influenza-specific nasal IgA

  • Research type

    Research Study

  • Full title

    Comparison of nasal fluid sampling methods for assessment of influenza-specific nasal IgA following live attenuated influenza vaccine in adults.

  • IRAS ID

    189572

  • Contact name

    Thushan de Silva

  • Contact email

    thushan.desilva@sth.nhs.uk

  • Sponsor organisation

    Sheffield Teaching Hospitals NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    NA, NA

  • Duration of Study in the UK

    0 years, 7 months, 29 days

  • Research summary

    Influenza (‘flu) can cause severe infections, especially in the very young and old, as well as people with weakened immune systems. For this reason, yearly vaccination is recommended with the standard ‘inactivated’ influenza vaccine to try and prevent infections in these populations. It is also recommended in all health care workers, to help prevent the spread of influenza within healthcare settings. An alternative to the standard ‘inactivated’ annual influenza vaccine is the ‘live attenuated influenza vaccine’ (LAIV), which means it consists of weakened versions of the influenza virus. Unlike the standard vaccine, which is given by injection, LAIV is a spray that is given into each nostril. It is now given to children in the UK in preference to the standard vaccine as it results in greater protection from influenza. In some other countries, like the USA, adults are also given LAIV, where it seems to work just as well as the standard vaccine. This vaccine probably works in different ways to the standard ‘flu vaccine, by improving your body’s ability to fight ‘flu infections where it first encounters it in the nose (by producing specific factors called IgA antibodies). Although there is a lot of experience measuring how well vaccines produce responses in the blood, less is known about the best ways of looking for a vaccine response (IgA) in fluid from the nose.

    We want to give LAIV to healthy adults and obtain nasal fluid in several different ways to then compare the amount of IgA that can fight influenza, to see which method is best. We then aim to use this information in future research studies looking at why some people produce a good IgA response to LAIV and other don’t, with the long term aim of improving future vaccines.

  • REC name

    Yorkshire & The Humber - Leeds East Research Ethics Committee

  • REC reference

    15/YH/0486

  • Date of REC Opinion

    10 Nov 2015

  • REC opinion

    Favourable Opinion