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CompletedNCT00996970Updated Mar 22, 2023

Immunogenicity of Novel H1N1 Vaccination Among HIV-Infected Compared to HIV-Uninfected Persons

An observational study in Influenza and HIV Infections, sponsored by Henry M. Jackson Foundation for the Advancement of Military Medicine. Completed at 3 sites in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-22.

Sponsored by Henry M. Jackson Foundation for the Advancement of Military Medicine · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
132
Ages
18 Years to 50 Years
Sex
All
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Study summary

The purpose of this research is to determine the effectiveness of the novel H1Nl influenza (inactivated/killed formulation) vaccine among both HIV-infected and HIV-uninfected persons. The administration of the H1Nl vaccination is not part of the study's procedures, but is being given as part of routine care.

Read the detailed description

The investigators study is being conducted to evaluate and compare the seroresponses of the novel H1N1 vaccination among HIV positive and negative persons receiving the novel H1N1 vaccination as part of routine clinical care, with secondary objectives examining the impact of prior seasonal vaccinations on subsequent seroresponse to the novel H1N1 vaccination, determining potential reactions (local or systemic) to this new vaccine among patients, and assessing for potential immunologic/virologic changes (in CD4/HIV RNA levels) after H1N1 vaccination among HIV patients. Finally, the investigators will collect data on influenza-like illnesses (ILI) and H1N1 events during the study follow-up period and influenza isolates causing ILI events will be genetically characterized.

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Conditions studied

  • Influenza
  • HIV Infections

Keywords

  • HIV
  • H1N1
  • Influenza
  • Vaccination
  • Seroresponse
  • Immunogenicity
  • Vaccine
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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 132 is below the median of 300 across 305 observational studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Henry M. Jackson Foundation for the Advancement of Military Medicine is the lead sponsor of 84 studies on the registry; 18 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Males and females of all races and all military beneficiaries including active duty enlisted and officers (from all branches of service), retirees, and their dependents presenting for H1N1 vaccination as part of routine clinical care will be eligible for participation. Both HIV-positive and negative persons can participate. Since most of our HIV patients are 18-50 years of age, and seroresponse varies by age, we will enroll persons between the ages of 18-50 years.

Inclusion criteria

  • 18-50 years of age
  • Receiving the novel H1N1 vaccine (killed formulation) as part of routine clinical care
  • A military beneficiary who expects to remain in the local area for the next 6 months

Exclusion criteria

Exclusion Criteria:

  • Healthcare worker who is involved in direct patient care
  • Acute febrile illnesses within 30 days prior to H1N1 vaccination (e.g., pneumonia, influenza, ILI)
  • Diabetes type 1 or type 2
  • Systemic steroid or immunosuppressive medication use within 4 weeks of vaccination
  • Active diagnoses of a cancer (non-melanoma skin cancer allowed).
  • History of organ transplant
  • Chronic active hepatitis B or C
  • Active illicit drug use or alcohol abuse
  • Blood transfusion within the last year
  • Allergy to eggs
  • Previous significant adverse reaction (e.g., anaphylaxis) to the seasonal influenza vaccination
  • History of serious reactions to any prior vaccination (e.g., Guillain Barre Syndrome (GBS)).
  • Received another vaccination in the last 4 weeks (receipt of seasonal influenza vaccination is allowed)
  • Among females of childbearing potential, pregnant or within 6 weeks of being postpartum
  • History of ILI which was confirmed as an H1N1 infection
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
132 participants (actual)
Biospecimen retention
Samples without dna
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What researchers measure

Primary outcomes

  1. To compare the immunogenicity via anti-hemagglutinin responses following H1N1 vaccination between HIV positive and negative persons.

    Time frame: interim = 2 months; 6 month f/u = 8 months

Secondary outcomes

  1. To compare the immunogenicity via HAI titer levels, microneutralization seroresponses and titer levels, and cellular responses following H1N1 vaccination between HIV positive and negative persons.

    Time frame: 1 year

  2. Among those undergoing vaccination with the seasonal influenza vaccine during the current influenza season, to compare the presence of a positive seroresponse between HIV positive and negative persons

    Time frame: 1 year

  3. To evaluate the effect of pre-existing anti-influenza immunity and recent history of seasonal influenza vaccination on seroresponses to the H1N1 influenza vaccine among both HIV positive and negative persons.

    Time frame: 1 year

  4. To compare the durability of the H1N1 immunologic responses at 6 months post-vaccination between HIV-infected and uninfected persons.

    Time frame: 1 year

  5. To evaluate the number of ILIs and documented influenza cases among HIV-infected and uninfected persons after initial vaccination, and to genetically characterize the influenza strains causing ILI events in our study cohort.

    Time frame: 1 year

  6. To evaluate the impact of CD4 counts/percentages, HIV RNA levels, and HAART use on the immunologic responses to H1N1 vaccination in HIV positive subjects.

    Time frame: 1 year

  7. To evaluate the impact of the H1N1 vaccine on CD4 counts/percentages and HIV RNA levels in HIV positive subjects.

    Time frame: 2 months

  8. To evaluate potential adverse reactions of the H1N1 vaccine in HIV positive versus negative subjects.

    Time frame: 2 months

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Study locations

3 sites
  • Naval Medical Center San Diego
    San Diego, California 92134, United States
  • Walter Reed National Military Medical Center
    Bethesda, Maryland 20814, United States
  • Naval Medical Center Portsmouth
    Portsmouth, Virginia 23708, United States
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References and documents

Publications

  • Crum-Cianflone NF, Eberly LE, Duplessis C, Maguire J, Ganesan A, Faix D, Defang G, Bai Y, Iverson E, Lalani T, Whitman T, Blair PJ, Brandt C, Macalino G, Burgess T. Immunogenicity of a monovalent 2009 influenza A (H1N1) vaccine in an immunocompromised population: a prospective study comparing HIV-infected adults with HIV-uninfected adults. Clin Infect Dis. 2011 Jan 1;52(1):138-46. doi: 10.1093/cid/ciq019. Epub 2010 Dec 7. PubMed 21148532 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2023, 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
NCT00996970
Lead sponsor
Henry M. Jackson Foundation for the Advancement of Military Medicine
Collaborators
Infectious Diseases Clinical Research Program, National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
Sponsor
First posted
Oct 16, 2009
Start date
Oct 2009
Primary completion
Dec 2009
Completion
Dec 2022
Last update
Mar 22, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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