Vaccination Against Pertussis, Tetanus and Diphtheria in Patients Suffering From Rheumatoid Arthritis
Recruitment status was Not yet recruiting
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Purpose
Pertussis is an acute respiratory infection caused by Bordetella pertussis. Rates of recent B. pertussis infection between 8%--26% have been reported among adults with cough illness of at least 5 days duration who sought medical care. The CDC recommends vaccinating patients aged 15 to 64 years old, once in 10 years. Although acellular vaccines such as BOOSTRIX have been evaluated in healthy population, the safety and efficacy of this vaccine in patients suffering from rheumatic diseases have not been established.
Study population : 50 Rheumatoid Arthritis (RA) patients and 5 healthy controls
Evaluation : the evaluation will be performed on week 0 and 4-6 weeks later. In terms of safety, the patients will be evaluated according to the Disease Activity Index (DAS). Blood will be drawn at each visit at tested for humoral response to tetanus and pertussis.
| Condition | Intervention | Phase |
|---|---|---|
|
Rheumatoid Arthritis |
Biological: Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | The Efficacy and Safety of Vaccination Against Pertussis. Tetanus and Diphtheria in Patients Suffering From Rheumatoid Arthritis |
- Immunogenicity of Tdap in patients suffering from rheumatoid arthritis [ Time Frame: 4-6 weeks after vaccination ] [ Designated as safety issue: No ]Geometric mean titers and individual responses to components of pertussis, tetanus and diphtheria
- Safety of Tdap vaccine in RA patients [ Time Frame: 4-6 weeks after vaccination ] [ Designated as safety issue: Yes ]Safety will be evaluated using the disease activity score (DAS) at baseline and 4-6 weeks later
| Estimated Enrollment: | 100 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | February 2012 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Tdap vaccination
Patients and controls will be vaccinated with BOOSTRIX (Tdap vaccine)
|
Biological: Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed)
a single 0.5-mL intramuscular injection into the deltoid muscle of the upper arm
|
Eligibility| Ages Eligible for Study: | 18 Years to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Patients suffering from RA
- Aged 18 to 64 years old
Exclusion Criteria:
- Active disease requiring a change in drug regimen
- Known allergy to vaccine
Contacts and Locations| Contact: Ori Elkayam, M.D | 97236973668 | orie@tasmc.health.gov.il |
| Israel | |
| Department of Rheumatology, Tel Aviv Medical Center | Not yet recruiting |
| Tel Aviv, Israel, 64239 | |
| Contact: Ori Elkayam, M.D 97236973668 orie@tasmc.health.gov.il | |
More Information
No publications provided
| Responsible Party: | Prof Ori Elkayam, Department of Rheumatology. Tel Aviv Medical Center |
| ClinicalTrials.gov Identifier: | NCT01301703 History of Changes |
| Other Study ID Numbers: | 0068-09 |
| Study First Received: | February 21, 2011 |
| Last Updated: | February 22, 2011 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Tel-Aviv Sourasky Medical Center:
|
rheumatoid pertussis tetanus |
Additional relevant MeSH terms:
|
Arthritis Arthritis, Rheumatoid Diphtheria Whooping Cough Tetanus Stress, Psychological Joint Diseases Musculoskeletal Diseases Rheumatic Diseases Connective Tissue Diseases Autoimmune Diseases Immune System Diseases |
Corynebacterium Infections Actinomycetales Infections Gram-Positive Bacterial Infections Bacterial Infections Bordetella Infections Gram-Negative Bacterial Infections Respiratory Tract Infections Infection Respiratory Tract Diseases Clostridium Infections Behavioral Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013