Trial Outcomes & Findings for Intradermal Versus Intramuscular Polio Vaccine Booster in HIV-Infected Subjects (NCT NCT01686503)

NCT ID: NCT01686503

Last Updated: 2015-02-05

Results Overview

Blood will be drawn at baseline and 4-6 weeks after receiving the vaccine booster dose. It will be spun down, and the serum frozen and stored at -80 degrees celsius. After all the participants have completed the study, all of the serum will be tested for polio neutralizing antibody titers.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

231 participants

Primary outcome timeframe

4-6 weeks after receiving the vaccine

Results posted on

2015-02-05

Participant Flow

Participant milestones

Participant milestones
Measure
2/5 Dose Intradermal IPV
Participants in this arm will receive 2/5 dose (0.2 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one-time dose intradermally using the NanoPass MicronJet 600 microneedle device IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
1/5 Dose Intadermal IPV
Participants in this study arm will receive 1/5 dose (0.1 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intradermally using the NanoPass MicronJet 600 microneedle device. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Full Dose Intramuscular IPV
Participants in this study arm will receive the standard full dose (0.5 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
2/5 Dose Intramuscular IPV
Participants in this study arm will receive 2/5 dose (0.2 mL) inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Overall Study
STARTED
66
66
66
33
Overall Study
COMPLETED
65
63
64
32
Overall Study
NOT COMPLETED
1
3
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Intradermal Versus Intramuscular Polio Vaccine Booster in HIV-Infected Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
2/5 Dose Intradermal IPV
n=66 Participants
Participants in this arm will receive 2/5 dose (0.2 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one-time dose intradermally using the NanoPass MicronJet 600 microneedle device IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
1/5 Dose Intadermal IPV
n=66 Participants
Participants in this study arm will receive 1/5 dose (0.1 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intradermally using the NanoPass MicronJet 600 microneedle device. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Full Dose Intramuscular IPV
n=66 Participants
Participants in this study arm will receive the standard full dose (0.5 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
2/5 Dose Intramuscular IPV
n=33 Participants
Participants in this study arm will receive 2/5 dose (0.2 mL) inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Total
n=231 Participants
Total of all reporting groups
Age, Continuous
45 years
STANDARD_DEVIATION 10 • n=39 Participants
45 years
STANDARD_DEVIATION 11 • n=41 Participants
46 years
STANDARD_DEVIATION 11 • n=35 Participants
46 years
STANDARD_DEVIATION 11 • n=31 Participants
46 years
STANDARD_DEVIATION 11 • n=146 Participants
Sex: Female, Male
Female
24 Participants
n=39 Participants
24 Participants
n=41 Participants
21 Participants
n=35 Participants
7 Participants
n=31 Participants
76 Participants
n=146 Participants
Sex: Female, Male
Male
42 Participants
n=39 Participants
42 Participants
n=41 Participants
45 Participants
n=35 Participants
26 Participants
n=31 Participants
155 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=39 Participants
5 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
8 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
62 Participants
n=39 Participants
60 Participants
n=41 Participants
66 Participants
n=35 Participants
33 Participants
n=31 Participants
221 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
2 Participants
n=146 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Black or African American
47 Participants
n=39 Participants
48 Participants
n=41 Participants
47 Participants
n=35 Participants
21 Participants
n=31 Participants
163 Participants
n=146 Participants
Race (NIH/OMB)
White
19 Participants
n=39 Participants
17 Participants
n=41 Participants
19 Participants
n=35 Participants
11 Participants
n=31 Participants
66 Participants
n=146 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
2 Participants
n=146 Participants
Most recent CD4 count
669 cells/mm^3
STANDARD_DEVIATION 361 • n=39 Participants
630 cells/mm^3
STANDARD_DEVIATION 331 • n=41 Participants
676 cells/mm^3
STANDARD_DEVIATION 354 • n=35 Participants
569 cells/mm^3
STANDARD_DEVIATION 260 • n=31 Participants
645 cells/mm^3
STANDARD_DEVIATION 338 • n=146 Participants
Currently on antiretroviral therapy
64 participants
n=39 Participants
64 participants
n=41 Participants
66 participants
n=35 Participants
33 participants
n=31 Participants
227 participants
n=146 Participants
Diagnosis of AIDS in the record
38 participants
n=39 Participants
33 participants
n=41 Participants
39 participants
n=35 Participants
17 participants
n=31 Participants
127 participants
n=146 Participants
Year diagnosed with HIV
2001 calendar year
STANDARD_DEVIATION 8 • n=39 Participants
2002 calendar year
STANDARD_DEVIATION 8 • n=41 Participants
2001 calendar year
STANDARD_DEVIATION 8 • n=35 Participants
2001 calendar year
STANDARD_DEVIATION 9 • n=31 Participants
2002 calendar year
STANDARD_DEVIATION 8 • n=146 Participants
Born in the United States
65 participants
n=39 Participants
63 participants
n=41 Participants
60 participants
n=35 Participants
31 participants
n=31 Participants
219 participants
n=146 Participants
Lived or traveled internationally
18 participants
n=39 Participants
19 participants
n=41 Participants
29 participants
n=35 Participants
12 participants
n=31 Participants
78 participants
n=146 Participants
Reported receiving all childhood vaccines
64 participants
n=39 Participants
64 participants
n=41 Participants
60 participants
n=35 Participants
31 participants
n=31 Participants
219 participants
n=146 Participants
Current smoker
38 participants
n=39 Participants
31 participants
n=41 Participants
23 participants
n=35 Participants
13 participants
n=31 Participants
105 participants
n=146 Participants
Coinfected with hepatitis C
12 participants
n=39 Participants
10 participants
n=41 Participants
6 participants
n=35 Participants
5 participants
n=31 Participants
33 participants
n=146 Participants
Coinfected with hepatitis B
7 participants
n=39 Participants
4 participants
n=41 Participants
2 participants
n=35 Participants
0 participants
n=31 Participants
13 participants
n=146 Participants

PRIMARY outcome

Timeframe: 4-6 weeks after receiving the vaccine

Blood will be drawn at baseline and 4-6 weeks after receiving the vaccine booster dose. It will be spun down, and the serum frozen and stored at -80 degrees celsius. After all the participants have completed the study, all of the serum will be tested for polio neutralizing antibody titers.

Outcome measures

Outcome measures
Measure
2/5 Dose Intradermal IPV
n=65 Participants
Participants in this arm will receive 2/5 dose (0.2 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one-time dose intradermally using the NanoPass MicronJet 600 microneedle device IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
1/5 Dose Intadermal IPV
n=63 Participants
Participants in this study arm will receive 1/5 dose (0.1 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intradermally using the NanoPass MicronJet 600 microneedle device. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Full Dose Intramuscular IPV
n=64 Participants
Participants in this study arm will receive the standard full dose (0.5 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
2/5 Dose Intramuscular IPV
n=32 Participants
Participants in this study arm will receive 2/5 dose (0.2 mL) inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Post Booster Polio Neutralizing Antibody Titers
Serotype 1
1715 antibody titers
Interval 1174.0 to 2504.0
976 antibody titers
Interval 730.0 to 1304.0
1249 antibody titers
Interval 916.0 to 1705.0
1328 antibody titers
Interval 795.0 to 2219.0
Post Booster Polio Neutralizing Antibody Titers
Serotype 2
2188 antibody titers
Interval 1507.0 to 3178.0
1438 antibody titers
Interval 984.0 to 2101.0
1489 antibody titers
Interval 1041.0 to 2128.0
1938 antibody titers
Interval 1232.0 to 3047.0
Post Booster Polio Neutralizing Antibody Titers
Serotype 3
2375 antibody titers
Interval 1423.0 to 3963.0
1698 antibody titers
Interval 1114.0 to 2588.0
1792 antibody titers
Interval 1133.0 to 2835.0
2075 antibody titers
Interval 1225.0 to 3514.0

SECONDARY outcome

Timeframe: first visit

serum polio neutralizing antibody titers prior to the vaccine booster

Outcome measures

Outcome measures
Measure
2/5 Dose Intradermal IPV
n=65 Participants
Participants in this arm will receive 2/5 dose (0.2 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one-time dose intradermally using the NanoPass MicronJet 600 microneedle device IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
1/5 Dose Intadermal IPV
n=63 Participants
Participants in this study arm will receive 1/5 dose (0.1 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intradermally using the NanoPass MicronJet 600 microneedle device. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Full Dose Intramuscular IPV
n=64 Participants
Participants in this study arm will receive the standard full dose (0.5 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
2/5 Dose Intramuscular IPV
n=32 Participants
Participants in this study arm will receive 2/5 dose (0.2 mL) inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Baseline Polio Neutralizing Antibody Titers
Serotype 1
44 antibody titers
Interval 31.0 to 64.0
42 antibody titers
Interval 29.0 to 59.0
42 antibody titers
Interval 30.0 to 58.0
34 antibody titers
Interval 20.0 to 56.0
Baseline Polio Neutralizing Antibody Titers
Serotype 2
33 antibody titers
Interval 24.0 to 44.0
53 antibody titers
Interval 37.0 to 76.0
36 antibody titers
Interval 26.0 to 51.0
44 antibody titers
Interval 29.0 to 66.0
Baseline Polio Neutralizing Antibody Titers
Serotype 3
14 antibody titers
Interval 10.0 to 20.0
20 antibody titers
Interval 14.0 to 28.0
16 antibody titers
Interval 11.0 to 21.0
11 antibody titers
Interval 7.0 to 16.0

Adverse Events

2/5 Dose Intradermal IPV

Serious events: 1 serious events
Other events: 33 other events
Deaths: 0 deaths

1/5 Dose Intadermal IPV

Serious events: 0 serious events
Other events: 29 other events
Deaths: 0 deaths

Full Dose Intramuscular IPV

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

2/5 Dose Intramuscular IPV

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
2/5 Dose Intradermal IPV
n=66 participants at risk
Participants in this arm will receive 2/5 dose (0.2 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one-time dose intradermally using the NanoPass MicronJet 600 microneedle device IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
1/5 Dose Intadermal IPV
n=66 participants at risk
Participants in this study arm will receive 1/5 dose (0.1 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intradermally using the NanoPass MicronJet 600 microneedle device. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Full Dose Intramuscular IPV
n=66 participants at risk
Participants in this study arm will receive the standard full dose (0.5 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
2/5 Dose Intramuscular IPV
n=33 participants at risk
Participants in this study arm will receive 2/5 dose (0.2 mL) inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Renal and urinary disorders
Hospitalization for electrolyte imbalances secondary to alcohol withdrawal
1.5%
1/66 • Number of events 1
0.00%
0/66
0.00%
0/66
0.00%
0/33

Other adverse events

Other adverse events
Measure
2/5 Dose Intradermal IPV
n=66 participants at risk
Participants in this arm will receive 2/5 dose (0.2 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one-time dose intradermally using the NanoPass MicronJet 600 microneedle device IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
1/5 Dose Intadermal IPV
n=66 participants at risk
Participants in this study arm will receive 1/5 dose (0.1 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intradermally using the NanoPass MicronJet 600 microneedle device. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Full Dose Intramuscular IPV
n=66 participants at risk
Participants in this study arm will receive the standard full dose (0.5 mL) of inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
2/5 Dose Intramuscular IPV
n=33 participants at risk
Participants in this study arm will receive 2/5 dose (0.2 mL) inactivated polio vaccine (IPOL, Sanofi Pasteur) as a one time dose intramuscularly. IPOL (Sanofi Pasteur) inactivated polio vaccine booster dose: Depending on study arm, participants will receive 0.2 mL intradermally, 0.1 mL intradermally, 0.5 mL intramuscularly, or 0.2 mL intramuscularly.
Skin and subcutaneous tissue disorders
Rash
1.5%
1/66 • Number of events 1
1.5%
1/66 • Number of events 1
6.1%
4/66 • Number of events 4
6.1%
2/33 • Number of events 2
Skin and subcutaneous tissue disorders
Redness at Injection Site
28.8%
19/66 • Number of events 19
33.3%
22/66 • Number of events 22
6.1%
4/66 • Number of events 4
9.1%
3/33 • Number of events 3
Skin and subcutaneous tissue disorders
Swelling at Injection Site
7.6%
5/66 • Number of events 5
10.6%
7/66 • Number of events 7
4.5%
3/66 • Number of events 3
6.1%
2/33 • Number of events 2
General disorders
Tenderness at Injection Site
15.2%
10/66 • Number of events 10
12.1%
8/66 • Number of events 8
16.7%
11/66 • Number of events 11
15.2%
5/33 • Number of events 5
Skin and subcutaneous tissue disorders
Itching at injection site
10.6%
7/66 • Number of events 7
6.1%
4/66 • Number of events 4
0.00%
0/66
0.00%
0/33

Additional Information

Dr. Stephanie Troy

Eastern Virginia Medical School

Phone: 757-446-8999

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place