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Study of Na-ASP-2 Human Hookworm Vaccine in Healthy Adults Without Evidence of Hookworm Infection

Primary Purpose

Hookworm Infection

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Na-ASP-2/Alhydrogel Hookworm Vaccine
Saline placebo
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 Vaccine, Hookworm, Phase 1, Human Hookworm Infection, Na-ASP-2

Eligibility Criteria

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

Inclusion Criteria: Healthy adults 18 to 45 years of age. Signed informed consent. History, physical exam, and laboratory tests indicating good general health obtained prior to the first injection. All females must have a negative pregnancy test (FDA-approved test for β human chorionic gonadotropin [β-HCG]) on the day of the first injection. Serologic tests for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) are negative at screening. All subjects must agree to use an acceptable method of birth control from the start of screening until 2 weeks after the third injection. Acceptable methods for female subjects include hormonal contraceptives, intrauterine device (IUD), diaphragm with spermicide, condoms, abstinence, surgically sterile (hysterectomy), and surgically sterile partner. Acceptable methods for male subjects include surgical sterilization, condoms, partner who uses an acceptable method of birth control, and abstinence. Exclusion Criteria: Any history of anaphylaxis or allergy to vaccine components or allergy to insect stings, including bee stings. A past or current history of hookworm infection. BMI < 18.0 or > 30.0. Recent (< 72 hours) history of febrile illness at the time of vaccination (temperature > 99.6°F or equivalent). Received any immune globulin or blood product 3 months prior to injection or scheduled within 4 weeks thereafter. Had vaccination with a live virus vaccine within 4 weeks before receipt of the vaccine or scheduled within 4 weeks thereafter. Had vaccination with a killed vaccine, or allergy treatment with antigen injections within 14 days of initial study injection. Received an investigational agent within 4 weeks of initial study injection. Known or suspected impairment of immunologic function including, but not limited to clinically significant liver disease, diabetes mellitus, moderate to severe kidney impairment (creatinine > 1.5), any history of malignancy (except squamous cell or basal cell skin cancer), HIV infection or autoimmune diseases, or concomitant immunosuppressive medication such as glucocorticosteroids. A history of essential hypertension, gastrointestinal abnormalities such as peptic ulcer disease, cardiac (ECG abnormalities), pulmonary, hepatic, renal, pancreatic, or neurologic disease. Taken prescription medications with the exception of subjects on a stable regimen (> 30 days) of: (1) hormone replacement therapy, (2) use of nasal steroids, (3) topical therapy, (4) certain classes of antidepressants (i.e., selective serotonin re-uptake inhibitors), (5) oral contraceptives, (6) nonsteroidal anti-inflammatory agents, or (7) antihistamines or decongestants for seasonal allergies taken as needed. Contraindication to IM injection such as anti-coagulant therapy or thrombocytopenia. Pregnant, nursing, or expecting to conceive during the study. Any history of chronic alcohol or drug abuse or current treatment with any known prescribed or over-the-counter supplements that may be hepatotoxins. Any subject who, in the Investigator's opinion, will be unable to adhere to protocol requirements.

Sites / Locations

  • George Washington University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Low dose

Medium dose

High dose

Saline placebo

Arm Description

10 mcg Na-ASP-2/Alhydrogel

50 mcg Na-ASP-2/Alhydrogel

100 mcg Na-ASP-2/Alhydrogel

Saline placebo

Outcomes

Primary Outcome Measures

Safety and tolerability of three different doses of the Na-ASP-2 hookworm vaccine in healthy volunteers

Secondary Outcome Measures

To determine the immunogenicity, both humoral and cellular, of the vaccine at specified time points following vaccination

Full Information

First Posted
July 7, 2005
Last Updated
May 30, 2017
Sponsor
Baylor College of Medicine
Collaborators
Bill and Melinda Gates Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT00120081
Brief Title
Study of Na-ASP-2 Human Hookworm Vaccine in Healthy Adults Without Evidence of Hookworm Infection
Official Title
Phase 1, Single-Center, Double-Blind, Placebo-Controlled, Randomized, Dose-Escalation Study to Compare the Safety, Tolerability, and Immunogenicity of Three Intramuscular Administrations of Na-ASP-2 Hookworm Vaccine in Healthy Adults Without Evidence of Hookworm Infection
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
April 2005 (undefined)
Primary Completion Date
September 2006 (Actual)
Study Completion Date
September 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Baylor College of Medicine
Collaborators
Bill and Melinda Gates Foundation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this clinical trial is to determine the safety and tolerability of the Na-ASP-2 Hookworm Vaccine in healthy subjects following the administration of 3 intramuscular (IM) injections of the vaccine over 16 weeks using 3 different doses. The secondary objective is to make a preliminary evaluation of the immunogenicity of each of the 3 doses of the vaccine in healthy volunteers.
Detailed Description
There is an urgent need for new tools to control human hookworm infection and to reduce its burden of disease in developing countries. This is especially true for children and women of reproductive age who represent populations that are highly vulnerable to the effects of hookworm disease. Up to 65,000 deaths annually have been attributed to human hookworm infection. However, the mortality estimates of hookworm pale in comparison to global disease burden estimates. The primary approach to hookworm control worldwide has been the frequent and periodic use of benzimidazole anthelminthics for school-age children. However, school-based anthelminthic chemotherapy programs miss populations highly vulnerable to hookworm, including adolescent and adult women. In addition, high rates of hookworm re-infection occur within 4-12 months following anthelminthic chemotherapy, and there is evidence for diminished efficacy of benzimidazoles with frequent and periodic use, possibly because of emerging drug resistance. These concerns have prompted interest in developing alternative tools for hookworm control. Vaccination to prevent high intensity hookworm infection would alleviate the public health deficiencies of drug treatment alone.

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, Human Hookworm Infection, Na-ASP-2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low dose
Arm Type
Experimental
Arm Description
10 mcg Na-ASP-2/Alhydrogel
Arm Title
Medium dose
Arm Type
Experimental
Arm Description
50 mcg Na-ASP-2/Alhydrogel
Arm Title
High dose
Arm Type
Experimental
Arm Description
100 mcg Na-ASP-2/Alhydrogel
Arm Title
Saline placebo
Arm Type
Placebo Comparator
Arm Description
Saline placebo
Intervention Type
Biological
Intervention Name(s)
Na-ASP-2/Alhydrogel Hookworm Vaccine
Intervention Description
The recombinant hookworm protein Na-ASP-2 formulated on aluminum hydroxide adjuvant (Alhydrogel), in one of three dose concentrations, compared to a saline placebo control.
Intervention Type
Biological
Intervention Name(s)
Saline placebo
Intervention Description
Inactive saline placebo control
Primary Outcome Measure Information:
Title
Safety and tolerability of three different doses of the Na-ASP-2 hookworm vaccine in healthy volunteers
Time Frame
For the duration of the study
Secondary Outcome Measure Information:
Title
To determine the immunogenicity, both humoral and cellular, of the vaccine at specified time points following vaccination
Time Frame
2, 8, 10, 16, 18, 24, and 48 weeks after the first injection

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: Healthy adults 18 to 45 years of age. Signed informed consent. History, physical exam, and laboratory tests indicating good general health obtained prior to the first injection. All females must have a negative pregnancy test (FDA-approved test for β human chorionic gonadotropin [β-HCG]) on the day of the first injection. Serologic tests for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) are negative at screening. All subjects must agree to use an acceptable method of birth control from the start of screening until 2 weeks after the third injection. Acceptable methods for female subjects include hormonal contraceptives, intrauterine device (IUD), diaphragm with spermicide, condoms, abstinence, surgically sterile (hysterectomy), and surgically sterile partner. Acceptable methods for male subjects include surgical sterilization, condoms, partner who uses an acceptable method of birth control, and abstinence. Exclusion Criteria: Any history of anaphylaxis or allergy to vaccine components or allergy to insect stings, including bee stings. A past or current history of hookworm infection. BMI < 18.0 or > 30.0. Recent (< 72 hours) history of febrile illness at the time of vaccination (temperature > 99.6°F or equivalent). Received any immune globulin or blood product 3 months prior to injection or scheduled within 4 weeks thereafter. Had vaccination with a live virus vaccine within 4 weeks before receipt of the vaccine or scheduled within 4 weeks thereafter. Had vaccination with a killed vaccine, or allergy treatment with antigen injections within 14 days of initial study injection. Received an investigational agent within 4 weeks of initial study injection. Known or suspected impairment of immunologic function including, but not limited to clinically significant liver disease, diabetes mellitus, moderate to severe kidney impairment (creatinine > 1.5), any history of malignancy (except squamous cell or basal cell skin cancer), HIV infection or autoimmune diseases, or concomitant immunosuppressive medication such as glucocorticosteroids. A history of essential hypertension, gastrointestinal abnormalities such as peptic ulcer disease, cardiac (ECG abnormalities), pulmonary, hepatic, renal, pancreatic, or neurologic disease. Taken prescription medications with the exception of subjects on a stable regimen (> 30 days) of: (1) hormone replacement therapy, (2) use of nasal steroids, (3) topical therapy, (4) certain classes of antidepressants (i.e., selective serotonin re-uptake inhibitors), (5) oral contraceptives, (6) nonsteroidal anti-inflammatory agents, or (7) antihistamines or decongestants for seasonal allergies taken as needed. Contraindication to IM injection such as anti-coagulant therapy or thrombocytopenia. Pregnant, nursing, or expecting to conceive during the study. Any history of chronic alcohol or drug abuse or current treatment with any known prescribed or over-the-counter supplements that may be hepatotoxins. Any subject who, in the Investigator's opinion, will be unable to adhere to protocol requirements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gary Simon, M.D., Ph.D
Organizational Affiliation
George Washington University
Official's Role
Principal Investigator
Facility Information:
Facility Name
George Washington University Medical Center
City
Washington, D.C.
State/Province
District of Columbia
ZIP/Postal Code
20037
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18396361
Citation
Bethony JM, Simon G, Diemert DJ, Parenti D, Desrosiers A, Schuck S, Fujiwara R, Santiago H, Hotez PJ. Randomized, placebo-controlled, double-blind trial of the Na-ASP-2 hookworm vaccine in unexposed adults. Vaccine. 2008 May 2;26(19):2408-17. doi: 10.1016/j.vaccine.2008.02.049. Epub 2008 Mar 11.
Results Reference
result
Links:
URL
http://www.sabin.org
Description
Sponsor's Web page

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Study of Na-ASP-2 Human Hookworm Vaccine in Healthy Adults Without Evidence of Hookworm Infection

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