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Na-GST-1/Alhydrogel With or Without CpG 10104 in Gabonese Adults

Primary Purpose

Hookworm Infection, Hookworm Disease

Status
Completed
Phase
Phase 1
Locations
Gabon
Study Type
Interventional
Intervention
Na-GST-1
CPG 10104
Sponsored by
Baylor College of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hookworm Infection focused on measuring Human Hookworm, Necator americanus, Hookworm, Hookworm Disease, Iron-deficiency anemia, Soil-transmitted helminth infection, Neglected Tropical Disease, Na-GST-1, CpG

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Males or females between 18 and 50 years, inclusive, who are long-term residents of the study area.
  2. Good general health as determined by means of the screening procedure.
  3. Assumed availability for the duration of the trial (13 months).
  4. Willingness to participate in the study as evidenced by signing the informed consent document.
  5. Negative for hookworm during screening, or if found to be infected with hookworm, has completed a course of three doses of albendazole.

Exclusion Criteria:

  1. Pregnancy as determined by a positive urine human choriogonadotropin (hCG) test (if female).
  2. Participant unwilling to use reliable contraception up until one month following the final immunization (if female and not surgically sterile, abstinent, at least 2 years post-menopausal, or determined otherwise by medical evaluation to be sterile).
  3. Currently lactating and breast-feeding (if female).
  4. Inability to correctly answer all questions on the informed consent comprehension questionnaire.
  5. Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, diabetes, or renal disease by history, physical examination, and/or laboratory studies.
  6. 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).
  7. Known or suspected immunodeficiency.
  8. Laboratory evidence of liver disease (alanine aminotransferase [ALT] greater than 1.25-times the upper reference limit).
  9. Laboratory evidence of renal disease (serum creatinine greater than 1.25-times the upper reference limit, or more than 1+ protein, or glucose on urine dipstick testing).
  10. Laboratory evidence of hematologic disease (absolute leukocyte count <3500/mm3; absolute leukocyte count >11.0 x 103/mm3; hemoglobin <10.0 g/dl [females] or <12.0 g/dl [males]; or, platelet count <140,000/mm3).
  11. Other condition that in the opinion of the investigator could jeopardize the safety or rights of a volunteer participating in the trial or would render them unable to comply with the protocol.
  12. Participation in another investigational vaccine or drug trial within 30 days of starting this study or for the duration of the study.
  13. History of a severe allergic reaction or anaphylaxis.
  14. Severe asthma as defined by the need for daily use of inhalers or emergency room/clinic visit or hospitalization within 6 months of the volunteer's planned first vaccination in the study.
  15. Positive for HCV.
  16. Positive for HBsAg.
  17. Positive for HIV infection.
  18. Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of starting this study or planned use up to one month after the volunteer's final vaccination.
  19. Receipt of a live vaccine within past 4 weeks or a killed vaccine within past 2 weeks prior to entry into the study.
  20. History of a surgical splenectomy.
  21. Receipt of blood products within the 6 months prior to entry into the study.
  22. Previous receipt of the Na-GST-1/Alhydrogel® vaccine.
  23. Pre-existing autoimmune or antibody-mediated diseases including but not limited to: systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, Sjogren's syndrome, autoimmune thrombocytopenia; or laboratory evidence of possible autoimmune disease determined by a positive anti-dsDNA titer, positive rheumatoid factor, proteinuria (greater than trace protein on urine dipstick testing) and/or a positive ANA.

Sites / Locations

  • Centre de Récherches Médicales de Lambaréné

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

30 µg Na-GST-1 + CPG 10104

100 µg Na-GST-1 + CPG 10104

100 µg Na-GST-1

Arm Description

Outcomes

Primary Outcome Measures

Vaccine-related Adverse Events
1. To evaluate the safety and reactogenicity of two different dose concentrations of Na-GST-1/Alhydrogel® administered with or without CPG 10104 in healthy Gabonese adults.

Secondary Outcome Measures

Anti-Na-GST-1 IgG Antibody Level on Day 126
1. To determine the dose/formulation that results in the highest level of anti-Na-GST-1 IgG antibody approximately 14 days after the final vaccination.

Full Information

First Posted
December 6, 2017
Last Updated
January 12, 2021
Sponsor
Baylor College of Medicine
Collaborators
Centre de Recherche Médicale de Lambaréné, George Washington University, Leiden University Medical Center, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA), Amsterdam Institute for Global Health and Development
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1. Study Identification

Unique Protocol Identification Number
NCT03373214
Brief Title
Na-GST-1/Alhydrogel With or Without CpG 10104 in Gabonese Adults
Official Title
Randomized, Controlled, Phase 1 Study to Assess Safety and Immunogenicity of Na-GST-1/Alhydrogel®, With or Without a CPG ODN Adjuvant, in Gabonese Adults
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
February 1, 2018 (Actual)
Primary Completion Date
February 28, 2019 (Actual)
Study Completion Date
March 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Baylor College of Medicine
Collaborators
Centre de Recherche Médicale de Lambaréné, George Washington University, Leiden University Medical Center, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA), Amsterdam Institute for Global Health and Development

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Na-GST-1 is a protein expressed during the adult stage of the Necator americanus hookworm life cycle that is thought to play a role in the parasite's degradation of host hemoglobin for use as an energy source. Vaccination with recombinant Na-GST-1 has protected dogs and hamsters from infection in challenge studies. This study will evaluate the safety and immunogenicity of administering Na-GST-1 with or without the CpG 10104 immunostimulant to healthy Gabonese adults living in an area of endemic hookworm infection.
Detailed Description
Double blind, randomized, controlled, dose-escalation Phase 1 clinical trial in hookworm-exposed adults aged 18 to 50 years living in the area of Lambaréné, Gabon. Participants will receive three doses of the assigned vaccine(s) delivered intramuscularly (deltoid) 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 final 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 a qualified indirect enzyme-linked immunosorbent assay (ELISA), on serum or plasma obtained prior to each study vaccination and at time points after each vaccination; the functional activity of vaccine-induced antibodies will be assessed by in vitro enzyme neutralization assays. Recruitment and enrollment into the study will occur on an ongoing basis, with each group being recruited and vaccinated in sequence. 24 subjects will be enrolled into 2 groups: Group 1 (n=12): 8 subjects will receive 30 µg Na-GST-1 plus 500 µg CPG 10104 delivered by IM injection in the deltoid muscle 4 subjects will receive 100 µg Na-GST-1 delivered by IM injection in the deltoid muscle Group 2 (n=12): 8 subjects will receive 100 µg Na-GST-1 plus 500 µg CPG 10104 delivered by IM injection in the deltoid muscle 4 subjects will receive 100 µg Na-GST-1 delivered by IM injection in the deltoid muscle

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hookworm Infection, Hookworm Disease
Keywords
Human Hookworm, Necator americanus, Hookworm, Hookworm Disease, Iron-deficiency anemia, Soil-transmitted helminth infection, Neglected Tropical Disease, Na-GST-1, CpG

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
30 µg Na-GST-1 + CPG 10104
Arm Type
Experimental
Arm Title
100 µg Na-GST-1 + CPG 10104
Arm Type
Experimental
Arm Title
100 µg Na-GST-1
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Na-GST-1
Intervention Description
Na-GST-1/Alhydrogel®
Intervention Type
Biological
Intervention Name(s)
CPG 10104
Intervention Description
CPG 10104
Primary Outcome Measure Information:
Title
Vaccine-related Adverse Events
Description
1. To evaluate the safety and reactogenicity of two different dose concentrations of Na-GST-1/Alhydrogel® administered with or without CPG 10104 in healthy Gabonese adults.
Time Frame
Day 380
Secondary Outcome Measure Information:
Title
Anti-Na-GST-1 IgG Antibody Level on Day 126
Description
1. To determine the dose/formulation that results in the highest level of anti-Na-GST-1 IgG antibody approximately 14 days after the final vaccination.
Time Frame
Day 126
Other Pre-specified Outcome Measures:
Title
Duration of antibody response to Na-GST-1
Description
1. To assess and compare the duration of the antibody responses to Na-GST-1 by dose and formulation.
Time Frame
Day 14, 28, 42, 56, 180, 194, 208, 270, 380
Title
IgG Subclass Distribution to Na-GST-1
Description
2. To assess the distribution of IgG subclass responses to Na-GST-1 by dose and formulation.
Time Frame
Day 14, 28, 42, 56, 180, 194, 208, 270, 380

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males or females between 18 and 50 years, inclusive, who are long-term residents of the study area. Good general health as determined by means of the screening procedure. Assumed availability for the duration of the trial (13 months). Willingness to participate in the study as evidenced by signing the informed consent document. Negative for hookworm during screening, or if found to be infected with hookworm, has completed a course of three doses of albendazole. Exclusion Criteria: Pregnancy as determined by a positive urine human choriogonadotropin (hCG) test (if female). Participant unwilling to use reliable contraception up until one month following the final immunization (if female and not surgically sterile, abstinent, 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. 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). 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 1+ protein, or glucose on urine dipstick testing). Laboratory evidence of hematologic disease (absolute leukocyte count <3500/mm3; absolute leukocyte count >11.0 x 103/mm3; hemoglobin <10.0 g/dl [females] or <12.0 g/dl [males]; or, platelet count <140,000/mm3). Other condition that in the opinion of the investigator could jeopardize the safety or rights of a volunteer participating in the trial or would render them unable to comply with the protocol. Participation in another investigational vaccine or drug trial within 30 days of starting this study or for the duration of the study. History of a severe allergic reaction or anaphylaxis. Severe asthma as defined by the need for daily use of inhalers or emergency room/clinic visit or hospitalization within 6 months of the volunteer's planned first vaccination in the study. Positive for HCV. Positive for HBsAg. Positive for HIV infection. Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of starting this study or planned use up to one month after the volunteer's final vaccination. Receipt of a live vaccine within past 4 weeks or a killed vaccine within past 2 weeks prior to entry into the study. History of a surgical splenectomy. Receipt of blood products within the 6 months prior to entry into the study. Previous receipt of the Na-GST-1/Alhydrogel® vaccine. Pre-existing autoimmune or antibody-mediated diseases including but not limited to: systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, Sjogren's syndrome, autoimmune thrombocytopenia; or laboratory evidence of possible autoimmune disease determined by a positive anti-dsDNA titer, positive rheumatoid factor, proteinuria (greater than trace protein on urine dipstick testing) and/or a positive ANA.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ayola Adegnika, MD
Organizational Affiliation
Centre de Recherches Medicales de Lambarené
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre de Récherches Médicales de Lambaréné
City
Lambaréné
Country
Gabon

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Na-GST-1/Alhydrogel With or Without CpG 10104 in Gabonese Adults

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