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CompletedNCT03762824IPS-BOOSTERUpdated Mar 29, 2023

Combined Pneumococcal Conjugate and Polysaccharide Vaccination in Inflammatory Rheumatic Disease

A Phase 4 interventional study of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine in Rheumatoid Arthritis, Systemic Lupus and Sjögren Syndrome, sponsored by Region Skane. Completed. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-29.

Sponsored by Region Skane · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 5 months after the study started (first participant enrolled Jun 2016, registered Dec 2018).
Phase
Phase 4
Study type
Interventional
Enrollment
300
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

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 antibody response elicited by pneumococcal vaccination using 13-valent conjugate vaccine in combined schedules with 23-valent polysaccharide vaccine. 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 and efficacy in preventing invasive pneumococcal disease. 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.

02

Conditions studied

  • Rheumatoid Arthritis
  • Systemic Lupus
  • Sjögren Syndrome
  • Systemic Vasculitis
  • Spondyloarthritis

Keywords

  • Pneumococcal Conjugate Vaccine
  • Pneumococcal Disease
  • Immune Response
  • Inflammatory Rheumatic Disease
  • Pneumococcal Polysaccharide Vaccine
  • Immunosuppression
03

In context

Arthritis, Rheumatoid

3,332 studies on the registry are indexed under Arthritis, Rheumatoid; 443 are open to participants now.

This study's enrollment of 300 is above the median of 96 across 2,220 interventional studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

Region Skane is the lead sponsor of 386 studies on the registry; 122 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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.

Exclusion criteria

Exclusion Criteria:

  • known allergy/intolerance of pneumococcal vaccine
  • pregnancy
  • active infection
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (actual)

Study arms

  • Active comparator
    PCV13+PPV23 vaccinated patients

    Patients with different inflammatory rheumatic diseases are immunized with one dose 13-valent pneumococcal conjugate vaccine 0.5 ml i.m., followed by one dose 23-valent pneumococcal polysaccharide vaccine 0.5 ml i.m. after 8 weeks.

    Biological: 13-valent pneumococcal conjugate vaccine · Biological: 23-valent pneumococcal polysaccharide vaccine

  • Active comparator
    PCV13+PPV23 vaccinated controls

    Healthy controls are immunized with one dose 13-valent pneumococcal conjugate vaccine 0.5 ml i.m., followed by one dose 23-valent pneumococcal polysaccharide vaccine 0.5 ml i.m. after 8 weeks.

    Biological: 13-valent pneumococcal conjugate vaccine · Biological: 23-valent pneumococcal polysaccharide vaccine

  • Active comparator
    PPV23-booster to previous PCV-vaccinated patients

    Patients with different inflammatory rheumatic disease previously immunized with one dose PCV7 or PCV13 within another study (see VACCIMIL), are immunized with one dose PPV23 0.5 ml i.m.

    Biological: 23-valent pneumococcal polysaccharide vaccine

  • Active comparator
    PCV13 to previous PPV23-vaccinated patients

    Patients with different inflammatory rheumatic disease previously immunized with one dose PPV23 within another study (see VACCIMIL), are immunized with one dose PCV13 0.5 ml i.m.

    Biological: 13-valent pneumococcal conjugate vaccine

  • Active comparator
    PPV23-booster to previous PCV-vaccinated controls

    Healthy controls previously immunized with one dose PCV7 or PCV13 within another study (see VACCIMIL), are immunized with one dose PPV23 0.5 ml i.m.

    Biological: 23-valent pneumococcal polysaccharide vaccine

Interventions

06

What researchers measure

Primary outcomes

  1. 2-fold rise in pneumococcal serotype-specific antibody concentration

    Pneumococcal serotype-specific antibody concentration (12-valent)

    Time frame: 8 weeks after pneumococcal conjugate vaccine and 4-6 weeks after polysaccharide vaccination

Secondary outcomes

  1. Functional antibody response

    Opsonophagocytosis activity assay

    Time frame: 8 weeks after pneumococcal conjugate vaccine and 4-6 weeks after polysaccharide vaccination

  2. Long-term serotype-specific immunity to pneumococcal disease

    Pneumococcal serotype-specific antibody concentration

    Time frame: 3 years after vaccination

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Doran MF, Crowson CS, Pond GR, O'Fallon WM, Gabriel SE. Frequency of infection in patients with rheumatoid arthritis compared with controls: a population-based study. Arthritis Rheum. 2002 Sep;46(9):2287-93. doi: 10.1002/art.10524. PubMed 12355475 ↗
  • Kapetanovic MC, Saxne T, Sjoholm A, Truedsson L, Jonsson G, Geborek P. Influence of methotrexate, TNF blockers and prednisolone on antibody responses to pneumococcal polysaccharide vaccine in patients with rheumatoid arthritis. Rheumatology (Oxford). 2006 Jan;45(1):106-11. doi: 10.1093/rheumatology/kei193. Epub 2005 Nov 15. PubMed 16287919 ↗
  • Kapetanovic MC, Roseman C, Jonsson G, Truedsson L, Saxne T, Geborek P. Antibody response is reduced following vaccination with 7-valent conjugate pneumococcal vaccine in adult methotrexate-treated patients with established arthritis, but not those treated with tumor necrosis factor inhibitors. Arthritis Rheum. 2011 Dec;63(12):3723-32. doi: 10.1002/art.30580. PubMed 21834061 ↗
  • 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 ↗
  • Centers for Disease Control and Prevention (CDC). Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine for adults with immunocompromising conditions: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2012 Oct 12;61(40):816-9. PubMed 23051612 ↗
  • Nived P, Jonsson G, Settergren B, Einarsson J, Olofsson T, Jorgensen CS, Skattum L, Kapetanovic MC. Prime-boost vaccination strategy enhances immunogenicity compared to single pneumococcal conjugate vaccination in patients receiving conventional DMARDs, to some extent in abatacept but not in rituximab-treated patients. Arthritis Res Ther. 2020 Feb 22;22(1):36. doi: 10.1186/s13075-020-2124-3. Erratum In: Arthritis Res Ther. 2020 Jun 26;22(1):162. doi: 10.1186/s13075-020-02256-2. PubMed 32087733 ↗

Individual participant data

Plan to share: Undecided — If requested we will consider sharing unidentified individual patient data

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2016 to primary completion in Sep 2018, 26 months.

Of 79 non-industry phase 4 interventional studies under Arthritis, Rheumatoid, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 92. This study's 26 months is below that.

Counting every sponsor, half of 104 studies reached it within 42 months; a quarter within 25 and three quarters within 74.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 3, 2018
First posted
Dec 4, 2018
StartActual
Jun 14, 2016
Primary completionActual
Sep 3, 2018
CompletionActual
Dec 21, 2020
Last update
Mar 29, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 29, 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
NCT03762824
Lead sponsor
Region Skane
Responsible party
Sponsor
First posted
Dec 4, 2018
Start date
Jun 14, 2016
Primary completion
Sep 3, 2018
Completion
Dec 21, 2020
Last update
Mar 29, 2023

Study contacts

Jehns Martineus, MD
study director · Skåne Universitets sjukhus, dept of rheumatology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
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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Studies of the drugs tested here: 13-valent pneumococcal vaccine · 23-valent pneumococcal capsular polysaccharide vaccine

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