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NCT07135427PHASE4Recruiting

Genetic Variation in IgG in Alpha 1 Antitrypsin Deficiency

University of Alabama at Birmingham

Start Date

9/3/2025

Completion Date

6/1/2027

Summary

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.

Eligibility Criteria

Age Range: 19 years to No maximum

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

Interventions

BIOLOGICAL

20-valent pneumococcal conjugate vaccine

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Conditions

Alpha 1-AntitrypsinCOPDAntibody Deficiency

Locations

University of Alabama at Birmingham

Birmingham, Alabama 35294

United States