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RecruitingNCT06067555Updated Jun 19, 2025

Intradermal Influenza Vaccination

An Early Phase 1 interventional study of MicronJet and Fluzone® Quadrivalent in Vaccine Reaction, sponsored by Yale University. Recruiting at 1 site in United States. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-19.

Sponsored by Yale University · Early Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by May 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jan 2024; still recruiting 2 years 8 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
249
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The goal of this study is to characterize the immune response, both innate and adaptive, as well as locally and systemic, to intradermal (ID) vaccination in healthy individuals. The intervention involves intradermal administration of an FDA-approved intramuscular seasonal influenza vaccine, using an FDA-approved device MicronJet. Investigators will measure antibody titers, cell subtypes, and multi-omic profiles, by collecting skin and peripheral blood at baseline and at several time points after vaccination. The primary objective is to identify baseline correlates of immune response in the skin and peripheral blood to the seasonal influenza vaccine. The investigators secondary goals are to describe the inflammatory response in the skin over time.

Read the detailed description

Subjects will remain on study and may optionally repeat study visits (including vaccination) annually through the 2025-26 influenza season, with final study follow-up up to 1 year after vaccination. Sampling individual subjects across several influenza seasons will allow for monitoring of multi-season responses.

Skin, blood, nasal mucosal lining fluid, nasopharyngeal cells, saliva, and skin microbe samples will be collected at various timepoints before and up to 365 days after vaccination to explore short and long-term effects of immunization. Subjects may optionally provide stool samples.

02

Conditions studied

  • Vaccine Reaction

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03

In context

Influenza, Human

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

This study's planned enrollment of 249 is close to the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Yale University is the lead sponsor of 1,724 studies on the registry; 298 are open to participants now.

Of its 210 completed or terminated interventional studies of FDA-regulated products, 126 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

  1. Provision of signed and dated informed consent form
  2. Stated willingness to comply with all study procedures and availability for the duration of the study, as well as have deidentified samples and data stored for future research.
  3. Able to proficiently speak, read, and write English.
  4. Male or female, aged 18-40 years old at time of initial enrollment

    a. Participant is allowed to participate in subsequent influenza seasons even if they will be >40 years old.

  5. In good general health as evidenced by medical history

Individuals meeting any of the following criteria will be excluded from study participation:

  1. CBC with differential, lymphocyte phenotyping with T, B, and natural killer cells (TBNK), complete metabolic panel, anti-CMV immunoglobulin (Ig) G and IgM, and/or anti-Epstein-Barr virus (EBV) antibody panel values outside of the Yale Department of Laboratory Medicine normal reference ranges and deemed clinically significant by the PI at the time of screening.
  2. Positive result for anti-HIV 1/2 antibody screening at the time of screening.
  3. Prior receipt of a current seasonal influenza vaccine (for the season of participation).
  4. History of allergy or hypersensitivity to any components of the study vaccine (e.g., egg protein).
  5. History of severe reactions to vaccines.
  6. Use of an oral glucocorticoid within the past 30 days.
  7. Receipt of a live-attenuated vaccine within the past 3 months.
  8. Receipt of any experimental vaccine.
  9. Receipt of any other type of vaccine (non-live and non-experimental, e.g., tetanus, diphtheria, and pertussis [TDaP]) within the past 3 months.
  10. Planned vaccination before day 100 after study vaccination.
  11. Current or recent use (within the past 90 days) of immunoglobulin therapy.
  12. Surgery within the past 8 weeks, or planned surgery before day 28.
  13. Current (within the past 30 days) treatment for active malignancy.
  14. Cancer chemotherapy in the past 2 years.
  15. Administration of any blood products within 90 days of the screening, or planned administration before day 100.
  16. History of parasitic, amebic, fungal, or mycobacterial infections within the past 1 year, with the exception of tinea pedis and onychomycosis.
  17. History of autoimmune or autoinflammatory disease.

    a. In particular skin-related (i.e. psoriasis, lichen planus, lupus, neutrophilic dermatoses, atopic dermatitis)

  18. History of keloids
  19. History of a bleeding disorder.
  20. Current use (within the past 30 days) of illicit drugs (per subject report), with the exception of marijuana.
  21. Current alcohol use disorders (criteria per Diagnostic and Statistical Manual of Mental Disorders, fifth edition), within the past 30 days.
  22. Serious, ongoing, uncontrolled infection within the past 30 days as per the judgement of the PI.
  23. History of Guillain-Barre syndrome (GBS).
  24. BMI ≥ 30.
  25. Known or suspected immunodeficiency within 1 year, including documented HIV infection.
  26. Pregnancy or planning to become pregnant during the study period. (Women of childbearing potential must have a negative urine or serum pregnancy test at screening.)
  27. Presence of conditions that, in the judgment of the PI, may put the individual at undue risk or compromise the scientific objectives of the study.

Co-enrollment guidelines: Co-enrollment in other trials is restricted, other than enrollment on observational studies. Consideration for co-enrollment in trials evaluating the use of a licensed medication will require the approval of the PI. Study staff should be notified of co-enrollment on any other protocol as it may require the approval of the PI.

05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
249 participants (estimated)

Study arms

  • Active comparator
    Intramuscular (IM) Control

    An intramuscular control group, from which no skin biopsies will be taken after vaccination. Only the intramuscular cohort will receive the flu vaccine via standard IM route in the deltoid region of the upper arm.

    Biological: Fluzone® Quadrivalent

  • Experimental
    ID-2hour

    Participants receive intradermal flu vaccination in the upper arm and will have skin biopsy of vaccination site 2 hours after vaccine administration.

    Device: MicronJet · Biological: Fluzone® Quadrivalent

  • Experimental
    ID-6hour

    Participants receive intradermal flu vaccination in the upper arm and will have skin biopsy of vaccination site 6 hours after vaccine administration.

    Device: MicronJet · Biological: Fluzone® Quadrivalent

  • Experimental
    ID-1day

    Participants receive intradermal flu vaccination in the upper arm and will have skin biopsy of vaccination site 1 day after vaccine administration.

    Device: MicronJet · Biological: Fluzone® Quadrivalent

  • Experimental
    ID-3day

    Participants receive intradermal flu vaccination in the upper arm and will have skin biopsy of vaccination site 3 days after vaccine administration.

    Device: MicronJet · Biological: Fluzone® Quadrivalent

  • Experimental
    ID-28day

    Participants receive intradermal flu vaccination in the upper arm and will have skin biopsy of vaccination site 3 days after vaccine administration.

    Device: MicronJet · Biological: Fluzone® Quadrivalent

  • Placebo comparator
    Sal-2hour

    A control group in which bacteriostatic saline is injected intradermally in lieu of influenza vaccine. A skin biopsy will be taken from the "vaccination" site 2 hours after administration.

    Device: MicronJet · Other: Bacteriostatic Saline

  • Placebo comparator
    Sal-6hour

    A control group in which bacteriostatic saline is injected intradermally in lieu of influenza vaccine. A skin biopsy will be taken from the "vaccination" site 6 hours after administration.

    Device: MicronJet · Other: Bacteriostatic Saline

  • Placebo comparator
    Sal-1hour

    A control group in which bacteriostatic saline is injected intradermally in lieu of influenza vaccine. A skin biopsy will be taken from the "vaccination" site 1 day after administration.

    Device: MicronJet · Other: Bacteriostatic Saline

Interventions

  • DeviceMicronJet

    MicronJet 600 syringe will be used to administer intradermal flu vaccine injections

  • BiologicalFluzone® Quadrivalent

    Intradermal injections of 0.3mL

  • BiologicalFluzone® Quadrivalent

    Intramuscular injection of 0.3mL

  • OtherBacteriostatic Saline

    Intradermal injection of 0.3mL (control)

06

What researchers measure

Primary outcomes

  1. Change in antibody titer concentration to vaccination-Blood

    Change in antibody titer to vaccination as measured by microneutralization titers at day 0 and day 28 will be correlated with biomarkers in the blood using generalized estimating equations.

    Time frame: Day 0 and Day 28

  2. Change in antibody titer concentration to vaccination-Skin

    Change in antibody titer to vaccination as measured by microneutralization titers at day 0 and day 28 will be correlated with biomarkers in the skin at baseline using generalized estimating equations.

    Time frame: Day 0 and Day 28

Secondary outcomes

  1. Change in antibody titer concentration to vaccination

    Change in antibody titer response to vaccination as measured by microneutralization titers at day 0 and day 28 and its relationship with established baseline biomarkers (CD38+, CD20+, B cell, among others) and post-vaccination biomarkers (plasmablast, among others) in the blood will be correlated using generalized estimating equations.

    Time frame: Day 0 and Day 28

07

Study locations

1 of 1 sites recruiting
  • Church Street Research Unit
    New Haven, Connecticut 06519, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Human data generated in this study will be shared for future research as follows: * De-identified data in an NIH-funded or approved public repository, including * genetic data in the database of Genotypes and Phenotypes (dbGaP). * gene expression and chromatin profiling data in the National Center for Biotechnology Information (NCBI) Gene Expression Omnibus (GEO). * sequencing data in the NCBI Sequence Read Archive (SRA). * flow cytometry data in FlowRepository. * De-identified or identified data with approved outside collaborators under appropriate agreements.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06067555
Lead sponsor
Yale University
Collaborators
Chan Zuckerberg Initiative, National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), Silicon Valley Community Foundation, University of Chicago
Responsible party
Sponsor
First posted
Oct 5, 2023
Start date
Jan 24, 2024
Primary completion
May 2026 (estimated)
Completion
May 2026 (estimated)
Last update
Jun 19, 2025

Study contacts

Andrew Johnston, MD, PhD
Contact
Andrew.d.johnston@yale.edu
203-745-0216
Andrew Johnston
principal investigator · Yale University

Oversight

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

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