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Trial registered on ANZCTR
Registration number
ACTRN12619000738123
Ethics application status
Approved
Date submitted
6/05/2019
Date registered
16/05/2019
Date last updated
3/03/2022
Date data sharing statement initially provided
16/05/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Validating magnetic resonance imaging (MRI) tools to measure brain inflammation using a typhoid vaccine in healthy adults
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Scientific title
Validating MRI tools to measure neuroinflammation in vivo using a typhoid vaccine in healthy adults
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Secondary ID [1]
298066
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None
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Universal Trial Number (UTN)
U1111-1224-8965
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Immunological response
312622
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Condition category
Condition code
Inflammatory and Immune System
311121
311121
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0
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Other inflammatory or immune system disorders
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Neurological
311122
311122
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0
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Studies of the normal brain and nervous system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Salmonella typhi Vi polysaccharide vaccine: immediately, after the baseline MRI scan, 0.5 ml solution once via intramuscular injection in the deltoid (upper arm) of the non-dominant arm, containing 0.025 mg of purified Vi capsular polysaccharide of Salmonella typhi (Ty 2 strain). A second MRI will be conducted 180 minutes after.
Each participant will receive the vaccine or placebo on a separate study visit. Each study visit will be at least 7 days apart to allow for a sufficient wash-out period.
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Intervention code [1]
314328
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Treatment: Drugs
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Comparator / control treatment
Placebo: 0.5 ml 0.9% saline solution administered once via intramuscular injection
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Control group
Placebo
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Outcomes
Primary outcome [1]
319893
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Change in magnetisation transfer exchange from magnetisation-weighted MRI scan
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Assessment method [1]
319893
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Timepoint [1]
319893
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3 hours post-vaccine administration
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Primary outcome [2]
319894
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Change in brain temperature measured by echo-planar spectroscopic imaging MRI scan
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Assessment method [2]
319894
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Timepoint [2]
319894
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3 hours post-vaccine administration
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Primary outcome [3]
319895
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Change in diffusion-weighted measures derived from diffusion-weighted MRI scans
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Assessment method [3]
319895
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Timepoint [3]
319895
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3 hours post-vaccine administration
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Secondary outcome [1]
370039
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Change in peripheral interleukin-1 from blood samples, measured using enzyme-linked immunosorbent assay (ELISA)
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Assessment method [1]
370039
0
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Timepoint [1]
370039
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Three hours post-vaccine administration
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Secondary outcome [2]
370040
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Change in peripheral interleukin-6 from blood samples, measured using ELISA
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Assessment method [2]
370040
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Timepoint [2]
370040
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Three hours post-vaccine administration
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Secondary outcome [3]
370424
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Change in peripheral interleukin-10 from blood samples, measured using ELISA
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Assessment method [3]
370424
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Timepoint [3]
370424
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Three hours post-vaccination administration
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Secondary outcome [4]
370425
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Change in peripheral tumour necrosis factor from blood samples, measured using ELISA
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Assessment method [4]
370425
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Timepoint [4]
370425
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Three hours post-vaccination administration
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Secondary outcome [5]
370426
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Change in mood states as assessed by the Profile of Mood States (POMS)
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Assessment method [5]
370426
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Timepoint [5]
370426
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Three hours post-vaccination administration
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Eligibility
Key inclusion criteria
• Participant is willing and able to give informed consent for participation in the study
• In the investigators' opinion, is able and willing to comply with all study requirements
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
• Any physical or psychiatric illness e.g. rheumatologic/autoimmune diseases, major depressive disorder
• Current use of any prescribed medication e.g. anti-inflammatory, immunomodulatory medications
• Recreation drug use in the previous six months
• Smoking
• Contraindications for a typhoid vaccine (known systemic hypersensitivity reaction to any component of TYPHIM Vi or a life-threatening reaction after previous administration of the vaccine or vaccine containing the same substance)
• Receiving a typhoid vaccine within the past three years
• Receiving any other vaccines within one month
• Body-weight <50kg or >120kg.
• Inability to speak or read English
• Contraindications for MRI scanning
• Elevated body temperature (>38.0°C) and/or peripheral signs of acute infection/illness (e.g. sneezing, rhinorrhoea) on the day of the study – can be rescheduled/rescreened at a later date
• Any other condition judged by the study team as likely to impact on the ability of the participant to complete the study
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation involved contacting the holder of the allocation schedule who was "off-site"
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/05/2020
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Actual
12/06/2020
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Date of last participant enrolment
Anticipated
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Actual
5/05/2021
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Date of last data collection
Anticipated
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Actual
19/05/2021
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
21455
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New Zealand
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State/province [1]
21455
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Auckland
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Funding & Sponsors
Funding source category [1]
302597
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Charities/Societies/Foundations
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Name [1]
302597
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Neurological Foundation of New Zealand
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Address [1]
302597
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PO Box 110022
Auckland Hospital
Auckland 1148
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Country [1]
302597
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New Zealand
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Funding source category [2]
302688
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Charities/Societies/Foundations
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Name [2]
302688
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Oakley Mental Health Research Foundation
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Address [2]
302688
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PO Box 302499
North Harbour
Auckland 0751
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Country [2]
302688
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New Zealand
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Funding source category [3]
302689
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Charities/Societies/Foundations
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Name [3]
302689
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Maurice and Phyllis Paykel Trust
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Address [3]
302689
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PO Box 110008
Auckland Hospital
Auckland 1148
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Country [3]
302689
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New Zealand
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Funding source category [4]
302690
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Charities/Societies/Foundations
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Name [4]
302690
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New Zealand Pharmacy Education and Research Foundation
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Address [4]
302690
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PO Box 11640
Manners Street
Wellington 6142
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Country [4]
302690
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New Zealand
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Primary sponsor type
University
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Name
The University of Auckland
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Address
Private Bag 92019
Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
302620
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None
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Name [1]
302620
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Address [1]
302620
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Country [1]
302620
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303232
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
303232
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Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
303232
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New Zealand
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Date submitted for ethics approval [1]
303232
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16/01/2019
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Approval date [1]
303232
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06/03/2019
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Ethics approval number [1]
303232
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Summary
Brief summary
Recent research suggests that inflammation in the brain may play a role in neurological and psychiatric disorders such as Alzheimer’s disease, Parkinson’s disease, depression, stroke, and multiple sclerosis. However, at this time, there are no accepted methods to reliably measure these inflammatory processes in patients. Therefore, this project aims to develop and validate magnetic resonance imaging (MRI) tools for measuring inflammation in the human brain in different neurological conditions. In this study, we aim to: • Confirm that MRI is an effective technique for detecting brain inflammation • Identify potential biomarkers for brain inflammation. Thirty healthy volunteers will be invited to participate in a double-blind, placebo-controlled study and undergo MRI scans before, and three hours after being given a typhoid vaccine or placebo. This safe, experimental model of human brain inflammation will allow us to objectively measure the initial biomarkers of inflammation in the absence of underlying neurodegenerative disease and help us further understand the causes of many conditions where inflammation is involved, potentially identifying new targets for treatment.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
92938
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Dr Joanne Lin
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Address
92938
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School of Pharmacy
The University of Auckland
Private Bag 92019
Auckland 1142
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Country
92938
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New Zealand
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Phone
92938
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+64 9 923 2255
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Fax
92938
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Email
92938
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[email protected]
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Contact person for public queries
Name
92939
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Joanne Lin
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Address
92939
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School of Pharmacy
The University of Auckland
Private Bag 92019
Auckland 1142
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Country
92939
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New Zealand
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Phone
92939
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+64 9 923 2255
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Fax
92939
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Email
92939
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[email protected]
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Contact person for scientific queries
Name
92940
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Joanne Lin
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Address
92940
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School of Pharmacy
The University of Auckland
Private Bag 92019
Auckland 1142
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Country
92940
0
New Zealand
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Phone
92940
0
+64 9 923 2255
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Fax
92940
0
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Email
92940
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Public sharing of data has not been approved by the ethics committee
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Brain temperature as an indicator of neuroinflammation induced by typhoid vaccine: Assessment using whole-brain magnetic resonance spectroscopy in a randomised crossover study.
2022
https://dx.doi.org/10.1016/j.nicl.2022.103053
N.B. These documents automatically identified may not have been verified by the study sponsor.
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