AzTrials
AzTrials

Hookworm DiseasePhase 1NCT02839161

Study of Co-administered Na-APR-1 (M74) and Na-GST-1 in Gabonese Children

A Phase 1 study testing Na-GST-1/Alhydrogel, Na-APR-1 (M74)/Alhydrogel and Hepatitis B Vaccine in people with Hookworm Disease and Hookworm Infection, run by Baylor College of Medicine at 1 site in Gabon.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Double blind, randomized, controlled, dose-escalation Phase 1 clinical trial in hookworm-exposed children aged 6 to 10 years living in the area of Lambaréné, Gabon. Children will receive three doses of the Na-GST-1/Alhydrogel hookworm vaccine co-administered with the Na-APR-1 (M74)/Alhydrogel hookworm vaccine or the… Read more about this study

Who is it for?
Ages 6 to 10 yearsHealthy volunteers can take part
Conditions the study is for
Hookworm Disease, Hookworm Infection
What is being tested?
Na-GST-1/Alhydrogel, Na-APR-1 (M74)/Alhydrogel and Hepatitis B Vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteGabon
Study dates
Jan 2017to 28 Mar 2019
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 6 to 10 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Males or females between 6 and 10 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 (up to 15 months).
  • Willingness of parent or legal guardian for child to participate in the study as evidenced by signing the informed consent document in combination with the child assent form.
  • Negative for hookworm during screening, or if found to be infected with hookworm, has completed a course of three doses of albendazole.

Who cannot join

  • Inability of parent/legal guardian 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.
  • 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 more than trace blood on urine dipstick testing with the exception of greater than trace blood detected in females during menses).
  • Laboratory evidence of hematologic disease (absolute leukocyte count <4500/mm3; absolute leukocyte count >13.0 x 103/mm3; hemoglobin <9.5 g/dl; or, platelet count <140,000/mm3).
Show all 18Show fewer
  • Other condition that in the opinion of the investigator could jeopardize the safety or rights of a child participating in the trial or would render the child 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 child'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 expect to use for the duration of the 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 6 months prior to entry into the study.
  • Previous receipt of a primary series (three doses according to a 0, 1, and 6 -12 month schedule) of the hepatitis B vaccine.

Trial locations and contacts

1 site in 1 country.

Gabon1 site
  • Centre de Recherches Médicales de Lambaréné

    Lambaréné

Other trials in Gabon

About this study

Official title: Randomized, Controlled, Phase 1 Study to Assess Safety and Immunogenicity of Co-administered Hookworm Vaccine Candidates Na-APR-1 (M74)/Alhydrogel® and Na-GST-1/ Alhydrogel® in Gabonese Children

Double blind, randomized, controlled, dose-escalation Phase 1 clinical trial in hookworm-exposed children aged 6 to 10 years living in the area of Lambaréné, Gabon. Children will receive three doses of the Na-GST-1/Alhydrogel hookworm vaccine co-administered with the Na-APR-1 (M74)/Alhydrogel hookworm vaccine or the hepatitis B vaccine co-administered with sterile saline. All injections will be delivered intramuscularly (deltoid) on approximately Days 0, 56, and 112 or 180.

Read the detailed description

Double blind, randomized, controlled, dose-escalation Phase 1 clinical trial in hookworm-exposed children aged 6 to 10 years living in the area of Lambaréné, Gabon. Children will receive three doses of the assigned vaccine(s) delivered intramuscularly (deltoid) on approximately Days 0, 56, and 112 or 180.

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 third 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 (see Appendix A); the functional activity of vaccine-induced antibodies will be assessed by in vitro enzyme neutralization assays; the induction of B cell memory will be measured by antigen-specific memory B cell responses.

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

60 subjects will be enrolled into 3 groups of 20. The first 20 subjects will be assembled and enrolled into Group 1:

  1. Group 1 double-blind IP allocation (n=20):
  • 16 subjects will receive 10 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 10 µg Na-GST-1 administered IM in the alternate arm.
  • 8 will be vaccinated according to a 0,2,4-month schedule
  • 8 will be vaccinated according to a 0,2,6-month schedule
  • 4 subjects will receive hepatitis B vaccine comparator:
  • 2 will be vaccinated according to a 0,2,4-month schedule
  • 2 will be vaccinated according to a 0,2,6-month schedule
  1. Group 2 double-blind IP allocation (n=20):
  • 16 subjects will receive 30 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 30µg Na-GST-1 administered IM in the alternate arm.
  • 8 will be vaccinated according to a 0,2,4-month schedule
  • 8 will be vaccinated according to a 0,2,6-month schedule
  • 4 subjects will receive hepatitis B vaccine comparator:
  • 2 will be vaccinated according to a 0,2,4-month schedule
  • 2 will be vaccinated according to a 0,2,6-month schedule
  1. Group 3 double-blind IP allocation (n=20):
  • 16 subjects will receive 100 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 100 µg Na-GST-1 administered IM in the alternate arm.
  • 8 will be vaccinated according to a 0,2,4-month schedule
  • 8 will be vaccinated according to a 0,2,6-month schedule
  • 4 subjects will receive hepatitis B vaccine comparator:
  • 2 will be vaccinated according to a 0,2,4-month schedule
  • 2 will be vaccinated according to a 0,2,6-month schedule
Being tested
Na-GST-1/Alhydrogel, Na-APR-1 (M74)/Alhydrogel, Hepatitis B Vaccine
Keywords
Hookworm, Vaccine, Na-GST-1, Na-APR-1, Necator americanus
Medical subject headings
Ancylostomiasis, Hookworm Infections

What participants receive

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

  • Na-GST-1/AlhydrogelBiological

  • Na-APR-1 (M74)/AlhydrogelBiological

  • Hepatitis B VaccineBiological

Study groups in NCT02839161
Study groupRoleWhat they receive
Low-dose (0,2,4 months)Experimental10 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 10 µg Na-GST-1 administered IM in the alternate arm. Injections at 0, 2, and 4 months.
Receives: Biological: Na-GST-1/Alhydrogel; Biological: Na-APR-1 (M74)/Alhydrogel
Low-dose (0,2,6 months)Experimental10 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 10 µg Na-GST-1 administered IM in the alternate arm. Injections at 0, 2, and 6 months.
Receives: Biological: Na-GST-1/Alhydrogel; Biological: Na-APR-1 (M74)/Alhydrogel
Medium-dose (0,2,4 months)Experimental30 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 30 µg Na-GST-1 administered IM in the alternate arm. Injections at 0, 2, and 4 months.
Receives: Biological: Na-GST-1/Alhydrogel; Biological: Na-APR-1 (M74)/Alhydrogel
Medium-dose (0,2,6 months)Experimental30 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 30 µg Na-GST-1 administered IM in the alternate arm. Injections at 0, 2, and 6 months.
Receives: Biological: Na-GST-1/Alhydrogel; Biological: Na-APR-1 (M74)/Alhydrogel
High-dose (0,2,4 months)Experimental100 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 100 µg Na-GST-1 administered IM in the alternate arm. Injections at 0, 2, and 4 months.
Receives: Biological: Na-GST-1/Alhydrogel; Biological: Na-APR-1 (M74)/Alhydrogel
High-dose (0,2,6 months)Experimental100 µg Na-APR-1 (M74) plus 5 µg GLA-AF delivered by IM injection in the deltoid muscle, with 100 µg Na-GST-1 administered IM in the alternate arm. Injections at 0, 2, and 6 months.
Receives: Biological: Na-GST-1/Alhydrogel; Biological: Na-APR-1 (M74)/Alhydrogel
Comparator (0,2,4 months)Active comparatorHepatitis B vaccine delivered by IM injection in the deltoid muscle, with sterile saline solution administered IM in the alternate arm. Injections at 0, 2, and 4 months.
Receives: Biological: Hepatitis B Vaccine
Comparator (0,2,6 months)Active comparatorHepatitis B vaccine delivered by IM injection in the deltoid muscle, with sterile saline solution administered IM in the alternate arm. Injections at 0, 2, and 6 months.
Receives: Biological: Hepatitis B Vaccine

What is being measured

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

  1. Vaccine-Related Adverse Events

    To evaluate the safety and reactogenicity of three different dose concentrations of Na-APR-1 (M74)/Alhydrogel® co-administered with Na-GST-1/Alhydrogel® in healthy Gabonese children.

    Measured: Day 380

Secondary outcomes (1)
  1. IgG Response to Na-GST-1 and Na-APR-1 (M74)

    To determine the doses of co-administered Na-APR-1 (M74) and Na-GST-1 that result in the highest levels of IgG antibody approximately 14 days after the third vaccination.

    Measured: 14 days after the third vaccination

Timeline

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

  1. First posted20 Jul 2016 (estimated)
  2. Study startJan 2017
  3. Primary completion13 Dec 2018
  4. Study completion28 Mar 2019

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
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02839161
Sponsor's protocol ID
HV-002
Status last verified
Jan 2025
First submitted
18 Jul 2016
Last updated
13 Jan 2025
Data monitoring committee
Yes

Publications

  • Zinsou JF, Diemert DJ, Dejon-Agobe JC, Adegbite BR, Honkpehedji YJ, Vodonou KG, Bikangui R, Edoa JR, Massinga Loembe M, Li G, Yazdanbakhsh M, Bottazzi ME, van Leeuwen R, Kremsner PG, Hotez PJ, Bethony JM, Grobusch MP, Adegnika AA. Safety and immunogenicity of the co-administered Na-APR-1 and Na-GST-1 hookworm vaccines in school-aged children in Gabon: a randomised, controlled, observer-blind, phase 1, dose-escalation trial. Lancet Infect Dis. 2024 Jul;24(7):760-774. doi: 10.1016/S1473-3099(24)00104-X. Epub 2024 Mar 18.

    PubMed 38513684

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Na-GST-1/Alhydrogel, Na-APR-1 (M74)/Alhydrogel and Hepatitis B Vaccine in people with Hookworm Disease and Hookworm Infection, run by Baylor College of Medicine at 1 site in Gabon.

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 5 inclusion and 18 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: finished, as of the sponsor's last update on 13 Jan 2025. 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 Gabon. 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?

Yes. Results are posted in the registry (first posted 10 Jun 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Vaccine-Related Adverse Events (time frame: Day 380). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02839161, which also lists 1 linked publication.

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 13 Jan 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in