Seasonal Influenza Vaccine, Quadrivalent Versus Trivalent in Patients With Advanced Chronic Obstructive Pulmonary Disease

Study Overview
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Brief Summary
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To evaluate the magnitude of the humoral immune responses to quadrivalent vs trivalent influenza vaccines in adults between the age of 50 and 64 years with a prior diagnosis of GOLD Stage C and D COPD vs. those patients without COPD.

Detailed Description
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Primary Objectives: To evaluate the magnitude of the humoral immune responses to quadrivalent vs trivalent influenza vaccines in adults between the age of 50 and 64 years with a prior diagnosis of GOLD Stage C and D COPD (vs. those patients without COPD). To demonstrate immunogenicity by measuring hemagglutination inhibiting antibodies (HI) against the components of viral antigens using seroconversion (≥4 fold increase over baseline titers) and sero-protection (HI titer of ≥40 against the vaccine components). Secondary Objective: To assess the degree of antibody response of COPD patients based on severity of disease as measured by FEV1. To assess the impact of inhaled corticosteroids on the adaptive immune response after vaccination.

Official Title
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Seasonal Influenza Vaccine, Quadrivalent Versus Trivalent in Patients With Advanced Chronic Obstructive Pulmonary Disease

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Biological: Fluzone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Inclusion criteria for patients with COPD will be: Signed informed consent prior to initiation of study-mandated vaccination. Patients with spirometric data in the preceding 18 months confirming the diagnosis of COPD. Patients meeting GOLD Classification of Stage C or Stage D COPD. Patients 50 years old - 64 years old. Inclusion criteria for Healthy participants will be: Signed informed consent prior to initiation of study-mandated vaccination. No active symptoms of lung disease. FEV1/FVC in the normal range > 70% age predicted value. No history of tobacco use/abuse. No prior history of alpha-1 antitrypsin deficiency. Patients 50 years old - 64 years old. Exclusion Criteria: Severe allergy to eggs. Severe reaction to past doses of influenza vaccine. Guillian-Barre syndrome. Currently recieving dialysis. Current, active, treatment for cancer. History of transplant (allograft). Dementia or Alzheimer's disease diagnosis. Prior diagnosis of HIV or AIDS. Moderate to severe pulmonary hypertension. Serum AST/ALT > 3x the upper limit of normal. Patients with exacerbations or respiratory infection during the 4 weeks preceding the onset of the study. Active pregnancy. Systemic immunomodulating medications.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: COPD<br>Group will receive either the Fluzone Trivalent or Fluzone Quadrivalent. | Biological: Fluzone<br> <br> |
| Active Comparator: Control<br>Group will receive either the Fluzone Trivalent or Fluzone Quadrivalent. | Biological: Fluzone<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hemagglutination inhibiting antibodies (HI) against the components of viral antigens | The investigators will be measuring hemagglutination inhibiting antibodies (HI) against the components of viral antigens using seroconversion (≥4 fold increase over baseline titers) and sero-protection (HI titer of ≥40 against the vaccine components) | 3 months |