Status:

COMPLETED

Safety and Immunogenicity of a Human Hookworm Candidate Vaccine With or Without Additional Adjuvant in Brazilian Adults

Lead Sponsor:

Baylor College of Medicine

Conditions:

Hookworm Infection

Hookworm Disease

Eligibility:

All Genders

18-45 years

Phase:

PHASE1

Brief Summary

This two part study will evaluate the safety and immunogenicity of two formulations of Na-GST-1, first in hookworm-naïve individuals using an open-label design, and then in adults living in an area of...

Detailed Description

Human hookworm infection is a soil-transmitted helminth infection caused by the nematode parasites Necator americanus and Ancylostoma duodenale. It is one of the most common chronic infections of huma...

Eligibility Criteria

Inclusion

  • Males or females between 18 and 45 years, inclusive.
  • Good general health as determined by means of the screening procedure.
  • Available for the duration of the trial (42 weeks).
  • Willingness to participate in the study as evidenced by signing the informed consent document.
  • If found to be infected with hookworm during screening, has completed a course of three doses of albendazole.

Exclusion

  • Pregnancy as determined by a positive urine β-hCG (if female).
  • Participant unwilling to use reliable contraception methods up until one month following the third immunization (if female).
  • Currently lactating and breast-feeding (if female).
  • Inability to correctly answer all questions on the informed consent comprehension questionnaire.
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, diabetes, or renal disease by history, physical examination, and/or laboratory studies.
  • Known or suspected immunodeficiency.
  • Laboratory evidence of liver disease (alanine aminotransferase \[ALT\] greater than 1.25-times the upper reference limit).
  • Laboratory evidence of renal disease (serum creatinine greater than 1.25-times the upper reference limit, or more than trace protein or blood on urine dipstick testing).
  • Laboratory evidence of hematologic disease (absolute leukocyte count \<3000/mm3 or \>12.5 x 103/mm3; hemoglobin \<10.3 g/dl or \<11.0 g/dl \[females in Americaninhas and Belo Horizonte, respectively\] or \<11.0 g/dl or \<12.0 \[males in Americaninhas and Belo Horizonte, respectively); absolute lymphocyte count \<900/mm3; or platelet count \<120,000/mm3).
  • Laboratory evidence of a coagulopathy (PTT or PT INR greater than 1.1-times the upper reference limit \[in Belo Horizonte\] or PT INR greater than 1.3 \[Americaninhas\]).
  • Serum glucose (random) greater than 1.2-times the upper reference limit.
  • Other condition that in the opinion of the investigator would jeopardize the safety or rights of a volunteer participating in the trial or would render the subject unable to comply with the protocol.
  • Participation in another investigational vaccine or drug trial within 30 days of starting this study.
  • Volunteer has had medical, occupational, or family problems as a result of alcohol or illicit drug use during the past 12 months.
  • History of a severe allergic reaction or anaphylaxis.
  • Severe asthma as defined by the need for regular use of inhalers or emergency clinic visit or hospitalization within the last 6 months.
  • Positive ELISA for HCV.
  • Positive ELISA for HBsAg.
  • Positive ELISA for HIV.
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of starting this study.
  • Receipt of a live vaccine within past 4 weeks or a killed vaccine within past 2 weeks prior to entry into the study.
  • History of a surgical splenectomy.
  • Receipt of blood products within the past 6 months.
  • History of allergy to yeast.
  • Anti-Na-GST-1 IgE antibody level above 0.35 kUA/L by the ImmunoCAP method.
  • For Part I only: history of previous infection with hookworm; residence for more than 6 months in a hookworm-endemic area; or, positive for hookworm infection on screening microscopic fecal examination.
  • For Part II only: previous receipt of a primary series of any hepatitis B vaccine.

Key Trial Info

Start Date :

November 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2014

Estimated Enrollment :

102 Patients enrolled

Trial Details

Trial ID

NCT01261130

Start Date

November 1 2011

End Date

December 1 2014

Last Update

May 31 2017

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Americaninhas Vaccine Center

Americaninha, Minas Gerais, Brazil

2

Centro de Pesquisas René Rachou - FIOCRUZ

Belo Horizonte, Minas Gerais, Brazil