Genetic Variation in IgG in Alpha 1 Antitrypsin Deficiency

Purpose

The goal of this study is to learn whether patients who have a genetic mutation in the genes that cause alpha 1 antitrypsin deficiency also have genetic variation in nearby genes that can increase risk for reduced immune function and respiratory infections. To investigate this hypothesis, we will compare immune responses to the 20-valent pneumococcal conjugate vaccine (PCV20, Pfizer) between participants who have one abnormal copy of the SERPINA1 gene and either no COPD exacerbations, vs those with 2 or more COPD exacerbations in the past year.

Conditions

  • Alpha 1-Antitrypsin
  • COPD
  • Antibody Deficiency

Eligibility

Eligible Ages
Over 19 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Adults who are heterozygous for a SERPINA1 Z allele - Have either had no COPD exacerbations or 2 or more exacerbations in the previous year - Has not received a pneumococcal conjugate vaccine within the past 5 years, or has only received the pneumococcal polysaccharide vaccine in the past

Exclusion Criteria

  • Received a pneumococcal conjugate vaccine within the past 5 years - Known allergy, severe adverse reaction, or other sensitivity to pneumococcal conjugate vaccines

Study Design

Phase
Phase 4
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Basic Science
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
SERPINA1 'Z' heterozygotes
Participants who are heterozygous for the SERPINA1 'Z' allele with either 0 or 2+ exacerbations in the previous year, and have not received pneumococcal vaccination within 5 years will be given PCV20.
  • Biological: 20-valent pneumococcal conjugate vaccine
    Administration of PCV20

Recruiting Locations

University of Alabama at Birmingham
Birmingham 4049979, Alabama 4829764 35294
Contact:
LaFon
2059343411
dlafon@uabmc.edu

More Details

Status
Recruiting
Sponsor
University of Alabama at Birmingham

Study Contact

David LaFon, MD
2059343411
dlafon@uabmc.edu