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Phase 1 Trial of Na-ASP-2 Hookworm Vaccine in Previously Infected Brazilian Adults

Primary Purpose

Hookworm Infection

Status
Terminated
Phase
Phase 1
Locations
Brazil
Study Type
Interventional
Intervention
Na-ASP-2 Hookworm Vaccine
Sponsored by
Albert B. Sabin Vaccine Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hookworm Infection focused on measuring Vaccine, Hookworm, Phase 1, Na-ASP-2

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Males or females between 18 and 45 years, inclusive.
  • Known residents of the Municipality of Novo Oriente de Minas, Minas Gerais, Brazil.
  • Good general health as determined by means of the screening procedure.
  • Completed a 3-dose albendazole treatment for documented hookworm infection during the previous 3 months.
  • Available for the duration of the trial (42 weeks).
  • Willingness to participate in the study as evidenced by signing the informed consent document.

Exclusion Criteria:

  • Pregnancy as determined by a positive urine β-hCG (if female).
  • Participant unwilling to use reliable contraception methods up until one month following the third immunization (if female).
  • 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, or renal disease by history, physical examination, and/or laboratory studies.
  • Behavioral, cognitive, or psychiatric disease that in the opinion of the investigator affects the ability of the volunteer to understand and cooperate with the study protocol.
  • Laboratory evidence of liver disease (alanine aminotransferase [ALT] greater than 64 U/l [females] or greater than 58 U/l [males]).
  • Laboratory evidence of renal disease (serum creatinine greater than 1.1 mg/dl [females] or greater than 1.3 mg/dl [males], or more than trace protein or blood on urine dipstick testing).
  • Laboratory evidence of hematologic disease (absolute leukocyte count <3000/mm3 or >12.5 x 103/mm3; hemoglobin <10.3 g/dl [females] or <11.0 g/dl [males]; absolute lymphocyte count <900/mm3; or platelet count <120,000/mm3).
  • 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.
  • 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 regular use of inhalers or emergency clinic visit or hospitalization within the last 6 months.
  • Positive ELISA for HCV.
  • Positive ELISA for HBsAg.
  • Known immunodeficiency syndrome.
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of starting this study.
  • 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 past 6 months.
  • Previous receipt of a primary series of any hepatitis B vaccine.
  • History of allergy to yeast.

Sites / Locations

  • Centro de Pesquisas Rene Rachou

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

10 mcg Na-ASP-2/Alhydrogel

Butang hepatitis B vaccine

Arm Description

Na-ASP-2 Hookworm Vaccine

Hepatitis B Vaccine - comparator vaccine

Outcomes

Primary Outcome Measures

To determine the frequency of vaccine-related adverse events, graded by severity, for each dose of the Na-ASP-2 Hookworm Vaccine

Secondary Outcome Measures

To determine the dose of Na-ASP-2 that generates the highest antibody response as determined by an indirect enzyme-linked immunosorbent assay (ELISA)
To assess and compare the duration of antibody response to Na-ASP-2
To perform exploratory studies of the cellular immune responses to the Na-ASP-2 antigen both before and after immunization

Full Information

First Posted
May 14, 2007
Last Updated
July 6, 2012
Sponsor
Albert B. Sabin Vaccine Institute
Collaborators
Oswaldo Cruz Foundation, George Washington University, London School of Hygiene and Tropical Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT00473967
Brief Title
Phase 1 Trial of Na-ASP-2 Hookworm Vaccine in Previously Infected Brazilian Adults
Official Title
Double-blind, Randomized, Controlled Phase 1 Study of the Safety and Immunogenicity of Na-ASP-2 Hookworm Vaccine in Previously-Infected Brazilian Adults
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Terminated
Why Stopped
Occurrence of unacceptable adverse events.
Study Start Date
May 2007 (undefined)
Primary Completion Date
March 2008 (Actual)
Study Completion Date
March 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Albert B. Sabin Vaccine Institute
Collaborators
Oswaldo Cruz Foundation, George Washington University, London School of Hygiene and Tropical Medicine

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Na-ASP-2 is a protein expressed during the larval stage of the N. americanus hookworm life cycle. Vaccination with recombinant ASP-2 has protected dogs and hamsters from infection in challenge studies. In a clinical study in hookworm-uninfected adults in the USA, Na-ASP-2 Hookworm Vaccine was safe and immunogenic. This study will evaluate its safety and immunogenicity in individuals living in an area of endemic hookworm infection.
Detailed Description
Double-blind, randomized, controlled Phase 1 clinical trial. Study site: Americaninhas, Minas Gerais, Brazil. Number of participants: 48 in three groups of 16, randomized to receive either Na-ASP-2 Hookworm Vaccine (n=36) or Butang® hepatitis B vaccine (n=12). Study duration: 48 weeks; each participant will be followed for a total of 42 weeks. Immunization schedule: Study days 0, 56 and 112. Route: IM in the deltoid muscle. Dose of Na-ASP-2: 10, 50 and 100 µg for the first, second and third dose cohort, respectively. Dose of Alhydrogel®: 800 µg for each dose of Na-ASP-2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hookworm Infection
Keywords
Vaccine, Hookworm, Phase 1, Na-ASP-2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
10 mcg Na-ASP-2/Alhydrogel
Arm Type
Experimental
Arm Description
Na-ASP-2 Hookworm Vaccine
Arm Title
Butang hepatitis B vaccine
Arm Type
Active Comparator
Arm Description
Hepatitis B Vaccine - comparator vaccine
Intervention Type
Biological
Intervention Name(s)
Na-ASP-2 Hookworm Vaccine
Intervention Description
Injections of one of three different dose concentrations of the Na-ASP-2 vaccine (10, 50, or 100 mcg) vs. the hepatitis B vaccine, delivered at 0, 2, and 4 months by intramuscular injection.
Primary Outcome Measure Information:
Title
To determine the frequency of vaccine-related adverse events, graded by severity, for each dose of the Na-ASP-2 Hookworm Vaccine
Time Frame
For the duration of the study
Secondary Outcome Measure Information:
Title
To determine the dose of Na-ASP-2 that generates the highest antibody response as determined by an indirect enzyme-linked immunosorbent assay (ELISA)
Time Frame
2 weeks after the third injection
Title
To assess and compare the duration of antibody response to Na-ASP-2
Time Frame
For the duration of the study
Title
To perform exploratory studies of the cellular immune responses to the Na-ASP-2 antigen both before and after immunization
Time Frame
For the duration of the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males or females between 18 and 45 years, inclusive. Known residents of the Municipality of Novo Oriente de Minas, Minas Gerais, Brazil. Good general health as determined by means of the screening procedure. Completed a 3-dose albendazole treatment for documented hookworm infection during the previous 3 months. Available for the duration of the trial (42 weeks). Willingness to participate in the study as evidenced by signing the informed consent document. Exclusion Criteria: Pregnancy as determined by a positive urine β-hCG (if female). Participant unwilling to use reliable contraception methods up until one month following the third immunization (if female). 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, or renal disease by history, physical examination, and/or laboratory studies. Behavioral, cognitive, or psychiatric disease that in the opinion of the investigator affects the ability of the volunteer to understand and cooperate with the study protocol. Laboratory evidence of liver disease (alanine aminotransferase [ALT] greater than 64 U/l [females] or greater than 58 U/l [males]). Laboratory evidence of renal disease (serum creatinine greater than 1.1 mg/dl [females] or greater than 1.3 mg/dl [males], or more than trace protein or blood on urine dipstick testing). Laboratory evidence of hematologic disease (absolute leukocyte count <3000/mm3 or >12.5 x 103/mm3; hemoglobin <10.3 g/dl [females] or <11.0 g/dl [males]; absolute lymphocyte count <900/mm3; or platelet count <120,000/mm3). 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. 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 regular use of inhalers or emergency clinic visit or hospitalization within the last 6 months. Positive ELISA for HCV. Positive ELISA for HBsAg. Known immunodeficiency syndrome. Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of starting this study. 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 past 6 months. Previous receipt of a primary series of any hepatitis B vaccine. History of allergy to yeast.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David J Diemert, MD
Organizational Affiliation
Albert B. Sabin Vaccine Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centro de Pesquisas Rene Rachou
City
Belo Horizonte
Country
Brazil

12. IPD Sharing Statement

Citations:
PubMed Identifier
22633322
Citation
Diemert DJ, Pinto AG, Freire J, Jariwala A, Santiago H, Hamilton RG, Periago MV, Loukas A, Tribolet L, Mulvenna J, Correa-Oliveira R, Hotez PJ, Bethony JM. Generalized urticaria induced by the Na-ASP-2 hookworm vaccine: implications for the development of vaccines against helminths. J Allergy Clin Immunol. 2012 Jul;130(1):169-76.e6. doi: 10.1016/j.jaci.2012.04.027. Epub 2012 May 26.
Results Reference
result
Links:
URL
http://www.sabin.org
Description
Sponsor's Web page
URL
http://www.cpqrr.fiocruz.br
Description
Trial site website

Learn more about this trial

Phase 1 Trial of Na-ASP-2 Hookworm Vaccine in Previously Infected Brazilian Adults

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