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Campylobacter InfectionsPhase 1NCT00434798

Campylobacter Jejuni Challenge Model Development: Dose Ranging Study

A Phase 1 study testing Campylobacter jejuni strains CG8421 and BH-01-0142 in people with Campylobacter Infections, run by University of Vermont at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The primary objective of this study is to establish a human Campylobacter jejuni infection model with the following characteristics: 1. Safe application 1. Infectious period risk mitigated by close monitoring and prospectively applied early treatment criteria 2. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Campylobacter Infections
What is being tested?
Campylobacter jejuni strains CG8421 and BH-01-0142
How many people
50 participants
Where
1 siteUnited States
Study dates
Feb 2007to Oct 2008
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female between 18 and 50 years of age, inclusive.
  • General good health, without significant medical illness, abnormal physical examination findings or clinical laboratory abnormalities as determined by principal investigator or principal investigator in consultation with the medical monitor and sponsor.
  • Demonstrate comprehension of the protocol procedures and knowledge of Campylobacter illness by passing a written examination (pass grade ≥ 70%)
  • Willing to participate after informed consent obtained.
  • Available for all planned follow-up visits.
  • Negative urine pregnancy test at screening and a negative urine pregnancy test on the day of admittance to the inpatient phase for all female subjects.

Who cannot join

  • Presence of a significant medical condition, (e.g. psychiatric conditions or gastrointestinal disease, such as peptic ulcer, symptoms or evidence of active gastritis, inflammatory bowel disease, irritable bowel syndrome, alcohol or illicit drug abuse/dependency), or other laboratory abnormalities which in the opinion of the investigator precludes participation in the study.
  • Immunosuppressive illness, IgA deficiency (below the normal limits), or antihistamine use within 48 h of admission or during inpatient period.
  • Positive serology results for HIV, HBsAg, or HCV antibodies.
  • Significant abnormalities in screening lab hematology, serum chemistry, as determined by PI or PI in consultation with the medical monitor and sponsor.
  • Use of any medication known to affect the immune function (e.g., corticosteroids and others) within 30 days preceding receipt of the challenge inoculum or planned use during the active study period.
  • Are not capable of fully informed consent (e.g. cannot read or write English)
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  • Personal or documented family history of an inflammatory arthritis such as reactive arthritis, Reiter's syndrome, ankylosing spondylitis, rheumatoid arthritis, or Guillain-Barré syndrome (would not include osteoarthritis or vague history of arthritis relatively late in adulthood).
  • Evidence of neurologic abnormalities (specifically extremity weakness, abnormal deep tendon reflexes, symmetric sensory abnormalities - vibratory, light touch, and proprioception).
  • Evidence of inflammatory arthritis on exam and/or HLA-B27 positive.
  • Allergy or prior intolerance to either azithromycin or fluoroquinolones.
  • Fewer than 3 stools per week or more than 3 stools per day as the usual frequency, loose or liquid stools other than on an occasional basis.
  • Regular use of laxatives or any agent that increase gastric pH (regular defined as at least weekly).
  • A recent fever in the 2 weeks prior to time of challenge.
  • Use of antibiotics during the 7 days before bacterial dosing or proton pump inhibitors, H2 blockers, or antacids within 48 hours of dosing.
  • Use of any investigational product within 30 days preceding the receipt of the challenge inoculum, or planned use during the active study period.
  • History of diarrhea in the 2 weeks prior to planned inpatient phase
  • Stool culture (collected no more than 1 week prior to admission) positive for Campylobacter, other bacterial enteric pathogens (Salmonella, Shigella, or enterohemorrhagic E. coli), or intestinal parasites.
  • Have household contacts who are <2 years old or >80 years old or infirmed or immunocompromised (for reasons including corticosteroid therapy, HIV infection, cancer chemotherapy, or other chronic debilitating disease).
  • Work as either a health care personnel with direct patient care, daycare center (for children or the elderly) personnel, or food handlers. Food handlers include individuals who work in restaurants, cafeterias, and retail stores/supermarkets that feature produce, salad bars, and/or deli sections.
  • History of microbiologically confirmed Campylobacter infection
  • Immunologic evidence of Campylobacter exposure:
  • serologic evidence of prior Campylobacter infection [defined as homologous strain Campylobacter-specific anti-glycine extract (GE) IgA OD650 > 0.5 at > 1:1,000 dilution]
  • cell mediated immune response evidence of prior Campylobacter infection [in vitro stimulation of PBMC with WC antigen (formalin-fixed homologous strain Campylobacter whole cells) with supernatant IFN-Gamma ≥ 500pg/ml]
  • Travel to countries with high Campylobacter rates (to include Asia, Africa, and Central and South America) within two years prior to dosing.
  • History of vaccination for or ingestion of Campylobacter.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Vermont College of Medicine

    Burlington, Vermont, 05405

Other trials in United States

About this study

The primary objective of this study is to establish a human Campylobacter jejuni infection model with the following characteristics:

  1. Safe application
  2. Infectious period risk mitigated by close monitoring and prospectively applied early treatment criteria
  3. Potential post-infectious sequelae risk mitigated by appropriate strain and host selection
  4. Campylobacteriosis attack rate of at least 75%

Secondary objectives are to determine humoral, cell-mediated, and mucosal immune responses in the newly established human C. jejuni infection model and evaluate short-term (< 3 mo) protection upon repeat exposure to homologous C. jejuni strain and assess immune responses associated with protection.

Being tested
Campylobacter jejuni strains CG8421 and BH-01-0142
Keywords
Campylobacter infections
Medical subject headings
Campylobacter Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Campylobacter jejuni strains CG8421 and BH-01-0142Biological

    Campylobacter jejuni strains CG8421 and BH-01-0142 at a single dose. Dosing will be based on attack rate, to achieve a 75% attack rate. Anticipate use of 10^6-10^9 CFU

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Establish a safe challenge model of Campylobacter jejuni

    Measured: October 2008

Secondary outcomes (1)
  1. Measurement of the human immune response to Campylobacter jejuni infection

    Measured: October 2008

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Feb 2007 (estimated)
  2. Study startFeb 2007
  3. Primary completionOct 2008 (estimated)
  4. Study completionOct 2008 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00434798
Sponsor's protocol ID
NMRC.2006.0009
Status last verified
Jun 2008
First submitted
6 Feb 2007
Last updated
5 Jun 2008
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Campylobacter jejuni strains CG8421 and BH-01-0142 in people with Campylobacter Infections, run by University of Vermont at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 5 Jun 2008. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Establish a safe challenge model of Campylobacter jejuni (time frame: October 2008). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jun 2008.

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