ability to commit to frequent communication and safety checks
  • 21.4. Full blood count (FBC):
  • 21.5.1. STOP if Hb <10 g/l
  • 21.5.2. STOP if total WCC <1.5 x 10e9/l
  • 21.5.3. STOP if total WCC >12 x 10e9/l
  • 21.5.4. STOP if platelets <75 x 10e9/l
  • 21.6. Resting SpO2: STOP if <94%
  • 21.7. Illness during the study: STOP if participant develops a me

研究者

发起方
iverpool School of Tropical Medicine

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