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Hookworm InfectionPhase 1NCT02476773

Study of Na-APR-1 (M74)/Alhydrogel® Co-administered With Na-GST-1/Alhydrogel in Brazilian Adults

A Phase 1 study testing Na-GST-1/Alhydrogel plus GLA-AF, Na-APR-1 (M74)/Alhydrogel and Na-APR-1 (M74)/Alhydrogel plus GLA-AF in people with Hookworm Infection and Hookworm Disease, run by Baylor College of Medicine at 1 site in Brazil.

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

Na-GST-1 and Na-APR-1 are proteins expressed during the adult stage of the Necator americanus hookworm life cycle that are thought to play a role in the parasite's degradation of host hemoglobin for use as an energy source. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Hookworm Infection, Hookworm Disease
What is being tested?
Na-GST-1/Alhydrogel plus GLA-AF, Na-APR-1 (M74)/Alhydrogel and Na-APR-1 (M74)/Alhydrogel plus GLA-AF
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteBrazil
Study dates
Jan 2016to Dec 2017
Phase
Phase 1
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Males or non-pregnant females between 18 and 45 years, inclusive.
  • Good general health as determined by means of the screening procedure.
  • Available for the duration of individual subject study participation (16 months).
  • Willingness to participate in the study as evidenced by signing the informed consent document.

Who cannot join

  • Pregnancy as determined by a positive urine hCG (if female).
  • Subject unwilling to use reliable contraception (as described in Section 2.3.1) from 30 days prior to the first immunization and up until one month following the third immunization (if female and not surgically sterile, abstinent or 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 (a history of essential hypertension that is well controlled by medication will not be considered exclusionary.)
  • 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).
Show all 26Show fewer
  • 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 with the exception of greater than trace blood detected in females during menses).
  • Laboratory evidence of hematologic disease (absolute leukocyte count <3200/mm3; absolute leukocyte count >10.8 x 103/mm3; hemoglobin <11.4 g/dl [females] or <12.1 g/dl [males]; or, platelet count <130,000/mm3).
  • 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.
  • Previous receipt of the Na-GST-1/Alhydrogel® hookworm vaccine.
  • 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 daily use of inhalers or emergency clinic visit or hospitalization within the last 6 months.
  • Positive test for hepatitis B surface antigen (HBsAg).
  • Positive confirmatory test for HIV infection.
  • Positive confirmatory test for hepatitis C virus (HCV) infection.
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of the volunteer's expected first vaccination in this study or planned use up to one month following the last vaccination.
  • Receipt of a live vaccine within past 4 weeks or a killed vaccine within past 2 weeks prior to the volunteer's expected first vaccination in the study.
  • History of a surgical splenectomy.
  • Receipt of blood products within the past 6 months.
  • Anti-Na-GST-1 IgE antibody level above 0.35 kUA/L by the ImmunoCAP method.
  • Anti-Na-APR-1 IgE antibody level above ELISA reactivity threshold.

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • Americaninhas Vaccine Center

    Americaninha, Minas Gerais

Other trials in Brazil

About this study

Official title: Phase 1 Study of the Safety and Immunogenicity of Na-APR-1 (M74)/Alhydrogel® Co-administered With Na-GST-1/Alhydrogel® in Brazilian Adults

Na-GST-1 and Na-APR-1 are proteins expressed during the adult stage of the Necator americanus hookworm life cycle that are thought to play a role in the parasite's degradation of host hemoglobin for use as an energy source. Vaccination wtih recombinant GST-1 or APR-1 has protected dogs and hamsters from infection in challenge studies. This study will evaluate the safety and immunogenicity of co-administering Na-GST-1 and Na-APR-1 to healthy Brazilian adults living in an area of endemic hookworm infection.

Read the detailed description

Double blind, randomized, controlled, dose-escalation Phase 1 clinical trial in hookworm exposed adults living in the area of Americaninhas, Minas Gerais, Brazil. Subjects will receive three doses of the assigned vaccine delivered intramuscularly on approximately Days 0, 56, and 112.

Safety will be measured from the time of each study vaccination (Day 0) through 14 days after each study vaccination by the occurrence of solicited injection site and systemic reactogenicity events.

Unsolicited non-serious adverse events (AEs) will be collected from the time of the first study vaccination through approximately 1 month after each study vaccination. New-onset chronic medical conditions and Serious Adverse Events (SAEs) will be collected from the time of the first study vaccination through approximately 9 months after the third study vaccination (final visit). Clinical laboratory evaluations for safety will be performed on venous blood collected approximately 14 days after each vaccination.

Immunogenicity testing will include IgG antibody responses to each vaccine antigen, by an indirect enzyme-linked immunosorbent assay (ELISA) and also by ImmunoCAP, on serum obtained prior to each study vaccination and at time points after each vaccination; antibody affinity by Surface Plasmon Resonance; functional activity of vaccine-induced antibodies via in vitro enzyme neutralization assays; and, antigen-specific memory B cell responses.

Recruitment and enrollment into the study will occur on an ongoing basis, with each group being recruited and vaccinated in sequence.

60 subjects will be enrolled into 6 groups of 10.

Being tested
Na-GST-1/Alhydrogel plus GLA-AF, Na-APR-1 (M74)/Alhydrogel, Na-APR-1 (M74)/Alhydrogel plus GLA-AF, Sterile Saline Placebo
Keywords
Hookworm Vaccine, Na-APR-1 (M74)/Alhydrogel® Hookworm Vaccine, Na-GST-1/Alhydrogel® Hookworm Vaccine
Medical subject headings
Hookworm Infections, Ancylostomiasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Na-GST-1/Alhydrogel plus GLA-AFBiological

  • Na-APR-1 (M74)/AlhydrogelBiological

  • Na-APR-1 (M74)/Alhydrogel plus GLA-AFBiological

  • Sterile Saline PlaceboBiological

Study groups in NCT02476773
Study groupRoleWhat they receive
Group 1Experimental* 5 subjects will receive 10µg Na-APR-1 (M74)/Alhydrogel with Sterile Saline Placebo administered to the alternate arm. * 5 subjects will receive 10µg Na-APR-1 (M74)/Alhydrogel with 100µg Na-GST-1/Alhydrogel plus GLA-AF administered to the alternate arm.
Receives: Biological: Na-GST-1/Alhydrogel plus GLA-AF; Biological: Na-APR-1 (M74)/Alhydrogel; Biological: Sterile Saline Placebo
Group 2Experimental* 5 subjects will receive 10µg Na-APR-1 (M74)/Alhydrogel plus GLA-AF, with Sterile Saline Placebo administered to the alternate arm. * 5 subjects will receive 10µg Na-APR-1 (M74)/Alhydrogel plus GLA-AF, with 100µg Na-GST-1/Alhydrogel plus GLA-AF administered to the alternate arm.
Receives: Biological: Na-GST-1/Alhydrogel plus GLA-AF; Biological: Na-APR-1 (M74)/Alhydrogel plus GLA-AF; Biological: Sterile Saline Placebo
Group 3Experimental* 5 subjects will receive 30µg Na-APR-1 (M74)/Alhydrogel, with Sterile Saline Placebo administered to the alternate arm. * 5 subjects will receive 30µg Na-APR-1 (M74)/Alhydrogel, with 100µg Na-GST-1/Alhydrogel plus GLA-AF administered to the alternate arm.
Receives: Biological: Na-GST-1/Alhydrogel plus GLA-AF; Biological: Na-APR-1 (M74)/Alhydrogel; Biological: Sterile Saline Placebo
Group 4Experimental* 5 subjects will receive 30µg Na-APR-1 (M74)/Alhydrogel plus GLA-AF, with Sterile Saline Placebo administered to the alternate arm. * 5 subjects will receive 30µg Na-APR-1 (M74)/Alhydrogel plus GLA-AF, with 100µg Na-GST-1/Alhydrogel plus GLA-AF administered to the alternate arm.
Receives: Biological: Na-GST-1/Alhydrogel plus GLA-AF; Biological: Na-APR-1 (M74)/Alhydrogel plus GLA-AF; Biological: Sterile Saline Placebo
Group 5Experimental* 5 subjects will receive 100µg Na-APR-1 (M74)/Alhydrogel, with Sterile Saline Placebo administered to the alternate arm. * 5 subjects will receive 100µg Na-APR-1 (M74)/Alhydrogel, with 100µg Na-GST-1/Alhydrogel plus GLA-AF administered to the alternate arm.
Receives: Biological: Na-GST-1/Alhydrogel plus GLA-AF; Biological: Na-APR-1 (M74)/Alhydrogel; Biological: Sterile Saline Placebo
Group 6Experimental* 5 subjects will receive 100µg Na-APR-1 (M74)/Alhydrogel plus GLA-AF, with Sterile Saline Placebo administered to the alternate arm. * 5 subjects will receive 100µg Na-APR-1 (M74)/Alhydrogel plus GLA-AF, with 100µg Na-GST-1/Alhydrogel plus GLA-AF administered to the alternate arm.
Receives: Biological: Na-GST-1/Alhydrogel plus GLA-AF; Biological: Na-APR-1 (M74)/Alhydrogel plus GLA-AF; Biological: Sterile Saline Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of solicited injection site and systemic reactogenicity, graded by severity, on the day of each study vaccination through 14 days after each study vaccination.

    Measured: 14 days post-vaccination

  2. Frequency of study vaccine-related serious adverse events from the time of the first study vaccination through approximately 9 months after the last study vaccination.

    Measured: Day 380

  3. Frequency of clinical safety laboratory adverse events.

    Measured: Day 380

  4. Frequency of unsolicited adverse events, graded by severity, from the time of each study vaccination through approximately 1 month after each study vaccination.

    Measured: 30 days post-vaccination

  5. Frequency of new-onset chronic medical conditions through approximately 9 months after the third study vaccination.

    Measured: Day 380

  6. Frequency of Adverse Events of Special Interest through approximately 9 months after the third study vaccination.

    Measured: Day 380

Secondary outcomes (1)
  1. The IgG level by an indirect enzyme-linked immunosorbent assay (ELISA) on approximately Day 126.

    Measured: Day 126

Timeline

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

  1. First posted19 Jun 2015 (estimated)
  2. Study startJan 2016
  3. Primary completionJun 2017
  4. Study completionDec 2017

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02476773
Sponsor's protocol ID
SVI-DBL-01
Status last verified
Nov 2019
First submitted
17 Jun 2015
Last updated
3 Dec 2019
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Na-GST-1/Alhydrogel plus GLA-AF, Na-APR-1 (M74)/Alhydrogel and Na-APR-1 (M74)/Alhydrogel plus GLA-AF in people with Hookworm Infection and Hookworm Disease, run by Baylor College of Medicine at 1 site in Brazil.

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 4 inclusion and 26 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 3 Dec 2019. 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 Brazil. 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.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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.

What does the primary outcome measure?

Frequency of solicited injection site and systemic reactogenicity, graded by severity, on the day of each study vaccination through 14 days after each study vaccination. (time frame: 14 days post-vaccination). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

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 3 Dec 2019.

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