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CompletedNCT02240888VaccimilUpdated Oct 3, 2018

Vaccination in Inflammatory Rheumatic Disease (VACCIMIL). The Impact of Antirheumatic Treatment on Antibody Response

An interventional study of 0,5 mg Prevenar i.m. and 0,5 mg seasonal influenza vaccine i.m. in RA, SLE and Vasculitis, sponsored by Region Skane. Completed at 1 site in Sweden. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-10-03.

Sponsored by Region Skane · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The overall objective of this project is to study the influence of modern anti-inflammatory treatments in established inflammatory rheumatic diseases (IRD) on immune response elicited by pneumococcal vaccination using 13-valent conjugate vaccine and influenza vaccination. In addition, the aim is to study the clinical aspects of vaccination regarding: tolerability in immunosuppressed patients with IRD, impact on existing rheumatic disease, possible association with onset of new autoimmune diseases, long-term immunity following pneumococcal vaccination, efficacy in preventing invasive pneumococcal diseases and influenza related serious infections. Results from this study are expected to bridge the existing knowledge gap and contribute to body of evidence needed for recommendations and implementation of vaccination program in IRD patients.

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Conditions studied

  • RA
  • SLE
  • Vasculitis
  • Scleroderma
  • Sjögrens
  • Syndrome

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Keywords

  • pneumococcal
  • vaccination
  • antibody
  • response
  • immunosuppressive
  • treatment
  • inflammatory
  • rheumatic
  • disease
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In context

Vasculitis

230 studies on the registry are indexed under Vasculitis; 68 are open to participants now.

This study's enrollment of 300 is above the median of 48 across 119 interventional studies indexed under Vasculitis.

Browse Vasculitis studies →

Lead sponsor

Region Skane is the lead sponsor of 372 studies on the registry; 113 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adult patients with IRD receiving active anti-rheumatic treatments with DMARDs or biological remedies are offered to participate in the study. The protocol permits stratification for prednisolone usage, smoking habits and alcohol consumption.

Exclusion criteria

Exclusion Criteria:

  • age \<18 years;
  • pregnancy,
  • known intolerance of vaccine,
  • ongoing infection
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (actual)

Study arms

  • Active comparator
    vaccinated patients

    patients with different inflammatory rheumatic disease immunized with 0,5 mg pneumococcal conjugate vaccine i.m.

    Biological: 0,5 mg Prevenar i.m. · Biological: 0,5 mg seasonal influenza vaccine i.m.

  • Active comparator
    vaccinated controls

    healthy controls immunized with 0,5 mg pneumococcal conjugate vaccine i.m.

    Biological: 0,5 mg Prevenar i.m. · Biological: 0,5 mg seasonal influenza vaccine i.m.

  • Active comparator
    seasonal influenza vaccine

    patients with different inflammatory rheumatic diseases immunized with 0,5 mg seasonal influenza vaccine i.m.

    Biological: 0,5 mg Prevenar i.m. · Biological: 0,5 mg seasonal influenza vaccine i.m.

  • Active comparator
    non-vaccinated controls

    healthy controls immunized with 0,5 mg seasonal influenza vaccine i.m.

    Biological: 0,5 mg Prevenar i.m. · Biological: 0,5 mg seasonal influenza vaccine i.m.

Interventions

  • Biological0,5 mg Prevenar i.m.
  • Biological0,5 mg seasonal influenza vaccine i.m.
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What researchers measure

Primary outcomes

  1. antibody response following vaccination

    measurement of antibody levels against different pneumococcal capsular serotypes and 3 influenza virus strains

    Time frame: 4-6 weeks after pneumococcal and influenza vaccination

Secondary outcomes

  1. long-term immunity following pneumococcal vaccination

    measurement of antibody levels against different pneumococcal capsular serotypes

    Time frame: 3 years after pneumococcal vaccination

  2. long-term immunity after vaccination with pneumococcal conjugate vaccine

    measurement of antibody levels against different pneumococcal polysaccharide serotypes

    Time frame: 5 years after vaccination

Other outcomes

  1. The occurence of severe pneumococcal infections in immunized patients

    Analysis of the occurence of severe pneumococcal infections in immunized patients compared to matched not-immunized controls

    Time frame: within 5 years after pneumococcal vaccination

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Study locations

1 site
  • Skåne University hospital, Dept of rheumatology
    Lund, SE-22185, Sweden
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References and documents

Publications

  • Nived P, Saxne T, Geborek P, Mandl T, Skattum L, Kapetanovic MC. Antibody response to 13-valent pneumococcal conjugate vaccine is not impaired in patients with rheumatoid arthritis or primary Sjogren's syndrome without disease modifying treatment. BMC Rheumatol. 2018 Apr 5;2:12. doi: 10.1186/s41927-018-0019-6. eCollection 2018. PubMed 30886963 ↗
  • Hesselstrand R, Nagel J, Saxne T, Geborek P, Skattum L, Kapetanovic MC. Immunogenicity and safety of pneumococcal vaccination in patients with systemic sclerosis. Rheumatology (Oxford). 2018 Apr 1;57(4):625-630. doi: 10.1093/rheumatology/kex471. Erratum In: Rheumatology (Oxford). 2018 Apr 1;57(4):769. doi: 10.1093/rheumatology/key007. PubMed 29325173 ↗
  • Nived P, Nagel J, Saxne T, Geborek P, Jonsson G, Skattum L, Kapetanovic MC. Immune response to pneumococcal conjugate vaccine in patients with systemic vasculitis receiving standard of care therapy. Vaccine. 2017 Jun 22;35(29):3639-3646. doi: 10.1016/j.vaccine.2017.05.044. Epub 2017 May 25. PubMed 28552512 ↗
  • Kapetanovic MC, Nagel J, Nordstrom I, Saxne T, Geborek P, Rudin A. Methotrexate reduces vaccine-specific immunoglobulin levels but not numbers of circulating antibody-producing B cells in rheumatoid arthritis after vaccination with a conjugate pneumococcal vaccine. Vaccine. 2017 Feb 7;35(6):903-908. doi: 10.1016/j.vaccine.2016.12.068. Epub 2017 Jan 9. PubMed 28081972 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2018, 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
NCT02240888
Lead sponsor
Region Skane
Responsible party
meliha crnkic kapetanovic (MD, PhD, associate professor, Region Skane) — Principal investigator
First posted
Sep 16, 2014
Start date
Oct 2011
Primary completion
Dec 31, 2017
Completion
May 31, 2018
Last update
Oct 3, 2018

Study contacts

Meliha C Kapetanovic, MD, PhD
principal investigator · Region Skåne
Jehns Martineus, MD
study director · Skåne Universitets sjukhus, dept of rheumatology

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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