Immune Response After Pneumococcal Vaccination in Patient With Chronic Lymphocytic Leukemia
NCT05316831 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 77
Last updated 2023-03-30
Summary
A randomized, multi-centre trial was conducted between 2013-2016, including 128 patients with untreated CLL from eight hematological clinics in Sweden. Vaccination with polysaccharide pneumococcal vaccine (PPSV23) or conjugated pneumococcal vaccine (PCV13) was performed and the results were published 2018. PCV13 showed a superior immune response, measured as OPA (opsonophagocytic assays) and ELISA (enzyme-linked immunosorbent assay), compared to PPSV23. Immune cells analyses after primary immunization will be performed. Between 2019-2021 a prospective follow up study was conducted of the same cohort and also included a control group. The study participants have been revaccinated with pneumococcal vaccines with the aim to evaluate the effect of repeated dose of PCV13. The antibody response (measured as titer with FMIA (fluorescent multiplexed bead-based immunoassay) and antibody function with MOPA (multiplexed opsonophagocytic assay) will be performed. Studies investigating the dynamics of immune cells before and after primary immunization and revaccination will be performed.
The study will give important answers about the optimal vaccination strategy in patients with CLL and can improve the vaccination recommendations in immunocompromised patients.
Conditions
- CLL
- Vaccine Response
Interventions
- BIOLOGICAL
-
PCV13
Pneumococcal polysaccharides conjugated to CRM197 carrier protein
- BIOLOGICAL
-
PPSV23
Pneumococcal polysaccharides
Sponsors & Collaborators
-
Region Örebro County
lead OTHER
Principal Investigators
-
Bertil Uggla, Md, PhD · Universitetssjukhuset Örebro
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-01-01
- Primary Completion
- 2021-06-30
- Completion
- 2022-10-01
Countries
- Sweden
Study Locations
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