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identifier: SDY15
description:
The main objective of the Atopic Dermatitis and Vaccinia Network (ADVN) is to reduce the risk of eczema vaccinatum (EV) following smallpox vaccination. Since direct vaccination of atopic dermatitis (AD) subjects with live vaccinia virus (VV) is contraindicated due to the heightened risk of EV, a surrogate virus, yellow fever (YF) (the highly attenuated vaccine strain, 17D), was chosen. This is a live virus that can be administered transcutaneously (TC) with a bifurcated needle in a manner analogous to smallpox vaccination. In this study, AD subjects and controls will be vaccinated with the yellow fever virus (YFV) (YFV-17D) by the subcutaneous (SC) or TC route to determine: 1) whether there are quantitative differences in the antiviral immune responses elicited in these 2 distinct groups of subjects; and 2) whether the route of vaccination alters these immune responses, especially in AD subjects who may have altered cutaneous immunity. Using in-depth analysis of both innate and adaptive immunity in AD subjects and controls, an immunological signature may be identified that would aid in the screening process of individuals who might be at risk for EV. Moreover, this study will provide substantial information about normal and defective cutaneous immunity in AD subjects, which will be critical for future development of therapeutic drugs aimed at preventing or alleviating EV, as well as other more common viral skin infections.
aggregation:
instance of dataset
refinement:
2 - Complete set of descriptive data and results, as ascertained by ImmPort.
availability:
available with registration
primaryPublications: 24331381
isAbout:
The primary objective of this study is to gain greater insight into the immunological parameters that distinguish AD subjects from controls. This will be accomplished by measuring YFV-specific antibody titers after TC and SC administration of vaccine, which may vary due to differences in innate and/or adaptive immune responses. The secondary objective of this study is to determine whether the subset of AD subjects with increased susceptibility to viral skin infection can be identified by biomarkers for increased T-helper type 2 (Th2) responses or decreased T-helper type 1 (Th1) responses, decreased natural killer (NK) cell numbers/function, complement consumption, and control of viremia.
clinical trial: clinical trial
study category: Vaccine Response
study type: Observational
subject species: Homo sapiens
biosample type: Cell
Whole blood
subject gender: Both
assay type: Luminex xMAP
PCR
Virus Neutralization
name:
YFEV
fullName:
Jon Hanifin
affiliations:
Oregon Health and Science University
roles:
principal investigator
name:
Immune Response to Yellow Fever Vaccination in Adults With Atopic Dermatitis
size:
82
name:
Atopic Dermatitis & Vaccinia Network (ADVN) Clinical Studies Consortium
output:
Primary Outcome Measures: Comparison of Anti-YF Antibody Levels by Measurement of Log10 Neutralization Index (LNI): YFV-17D TC- (AD) Participants Compared to YFV-17D TC- (Non-AD) Participants. Comparison of Anti-YF Antibody Levels by Measurement of Log10 Neutralization Index (LNI): YFV-17D SC - (AD) Participants Compared to YFV-17D SC- (Non-AD) Participants. Comparison of Anti-YF Antibody Levels by Measurement of Log10 Neutralizing Titer 50 (NT50): YFV-17D TC - (AD) Participants Compared to YFV-17D TC - (Non - AD) Participants. Comparison of Anti-YF Antibody Levels by Measurement of Log10 Neutralizing Titer 50 (NT50): YFV-17D SC - (AD) Participants Compared to YFV-17D SC - (Non-AD) Participants. Secondary Outcome Measures: Comparison of Count of Seroconverters: YFV-17D TC- (AD) Participants Compared to YFV-17D TC - (Non-AD) Participants. Comparison of Count of Seroconverters: YFV-17D SC - (AD) Participants Compared to YFV-17D SC - (Non-AD) Participants. Comparison in Log10 Transformed Lymphocyte Count on Day 30 Post YF Immunization: IFN-gamma Positive, Tumor Necrosis Factor- Alpha (TNF Alpha) Positive, CD4 Positive T-cells, YFV-17D SC - (AD) Compared to YFV-17D SC - (Non- AD) Participants. Comparison in Log10 Transformed Lymphocyte Count on Day 30 Post YF Immunization: IFN-gamma Positive, Tumor Necrosis Factor- Alpha (TNF Alpha) Positive , CD4 Positive T-cells, YFV-17D TC - (AD) Compared to YFV-17D TC - (Non-AD) Participants. Comparison in Log10 Transformed Lymphocyte Count on Day 30 Post YF Immunization: IFN-gamma Positive, Tumor Necrosis Factor- Alpha (TNF Alpha) Positive, CD8 Positive T-cells, YFV-17D SC -(AD) Compared to YFV-17D SC - (Non-AD) Participants. Comparison in Log10 Transformed Lymphocyte Count on Day 30 Post YF Immunization: IFN-gamma Positive, Tumor Necrosis Factor- Alpha (TNF Alpha) Positive, CD8 Positive T-cells, YFV-17D TC - (AD) Compared to YFV-17D TC - (Non-AD) Participants.
studyGroups:
Transcutaneous Atopic Dermatitis Subjects: AD Subjects AD+TC
Subcutaneous Atopic Dermatitis Subjects: AD Subjects AD+SC
Transcutaneous Nonatopic Subjects: Nonatopic Subjects AD+TC
Subcutaneous Nonatopic Subjects: Nonatopic Subjects AD+SC
description:
The purpose of this study is to determine the immune response to a yellow fever vaccine in adults with Atopic Dermatitis.
identifier:
10.21430/M3KTJ8SA7A
startDate:
2008-08-01
name:
ImmPort
identifier:
SCR:012804
homePage: http://www.immport.org

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