ClinicalTrials.gg
Status unknownNCT04017052Updated Sep 10, 2019

Application of a TBE-Vaccine in Obese Persons

A Phase 4 interventional study of FSME-IMMUN Vaccine in Tick Borne Encephalitis, sponsored by Medical University of Vienna. Status unknown at 1 site in Austria. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-09-10.

Sponsored by Medical University of Vienna · Phase 4, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Sep 2019), so the status shown — last known as Active, not recruiting — may be out of date.

From the registry’s dates

  • Registered 4 years 2 months after the study started (first participant enrolled Apr 2015, registered Jul 2019).
Phase
Phase 4
Study type
Interventional
Enrollment
73
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Obese people have an altered immune responsiveness. The present study investigates whether this influences immune responses to booster vaccinations (i. e. booster vaccination with TBE vaccine "FSME Immun") and if a modification of vaccination schedules is needed.

Obese adults (BMI >30) >18 - 60 years are compared with adults with normal weight (BMI \<25) concerning TBE-NT- antibody titers, TBE- NT antibody titer course and cellular immunity. Metabolic parameters and sexual hormones will be tested and compared as well.

Read the detailed description

Obese people have an altered immune responsiveness. Studies have shown that obesity has a direct effect on the immune system and leads to immunosuppression, which leads to a susceptibility to infection.We investigate whether this influences immune responses to booster vaccinations (i. e. booster vaccination with TBE vaccine "FSME Immun") and if a modification of vaccination schedules is needed.

The investigators will test and compare the humoral and cellular immune response of obese persons (BMI>30) and persons with normal weight (BMI\<25) before and after a booster with FSME Immun.

The aim of the study is to clarify if a modification of vaccination schedules or a change of booster intervals is necessary for obese people. Furthermore this study will increase our understanding of the influence of obesity on different components of the immune system, as well as on the quality and quantity of the immune responses.

At Screening (visit 1) demographic parameters (age, gender, weight, BMI, waist/hip-ratio) will be recorded and metabolic parameters (Cholesterol, Triglycerides, HDL, LDL, Apolipoproteine, Lp(a), Glucose, Fructosamin, Leptin, Leptinreceptor on T- and B-cells (PCR), Insulin, high-sensitive CRP) and sex hormones (Testosterone, Estrogen, Progesteron, FSH, LH) will be tested. At visit 3 some metabolic parameters (Cholesterol, Triglycerides, HDL, Glucose, Fructosamin, Insulin und high-sensitive CRP) will be tested again. All parameters will be compared and correlated with humoral and cellular immune responses.

Immunglobulins: IgG, IgE, IgD, IgM, IgA will be tested at visit 1-4.

TBE antibody titers (NT) will be tested and titer course will be evaluated at visit 1-5.

At visit 1 und 2, isolation of PBMC (Peripheral Blood Mononuclear Cells) with Ficoll gradient will be carried out and the following tests will be performed:

  1. Cytokine concentrations will be measured after re-stimulating the PBMC with TBE-Antigen. Duration of stimulaton: 48h; Detection with Luminex platform/ELISA: IL-2, IFNgamma, IL-10, TNF-alpha und IL-6
  2. Flow cytometry: Characterization of different lymphocyte-subpopulations with antibody-panels (CD surface markers: CD19, CD3, IgD, IgM, IgG, IgA, CD10, CD27, CD127, CCR4, CD8, CD4, CD28, CD31, CD38, CCR7, CD45RA, CD25, CD24, CD38 und FOXP3).

Serious adverse events and adverse events will be recorded at all visits

All participants will be tested again at V5, performing TBE-Neutralisation-Test three years after the booster vaccination for analysis of longterm immunogenicity. Demographic parameters will be recorded again.

Participants who are not protected against TBE for another year, three years after the booster vaccination at V5 (NT \<20), will receive a booster vaccination for free.

V1 day 0, V2 day 7+3,V3 1 month +/-7 days, V4 6 months +/-14d V5 36 months+/- 1 month V6 only if TBE NT\<20

02

Conditions studied

  • Tick Borne Encephalitis
03

In context

Encephalitis, Tick-Borne

51 studies on the registry are indexed under Encephalitis, Tick-Borne; 9 are open to participants now.

This study's enrollment of 73 is below the median of 192 across 32 interventional studies indexed under Encephalitis, Tick-Borne.

Browse Encephalitis, Tick-Borne studies →

Lead sponsor

Medical University of Vienna is the lead sponsor of 1,109 studies on the registry; 184 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

main Inclusion Criteria:

  • willingness to sign written form
  • completed primary TBE immunization and at least 1 booster vaccination
  • participants of both sexes between 18 and 60 years of age

main Exclusion Criteria:

  • age \< 18 and > 60 years
  • 25-30
  • previous TBE infection
  • pregnancy or breast feeding
  • acute infection on day of inclusion (day 0) or at visit 5 (36 months), body temperature > 37,9°C
  • concomitant medications: systemic cortison therapy, chemotherapy, immunotherapy (allergy) immunsuppressive therapy 4 weeks prior or during the study
  • administration of other vaccines 4 weeks before/after day 0
  • planned surgery within 2 weeks before/after TBE booster
  • any to administration of FSME-Immun® vaccine according to manufacturer's instructions
  • malignant diseases within 5 years prior to the study
  • diseases
  • kidney insufficiency, dialysis
  • drug addiction
  • plasma donor
  • receipt of blood transfusions or immunoglobulins within 3 months prior to study entry / within 3 months prior to visit 5
  • Severe disease with hospitalization or surgery 3 months before or during the study
  • participation in a clinical trial simultaneously to visit 1-4 with receipt of vaccination and/or product within one month before booster
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
73 participants (actual)

Study arms

  • Other
    Booster vaccination

    Intervention = one i. m. TBE booster vaccination (FSME-Immun) at visit 1.

    Drug: FSME-IMMUN Vaccine

Interventions

  • DrugFSME-IMMUN Vaccine

    Booster with TBE vaccine (i.m.) FSME Immun

06

What researchers measure

Primary outcomes

  1. Humoral immunity (TBE NT)

    Humoral immunity tested with TBE Neutralisation test- Neutralizing antibody titer against TBE

    Time frame: 1 month +/- 7 days after booster (v3)

Secondary outcomes

  1. TBE-NT titer course

    TBE-NT titer course evaluation

    Time frame: before booster at day 0 at all visits until 3 years after booster vaccination at V5 (36 months+/-1 month)

  2. Cellular immune response with flow cytometry

    Cellular immune response: Characterisation of lymphocyte sub-population with flow cytometry: detection of CD surface markers of lymphocytes with antibody panels - CD19, CD3, IgD, IgM, IgG, IgA, CD10, CD27, CD127, CCR4, CD8, CD4, CD28, CD31, CD38, CCR7, CD45RA, CD25, CD24, CD38 und FOXP3

    Time frame: evaluated before (V1 day 0) and 1 week after booster vaccination (V2 day 7+3d)

  3. Measurement of Cytokines with Luminex platform/ELISA

    Measurement of cytokines IL-2, IFNgamma, IL-10, TNF-alpha und IL-6 in supernatants of PBMC cultures re-stimulated with TBE antigen; duration of stimulation: 48h. Measurement with Luminex Platform/ELISA

    Time frame: evaluated before (V1 day 0) and 1 week after booster vaccination (V2 day 7+3d)

07

Study locations

1 site
  • Medical University Vienna, Institute of Specific Prophylaxis and Tropical Medicine
    Vienna, 1090, Austria
08

References and documents

Publications

  • Garner-Spitzer E, Poellabauer EM, Wagner A, Guzek A, Zwazl I, Seidl-Friedrich C, Binder CJ, Stiasny K, Kundi M, Wiedermann U. Obesity and Sex Affect the Immune Responses to Tick-Borne Encephalitis Booster Vaccination. Front Immunol. 2020 May 27;11:860. doi: 10.3389/fimmu.2020.00860. eCollection 2020. PubMed 32528467 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04017052
Responsible party
Univ. Prof. Dr. Ursula Wiedermann (Head of Institute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna) — Principal investigator
First posted
Jul 12, 2019
Start date
Apr 15, 2015
Primary completion
Feb 7, 2020 (estimated)
Completion
Dec 30, 2020 (estimated)
Last update
Sep 10, 2019

Study contacts

Ursula Wiedermann-Schmidt, MD, PhD
principal investigator · Medical University of Vienna , ISPTM

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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