Morning versus evening flu vaccination for adults with chronic kidney failure
Official title: Study of the Impact of Time of Vaccination on Response to Influenza Vaccine in Patients With Chronic Renal Failure - CHRONOVAX 2
Run by Centre Hospitalier Universitaire de Nice · NCT06907667 · Data updated 2026-11-12
This trial will test whether giving the seasonal flu shot in the morning produces a stronger immune response than giving it in the evening for adults with advanced chronic kidney disease, people on dialysis, and kidney transplant recipients.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 735 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Nice Academic / other |
| Locations | 1 site (Nice, Alpes-Maritimes) |
| Status | Recruiting |
| Started | September 3, 2025 |
| Main results expected | March 2027 |
| Study ends | September 2027 |
| Registry record updated | May 15, 2026 |
| Trial ID | NCT06907667 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with stage 4 or 5 chronic kidney disease, patients on dialysis, or kidney transplant recipients who need the seasonal influenza vaccine and can give informed consent.
✕Probably not a fit
Patients with known hypersensitivity to the influenza vaccine or egg proteins, those who already received this season's vaccine, those with current infection or acute illness, or those recently on major immunosuppressive or immunomodulatory therapies are unlikely to benefit or are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Seasonal influenza vaccination is recommended for people with chronic renal insufficiency, but antibody responses are often weaker in this group. Recent research suggests the time of day of vaccination can influence immune responses. In this single-center interventional study at CHU Nice, eligible participants will receive the influenza vaccine either in the morning or in the evening and have blood samples taken to compare serological responses. The goal is to determine whether morning administration yields higher antibody levels than evening administration in this immunocompromised population.
Why it matters
Potential benefit: If successful, scheduling flu vaccinations at the best time of day could boost protection and reduce influenza-related complications in people with advanced kidney disease.
How similar studies have gone: Prior studies have reported time-of-day effects on vaccine responses for BCG, influenza, and COVID vaccines, but this timing strategy has not been definitively proven in people with advanced kidney disease.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Chronic renal failure patient at stage 4 or 5 (i.e. estimated GFR \< 30mL/min/1.73m2); or Dialysis patient; or renal transplant patient regardless of GFR; * Age ≥ 18 years; * Indication for influenza vaccination; * Express free and informed consent. Exclusion Criteria: * Known hypersensitivity to influenza vaccine or egg proteins; * Previous influenza vaccination for the current season; * Current infection; * Current acute illness; * Treatments with a major impact on vaccine response: * Treatment of rejection within the previous 3 months; * Renal transplantation with induction performed within the previous 6 months; * Immunosuppressive treatment including CTLA4 agonist, complement inhibitor, anti-CD20; * Treatments that may distort the serological response: Polyvalent immunoglobulin infusion within the preceding 3 months; * Vulnerable persons (minors, adults under guardianship or trusteeship, persons deprived of their liberty, persons unable to speak French); * Subjects not affiliated to Social Security.
Where it's running
-
CHU Nice - Hôpital Pasteur 2
Nice, Alpes-Maritimes, France Recruiting
Study contacts
- Principal investigator: GOSSET Clément, MD — Centre Hospitalier Universitaire de Nice
- Study coordinator: GOSSET Clément, MD
- Email: gosset.c@chu-nice.fr
- Phone: 492038632
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.