Status:

COMPLETED

Na-GST-1/Alhydrogel With or Without CpG 10104 in Gabonese Adults

Lead Sponsor:

Baylor College of Medicine

Collaborating Sponsors:

Centre de Recherche Médicale de Lambaréné

George Washington University

Conditions:

Hookworm Infection

Hookworm Disease

Eligibility:

All Genders

18-50 years

Phase:

PHASE1

Brief Summary

Na-GST-1 is a protein expressed during the adult stage of the Necator americanus hookworm life cycle that is thought to play a role in the parasite's degradation of host hemoglobin for use as an energ...

Detailed Description

Double blind, randomized, controlled, dose-escalation Phase 1 clinical trial in hookworm-exposed adults aged 18 to 50 years living in the area of Lambaréné, Gabon. Participants will receive three dose...

Eligibility Criteria

Inclusion

  • Males or females between 18 and 50 years, inclusive, who are long-term residents of the study area.
  • Good general health as determined by means of the screening procedure.
  • Assumed availability for the duration of the trial (13 months).
  • Willingness to participate in the study as evidenced by signing the informed consent document.
  • Negative for hookworm during screening, or if found to be infected with hookworm, has completed a course of three doses of albendazole.

Exclusion

  • Pregnancy as determined by a positive urine human choriogonadotropin (hCG) test (if female).
  • Participant unwilling to use reliable contraception up until one month following the final immunization (if female and not surgically sterile, abstinent, at least 2 years post-menopausal, or determined otherwise by medical evaluation to be sterile).
  • 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.
  • Has a diagnosis of schizophrenia, bipolar disease or other major psychiatric condition that would make compliance with study visits/procedures difficult (e.g., subject with psychoses or history of suicide attempt or gesture in the 3 years before study entry, ongoing risk for suicide).
  • 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 1+ protein, or glucose on urine dipstick testing).
  • Laboratory evidence of hematologic disease (absolute leukocyte count \<3500/mm3; absolute leukocyte count \>11.0 x 103/mm3; hemoglobin \<10.0 g/dl \[females\] or \<12.0 g/dl \[males\]; or, platelet count \<140,000/mm3).
  • Other condition that in the opinion of the investigator could jeopardize the safety or rights of a volunteer participating in the trial or would render them unable to comply with the protocol.
  • Participation in another investigational vaccine or drug trial within 30 days of starting this study or for the duration of the study.
  • History of a severe allergic reaction or anaphylaxis.
  • Severe asthma as defined by the need for daily use of inhalers or emergency room/clinic visit or hospitalization within 6 months of the volunteer's planned first vaccination in the study.
  • Positive for HCV.
  • Positive for HBsAg.
  • Positive for HIV infection.
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of starting this study or planned use up to one month after the volunteer's final vaccination.
  • 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 6 months prior to entry into the study.
  • Previous receipt of the Na-GST-1/Alhydrogel® vaccine.
  • Pre-existing autoimmune or antibody-mediated diseases including but not limited to: systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, Sjogren's syndrome, autoimmune thrombocytopenia; or laboratory evidence of possible autoimmune disease determined by a positive anti-dsDNA titer, positive rheumatoid factor, proteinuria (greater than trace protein on urine dipstick testing) and/or a positive ANA.

Key Trial Info

Start Date :

February 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 30 2019

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT03373214

Start Date

February 1 2018

End Date

March 30 2019

Last Update

January 13 2021

Active Locations (1)

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Centre de Récherches Médicales de Lambaréné

Lambaréné, Gabon