Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population

Elderly individuals have the highest burden of disease from influenza infection but also the lowest immune response to influenza vaccination. A better understanding of the host response to influenza vaccination in the elderly is therefore urgently needed. We conducted a biphasic prospective, populat...

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Main Authors: Manas K. Akmatov, Peggy Riese, Marcus May, Leonhard Jentsch, Malik W. Ahmed, Damaris Werner, Anja Rösel, Megan Tyler, Kevin Pessler, Jana Prokein, Inga Bernemann, Norman Klopp, Blair Prochnow, Stephanie Trittel, Aravind Tallam, Thomas Illig, Christoph Schindler, Carlos A. Guzmán, Frank Pessler
Format: Article
Language:English
Published: Taylor & Francis Group 2017-07-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2017.1299300
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author Manas K. Akmatov
Peggy Riese
Marcus May
Leonhard Jentsch
Malik W. Ahmed
Damaris Werner
Anja Rösel
Megan Tyler
Kevin Pessler
Jana Prokein
Inga Bernemann
Norman Klopp
Blair Prochnow
Stephanie Trittel
Aravind Tallam
Thomas Illig
Christoph Schindler
Carlos A. Guzmán
Frank Pessler
author_facet Manas K. Akmatov
Peggy Riese
Marcus May
Leonhard Jentsch
Malik W. Ahmed
Damaris Werner
Anja Rösel
Megan Tyler
Kevin Pessler
Jana Prokein
Inga Bernemann
Norman Klopp
Blair Prochnow
Stephanie Trittel
Aravind Tallam
Thomas Illig
Christoph Schindler
Carlos A. Guzmán
Frank Pessler
author_sort Manas K. Akmatov
collection DOAJ
description Elderly individuals have the highest burden of disease from influenza infection but also the lowest immune response to influenza vaccination. A better understanding of the host response to influenza vaccination in the elderly is therefore urgently needed. We conducted a biphasic prospective, population-based study from Dec. 2014 to May 2015 (pilot study) and Sept. 2015 to May 2016 (main study). Individuals 65–80 y of age were randomly selected from the residents' registration office in Hannover, Germany, for the pilot (n = 34) and main study (n = 200). The pilot study tested recruitment for study arms featuring 2, 4, or 5 visits/blood draws. The 5-visit (day 0, 1/3, 7, 21, 70 with respect to vaccination) study arm was selected for the main study. Both studies featured vaccination with Fluad™ (Novartis, Italy), a detailed medical history, a physical exam, recording of adverse events, completion of a questionnaire on common infections and an end-of-study questionnaire, and blood samples. Response rates in the pilot and main studies were 3.7% and 4.0%, respectively. Willingness to participate did not differ among the study arms (Fisher's exact test, p = 0.44). In both studies, there were no losses to follow-up. Compliance with study visits, blood sampling and completion of the questionnaires was very high (100%, >97%, 100%, respectively), as were participants' acceptance of and satisfaction with both phases of the study. The low response rates indicate the need for optimized recruitment strategies if the study population is to be representative of the general population. Nonetheless, the complex prospective study design proved to be highly feasible.
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spelling doaj.art-2f7e0859e8cd42408bf1441a2939e1662023-09-22T08:17:49ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2017-07-011371630163910.1080/21645515.2017.12993001299300Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general populationManas K. Akmatov0Peggy Riese1Marcus May2Leonhard Jentsch3Malik W. Ahmed4Damaris Werner5Anja Rösel6Megan Tyler7Kevin Pessler8Jana Prokein9Inga Bernemann10Norman Klopp11Blair Prochnow12Stephanie Trittel13Aravind Tallam14Thomas Illig15Christoph Schindler16Carlos A. Guzmán17Frank Pessler18TWINCORE, Centre for Experimental and Clinical Infection ResearchHelmholtz Centre for Infection ResearchHannover Medical SchoolTWINCORE, Centre for Experimental and Clinical Infection ResearchTWINCORE, Centre for Experimental and Clinical Infection ResearchTWINCORE, Centre for Experimental and Clinical Infection ResearchTWINCORE, Centre for Experimental and Clinical Infection ResearchHannover Medical SchoolTWINCORE, Centre for Experimental and Clinical Infection ResearchHannover Medical SchoolHannover Medical SchoolHannover Medical SchoolHelmholtz Centre for Infection ResearchHelmholtz Centre for Infection ResearchTWINCORE, Centre for Experimental and Clinical Infection ResearchHannover Medical SchoolHannover Medical SchoolCentre for Individualized Infection MedicineTWINCORE, Centre for Experimental and Clinical Infection ResearchElderly individuals have the highest burden of disease from influenza infection but also the lowest immune response to influenza vaccination. A better understanding of the host response to influenza vaccination in the elderly is therefore urgently needed. We conducted a biphasic prospective, population-based study from Dec. 2014 to May 2015 (pilot study) and Sept. 2015 to May 2016 (main study). Individuals 65–80 y of age were randomly selected from the residents' registration office in Hannover, Germany, for the pilot (n = 34) and main study (n = 200). The pilot study tested recruitment for study arms featuring 2, 4, or 5 visits/blood draws. The 5-visit (day 0, 1/3, 7, 21, 70 with respect to vaccination) study arm was selected for the main study. Both studies featured vaccination with Fluad™ (Novartis, Italy), a detailed medical history, a physical exam, recording of adverse events, completion of a questionnaire on common infections and an end-of-study questionnaire, and blood samples. Response rates in the pilot and main studies were 3.7% and 4.0%, respectively. Willingness to participate did not differ among the study arms (Fisher's exact test, p = 0.44). In both studies, there were no losses to follow-up. Compliance with study visits, blood sampling and completion of the questionnaires was very high (100%, >97%, 100%, respectively), as were participants' acceptance of and satisfaction with both phases of the study. The low response rates indicate the need for optimized recruitment strategies if the study population is to be representative of the general population. Nonetheless, the complex prospective study design proved to be highly feasible.http://dx.doi.org/10.1080/21645515.2017.1299300elderlyfeasibilityinfluenza vaccinationnonresponse biaspilot studypopulation-based studyresponse ratevaccinomicsgermany
spellingShingle Manas K. Akmatov
Peggy Riese
Marcus May
Leonhard Jentsch
Malik W. Ahmed
Damaris Werner
Anja Rösel
Megan Tyler
Kevin Pessler
Jana Prokein
Inga Bernemann
Norman Klopp
Blair Prochnow
Stephanie Trittel
Aravind Tallam
Thomas Illig
Christoph Schindler
Carlos A. Guzmán
Frank Pessler
Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
Human Vaccines & Immunotherapeutics
elderly
feasibility
influenza vaccination
nonresponse bias
pilot study
population-based study
response rate
vaccinomics
germany
title Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
title_full Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
title_fullStr Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
title_full_unstemmed Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
title_short Establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
title_sort establishment of a cohort for deep phenotyping of the immune response to influenza vaccination among elderly individuals recruited from the general population
topic elderly
feasibility
influenza vaccination
nonresponse bias
pilot study
population-based study
response rate
vaccinomics
germany
url http://dx.doi.org/10.1080/21645515.2017.1299300
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