Immunisation, Treatment and Controlled Human Hookworm Infection (ITCHHI)

Leiden University Medical Center (LUMC)

Status: Completed

Conditions: Necator Americanus Infection

Treatments: Biological: 3x 50 L3 larvae immunisation with albendazole treatment; Biological: 2x 50 L3 larvae infection; Other: 3x placebo immunisation with albendazole treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT03702530

ITCHHI

Details and patient eligibility

About

24 healthy volunteers will be immunized with three times 50 L3 larvae or placebo followed by treatment with albendazol and subsequently challenged with twice 50 L3 larvae.

Full description

24 healthy hookworm-naive volunteers will be randomized in a 2:1 allocation to either the intervention group or placebo. Volunteers in the intervention group will be immunized three times with 50 L3 larvae of Necator americanus with three-week intervals. Two weeks after each immunization, volunteers will be treated with albendazole. Four weeks after the last treatment all volunteers are challenged with controlled human hookworm infection consisting of two doses of 50 L3 larvae with a two week interval. 16 weeks after the first challenge all volunteers will be treated with albendazole, except up to four volunteers who will be asked to remain as chronic donors for future hookworm studies.

Enrollment: 23 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

In order to be eligible to participate in this study, a subject must meet all of the following criteria:

1. Subject is aged ≥ 18 and ≤ 45 years and in good health.
2. Subject has adequate understanding of the procedures of the study and agrees to abide strictly thereby.
3. Subject is able to communicate well with the investigator and is available to attend all study visits.
4. Subject agrees to refrain from blood donation to Sanquin or for other purposes throughout the study period.
5. For female subjects: subject agrees to use adequate contraception and not to breastfeed for the duration of study.
6. Subject agrees to refrain from travel to a hookworm endemic area during the course of the trial.
7. Subject has signed informed consent.

Exclusion criteria

1. Any history, or evidence at screening, of clinically significant symptoms, physical signs or abnormal laboratory values suggestive of systemic conditions, such as cardiovascular, pulmonary, renal, hepatic, neurological, dermatological, endocrine, malignant, haematological, infectious, immune-deficient, psychiatric and other disorders, which could compromise the health of the volunteer during the study or interfere with the interpretation of the study results. These include, but are not limited to, any of the following:

   • positive HIV, HBV or HCV screening tests;
   • the use of immune modifying drugs within three months prior to study onset (inhaled and topical corticosteroids and oral anti-histamines exempted) or expected use of such during the study period;
   • having one of the following laboratory abnormalities: ferritine <10 ug/L, transferrine <2.04 g/L or Hb <6.5 mmol/L for females or <7.5 mmol/L for males.
   • history of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years;
   • any history of treatment for severe psychiatric disease by a psychiatrist in the past year;
   • history of drug or alcohol abuse interfering with normal social function in the period of one year prior to study onset;
   • inflammmatory bowel syndrome;
   • regular constipation, resulting in bowel movements less than three times per week.

2. Known hypersensitivity to or contra-indications for use of albendazole, including co-medication known to interact with albendazole metabolism (e.g. carbamazepine, phenobarbital, phenytoin, cimetidine, theophylline, dexamethasone).

3. Known allergy to amphotericin B or gentamicin.

4. For female subjects: positive urine pregnancy test at screening.

5. Positive faecal qPCR for hookworm at screening, any known history of hookworm infection or treatment for hookworm infection.

6. Being an employee or student of the department of Parasitology of the LUMC.

7. Current or past scars, tattoos, or other disruptions of skin integrity at the intended site of larval application.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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23 participants in 2 patient groups, including a placebo group

Intervention

Experimental group

Description:

3x 50 L3 larvae immunisation with albendazole treatment and 2x 50 L3 larvae infection

Treatment:

Biological: 3x 50 L3 larvae immunisation with albendazole treatment

Biological: 2x 50 L3 larvae infection

Placebo

Placebo Comparator group

Description:

3x placebo immunisation with albendazole treatment and 2x 50 L3 larvae infection

Treatment:

Other: 3x placebo immunisation with albendazole treatment

Biological: 2x 50 L3 larvae infection