This is a randomized, open label, phase II trial to evaluate the safety and immunogenicity of two different schedules of vaccination against influenza A H1N1 in HIV-infected individuals, in which each of the randomized groups will be compared with HIV-negative volunteers vaccinated with the regimen indicated by the Brazilian National Immunization Program. Will be included in the study HIV-infected patients, stratified by CD4 count (\< 200 cells/mm3 or \> 200 cells/mm3) at the time of screening for the study, not receiving antiretroviral therapy treatment or receiving stable treatment for at least 8 weeks, with no plans to change over the next 6 months, eligible to receive vaccine against influenza A H1N1. The control group will be formed by HIV-negative individuals, confirmed by serology performed at screening, eligible to receive vaccine against influenza A H1N1. Patients infected with HIV will receive one of two possible vaccination regimens: 1) 3.75 µg in two applications 21 days apart, 2) 7.5 µg in two applications 21 days apart. The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. The study's hypotheses are: 1) The vaccine against the H1N1 virus promotes antibody titers above the level specified for protection (seroconversion), being as safe and well tolerated in patients HIV-1 infected as in non HIV-infected volunteers; 2) The proportion of seroconversion for H1N1 virus vaccine at a dose of 3.75 µg in HIV-1-infected patients is similar to the proportion of seroconversion induced by the same vaccine at a dose of 7.5 µg; 3)The proportion of seroconversion with one dose of the vaccine against H1N1 virus is similar to the proportion after the second dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
450
Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart.
Patients infected with HIV will receive 7.5 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart.
Control group will receive 3.75 µg of an adjuvanted A H1N1 vaccine in one single application.
Instituto de Pesquisa Clinica Evandro Chagas (IPEC) - Fiocruz
Rio de Janeiro, Brazil
proportions of seroconversion
proportions of seroconversion for influenza A H1N1 in each of the four subsets of HIV-positive patients, and in the control group
Time frame: 21 days after vaccination regimen
proportions of seroprotection
proportions of seroprotection for influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group
Time frame: 21 days after vaccination regimen
Safety of the A H1N1 vaccine at two different regimens in HIV-infected adults
Safety and tolerability of the vaccine against H1N1 virus in different doses and administration regimens in IV-infected adults
Time frame: 1 months after vaccination
Prevalence of A H1N1 influenza symptomatic disease in the study population
proportions of the vaccine's protective factor against influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group
Time frame: 12 months after vaccination
Persistence of antibodies against H1N1 virus
Evaluate the persistence of antibody titers against H1N1 virus after the vaccine series in HIV-infected patients and control group
Time frame: 12 months after vaccination
Changes in HIV viral load and CD4
Assess changes in HIV-1 viral load and CD4+ counts after the vaccine series.
Time frame: 12 months after vaccination
Cellular immune responses to H1N1 vaccination in HIV-infected patients
Determine the cellular immune responses and their correlation to the development and magnitude of responses to H1N1 virus, and compare the cellular immune responses
Time frame: 12 months after vaccination
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.