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Trial · Interventional

CompletedPhase 1Results postedRegistry data

Safety and Immunogenicity Study of Na-GST-1 With or Without CpG

Overview

Status
Completed
Phase
Phase 1
Enrollment
24 participants (actual)
Sponsor
Baylor College of Medicine · Other
Design
Randomized · Quadruple masking
Countries
1 country

United States

Start
Oct 2014
Primary completion
Jun 2016
Completion
Oct 2016
First posted
21 May 2014 (estimated)
Last update posted
4 Jul 2025
Conditions
Hookworm Infection · Hookworm Disease

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2014201520162017
  1. Ph 1

    Safety and Immunogenicity Study of Na-GST-1 With or Without CpG

    NCT02143518

    Oct 2014 to Oct 2016

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

Na-GST-1 is a protein expressed during the adult stage of the hookworm life cycle that is thought to play a role in the parasite's degradation of host hemoglobin for use as an energy source. Vaccination with recombinant GST-1 has protected dogs and hamsters from infection in challenge studies. This study will evaluate the safety and immunogenicity of two formulations of Na-GST-1 in healthy adult volunteers when co-administered with the immunostimulant CpG 10104, a Toll-like Receptor-9 agonist.

Interventions

  • Na-GST-1/Alhydrogel®Biological
  • CpG 10104Biological

Arms3

  • Experimental

    100 µg Na-GST-1/Alhydrogel

    High Dose Na-GST-1/Alhydrogel® Only

  • Experimental

    30 µg Na-GST-1/Alhydrogel + CpG 10104

    Low Dose Na-GST-1/Alhydrogel® Plus 500 µg CpG 10104

  • Experimental

    100 µg Na-GST-1/Alhydrogel + CpG 10104

    High Dose Na-GST-1/Alhydrogel® Plus 500 µg CpG 10104

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Vaccine-related Adverse Events

    Time frame · Up to study day 470

    Registry description

    The frequency of immediate, systemic, and local injection site adverse events, graded by severity, for Na-GST-1/Alhydrogel administered alone or in combination with CpG 10104

Secondary outcomes(2)
  1. IgG Antibody Response to Na-GST-1 on Study Day 126

    Time frame · 14 days after final vaccination

    Registry description

    Dose and formulation of Na-GST-1 that generates the highest IgG antibody response at Day 126 (14 days after final vaccination), as determined by a qualified indirect enzyme-linked immunosorbent assay (ELISA) and measured in Arbitrary Units (AU) that are interpolated from a standard reference curve formulated by serial dilutions of a serum pool derived from known high responders in previous clinical trials of this antigen. This ELISA has not been validated and does not report mass units since these have not yet been defined. Reporting ELISA values in AU is an accepted practice early in clinical development before full assay validation and quantification of mass units.

  2. Exploratory Cellular Immune Response to Na-GST-1

    Time frame · Up to study day 290

    Registry description

    Exploratory studies of the cellular immune responses to the Na-GST-1 antigen both before and after immunization.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeCount of participants· Up to study day 470

Vaccine-related Adverse Events

GroupValue (Participants)
100 µg Na-GST-1/Alhydrogel1
30 µg Na-GST-1/Alhydrogel + CpG 101043
100 µg Na-GST-1/Alhydrogel + CpG 101040
Secondary and other outcome results(2)
Secondary outcomeGeometric mean· 14 days after final vaccination

IgG Antibody Response to Na-GST-1 on Study Day 126

GroupValue (Arbitrary Units/mL)
100 µg Na-GST-1/Alhydrogel49.42
30 µg Na-GST-1/Alhydrogel + CpG 10104300.7
100 µg Na-GST-1/Alhydrogel + CpG 10104389.5
Secondary outcome· Up to study day 290

Exploratory Cellular Immune Response to Na-GST-1

GroupValue
30 µg Na-GST-1/Alhydrogel + CpG 10104not posted
100 µg Na-GST-1/Alhydrogelnot posted
100 µg Na-GST-1/Alhydrogel + CpG 10104not posted

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
100 µg Na-GST-1/AlhydrogelHigh Dose Na-GST-1/Alhydrogel® Only Na-GST-1/Alhydrogel®: The Na-GST-1 candidate vaccine contains the recombinant Na-GST-1 protein expressed by Pichia pastoris. Purified Na-GST-1 was subsequently adsorbed onto aluminum hydroxide gel (Alhydrogel®) and suspended in a solution containing 10% glucose and 10 mM imidazole. The final concentration of Na-GST-1 in the drug product is 0.1 mg/ml whereas that of Alhydrogel® is 0.8 mg/ml. Different doses of Na-GST-1 will be delivered by injecting different volumes of the 0.1 mg/ml Na-GST-1 preparation.0 / 80 / 88 / 8
30 µg Na-GST-1/Alhydrogel + CpG 10104Low Dose Na-GST-1/Alhydrogel® Plus 500 µg CpG 10104 Na-GST-1/Alhydrogel®: The Na-GST-1 candidate vaccine contains the recombinant Na-GST-1 protein expressed by Pichia pastoris. Purified Na-GST-1 was subsequently adsorbed onto aluminum hydroxide gel (Alhydrogel®) and suspended in a solution containing 10% glucose and 10 mM imidazole. The final concentration of Na-GST-1 in the drug product is 0.1 mg/ml whereas that of Alhydrogel® is 0.8 mg/ml. Different doses of Na-GST-1 will be delivered by injecting different volumes of the 0.1 mg/ml Na-GST-1 preparation. CpG 10104: Unmethylated cytosine-guanine dinucleotides (CpGs) are found in bacterial DNA in the expected frequency predicted by random usage, whereas their occurrence is suppressed 4-fold in vertebrate DNA. In vertebrate DNA CpG motifs are also usually methylated. Bacterial CpG-DNA motifs are recognized by the human innate immune system via Toll-like Receptor-9 (TLR-9), a pathogen-associated molecular pattern (PAMP) receptor that is expressed, in particular, by antigen-presenting dendritic cells. Interactions between CpG-DNA and TLR9 rapidly activate antigen-presenting dendritic cells to upregulate co-stimulatory molecules and to produce Th1-polarizing cytokines such as interleukin-12 and interferon gamma. CpG 10104 is a short synthetic oligodeoxynucleotide of the following sequence: 5'-TCG TCG TTT CGT CGT TTT GTC GTT-3'.0 / 80 / 88 / 8
100 µg Na-GST-1/Alhydrogel + CpG 10104High Dose Na-GST-1/Alhydrogel® Plus 500 µg CpG 10104 Na-GST-1/Alhydrogel®: The Na-GST-1 candidate vaccine contains the recombinant Na-GST-1 protein expressed by Pichia pastoris. Purified Na-GST-1 was subsequently adsorbed onto aluminum hydroxide gel (Alhydrogel®) and suspended in a solution containing 10% glucose and 10 mM imidazole. The final concentration of Na-GST-1 in the drug product is 0.1 mg/ml whereas that of Alhydrogel® is 0.8 mg/ml. Different doses of Na-GST-1 will be delivered by injecting different volumes of the 0.1 mg/ml Na-GST-1 preparation. CpG 10104: Unmethylated cytosine-guanine dinucleotides (CpGs) are found in bacterial DNA in the expected frequency predicted by random usage, whereas their occurrence is suppressed 4-fold in vertebrate DNA. In vertebrate DNA CpG motifs are also usually methylated. Bacterial CpG-DNA motifs are recognized by the human innate immune system via Toll-like Receptor-9 (TLR-9), a pathogen-associated molecular pattern (PAMP) receptor that is expressed, in particular, by antigen-presenting dendritic cells. Interactions between CpG-DNA and TLR9 rapidly activate antigen-presenting dendritic cells to upregulate co-stimulatory molecules and to produce Th1-polarizing cytokines such as interleukin-12 and interferon gamma. CpG 10104 is a short synthetic oligodeoxynucleotide of the following sequence: 5'-TCG TCG TTT CGT CGT TTT GTC GTT-3'.0 / 80 / 88 / 8

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 50 Years
Healthy volunteers
Accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Males or females between 18 and 50 years, inclusive. * Good general health as determined by means of the screening procedure. * Available for the duration of the trial (68 weeks). * Willingness to participate in the study as evidenced by signing the informed consent document. * Able to understand and comply with planned study procedures. Exclusion Criteria: * Pregnancy as determined by a positive urine human choriogonadotropin (hCG) test (if female). * Participant unwilling to use reliable contraception up until one month following the third immunization (if female and not surgically sterile, abstinent, at least 2 years post-menopausal, or determined otherwise by medical evaluation to be sterile). * Currently lactating and breast-feeding (if female). * Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, diabetes, or renal disease by history, physical examination, and/or laboratory studies. A history of essential hypertension that is well controlled by medication will not be considered exclusionary. * 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). * 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 trace protein or blood on urine dipstick testing with the exception of greater than 1+ blood detected in females during menses). * 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; or platelet count \<140,000/mm3). * Laboratory evidence of a coagulopathy (activated PTT or PT INR greater than 1.1-times the upper reference limit). * Serum glucose greater than 1.2-times the upper reference limit. * 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. * Planned participation in another investigational vaccine or drug trial within 30 days of starting this study or until Visit #17 (6 months after the third vaccination). * 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 daily use of inhalers, or emergency clinic visit or hospitalization within 6 months of the volunteer's expected first vaccination in the study. * Positive test for hepatitis B surface antigen (HBsAg). * Positive confirmatory test for HIV infection. * Positive confirmatory test for hepatitis C virus (HCV) infection. * Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 30 days of the volunteer's expected first vaccination in this study or planned use up to one month following the last vaccination. * 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. * Previous receipt of the Na-GST-1/Alhydrogel® hookworm vaccine. * History of a surgical splenectomy. * Receipt of blood products within the past 6 months. * 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, proteinuria and/or a positive ANA. * History of previous infection with hookworm or residence for more than 6 months in a community where hookworm is endemic.

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