Study of Na-ASP-2 Human Hookworm Vaccine in Healthy Adults Without Evidence of Hookworm Infection
Phase 1, Single-Center, Double-Blind, Placebo-Controlled, Randomized, Dose-Escalation Study to Compare the Safety, Tolerability, and Immunogenicity of Three Intramuscular Administrations of Na-ASP-2 Hookworm Vaccine in Healthy Adults Without Evidence of Hookworm Infection
1 other identifier
interventional
36
1 country
1
Brief Summary
The primary objective of this clinical trial is to determine the safety and tolerability of the Na-ASP-2 Hookworm Vaccine in healthy subjects following the administration of 3 intramuscular (IM) injections of the vaccine over 16 weeks using 3 different doses. The secondary objective is to make a preliminary evaluation of the immunogenicity of each of the 3 doses of the vaccine in healthy volunteers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Apr 2005
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2005
CompletedFirst Submitted
Initial submission to the registry
July 7, 2005
CompletedFirst Posted
Study publicly available on registry
July 15, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2006
CompletedMay 31, 2017
May 1, 2017
1.4 years
July 7, 2005
May 30, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and tolerability of three different doses of the Na-ASP-2 hookworm vaccine in healthy volunteers
For the duration of the study
Secondary Outcomes (1)
To determine the immunogenicity, both humoral and cellular, of the vaccine at specified time points following vaccination
2, 8, 10, 16, 18, 24, and 48 weeks after the first injection
Study Arms (4)
Low dose
EXPERIMENTAL10 mcg Na-ASP-2/Alhydrogel
Medium dose
EXPERIMENTAL50 mcg Na-ASP-2/Alhydrogel
High dose
EXPERIMENTAL100 mcg Na-ASP-2/Alhydrogel
Saline placebo
PLACEBO COMPARATORSaline placebo
Interventions
The recombinant hookworm protein Na-ASP-2 formulated on aluminum hydroxide adjuvant (Alhydrogel), in one of three dose concentrations, compared to a saline placebo control.
Eligibility Criteria
You may qualify if:
- Healthy adults 18 to 45 years of age.
- Signed informed consent.
- History, physical exam, and laboratory tests indicating good general health obtained prior to the first injection.
- All females must have a negative pregnancy test (FDA-approved test for β human chorionic gonadotropin \[β-HCG\]) on the day of the first injection.
- Serologic tests for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) are negative at screening.
- All subjects must agree to use an acceptable method of birth control from the start of screening until 2 weeks after the third injection. Acceptable methods for female subjects include hormonal contraceptives, intrauterine device (IUD), diaphragm with spermicide, condoms, abstinence, surgically sterile (hysterectomy), and surgically sterile partner. Acceptable methods for male subjects include surgical sterilization, condoms, partner who uses an acceptable method of birth control, and abstinence.
You may not qualify if:
- Any history of anaphylaxis or allergy to vaccine components or allergy to insect stings, including bee stings.
- A past or current history of hookworm infection.
- BMI \< 18.0 or \> 30.0.
- Recent (\< 72 hours) history of febrile illness at the time of vaccination (temperature \> 99.6°F or equivalent).
- Received any immune globulin or blood product 3 months prior to injection or scheduled within 4 weeks thereafter.
- Had vaccination with a live virus vaccine within 4 weeks before receipt of the vaccine or scheduled within 4 weeks thereafter.
- Had vaccination with a killed vaccine, or allergy treatment with antigen injections within 14 days of initial study injection.
- Received an investigational agent within 4 weeks of initial study injection.
- Known or suspected impairment of immunologic function including, but not limited to clinically significant liver disease, diabetes mellitus, moderate to severe kidney impairment (creatinine \> 1.5), any history of malignancy (except squamous cell or basal cell skin cancer), HIV infection or autoimmune diseases, or concomitant immunosuppressive medication such as glucocorticosteroids.
- A history of essential hypertension, gastrointestinal abnormalities such as peptic ulcer disease, cardiac (ECG abnormalities), pulmonary, hepatic, renal, pancreatic, or neurologic disease.
- Taken prescription medications with the exception of subjects on a stable regimen (\> 30 days) of: (1) hormone replacement therapy, (2) use of nasal steroids, (3) topical therapy, (4) certain classes of antidepressants (i.e., selective serotonin re-uptake inhibitors), (5) oral contraceptives, (6) nonsteroidal anti-inflammatory agents, or (7) antihistamines or decongestants for seasonal allergies taken as needed.
- Contraindication to IM injection such as anti-coagulant therapy or thrombocytopenia.
- Pregnant, nursing, or expecting to conceive during the study.
- Any history of chronic alcohol or drug abuse or current treatment with any known prescribed or over-the-counter supplements that may be hepatotoxins.
- Any subject who, in the Investigator's opinion, will be unable to adhere to protocol requirements.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Baylor College of Medicinelead
- Bill and Melinda Gates Foundationcollaborator
Study Sites (1)
George Washington University Medical Center
Washington D.C., District of Columbia, 20037, United States
Related Publications (1)
Bethony JM, Simon G, Diemert DJ, Parenti D, Desrosiers A, Schuck S, Fujiwara R, Santiago H, Hotez PJ. Randomized, placebo-controlled, double-blind trial of the Na-ASP-2 hookworm vaccine in unexposed adults. Vaccine. 2008 May 2;26(19):2408-17. doi: 10.1016/j.vaccine.2008.02.049. Epub 2008 Mar 11.
PMID: 18396361RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gary Simon, M.D., Ph.D
George Washington University
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
July 7, 2005
First Posted
July 15, 2005
Study Start
April 1, 2005
Primary Completion
September 1, 2006
Study Completion
September 1, 2006
Last Updated
May 31, 2017
Record last verified: 2017-05