ClinicalTrials.gg
CompletedNCT06588530Updated Dec 30, 2025Results posted

PFAS Exposure and Immune Response to Vaccination in Adults

A Phase 4 interventional study of TENIVAC in Innate Inflammatory Response, Vaccination and Diphtheria, sponsored by Rutgers, The State University of New Jersey. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-30.

Primary conditionDiphtheriaRegistry: InflammationReclassifiedWhy we changed it
Registry
Inflammation — the first condition term the registry derived for this study.
ClinicalTrials.gg
Diphtheria
Why
  1. Inflammation is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Diphtheria.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Rutgers, The State University of New Jersey · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 89 Years
Sex
All
01

Study summary

This clinical trial aims to investigate how exposure to Perfluorononanoic acid (PFNA), a type of per- and polyfluoroalkyl substance (PFAS), affects the immune response to the standard tetanus and diphtheria (Td) vaccine. The study focuses on participants from a community with known prior PFNA exposure through contaminated drinking water. The main question it aims to answer is:

  • Does exposure to PFNA weaken the body's initial immune response, leading to lower levels of protective antibodies after vaccination?

Participants will:

  • Receive Tetanus and Diphtheria (Td) booster vaccination
  • Visit the study office 7 times over a 30-day period
  • Have blood and saliva collected at each study visit
02

Conditions studied

  • Innate Inflammatory Response
  • Vaccination
  • Diphtheria
  • Tetanus
  • Environmental Exposure
  • Vaccine
  • Antibodies
  • Adult
  • Immunity
  • Pollution; Exposure

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Keywords

  • PFAS
  • Perfluoroalkyl substances
  • Polyfluoroalkyl substances
  • Vaccine
  • fluorocarbons
  • tetanus-diphtheria vaccine
  • prospective study
  • Adaptive immunity
  • innate immunity
  • PFNA, Perfluorononanoic Acid
03

In context

Diphtheria Reclassified

267 studies on the registry are indexed under Diphtheria; 17 are open to participants now.

This study's enrollment of 20 is below the median of 448 across 241 interventional studies indexed under Diphtheria.

Browse Diphtheria studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 506 studies on the registry; 131 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 31 (79%) have results posted.

Compared within Diphtheria, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Inflammation. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 89 Years
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

  • Participated in the Paulsboro PFAS Health Study
  • Provided a blood sample for the Paulsboro PFAS Health Study
  • Weigh at least 110 pounds

Exclusion criteria

Exclusion Criteria:

  • Currently Pregnant
  • History of difficult blood draws
  • History of adverse reaction to prior vaccinations
  • Currently taking immune suppressants
  • Recent dental surgery or dental procedure within 4 weeks of starting study
  • Had a Td booster in the past 10 years
05

Study design

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

Study arms

  • Experimental
    All participants

    All participants will be vaccinated during their first study visit using TENIVAC (Tetanus and Diphtheria Toxoids Adsorbed).TENIVAC will be administered intramuscularly as recommended in the subject's deltoid muscle at a dose of 0.5 mL.

    Biological: TENIVAC

Interventions

  • BiologicalTENIVAC

    TENIVAC (Tetanus and Diphtheria Toxoids Adsorbed) is an active immunization for the prevention of tetanus and diphtheria in persons 7 years of age and older.

    Also known as: Tetanus and Diphtheria Toxoids Adsorbed, Td

06

What researchers measure

Primary outcomes

  1. Change in Tetanus-diphtheria Specific IgG by PFNA Exposure Category

    Quantitative measurement of tetanus and diphtheria specific IgG antibodies in serum collected at baseline (pre-vaccination) and Day 30 post-vaccination. Change is expressed as log₂ transformed fold change: log₂(day30 IgG / baseline IgG). IgG concentrations were measured using commercially available ELISA kits following the manufacturer's instructions. Serum PFNA levels were measured prior to enrollment. IgG was measured at baseline and 30 days post vaccination.

    Time frame: 30 days

07

Results

Posted Dec 30, 2025

Participant flow

Participant flow — Overall Study
MilestoneHigh PFNA ExposureLow PFNA Exposure
Started1010
Completed1010
Not completed00

Outcome measures

PrimaryChange in Tetanus-diphtheria Specific IgG by PFNA Exposure Category

Quantitative measurement of tetanus and diphtheria specific IgG antibodies in serum collected at baseline (pre-vaccination) and Day 30 post-vaccination. Change is expressed as log₂ transformed fold change: log₂(day30 IgG / baseline IgG). IgG concentrations were measured using commercially available ELISA kits following the manufacturer's instructions. Serum PFNA levels were measured prior to enrollment. IgG was measured at baseline and 30 days post vaccination.

Time frame:
30 days
Reported as:
Mean · log2(fold change)
Change in Tetanus-diphtheria Specific IgG by PFNA Exposure Category
log2(fold change)High PFNA ExposureLow PFNA Exposure
Change in Tetanus IgG3.54 ± 1.833.39 ± 1.91
Change in Diphtheria IgG2.44 ± 1.472.43 ± 1.60
Statistical analysis
  • High PFNA Exposure vs Low PFNA Exposure · Wilcoxon (Mann-Whitney) · p = .85 · Mean difference (net): 0.15
  • High PFNA Exposure vs Low PFNA Exposure · Wilcoxon (Mann-Whitney) · p = .85 · Mean difference (net): .01

Adverse events

Collected over 30 days after vaccination. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
High PFNA Exposure0/10 (0%)0/10 (0%)0/10 (0%)
Low PFNA Exposure0/10 (0%)0/10 (0%)0/10 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)High PFNA ExposureLow PFNA ExposureTotal
Mean50.2 (31 to 68)49.3 (31 to 70)49.75 (31 to 70)
Sex: Female, Male
Sex: Female, Male(Participants)High PFNA ExposureLow PFNA ExposureTotal
Female448
Male6612
Race (NIH/OMB)
Race (NIH/OMB)(Participants)High PFNA ExposureLow PFNA ExposureTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American4913
White617
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)High PFNA ExposureLow PFNA ExposureTotal
United States101020
Body Mass Index (BMI)
Body Mass Index (BMI)(Participants)High PFNA ExposureLow PFNA ExposureTotal
Healthy (18.5 - 24.9 *kg/m^2*)123
Overweight (25.0 - 29.9 *kg/m^2*)437
Obesity (30.0 or above*kg/m^2*)5510
08

Study locations

1 site
  • EOHSI Paulsboro Office
    Paulsboro, New Jersey 08066, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06588530
Responsible party
Robert Laumbach MD, MPH (Associate Professor, Rutgers, The State University of New Jersey) — Principal investigator
First posted
Sep 19, 2024
Start date
Nov 4, 2024
Primary completion
Jan 8, 2025
Completion
Jan 8, 2025
Results posted
Dec 30, 2025
Last update
Dec 30, 2025

Study contacts

Robert Laumbach, MD
principal investigator · Rutgers, The State University of New Jersey

Oversight

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

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Studies of the drug tested here: Tetanus and Diphtheria Toxoids Adsorbed

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