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Safety and Immunogenicity of a Vaccine for Cutaneous Leishmaniasis Using Recombinant Human Interleukin-12 and Aluminum Hydroxide Gel as Adjuvants

Primary Purpose

Cutaneous Leishmaniasis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Combination of autoclaved leishmania antigen with recombinant human interleukin-12 (rhIL-12) and aluminum hydroxide gel as adjuvants
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cutaneous Leishmaniasis focused on measuring Alum, Antigen, Cytokine, Parasitic Infection, Phase I, Cutaneous Leishmaniasis

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Male or non-pregnant female 18 - 50 years of age at the time of screening and willing to use effective birth control for one month post vaccination. Free of obvious health problems as established by medical history and clinical examination before entering into the study. Available to participate for the duration of the study (approximately 6 months). Able to give signed informed consent. May not have received an investigational leishmania vaccine or skin test, or recombinant human interleukin-12. No use of an investigational drug or any vaccine other than the study vaccine within 30 days preceding the dose, or planned use during the study period. No administration of chronic immunosuppressants (defined as more than 14 days) or other immune-modifying drugs within six months of vaccination. (For corticosteroids, this will mean prednisone, or equivalent, greater than 0.5 mg/kg/day. Inhaled and topical steroids are allowed.) No history of prior leishmaniasis or of extensive travel to regions endemic for leishmaniasis, such as southern Mexico, Central and most of South America, the Mediterranean region and Middle East, Africa, and India. No confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection. No family history of congenital or hereditary immunodeficiency. No history of significant allergic disease or reactions likely to be exacerbated by any component. No acute disease at the time of enrollment, defined as the presence of a moderate or severe illness with or without fever. No acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal function abnormality, as determined by physical examination or laboratory screening tests. No pregnant or lactating females. Must not have suspected or known alcohol or drug abuse. No other significant finding that, in the opinion of the investigator, would increase the risk of having an adverse outcome from participating in this study.

Sites / Locations

  • National Institute of Allergy and Infectious Diseases (NIAID)

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 3, 1999
Last Updated
March 3, 2008
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00001906
Brief Title
Safety and Immunogenicity of a Vaccine for Cutaneous Leishmaniasis Using Recombinant Human Interleukin-12 and Aluminum Hydroxide Gel as Adjuvants
Official Title
Safety and Immunogenicity of a Vaccine for Cutaneous Leishmaniasis Using Recombinant Human Interleukin-12 and Aluminum Hydroxide Gel as Adjuvants
Study Type
Interventional

2. Study Status

Record Verification Date
April 2000
Overall Recruitment Status
Completed
Study Start Date
April 1999 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
May 2001 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

5. Study Description

Brief Summary
While vaccination against cutaneous leishmaniasis, a chronic ulcerating protozoan infection of the skin, has been possible for decades using live parasites, the production and storage of live cultures are difficult. Since inoculation occasionally leads to severe infection, most experts now advocate against their use. We have shown excellent protection using a "heat-killed" vaccine that combines autoclaved leishmania antigen with recombinant human interleukin-12 (rhIL-12) and aluminum hydroxide gel as adjuvants in a rhesus macaque model of disease. To assess the safety and immunogenicity of this vaccine in humans, we now propose a rhIL-12 dose escalation Phase I/II trial.
Detailed Description
While vaccination against cutaneous leishmaniasis, a chronic ulcerating protozoan infection of the skin, has been possible for decades using live parasites, the production and storage of live cultures are difficult. Since inoculation occasionally leads to severe infection, most experts now advocate against their use. We have shown excellent protection using a "heat-killed" vaccine that combines autoclaved leishmania antigen with recombinant human interleukin-12 (rhIL-12) and aluminum hydroxide gel as adjuvants in a rhesus macaque model of disease. To assess the safety and immunogenicity of this vaccine in humans, we now propose a rhIL-12 dose escalation Phase I/II trial.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cutaneous Leishmaniasis
Keywords
Alum, Antigen, Cytokine, Parasitic Infection, Phase I, Cutaneous Leishmaniasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Enrollment
50 (false)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
Combination of autoclaved leishmania antigen with recombinant human interleukin-12 (rhIL-12) and aluminum hydroxide gel as adjuvants

10. Eligibility

Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Male or non-pregnant female 18 - 50 years of age at the time of screening and willing to use effective birth control for one month post vaccination. Free of obvious health problems as established by medical history and clinical examination before entering into the study. Available to participate for the duration of the study (approximately 6 months). Able to give signed informed consent. May not have received an investigational leishmania vaccine or skin test, or recombinant human interleukin-12. No use of an investigational drug or any vaccine other than the study vaccine within 30 days preceding the dose, or planned use during the study period. No administration of chronic immunosuppressants (defined as more than 14 days) or other immune-modifying drugs within six months of vaccination. (For corticosteroids, this will mean prednisone, or equivalent, greater than 0.5 mg/kg/day. Inhaled and topical steroids are allowed.) No history of prior leishmaniasis or of extensive travel to regions endemic for leishmaniasis, such as southern Mexico, Central and most of South America, the Mediterranean region and Middle East, Africa, and India. No confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection. No family history of congenital or hereditary immunodeficiency. No history of significant allergic disease or reactions likely to be exacerbated by any component. No acute disease at the time of enrollment, defined as the presence of a moderate or severe illness with or without fever. No acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal function abnormality, as determined by physical examination or laboratory screening tests. No pregnant or lactating females. Must not have suspected or known alcohol or drug abuse. No other significant finding that, in the opinion of the investigator, would increase the risk of having an adverse outcome from participating in this study.
Facility Information:
Facility Name
National Institute of Allergy and Infectious Diseases (NIAID)
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
4253634
Citation
Guirges SY. Natural and experimental re-infection of man with Oriental sore. Ann Trop Med Parasitol. 1971 Jun;65(2):197-205. doi: 10.1080/00034983.1971.11686746. No abstract available.
Results Reference
background
PubMed Identifier
5048790
Citation
Naggan L, Gunders AE, Michaeli D. Follow-up study of a vaccination programme against cutaneous leishmaniasis. II. Vaccination with a recently isolated strain of L. tropica from Jericho. Trans R Soc Trop Med Hyg. 1972;66(2):239-43. doi: 10.1016/0035-9203(72)90153-8. No abstract available.
Results Reference
background
PubMed Identifier
2657601
Citation
Modabber F. Experiences with vaccines against cutaneous leishmaniasis: of men and mice. Parasitology. 1989;98 Suppl:S49-60. doi: 10.1017/s0031182000072243.
Results Reference
background

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Safety and Immunogenicity of a Vaccine for Cutaneous Leishmaniasis Using Recombinant Human Interleukin-12 and Aluminum Hydroxide Gel as Adjuvants

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