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Persistence of Varicella Immunity in Hospital Employees Receiving Varicella Vaccine

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT02026089
Recruitment Status : Not yet recruiting
First Posted : January 1, 2014
Last Update Posted : January 18, 2020
Centers for Disease Control and Prevention
Information provided by (Responsible Party):
University of Colorado, Denver

Brief Summary:
The purpose of the study is to learn more abou how the immune system responds to the chickenpox vaccine in adults who had never had chickenpox as a child and were then vaccinated as an adult. The study aims to learn more about the strength and duration of the protection provided by the vaccine in adults, and to observe the immune response to an additional dose of chickenpox vaccine in adults who had received the vaccine at least 5 years earlier. This is especially relevant to workers in a hospital who may be exposed to chickenpox.

Condition or disease Intervention/treatment Phase
Persistence of Varicella Immunity Biological: Varicella vaccine Phase 4

Detailed Description:

The population will be employees who were previously evaluated in the pre-employment phase by the Occupational Health Clinic (OHC) of Colorado Children's Hospital (CHC) from 2004 until 2009 and were found to be seronegative for varicella antibody at that time and were thus vaccinated per CHC protocol. Additionally, a matching number of comparator subjects who were positive for varicella antibody at the pre-employment phase will be selected from the same pool (2004-2009).

Subject participation will last up to 6 months. Subjects will be enrolled into one of two study groups:

  • Group 1 consisting of 50 subjects who tested seronegative for varicella antibody and received varicella vaccine to meet employment criteria at least 5 years previously; and
  • Group 2 consisting of 50 subjects who had natural varicella infection and thus tested seropositive for varicella antibody at least 5 years previously.

Group 1 subjects will receive 1 additional dose (lifetime total will be 2 or 3) of varicella vaccine (Varivax) and participate in a total of 4 study visits over a period of 6 months. Before receiving the dose of varicella vaccine at Day 1, Group 1 subjects will be given the CDC Vaccine Information Sheet for varicella vaccine. Study staff will review this with the subject to assure understanding prior to administering vaccine. Vaccination will occur after eligibility criteria have been confirmed and completion of a urine pregnancy test -with a negative result - on females of childbearing potential. Following administration of the varicella vaccine, the subject will be observed in the clinic for at least 15 minutes for safety. Blood (60 ml per sample) will be collected from all Group 1 subjects on Day 1 immediately prior to vaccination, and at Day 7(±2), Day 30(±7) and Day 180(±14) in order to measure VZV-specific antibody, antibody avidity, and cell-mediated immunity by the methods indicated above. Subjects receiving a third lifetime dose of Varivax will be asked to complete a diary for 5 days after vaccination to track anticipated and unanticipated reactions to the vaccine.

Group 2 subjects, the comparator group, will receive no vaccine and will only participate in the first visit for a blood draw. Blood (60 ml) will be collected from Group 2 participants only at Day 1. Subject information to be recorded includes age; gender; varicella vaccine history at the OHC; age vaccinated (calculate interval since vaccination); the number of doses (1 vs 2) received; and any exposure to varicella or HZ (including involvement in any CHC outbreak work-up).

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 100 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Persistence of Varicella Immunity in Hospital Employees Receiving Varicella Vaccine
Estimated Study Start Date : October 2020
Estimated Primary Completion Date : December 2020
Estimated Study Completion Date : December 2020

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
No Intervention: Sero-positive for varicella at least 5 years prior
No treatment
Active Comparator: Varicella vaccine
One dose varicella vaccine (Varivax).
Biological: Varicella vaccine
Varivax 0.5ml subcutaneous injection
Other Name: Varivax

Primary Outcome Measures :
  1. Determine the proportion of employees who 5 years previously received varicella vaccine at the time of employment who no longer have varicella-specific antibody. [ Time Frame: Outcome measure data obtained at visit 1; assessed in the aggregate 3-6 months after completion of study. ]
    VZV-specific antibody measured by a sensitive gp-ELISA method at CDC

Secondary Outcome Measures :
  1. Determine the avidity (strength with which the vaccine induced antibody binds to the varicella antigen) of varicella-specific antibody in vaccinated employees. [ Time Frame: Outcome measure data obtained at visit 1; assessed in the aggregate 3-6 months after completion of study. ]
    Avidity in these employees will be compared to the avidity of antibody in employees who did hot require vaccination because of natural immunity.

Other Outcome Measures:
  1. Determine the varicella-specific T-cell and B-cell responses in vaccinees. [ Time Frame: At 7 and 30 days post-vaccination ]
    Responses will be compared to those present in employees who did not require vaccination because of natural immunity.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Age 18-80
  • Group 1: * Evaluated in Occupational Health Clinic (OHC) for employment from 2004-2009 and found to be seronegative for varicella.

    • Received at least one varicella vaccination to meet employment criteria at least 5 year prior to enrollment.
    • Subject is afebrile (<100.4F oral) on day of vaccination.
  • Group 2: * Evaluated in OHC for employment from 2004 -2009 and found to be seropositive for varicella.

Exclusion Criteria:

  • Immune suppressed or receiving immune suppressive treatment
  • Pregnant, breastfeeding or plan to become pregnant within 6 weeks after receiving varicella vaccine.
  • Receiving antiviral medications active against varicella virus within 3 days before varicella vaccination until 10 days after varicella vaccination.
  • Receipt of any vaccine within 2 weeks before enrollment or expected receipt within 6 weeks after vaccination.
  • Receipt of any immunoglobulins or blood products within 5 months prior to study enrollment or expected receipt prior to last visit.
  • History of hypersensitivity reaction to any vaccine component (including gelatin), or an anaphylactic/anaphylactoid reaction to neomycin.
  • History of chickenpox or shingles since pre-employment serology testing.
  • Receipt of any additional varicella or zoster vaccine since vaccination under hospital policy and procedure guidelines.
  • Currently participating in any other studies with an investigational compound within 30 days of signing the consent and throughout participation in the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02026089

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Contact: Nancy E Lang, RN, BSN 303/724-2454

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United States, Colorado
Children's Hospital Colorado
Aurora, Colorado, United States, 80045
Contact: Amanda Kennedy, RN    720-777-3535   
Contact: Myron J Levin, MD    303-724-2451   
Sponsors and Collaborators
University of Colorado, Denver
Centers for Disease Control and Prevention
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Principal Investigator: Myron J Levin, MD University of Colorado School of Medicine

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Responsible Party: University of Colorado, Denver Identifier: NCT02026089    
Other Study ID Numbers: 13-1380
First Posted: January 1, 2014    Key Record Dates
Last Update Posted: January 18, 2020
Last Verified: January 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: Yes
Additional relevant MeSH terms:
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Herpes Zoster
Varicella Zoster Virus Infection
Herpesviridae Infections
DNA Virus Infections
Virus Diseases