Immunogenicity and Safety of the Yellow Fever Vaccine in HIV Infected Individuals

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-59
SponsorOswaldo Cruz Foundation

About this trial

Phase 4 study to evaluate the immunogenicity and Safety of the 17DD Yellow Fever vaccine in HIV infected individuals, compared to non-HIV-infected individuals.

Main objective:

To compare the proportion of seroconversion and the geometric mean of neutralizing antibodies 30 days and 365 days after vaccine.

Secondary objectives:

To evaluate whether the titles of neutralizing antibodies are associated with CD4 lymphocyte counts, CD8 lymphocyte counts, CD4 nadir, HIV viral load and use of antiretroviral therapy. To assess the yellow fever vaccine viremia at day 10 after vaccine.To compare the incidence of adverse events in HIV-infected and non-HIV-infected individuals.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

HIV infected adults, age >= 18 and <60 years old.

CD4 > 200 cells/mm³ within the last 6 months prior to inclusion. Individuals with no CD4 results in the last 6 months which have undetectable HIV viral load and last CD4 count > 350 can be included.

Healthy HIV-uninfected individuals (aged >= 18 and < 60)

No history of Yellow Fever vaccination

Disqualifiers

Individuals with chronic diseases such as: decompensated diabetes, kidney failure (in dialysis), liver failure/cirrhosis, cancer (except for non-melanoma skin cancer and in situ HIV related carcinoma), use of immunosuppressive agents (including prednisone ≥ 20mg/day, during 7 or more days in the last 30 days before inclusion).

Pregnant women

Hypersensitivity reaction to eggs, chicken protein. Allergy to erythomycin or kanamycin. Hereditary fructose intolerance.

Administration of immunoglobulins or blood derivates < 3 months or life attenuated vaccine <1 month.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Yellow Fever vaccination (17 DD Biomanguinhos)

    Biological/Vaccine

    One intramuscular injection

Treatment groups

400 Participants
are divided into 2 treatment groups
Group A: HIV positive subjectsExperimental treatment 1 intervention
Group B: HIV negative subjectsActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Immunogenicity

Seroconversion

Time frame
30 days after the vaccine
2

Immunogenicity

Neutralizing antibodies titers

Time frame
30 days after the vaccine
3

Immunogenicity

Seroconversion

Time frame
365 days after the vaccine
4

Immunogenicity

Neutralizing antibodies titers

Time frame
365 days after the vaccine

Secondary outcomes

1

Viremia

Yellow Fever vaccine viremia

Time frame
7 days after the vaccine
2

Adverse events

Yellow Fever vaccine related adverse events

Time frame
up to 30 days after the vaccine
3

Immunogenicity

Neutralizing antibodies titles

Time frame
5 years after the vaccine
4

Immunogenicity

Neutralizing antibodies titles

Time frame
10 years after the vaccine

Other outcomes

Sponsors and contacts

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