Status:

RECRUITING

Characterizing the Human Airway Immune Response to FluMist Vaccination

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

AstraZeneca

Conditions:

Healthy Young Adults

Influenza Vaccines

Eligibility:

All Genders

18-40 years

Phase:

PHASE4

Brief Summary

The goal of this clinical trial is to measure the immune response in the blood, nose, and lungs after participants receive either the FDA-approved inactivated influenza vaccine or the FDA-approved int...

Detailed Description

Study Design/Methodology: Prospective randomized controlled trial; Study Duration: 2 years; Number of Subjects: 30; Subject Participation Duration: 4 months; Description of Interventions: Eligible hea...

Eligibility Criteria

Inclusion

  • Healthy adults aged 18-40 years
  • Able to understand and give written informed consent
  • In stable health, as determined by medical history and targeted physical exam related to the history

Exclusion

  • Prisoners
  • Anyone unable to provide full written informed consent
  • Pregnant women and nursing mothers or women who are planning to become pregnant during the study interval
  • Female subjects who are sexually active with male partners who are not actively on hormonal contraception or who do not have an IUD in place
  • Vaccination with a seasonal influenza vaccine or documented infection with seasonal influenza in the past 9 months
  • Receipt of any vaccine in the 28 days prior to the pre-vaccination study visit or planned receipt of any non-study vaccine before completion of study day 28 visit
  • Current smokers
  • BMI \> 40
  • Individuals with an immunocompromising medical condition or who have received systemic immunosuppressants or immune-modifying drugs for \> 14 days in total within 6 months prior to screening (for corticosteroids ≥ 10 mg/day of prednisone equivalent for \> 14 days total) or is anticipating the need for immunosuppressive treatment at any time during participation in the study
  • Individuals who currently have symptomatic acute or unstable chronic disease requiring medical or surgical care, to include significant change in therapy or hospitalization, at the discretion of the investigator
  • History of excessive alcohol consumption, drug abuse, psychiatric conditions, social conditions or occupational conditions that in the opinion of the investigator would preclude compliance with the study
  • Have donated blood, blood products, or bone marrow within 30 days before study entry, plan to donate blood at any time during the duration of study participation, or plan to donate blood within 30 days after the last blood draw.
  • Current ongoing participation in a clinical trial evaluating an investigational agent unless the trial is in follow up only and the last dose of the investigational agent was taken \>30 days or \>5 half-lives prior to enrollment, whichever is greater.
  • Any condition in the opinion of the investigator that would interfere with the proper conduct of the trial.
  • For participants willing to undergo bronchoscopy:
  • Any known chronic pulmonary, cardiovascular, neurologic or hematologic disorder that could, in the opinion of the physician bronchoscopist or the principal investigator, put the subject at unnecessary risk from the sedation and bronchoscopy procedures. These conditions may include, but are not limited to, the following: asthma, COPD, obstructive sleep apnea, pulmonary fibrosis, cystic fibrosis, pulmonary hypertension, heart failure, previous myocardial infarction, hypertrophic cardiomyopathy, supraventricular tachycardia, paraplegia, quadriplegia, epilepsy, sickle cell disease, hemophilia, chronic anemia or active cancer.
  • Coagulopathy (primary or iatrogenic) which would contraindicate bronchoscopy for participants willing to have those procedures done. Any participant with an INR\>1.4, PTT\>40 or platelet count \<100,000 at study screening will not be eligible for bronchoscopy.
  • Evidence of significant pulmonary disease on the day of bronchoscopy, including pulse oximetry with oxygen saturation of 92% or less on room air, or infiltrate or pleural effusion on an upright PA and lateral chest x-ray performed on the day of bronchoscopy.
  • Allergy or contraindication to anesthesia for participants willing to have bronchoscopy done.

Key Trial Info

Start Date :

September 9 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2028

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT07177417

Start Date

September 9 2025

End Date

November 1 2028

Last Update

September 17 2025

Active Locations (1)

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Washington University in Saint Louis School of Medicine Emergency Care and Research Core

St Louis, Missouri, United States, 63110