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CompletedNCT00091702Updated Nov 1, 2021

Safety of and Immune Response to Two Influenza Vaccines in HIV Infected Children and Adolescents

A Phase 1/2 interventional study of Cold-adapted live attenuated influenza vaccine (FluMist) and Inactivated influenza vaccine (IAIV) in HIV Infections and Influenza, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 61 sites in 2 countries. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2021-11-01.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Prevention

Phase
Phase 1/2
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
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Study summary

The purpose of this study is to compare two flu vaccines to determine their safety and ability to stimulate an immune response in HIV infected children and adolescents. This study will also determine how often and how long people who receive a vaccine are able to spread flu vaccine virus to other people.

Read the detailed description

Influenza virus infections are common among children, particularly during the winter season. The infections are often mild, but more serious cases can cause a number of complications, including respiratory illnesses and bacterial infections. HIV infected children may have an increased risk for developing influenza-related bacterial complications, and influenza infections among this population may lead to more rapid disease progression. The current standard of care for HIV infected children is vaccination with an inactivated influenza vaccine (IAIV). However, IAIV is limited in its ability to stimulate the immune systems of HIV infected children with advanced disease. FluMist, a cold-adapted live attenuated influenza vaccine, is both immunogenic and effective in HIV infected children; unfortunately, FluMist is associated with viral shedding, a period of time when the influenza virus used to produce the vaccine may be transmitted to other people. This study will compare the safety and immunogenicity of IAIV and FluMist in HIV infected children and adolescents. This study will also determine the prevalence and duration of FluMist viral shedding in HIV infected children and adolescents who have received the vaccination.

Participants in this study will be randomly assigned to one of two arms. Arm A participants will receive FluMist; Arm B participants will receive IAIV. A single immunization will occur on Day 0 of the study. Arm A participants will have study visits on Days 3, 14, and 28 or home visits on Days 3 and 14. Participants in Arm B will have a study visit on Day 28. A physical exam will be performed at the initial study visit; blood will be collected at study start and at each visit thereafter. Phone calls will be made to participants throughout the study. All participants will have a final study visit after 6 months.

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Conditions studied

  • HIV Infections
  • Influenza

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Keywords

  • FluMist
  • Influenza Vaccine
  • Adolescent
  • Treatment Experienced
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In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's enrollment of 300 is above the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.

Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • HIV infected
  • Stable highly active antiretroviral therapy (HAART) regimen for at least 16 weeks with no changes in therapy anticipated
  • Meet certain CD4 cell count and CD4% requirements
  • Viral load of less than 60,000 copies/ml within 60 days prior to study start
  • Received inactivated influenza vaccine (IAIV) in at least one of the past 2 years
  • Written informed consent of parent or legal guardian
  • Availability of parent or legal guardian to be contacted by phone

Exclusion criteria

Exclusion Criteria:

  • Immunosuppressive or immunomodulatory therapy within 60 days prior to immunization or immunological testing
  • Aspirin or aspirin-containing therapy at the time of vaccination or planned within 42 days after immunization
  • History of hypersensitivity to any component of IAIV or FluMist
  • History of Guillain-Barre syndrome
  • Receipt of any inactivated vaccine within 14 days prior to the study vaccination
  • Receipt of any live vaccine within 30 days prior to the study vaccination
  • Plans to receive any vaccine within the 30 days following the vaccination
  • Receipt of any additional influenza vaccine for the duration of the study
  • Prophylactic use of drugs with anti-influenza activity
  • Moderate chronic pulmonary disease, obstructive or restrictive
  • Cardiopulmonary disease affecting normal childhood activity
  • Medically-diagnosed wheezing, bronchodilator use, or steroid use within the past 42 days
  • Medical illness associated with suppression of T-cell immunity
  • Pregnancy, breast-feeding, or unwillingness to use acceptable methods of contraception for 3 months following vaccination
  • Severely immunosuppressed household member
  • Receipt of any blood products within 3 months prior to vaccination or expected receipt during the study, including the 6-month follow-up period
  • Significant fever or illness within 72 hours prior to vaccination
  • Any other condition that would interfere with the study
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Enrollment
300 participants

Interventions

  • BiologicalCold-adapted live attenuated influenza vaccine (FluMist)
  • BiologicalInactivated influenza vaccine (IAIV)
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Study locations

61 sites
  • UAB, Dept. of Ped., Div. of Infectious Diseases
    Birmingham, Alabama 35233, United States
  • Univ. of South Alabama College of Medicine, Southeast Ped. ACTU
    Mobile, Alabama, United States
  • Phoenix Children's Hosp.
    Phoenix, Arizona 85006, United States
  • Long Beach Memorial Med. Ctr., Miller Children's Hosp.
    Long Beach, California 90801, United States
  • Usc La Nichd Crs
    Los Angeles, California 90033, United States
  • UCLA-Los Angeles/Brazil AIDS Consortium (LABAC) CRS
    Los Angeles, California, United States
  • Children's Hosp. & Research Ctr. Oakland, Ped. Clinical Research Ctr. & Research Lab.
    Oakland, California 94609-1809, United States
  • Children's Hosp. of Orange County
    Orange, California 92868, United States
  • UCSD Maternal, Child, and Adolescent HIV CRS
    San Diego, California 92103, United States
  • UCSF Pediatric AIDS CRS
    San Francisco, California 94143-0105, United States
  • Harbor - UCLA Med. Ctr. - Dept. of Peds., Div. of Infectious Diseases
    Torrance, California 90509, United States
  • Univ. of Colorado Denver NICHD CRS
    Aurora, Colorado, United States
  • Connecticut Children's Med. Ctr.
    Hartford, Connecticut, United States
  • Yale Univ. School of Medicine - Dept. of Peds., Div. of Infectious Disease
    New Haven, Connecticut 06504, United States
  • Children's National Med. Ctr. Washington DC NICHD CRS
    Washington, District of Columbia 20010, United States
  • Children's National Med. Ctr., ACTU
    Washington, District of Columbia 20010, United States
  • Howard Univ. Washington DC NICHD CRS
    Washington, District of Columbia 20060, United States
  • South Florida CDC Ft Lauderdale NICHD CRS
    Fort Lauderdale, Florida 33316, United States
  • Children's Diagnostic & Treatment Ctr. of South Florida
    Fort Lauderdale, Florida, United States
  • Univ. of Florida College of Medicine-Dept of Peds, Div. of Immunology, Infectious Diseases & Allergy
    Gainesville, Florida 32610-0296, United States
  • Univ. of Florida Jacksonville NICHD CRS
    Jacksonville, Florida 32209, United States
  • Univ. of Miami Ped. Perinatal HIV/AIDS CRS
    Miami, Florida 33136, United States
  • USF - Tampa NICHD CRS
    Tampa, Florida 33620, United States
  • Med. College of Georgia School of Medicine, Dept. of Peds., Div. of Infectious Diseases
    Augusta, Georgia, United States
  • Columbus Regional HealthCare System, The Med. Ctr.
    Columbus, Georgia 31901, United States
  • Chicago Children's CRS
    Chicago, Illinois 60614, United States
  • Mt. Sinai Hosp. Med. Ctr. - Chicago, Womens & Childrens HIV Program
    Chicago, Illinois, United States
  • Univ. of Chicago - Dept. of Peds., Div. of Infectious Disease
    Chicago, Illinois, United States
  • Tulane/LSU Maternal/Child CRS
    New Orleans, Louisiana 70112-2699, United States
  • Johns Hopkins Hosp. & Health System - Dept. of Peds., Div. of Infectious Diseases
    Baltimore, Maryland, United States
  • Univ. of Maryland Med. Ctr., Div. of Ped. Immunology & Rheumatology
    Baltimore, Maryland, United States
  • HMS - Children's Hosp. Boston, Div. of Infectious Diseases
    Boston, Massachusetts 02115, United States
  • BMC, Div. of Ped Infectious Diseases
    Boston, Massachusetts 02118, United States
  • Lawrence Family Health Ctr., Essex St. Clinic
    Lawrence, Massachusetts 01841-2884, United States
  • Lowell Community Health Ctr.
    Lowell, Massachusetts 01854, United States
  • Baystate Health, Baystate Med. Ctr.
    Springfield, Massachusetts 01199, United States
  • WNE Maternal Pediatric Adolescent AIDS CRS
    Worcester, Massachusetts, United States
  • Children's Hospital of Michigan NICHD CRS
    Detroit, Michigan 48201, United States
  • Washington Univ. School of Medicine at St. Louis, St. Louis Children's Hosp.
    Saint Louis, Missouri 63110, United States
  • NJ Med. School CRS
    Newark, New Jersey, United States
  • Bronx-Lebanon Hosp. IMPAACT CRS
    Bronx, New York 10457, United States
  • Jacobi Med. Ctr. Bronx NICHD CRS
    Bronx, New York 10461, United States
  • Jacobi Med. Ctr.
    Bronx, New York 10461, United States
  • SUNY Downstate Med. Ctr., Children's Hosp. at Downstate NICHD CRS
    Brooklyn, New York 11203-2098, United States
  • Nyu Ny Nichd Crs
    New York, New York 10016, United States
  • Mt. Sinai School of Medicine, Div. of Ped. Infectious Diseases
    New York, New York 10029, United States
  • Harlem Hosp. Ctr. NY NICHD CRS
    New York, New York 10037, United States
  • Columbia IMPAACT CRS
    New York, New York, United States
  • Strong Memorial Hospital Rochester NY NICHD CRS
    Rochester, New York 14642, United States
  • SUNY Stony Brook NICHD CRS
    Stony Brook, New York 11794-8111, United States
  • SUNY Upstate Med. Univ., Dept. of Peds.
    Syracuse, New York 13210, United States
  • UNC at Chapel Hill School of Medicine - Dept. of Peds., Div. of Immunology & Infectious Diseases
    Chapel Hill, North Carolina 27599-7220, United States
  • DUMC Ped. CRS
    Durham, North Carolina 27705, United States
  • The Children's Hosp. of Philadelphia IMPAACT CRS
    Philadelphia, Pennsylvania 19104-4318, United States
  • St. Jude/UTHSC CRS
    Memphis, Tennessee 38105-2794, United States
  • Texas Children's Hosp. CRS
    Houston, Texas 77030, United States
  • Children's Hosp. of the King's Daughters, Infectious Disease
    Norfolk, Virginia 23507, United States
  • Seattle Children's Hospital CRS
    Seattle, Washington 98105-0371, United States
  • UW School of Medicine - CHRMC
    Seattle, Washington 98105, United States
  • Univ. of Puerto Rico Ped. HIV/AIDS Research Program CRS
    San Juan, 00936-5067, Puerto Rico
  • San Juan City Hosp. PR NICHD CRS
    San Juan, Puerto Rico
07

References and documents

Publications

  • Gunthard HF, Wong JK, Spina CA, Ignacio C, Kwok S, Christopherson C, Hwang J, Haubrich R, Havlir D, Richman DD. Effect of influenza vaccination on viral replication and immune response in persons infected with human immunodeficiency virus receiving potent antiretroviral therapy. J Infect Dis. 2000 Feb;181(2):522-31. doi: 10.1086/315260. PubMed 10669335 ↗
  • Belshe RB, Mendelman PM, Treanor J, King J, Gruber WC, Piedra P, Bernstein DI, Hayden FG, Kotloff K, Zangwill K, Iacuzio D, Wolff M. The efficacy of live attenuated, cold-adapted, trivalent, intranasal influenzavirus vaccine in children. N Engl J Med. 1998 May 14;338(20):1405-12. doi: 10.1056/NEJM199805143382002. PubMed 9580647 ↗
  • King JC Jr, Fast PE, Zangwill KM, Weinberg GA, Wolff M, Yan L, Newman F, Belshe RB, Kovacs A, Deville JG, Jelonek M; HIV Influenza Study Group. Safety, vaccine virus shedding and immunogenicity of trivalent, cold-adapted, live attenuated influenza vaccine administered to human immunodeficiency virus-infected and noninfected children. Pediatr Infect Dis J. 2001 Dec;20(12):1124-31. doi: 10.1097/00006454-200112000-00006. PubMed 11740317 ↗
  • King JC Jr, Treanor J, Fast PE, Wolff M, Yan L, Iacuzio D, Readmond B, O'Brien D, Mallon K, Highsmith WE, Lambert JS, Belshe RB. Comparison of the safety, vaccine virus shedding, and immunogenicity of influenza virus vaccine, trivalent, types A and B, live cold-adapted, administered to human immunodeficiency virus (HIV)-infected and non-HIV-infected adults. J Infect Dis. 2000 Feb;181(2):725-8. doi: 10.1086/315246. PubMed 10669363 ↗
  • Weinberg A, Song LY, Walker R, Allende M, Fenton T, Patterson-Bartlett J, Nachman S, Kemble G, Yi TT, Defechereux P, Wara D, Read JS, Levin M; IMPAACT P1057 Team. Anti-influenza serum and mucosal antibody responses after administration of live attenuated or inactivated influenza vaccines to HIV-infected children. J Acquir Immune Defic Syndr. 2010 Oct;55(2):189-96. doi: 10.1097/QAI.0b013e3181e46308. PubMed 20581690 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00091702
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Sponsor
First posted
Sep 20, 2004
Completion
Jan 2006
Last update
Nov 1, 2021

Study contacts

Myron J. Levin, MD
study chair · University of Colorado, Denver
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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