Efficacy of Na-GST-1/Alhydrogel Hookworm Vaccine Assessed by Controlled Challenge Infection

ID: NCT03172975
Status: Recruiting
Phase: Phase 2
Start Date: March 01, 2018
First Submitted: May 30, 2017
Last Updated: February 23, 2018
Results: N/A
Sponsors & Collaborators: Baylor College of Medicine, George Washington University, National Institute of Allergy and Infectious Diseases (NIAID)
Location: United States
Conditions: Hookworm Infections
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Study Description

Brief Summary

This study evaluates the efficacy, safety and immunogenicity of different formulations of the Na-GST-1 hookworm vaccine using a controlled human hookworm infection model in healthy, hookworm-naive adults.

Detailed Description

Double blind, randomized, controlled, Phase 2 clinical trial in hookworm-unexposed adults living in the metropolitan area of Washington, DC. Subjects will receive three doses of the assigned vaccine formulation, or saline placebo, delivered intramuscularly on approximately Days 0, 56, and 112.

Subjects will be challenged with 50 infectious N. americanus larvae 4 weeks after 3rd vaccination. Fecal samples will be collected weekly starting 4 weeks post-challenge. Albendazole will be administered 20 weeks post-challenge to cure infections. Subjects will be followed until 10 months after their final vaccination.

Safety of vaccination 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. Safety of CHHI will be measure from the time of larval application (Day 140) through the first day of treatment with albendazole (Day 280).

Unsolicited non-serious adverse events (AEs) will be collected until approximately 1 month following each study vaccination and from study Day 140 (day of CHHI) through Day 280.

New-onset chronic medical conditions and Serious Adverse Events (SAEs) will be collected from the time of the first study vaccination through approximately 10 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 and CHHI.

Immunogenicity testing will include IgG antibody responses to Na-GST-1, by a qualified indirect enzyme-linked immunosorbent assay (ELISA), on serum obtained prior to each study vaccination and CHHI, and at time points after each vaccination and after CHHI (see Appendix A); the affinity of vaccine-induced antibodies against Na-GST-1 using Surface Plasmon Resonance; the functional activity of vaccine-induced antibodies via in vitro enzyme neutralization assay; antigen-specific memory B cell responses; and, the innate immune responses to each of the TLR receptor immunostimulants.

Parasitological testing will include microscopic fecal egg detection by a qualified saline flotation technique, fecal egg counts by the McMaster method, fecal PCR for hookworm DNA, and peripheral eosinophil counts.

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

48 subjects will be enrolled into 4 groups of 12. Subjects will be enrolled sequentially and upon enrollment will be randomized to one of the following IP assignments in a double-blind fashion:

- Group 1 IP allocation (n=12 subjects): 12 subjects will receive 100µg Na-GST-1/Alhydrogel® delivered by IM injection in the deltoid muscle.

- Group 2 IP allocation (n=12): 12 subjects will receive Na-GST-1/Alhydrogel® plus 500µg CpG 10104 delivered by IM injection in the deltoid muscle.

- Group 3 IP allocation (n=12): 12 subjects will receive Na-GST-1/Alhydrogel® plus 5µg GLA-AF delivered by IM injection in the deltoid muscle.

- Group 4 IP allocation (n=12): 12 subjects will receive sterile saline delivered by IM injection in the deltoid muscle.
Condition or disease Intervention/treatment Phase

Hookworm Infections

Biological: Na-GST-1/Alhydrogel
Other Names
Necator americanus Glutathione-S Transferase
Biological: Na-GST-1/Alhydrogel + CPG 10104
Other Names
Biological: Na-GST-1/Alhydrogel + GLA-AF
Other Names
Biological: Placebo
Other Names
Drug: Albendazole
Other Names
Other: Necator americanus Larval Inoculum
Other Names
Phase 2

Tracking Information

First Submitted DateMay 30, 2017
Last Update Posted DateFebruary 23, 2018
Anticipated Start DateMarch 01, 2018
Anticipated Completion DateDecember 30, 2019
Anticipated Primary Completion DateAugust 15, 2019
Results First Submitted DateN/A
Received Results Disposit DateN/A

Current Primary Outcome Measures

  • Detectable hookworm infection [Time Frame: Week 20 post-CHHI]

    Proportion of subjects with detectable hookworm eggs, at any time point, in fecal samples, as determined by microscopy using the qualified saline flotation technique

  • Incidence of Serious Adverse Events [Time Frame: Day 280]

    Frequency of study vaccine-related Serious Adverse Events from the time of the first study vaccination through approximately 10 months after the last study vaccination.

  • Incidence of solicited injection site and systemic reactogenicity [Time Frame: Day 14 post-vaccination]

    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.

  • Incidence of solicited adverse events [Time Frame: Day 280]

    Frequency of solicited adverse events, graded by severity, on the day of CHHI through study Day 280

  • Incidence of clinical safety laboratory abnormalities [Time Frame: Day 14 post-vaccination]

    Frequency of clinical safety laboratory adverse events.

  • Incidence of unsolicited adverse events [Time Frame: Day 280]

    Frequency of unsolicited adverse events, graded by severity, from the time of each study vaccination through approximately 1 month after each study vaccination; and from the time of CHHI through treatment with albendazole (Day 280)

  • Incidence of new-onset chronic medical conditions [Time Frame: Day 280]

    Frequency of new-onset chronic medical conditions through approximately 10 months after the third study vaccination.

  • Incidence of Adverse Events of Special Interest [Time Frame: Day 280]

    Frequency of Adverse Events of Special Interest through approximately 10 months after the third study vaccination.

Original Primary Outcome Measures

Not Available

Current Secondary Outcome Measures

  • Fecal egg counts [Time Frame: Week 5 and Week 20 post-CHHI]

    Fecal egg counts as determined by microscopy using the McMaster method, weekly from Weeks 5 through 20 post-CHHI

  • Anti-Na-GST-1 IgG antibody response [Time Frame: 14 days after each vaccination, and approximately 1, 2, 4, 6, 7, 8 and 10 months after the third dose]

    Anti-Na-GST-1 IgG antibody response, by a qualified indirect enzyme-linked immunosorbent assay (ELISA) at approximately 14 days after each vaccination, and approximately 1, 2, 4, 6, 7, 8 and 10 months after the third dose

  • Anti-Na-GST-1 IgG antibody affinity [Time Frame: 14 days after each vaccination, and approximately 1, 2, 4, 6, 7, 8 and 10 months after the third dose]

    Affinity of the antibody interactions with recombinant Na-GST-1 antigen at approximately 14 days after each vaccination, and approximately 1, 2, 4, 6, 7, 8 and 10 months after the third dose.

  • Memory B cells specific for Na-GST-1 [Time Frame: 7 and 14 days following each vaccination; on day of CHHI; and then 7 and 14 days, and 5, 7, 13, and 20 weeks post-CHHI]

    Production of memory B cells specific for Na-GST-1 on days of vaccination; approximately 7 and 14 days following each vaccination; on day of CHHI; and then 7 and 14 days, and 5, 7, 13, and 20 weeks post-CHHI.

  • Innate immune responses [Time Frame: Approximately 7 and 14 days following each vaccination; on day of CHHI; and then 7 and 14 days, and 5, 7, 13, and 20 weeks post-CHHI]

    Innate immune responses on days of vaccination approximately 7 and 14 days following each vaccination; on day of CHHI; and then 7 and 14 days, and 5, 7, 13, and 20 weeks post-CHHI

Original Secondary Outcome Measures

Not Available

Study Design

Brief TitleEfficacy of Na-GST-1/Alhydrogel Hookworm Vaccine Assessed by Controlled Challenge Infection
Official TitlePhase 2 Study to Assess the Safety, Efficacy and Immunogenicity of Na-GST-1/Alhydrogel Co-administered With Different Toll-Like Receptor Agonists in Hookworm- Naïve Adults
Brief Summary

This study evaluates the efficacy, safety and immunogenicity of different formulations of the Na-GST-1 hookworm vaccine using a controlled human hookworm infection model in healthy, hookworm-naive adults.

Detailed Description

Double blind, randomized, controlled, Phase 2 clinical trial in hookworm-unexposed adults living in the metropolitan area of Washington, DC. Subjects will receive three doses of the assigned vaccine formulation, or saline placebo, delivered intramuscularly on approximately Days 0, 56, and 112.

Subjects will be challenged with 50 infectious N. americanus larvae 4 weeks after 3rd vaccination. Fecal samples will be collected weekly starting 4 weeks post-challenge. Albendazole will be administered 20 weeks post-challenge to cure infections. Subjects will be followed until 10 months after their final vaccination.

Safety of vaccination 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. Safety of CHHI will be measure from the time of larval application (Day 140) through the first day of treatment with albendazole (Day 280).

Unsolicited non-serious adverse events (AEs) will be collected until approximately 1 month following each study vaccination and from study Day 140 (day of CHHI) through Day 280.

New-onset chronic medical conditions and Serious Adverse Events (SAEs) will be collected from the time of the first study vaccination through approximately 10 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 and CHHI.

Immunogenicity testing will include IgG antibody responses to Na-GST-1, by a qualified indirect enzyme-linked immunosorbent assay (ELISA), on serum obtained prior to each study vaccination and CHHI, and at time points after each vaccination and after CHHI (see Appendix A); the affinity of vaccine-induced antibodies against Na-GST-1 using Surface Plasmon Resonance; the functional activity of vaccine-induced antibodies via in vitro enzyme neutralization assay; antigen-specific memory B cell responses; and, the innate immune responses to each of the TLR receptor immunostimulants.

Parasitological testing will include microscopic fecal egg detection by a qualified saline flotation technique, fecal egg counts by the McMaster method, fecal PCR for hookworm DNA, and peripheral eosinophil counts.

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

48 subjects will be enrolled into 4 groups of 12. Subjects will be enrolled sequentially and upon enrollment will be randomized to one of the following IP assignments in a double-blind fashion:

- Group 1 IP allocation (n=12 subjects): 12 subjects will receive 100µg Na-GST-1/Alhydrogel® delivered by IM injection in the deltoid muscle.

- Group 2 IP allocation (n=12): 12 subjects will receive Na-GST-1/Alhydrogel® plus 500µg CpG 10104 delivered by IM injection in the deltoid muscle.

- Group 3 IP allocation (n=12): 12 subjects will receive Na-GST-1/Alhydrogel® plus 5µg GLA-AF delivered by IM injection in the deltoid muscle.

- Group 4 IP allocation (n=12): 12 subjects will receive sterile saline delivered by IM injection in the deltoid muscle.

Study TypeInterventional
Study PhasePhase 2
Estimated Enrollment
48
Allocation
Randomized
Interventional Model
Parallel Assignment
Masking
Quadruple
Primary Purpose
Prevention
Conditions
Hookworm Infections
Target Follow-Up Duration N/A
Biospecimen:
N/A
Sampling MethodN/A
Study PopulationN/A
Intervention
Biological: Na-GST-1/Alhydrogel

Recombinant ˆNecator americanusˆ Glutathione-S Transferase adjuvanted with Alhydrogel

Other Names
Necator americanus Glutathione-S Transferase
Biological: Na-GST-1/Alhydrogel + CPG 10104

Recombinant ˆNecator americanusˆ Glutathione-S Transferase adjuvanted with Alhydrogel and co-administered with CPG 10104, a synthetic oligodeoxynucleotide

Other Names
Biological: Na-GST-1/Alhydrogel + GLA-AF

Recombinant ˆNecator americanusˆ Glutathione-S Transferase adjuvanted with Alhydrogel and co-administered with an aqueous formulation of Glucopyranosyl-Lipid A (GLA-AF)

Other Names
Biological: Placebo

Physiological sterile saline solution

Other Names
Drug: Albendazole

Treatment with 3 daily oral doses of 400 mg albendazole at end of study.

Other Names
Other: Necator americanus Larval Inoculum

50 infectious Necator americanus larvae applied via dermal application (challenge infection).

Other Names
Study Groups/Cohorts
Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.

Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.

Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.

Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.

Study Arms
Experimental Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Na-GST-1/Alhydrogel
Recombinant ˆNecator americanusˆ Glutathione-S Transferase adjuvanted with Alhydrogel

Experimental Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Treatment with 3 daily oral doses of 400 mg albendazole at end of study.

Experimental Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
50 infectious Necator americanus larvae applied via dermal application (challenge infection).

Experimental Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
50 infectious Necator americanus larvae applied via dermal application (challenge infection).

Experimental Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Treatment with 3 daily oral doses of 400 mg albendazole at end of study.

Experimental Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Na-GST-1/Alhydrogel + CPG 10104
Recombinant ˆNecator americanusˆ Glutathione-S Transferase adjuvanted with Alhydrogel and co-administered with CPG 10104, a synthetic oligodeoxynucleotide

Experimental Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Na-GST-1/Alhydrogel + GLA-AF
Recombinant ˆNecator americanusˆ Glutathione-S Transferase adjuvanted with Alhydrogel and co-administered with an aqueous formulation of Glucopyranosyl-Lipid A (GLA-AF)

Experimental Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Treatment with 3 daily oral doses of 400 mg albendazole at end of study.

Experimental Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
50 infectious Necator americanus larvae applied via dermal application (challenge infection).

Placebo Comparator Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
50 infectious Necator americanus larvae applied via dermal application (challenge infection).

Placebo Comparator Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Treatment with 3 daily oral doses of 400 mg albendazole at end of study.

Placebo Comparator Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Placebo
Physiological sterile saline solution

Arm Intervention/Treatment
Experimental Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Na-GST-1/Alhydrogel
Experimental Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Experimental Na-GST-1/Alhydrogel
100 µg ˆNaˆ-GST-1/Alhydrogel administered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
Experimental Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
Experimental Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Experimental Na-GST-1/Alhydrogel + CPG 10104
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 500 µg CPG 10104 delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Na-GST-1/Alhydrogel + CPG 10104
Experimental Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Na-GST-1/Alhydrogel + GLA-AF
Experimental Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Experimental Na-GST-1/Alhydrogel + GLA-AF
100 µg ˆNaˆ-GST-1/Alhydrogel co-administered with 5 µg GLA-AF delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
Placebo Comparator Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Other : Necator americanus Larval Inoculum
Placebo Comparator Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Drug : Albendazole
Placebo Comparator Saline Placebo
Sterile saline placebo delivered intramuscularly in the deltoid on study days 0, 56 and 112 followed by controlled human hookworm infection with 50 infectious Necator americanus larvae on study day 140.
Biological : Placebo

Recruitment Information

Recruitment Status:Recruiting
Enrollment48
Completion DateDecember 30, 2019
Eligibility Criteria: Inclusion Criteria:
1. Males and non-pregnant females between 18 and 45 years, inclusive.
2. Good general health as determined by means of the screening procedures1.
3. Available for the duration of individual subject study participation (14 months).
4. Willingness to participate in the study as evidenced by signing the informed consent document.
5. Able to understand and comply with planned study procedures.

Exclusion Criteria:
1. Pregnancy as determined by a positive urine human choriogonadotropin (hCG) test (if female).
2. Subject unwilling to use effective contraception for a minimum of 30 days prior to vaccination and up until documentation of clearance of hookworm infection post-CHHI (if female and not surgically sterile, abstinent from intercourse with a male partner, in a monogamous relationship with a vasectomized partner, at least 2 years post-menopausal, or determined otherwise by medical evaluation to be sterile).
3. Currently lactating and breast-feeding or plans to breastfeed at any given time from the first study vaccination until clearance of hookworm infection post-CHHI (if female).
4. Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, gastrointestinal, diabetes, or renal disease by history, physical examination, and/or laboratory studies.
5. 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).
6. Known or suspected immunodeficiency or immunosuppression as a result of an underlying illness or treatment (causes for immunosuppression may include, but are not limited to, poorly-controlled diabetes mellitus, chronic liver disease, renal insufficiency, active neoplastic disease or a history of hematologic malignancy, connective tissue disease, organ transplant).
7. Laboratory evidence of liver disease (alanine aminotransferase [ALT] greater than 1.25-times the upper reference limit).
8. Laboratory evidence of renal disease (serum creatinine greater than 1.25-times the upper reference limit, or urine dipstick testing positive for glucose or more than trace protein).
9. Laboratory evidence of hematologic disease (hemoglobin <11.1 g/dl [females] or <12.5 g/dl [males]; absolute leukocyte count <3400/mm3 or >10.8 x 103/mm3; absolute eosinophil count <500/mm3; or platelet count <140,000/mm3).
10. 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.
11. Planned participation in another investigational vaccine or drug trial within 30 days of starting this study or until the last study visit (this may include other licensed or unlicensed vaccines, drugs, biologics, devices, blood products, or medications).
12. Volunteer has had medical, occupational, or family problems as a result of alcohol or illicit drug use during the past 24 months.
13. Positive fecal occult blood test at screening.
14. Infection with a pathogenic intestinal helminth as determined by stool examination for ova and parasites at screening.
15. History of iron deficiency anemia or laboratory evidence of iron deficiency (serum ferritin concentration below the lower reference limit).
16. History of hypoalbuminemia.
17. History of a severe allergic reaction or anaphylaxis.
18. Severe asthma as defined by the need for daily use of inhalers, or emergency clinic visit or hospitalization within 6 months of the volunteer's expected first vaccination in the study.
19. Positive test for hepatitis B surface antigen (HBsAg).
20. Positive confirmatory test for HIV infection.
21. Positive confirmatory test for hepatitis C virus (HCV) infection.
22. Using or intends to continue using oral or parenteral corticosteroids, high-dose inhaled corticosteroids (>800 μg/day of beclomethasone dipropionate or equivalent) or other immunosuppressive or cytotoxic drugs within 30 days of the volunteer's expected first vaccination in this study or planned use during the study.
23. Receipt of a live vaccine within 4 weeks or a killed vaccine within 2 weeks prior to the volunteer's expected first vaccination in the study.
24. Receipt of immunoglobin or other blood products (with exception of Rho D immunoglobulin) within 90 days of the planned first study vaccination.
25. Known allergy to albendazole, amphotericin B or gentamicin.
26. History of previous infection with hookworm or continuous residence for more than 6 months in a community where hookworm is endemic.
27. Current or past scars, tattoos, or other disruptions of skin integrity at the intended site of larval application.
28. Previous receipt of the Na-GST-1/Alhydrogel® hookworm vaccine.
29. History of a surgical splenectomy.
30. Pre-existing autoimmune or antibody-mediated diseases including but not limited to: systemic lupus erythematosis, 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, and/or proteinuria (greater than trace protein on urine dipstick testing).
GenderAll
Age18 Years to 45 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
Contacts
Listed Location Countries
United States

Administrative Information

NCT Number:NCT03172975
Other Study ID Numbers
16-0116
U01AI129789
Has Data Monitoring CommitteeNo
U.S. FDA-regulated Product Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Device Product Not Approved or Cleared by U.S. FDA: No
IPD Sharing Statement
Not Available
Responsible PartyMaria Elena Bottazzi PhD, Baylor College of Medicine
Study Sponsor
Baylor College of Medicine
Collaborators
George Washington University
National Institute of Allergy and Infectious Diseases (NIAID)
Investigators
Principal Investigator
David Diemert, MD
George Washington University