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Hemoglobin MutationsNCT00277849

Collection of Blood From Persons With Hemoglobin and Erythrocyte Polymorphisms for Laboratory Malaria Research

An observational study of Hemoglobin Mutations and Erythrocyte Variants, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will collect blood samples for use in laboratory studies of malaria. The World Health Organization reports that 40 percent of the world's population is at risk for malaria, mostly in the poorest countries. It is a serious disease caused by parasites. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Hemoglobin Mutations, Erythrocyte Variants
How many people
130 participants
Where
1 siteUnited States
Study dates
11 Jan 2006to 20 Jul 2010
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Normal volunteer or volunteer with a known or suspected erythrocyte mutation.
  • Age greater than or equal to 18 and less than or equal to 65 years old.
  • Weight greater than 110 pounds.
  • Ability to sign the consent form.
  • Willingness to comply with study procedures.

Who cannot join

  • Transfusion of any blood products within the past 90 days.
  • Active bleeding.
  • Clinically apparent and/or symptomatic anemia (pallor, orthostasis, etc).
  • Self-reported history of HIV, Hepatitis B virus, or Hepatitis C virus infection.
  • Severe chronic disease (e.g. end-stage renal failure, malignancy, etc).
  • Significant medical history, physical examination, or laboratory test results indicating that the subject should not participate in a clinical trial.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, 20892

Other trials in United States

About this study

This study will collect blood samples for use in laboratory studies of malaria. The World Health Organization reports that 40 percent of the world's population is at risk for malaria, mostly in the poorest countries. It is a serious disease caused by parasites. Each year, 300-500 million infections lead to more than a million deaths. However, there are traits in red blood cells (erythrocyte) that protect people against malaria. In this study, polymorphism refers to the various kinds of red blood cell traits.

The sickle cell trait is an example of one that seems to offer a natural survival advantage in children where malaria is common. Researchers at the Laboratory of Malaria and Vector Research are investigating ways in which the blood cell traits can offer such protection, and new knowledge gained can bring about medical advances. Of particular importance is studying how the malaria organism, Plasmodium, survives inside different red blood cells. A steady, consistent, and reliable supply of fresh whole blood is necessary for testing.

Read more

Patients 18 to 65, weighing more than 110 lbs. and who do not have anemia or known HIV, Hepatitis C, or Hepatitis B may be eligible for this study.

Patients will undergo a medical history and general assessment including vital signs of temperature, heart rate, and blood pressure. Blood will be collected from a vein in the arm, or rarely a vein in the hand. A complete blood count, or CBC, will be done to ensure that blood levels are sufficient and that blood donation is safe for a patient to do. Patients need to have enough hemoglobin, the part of red blood cells that transports oxygen throughout the body. The blood will also be tested to confirm the type of red blood cell traits of patients. About 1 to 8 tablespoons may be collected, but most blood samples will be small, that is, 1 to 4 teaspoons. After the patients' first visit, sessions will take 5-20 minutes. Blood collection will total no more than 2 cups from a donor during any 6-week period. Although the frequency of blood donations is not known at this time, it is unlikely that a patient will be asked to donate blood more than four times a year. It may be important for patients to undergo a repeat CBC or tests for blood chemistry if results are needed for research. Risks associated with blood collection are considered minimal. They include discomfort, occasional bruising or bleeding at the puncture site, and faintness.

In this study, it is possible that a small amount of blood may be stored for future research, to help the researchers to learn more about malaria. There are no plans for the results from the various research laboratory tests to be made available to patients or to their private doctors. However, patients in this study may discuss the results of routine medical tests with the study investigators. Some of the blood collected will be tested for genetic conditions. Through genetic testing, researchers can learn more about how health or illness may be passed on to people by their parents, or from people to their children. All results of tests will remain confidential. Blood samples will be labeled by code, and reference to patients' identities will be protected.

Participants will receive $50 for each blood donation. This study will not have a direct benefit for participants. Future research that uses their blood samples will help researchers to learn about malaria as well as how to prevent or treat the disease.

Read the detailed description

This protocol is designed to provide a mechanism for investigators in the Laboratory of Malaria and Vector Research (LMVR) to collect and process peripheral blood samples from volunteer donors. Donors who meet standard eligibility criteria will be recruited to donate blood via standard phlebotomy techniques at the NIH Clinical Center.

The LMVR has ongoing in vitro studies to characterize the effects of hemoglobin mutations and erythrocyte polymorphisms on the pathogenesis of Plasmodium falciparum, the agent of the most deadly malaria in humans. G6PD deficiency, hemoglobinopathies such as HbS, HbC, and HbE, and the thalassemias are thought to have evolved as protective traits against malaria in endemic areas of the world. However, the mechanisms by which these mutations exert their protective influence are largely unknown. Culturing P. falciparum in erythrocytes carrying protective traits will allow researchers in LMVR to characterize the cellular and molecular bases of protection using in vitro methods such as growth analyses and electron microscopy. To this effect, patients with known or suspected erythrocyte variants will be recruited in addition to normal controls.

Signed informed consent will be obtained by an authorized investigator. The nature of the study as well as the risks and benefits of the donation process will be explained to each participant. Donors will be compensated for each blood donation or for unsuccessful attempts at venipuncture. Samples will be used solely for in vitro research. To ensure confidentiality, blood will be assigned a unique code; investigators listed on this protocol will serve as the custodians of the codes that link the samples to the donors' identities.

Keywords
Sickle, Hemoglobinopathy, Thalassemia, G6PD, Plasmodium, Erythrocyte Variant, Hemoglobin Variant, Healthy Volunteer, HV
Medical subject headings
Hemoglobinopathies, Thalassemia, Malaria

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jan 2006 (estimated)
  2. Study start11 Jan 2006
  3. Study completion20 Jul 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Enrolment
130 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00277849
Sponsor's protocol ID
060074
Other IDs
06-I-0074
Status last verified
20 Jul 2010
First submitted
14 Jan 2006
Last updated
2 Jul 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Hemoglobin Mutations and Erythrocyte Variants, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2017.

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