NCT06122870

Brief Summary

Gastrointestinal infections cause significant morbidity in the form of acute diarrheal illness in the United States (US) and among travelers to low- and middle-income countries (LMICs). One approach is to use passive protection (antibodies) to prevent infection. The purpose of this study are to assess the safety and tolerability of serum-derived bovine immunoglobulins in healthy adult subjects when orally administered and to estimate protective efficacy of those preparations against moderate-severe diarrhea upon challenge with Campylobacter C. jejuni strain CG8421.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
27

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Dec 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 3, 2023

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 8, 2023

Completed
26 days until next milestone

Study Start

First participant enrolled

December 4, 2023

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 4, 2024

Completed
12 months until next milestone

Results Posted

Study results publicly available

May 31, 2025

Completed
4 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 4, 2025

Completed
Last Updated

August 22, 2025

Status Verified

August 1, 2025

Enrollment Period

6 months

First QC Date

November 3, 2023

Results QC Date

May 14, 2025

Last Update Submit

August 4, 2025

Conditions

Keywords

CampylobacterCG8421ChallengeHyperimmune Bovine

Outcome Measures

Primary Outcomes (2)

  • Incidence of Adverse Events

    The primary safety and tolerability outcome is the presence of CampETEC HBC associated adverse events during the study period. Safety of CampETEC HBC.

    28 days

  • Number of Participants With Campylobacteriosis Patterns

    The primary efficacy outcome is campylobacteriosis, defined as a clinical illness meeting at least one of the following patterns starting within 144 hours of challenge * Moderate diarrhea (4 to 5 loose/liquid stools or 401-800 grams in any 24 hour period) OR * Severe diarrhea (≥ 6 loose/liquid stools or \> 800 grams in any 24 hour period) OR * Fever (present on at least 2 occasions, at least 20 minutes apart) without diarrhea, plus an associated symptom (nausea, vomiting, abdominal cramps, tenesmus, or dysentery (gross blood in ≥ 2 grade 3 - 5 stools with in any 24 hour period); with consideration of potential alternative diagnosis per clinical investigator based on illness time course and associated symptoms.

    Within 144 hours of challenge

Study Arms (2)

CampETEC HBC group

EXPERIMENTAL

CampETEC HBC (hyper immune bovine colostrum) and challenge strain C. jejuni CG8421

Biological: CampETEC HBC productBiological: C. jejuni CG8421 Challenge strain

Placebo ProMilk 85 group

PLACEBO COMPARATOR

ProMilk 85 (placebo) and challenge strain C.jejuni CG8421

Biological: ProMilk 85Biological: C. jejuni CG8421 Challenge strain

Interventions

Immunoglobulin from bovine milk/colostrum and challenge strain

CampETEC HBC group
ProMilk 85BIOLOGICAL

Placebo ProMilk 85

Placebo ProMilk 85 group

Challenge strain C. jejuni CG8421

CampETEC HBC groupPlacebo ProMilk 85 group

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Adult between 18 and 50 years of age, inclusive.
  • General good health, without significant medical illness, abnormal physical examination findings, or clinical laboratory abnormalities, as determined by principal investigator (PI) or PI in consultation with the research monitor and sponsor.
  • Demonstrate comprehension of the protocol procedures, requirements, and CHIM by passing a written examination (passing grade ≥ 70%).
  • Willing to participate, as evidenced by signing the informed consent document.
  • Available for all planned follow-up visits.
  • Negative serum pregnancy test at screening and negative serum and/or urine pregnancy test on the day of admittance to the inpatient phase for participants of childbearing potential. Participants of childbearing potential must agree to use an efficacious hormonal or barrier method of birth control during the study. Abstinence from intercourse with a male partner is acceptable. Participants who no longer have childbearing potential must have this documented (e.g., tubal ligation or hysterectomy).

You may not qualify if:

  • General health issues
  • Immunosuppressive illness or evidence of immunoglobulin A( IgA) deficiency (serum IgA \< 7 mg/dL or below the limit of detection of assay). This includes any disease that requires immunosuppressive medication such corticosteroids, monoclonal antibodies that target key aspects of the immune system (e.g. rituximab or tumor necrosis factor (TNF) blockers, or any autoimmune disease).
  • Positive serology results for HIV, HBsAg, or hepatitis C virus (HCV) antibodies, and confirmatory tests if appropriate.
  • Positive urine toxicology screen for Amphetamines, Barbiturates, Benzodiazepines, cocaine metabolite, Methadone metabolite, Opiates, Oxycodone, and/or Phencyclidine.
  • Significant abnormalities in screening laboratory hematology or serum chemistry, as determined by PI or PI in consultation with the research monitor and sponsor.
  • Use of any medication known to affect immune function (e.g., regular systemic corticosteroids, monoclonal antibodies that target key aspects of the immune system (such as rituximab or tumor necrosis factor blockers); others \[topical, intranasal and inhaled steroids will be permitted\]) within 30 days preceding receipt of the investigational product or planned to be used during the active study period.
  • Nursing or lactating on the day of admittance to the inpatient unit.
  • Inability to tolerate 150 mL sodium bicarbonate buffer (based on requirement for frequent dosing).
  • Recent vaccination (including licensed vaccines) or receipt of an investigational product (within 30 days before challenge through 30 days following the challenge dose).
  • Prior history of C. difficile infection
  • History of diarrhea in the 2 weeks prior to planned inpatient phase.
  • Fewer than 3 stools per week or more than 3 stools per day as the usual frequency, or loose or liquid stools other than on an occasional basis.
  • Regular use of laxatives or any agent that increases gastric pH (regular defined as at least weekly).
  • Use of proton pump inhibitors, H2 blockers, or antacids within 48 hours of dosing.
  • A fever (≥ 38.0°C) in the 2 weeks prior to time of challenge.
  • +15 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Johns Hopkins University (Center for Immunization Research)

Baltimore, Maryland, 21224, United States

Location

Related Publications (19)

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  • Novik V, Hofreuter D, Galan JE. Characterization of a Campylobacter jejuni VirK protein homolog as a novel virulence determinant. Infect Immun. 2009 Dec;77(12):5428-36. doi: 10.1128/IAI.00528-09. Epub 2009 Sep 21.

    PMID: 19797067BACKGROUND
  • Parkhill J, Wren BW, Mungall K, Ketley JM, Churcher C, Basham D, Chillingworth T, Davies RM, Feltwell T, Holroyd S, Jagels K, Karlyshev AV, Moule S, Pallen MJ, Penn CW, Quail MA, Rajandream MA, Rutherford KM, van Vliet AH, Whitehead S, Barrell BG. The genome sequence of the food-borne pathogen Campylobacter jejuni reveals hypervariable sequences. Nature. 2000 Feb 10;403(6770):665-8. doi: 10.1038/35001088.

    PMID: 10688204BACKGROUND
  • Karlyshev AV, Champion OL, Churcher C, Brisson JR, Jarrell HC, Gilbert M, Brochu D, St Michael F, Li J, Wakarchuk WW, Goodhead I, Sanders M, Stevens K, White B, Parkhill J, Wren BW, Szymanski CM. Analysis of Campylobacter jejuni capsular loci reveals multiple mechanisms for the generation of structural diversity and the ability to form complex heptoses. Mol Microbiol. 2005 Jan;55(1):90-103. doi: 10.1111/j.1365-2958.2004.04374.x.

    PMID: 15612919BACKGROUND
  • Maue AC, Poly F, Guerry P. A capsule conjugate vaccine approach to prevent diarrheal disease caused by Campylobacter jejuni. Hum Vaccin Immunother. 2014;10(6):1499-504. doi: 10.4161/hv.27985. Epub 2014 Mar 14.

    PMID: 24632556BACKGROUND
  • Pike BL, Guerry P, Poly F. Global Distribution of Campylobacter jejuni Penner Serotypes: A Systematic Review. PLoS One. 2013 Jun 27;8(6):e67375. doi: 10.1371/journal.pone.0067375. Print 2013.

    PMID: 23826280BACKGROUND
  • Tacket CO, Losonsky G, Link H, Hoang Y, Guesry P, Hilpert H, Levine MM. Protection by milk immunoglobulin concentrate against oral challenge with enterotoxigenic Escherichia coli. N Engl J Med. 1988 May 12;318(19):1240-3. doi: 10.1056/NEJM198805123181904.

    PMID: 3283555BACKGROUND
  • Tacket CO, Binion SB, Bostwick E, Losonsky G, Roy MJ, Edelman R. Efficacy of bovine milk immunoglobulin concentrate in preventing illness after Shigella flexneri challenge. Am J Trop Med Hyg. 1992 Sep;47(3):276-83. doi: 10.4269/ajtmh.1992.47.276.

    PMID: 1524140BACKGROUND
  • Davidson GP, Whyte PB, Daniels E, Franklin K, Nunan H, McCloud PI, Moore AG, Moore DJ. Passive immunisation of children with bovine colostrum containing antibodies to human rotavirus. Lancet. 1989 Sep 23;2(8665):709-12. doi: 10.1016/s0140-6736(89)90771-x.

    PMID: 2570959BACKGROUND
  • Savarino SJ, McKenzie R, Tribble DR, Porter CK, O'Dowd A, Cantrell JA, Sincock SA, Poole ST, DeNearing B, Woods CM, Kim H, Grahek SL, Brinkley C, Crabb JH, Bourgeois AL. Prophylactic Efficacy of Hyperimmune Bovine Colostral Antiadhesin Antibodies Against Enterotoxigenic Escherichia coli Diarrhea: A Randomized, Double-Blind, Placebo-Controlled, Phase 1 Trial. J Infect Dis. 2017 Jul 1;216(1):7-13. doi: 10.1093/infdis/jix144.

    PMID: 28541500BACKGROUND
  • Savarino SJ, McKenzie R, Tribble DR, Porter CK, O'Dowd A, Sincock SA, Poole ST, DeNearing B, Woods CM, Kim H, Grahek SL, Brinkley C, Crabb JH, Bourgeois AL. Hyperimmune Bovine Colostral Anti-CS17 Antibodies Protect Against Enterotoxigenic Escherichia coli Diarrhea in a Randomized, Doubled-Blind, Placebo-Controlled Human Infection Model. J Infect Dis. 2019 Jul 2;220(3):505-513. doi: 10.1093/infdis/jiz135.

    PMID: 30897198BACKGROUND
  • Freedman DJ, Tacket CO, Delehanty A, Maneval DR, Nataro J, Crabb JH. Milk immunoglobulin with specific activity against purified colonization factor antigens can protect against oral challenge with enterotoxigenic Escherichia coli. J Infect Dis. 1998 Mar;177(3):662-7. doi: 10.1086/514227.

    PMID: 9498445BACKGROUND
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    PMID: 23245608BACKGROUND

Results Point of Contact

Title
Dr. Kawsar Talaat
Organization
Johns Hopkins University

Study Officials

  • Kawsar R Talaat, MD

    Johns Hopkins Center for Immunization Research

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 3, 2023

First Posted

November 8, 2023

Study Start

December 4, 2023

Primary Completion

June 4, 2024

Study Completion

June 4, 2025

Last Updated

August 22, 2025

Results First Posted

May 31, 2025

Record last verified: 2025-08

Locations