ClinicalTrials.gg
CompletedNCT00939198Updated Aug 1, 2018Results posted

Prevalence of Hookworm Infection and Community Preparedness for Hookworm Vaccine Trials in Endemic Areas of Brazil

An interventional study of Na-ASP-2 Skin Test Reagent in Hookworm Infection, sponsored by Albert B. Sabin Vaccine Institute. Completed at 1 site in Brazil. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-01.

Sponsored by Albert B. Sabin Vaccine Institute · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
87
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
All
01

Study summary

Na-ASP-2 is a protein expressed during the larval stage of the N. americanus hookworm life cycle. In a clinical study in previously hookworm-infected adults in Brazil, this protein induced urticarial reactions (rash) in a subset of volunteers. The clinical trial component of this study involves skin testing for immediate-type hypersensitivity to the Na-ASP-2 Antigen. Both prick-puncture and intradermal tests will be applied.

Read the detailed description

The clinical testing of the Na-ASP-2 Skin Test Reagent to detect Immediate-type hypersensitivity to the Na-ASP-2 hookworm antigen will be conducted as part of a larger, on-going observational study of the prevalence and intensity of hookworm infection currently underway in Brazil. Eligible adult participants (ages 18-45 years) in this observational study will be invited to undergo the skin testing procedure. Skin testing will only be performed if they agree and sign the supplemental informed consent form for this skin testing procedure.

  • Study site: Americaninhas Vaccine Center, Americaninhas, Minas Gerais, Brazil
  • Number of participants to be skin tested: approximately 150 adults
  • Duration of the skin testing procedures: up to 1 month; each participant will undergo skin testing and a follow-up blood collection 21+/-7 days after skin testing.
  • Each participant will have both skin prick-puncture and intradermal skin tests applied on the same study day. The prick-puncture and intradermal tests will be applied sequentially to the volar aspects of the participant's forearms:

    1. Skin prick-puncture: three different concentrations of Na-ASP-2 solution (10, 100, and 1000 μg/mL) will be applied sequentially in duplicate, to the left forearm.
    2. Intradermal: one concentration of Na-ASP-2 (100 μg/mL) will be injected, in duplicate, to the right forearm.
    3. Allergen diluent and histamine solutions will be utilized as the negative and positive controls, respectively, for both the skin prick-puncture and intradermal tests.
    4. Participants will be observed in the study clinic for at least 30 minutes following application of the skin tests, and will be examined 2 and 7 days following skin testing.
    5. Sizes of the wheal and erythema reactions for each application will be recorded and graded in comparison to the histamine positive control reaction.
  • Each participant will have blood collected via venipuncture (a maximum of 25 mL) immediately prior to application of the skin tests, and between 2 and 4 weeks after skin testing, in order to measure antibodies (particularly IgG and IgE) to Na-ASP-2 using an ELISA procedure.
02

Conditions studied

  • Hookworm Infection

Keywords

  • Hookworm
  • Allergy
  • Vaccine
  • Skin Test
  • Immediate-type hypersensitivity to Na-ASP-2 hookworm antigen
03

In context

Hookworm Infections

39 studies on the registry are indexed under Hookworm Infections; 5 are open to participants now.

This study's enrollment of 87 is below the median of 182 across 36 interventional studies indexed under Hookworm Infections.

Browse Hookworm Infections studies →

Lead sponsor

Albert B. Sabin Vaccine Institute is the lead sponsor of 11 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Males and females between 6 and 45 years of age, inclusive, at the time of consenting to the parent study.
  • Age greater than or equal to 18 years at the time of signing the supplemental document for the skin test procedure (parent study).
  • Willingness to participate in the study as evidenced by signing the informed consent or assent document.

Exclusion criteria

Exclusion Criteria:

  • Inability to correctly answer all questions on the comprehension questionnaire.
  • Attends school or works full-time outside of the study area.
  • Behavioral, cognitive, or psychiatric disease that in the opinion of the investigator affects the ability of the volunteer to understand and cooperate with the study protocol.
  • Other condition that in the opinion of the investigator would jeopardize the safety or rights of a volunteer to participate in the trial or would render the subject unable to comply with the protocol.
  • Pregnancy as determined by a positive urine hCG test (if female).
  • Use of (excluding topical or nasal) or drugs within 30 days of planned skin test application.
  • Extensive dermatitis precluding skin testing.
  • Current use of a beta blocker (oral or topical) or anti-histamine medication. A volunteer may participate in the study if they agree to withhold use of an anti-histamine for at least 5 days prior to application of the skin test.
  • Use of a tricyclic anti-depressant within the past month.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
87 participants (actual)

Study arms

  • Experimental
    Na-ASP-2 Hookworm Antigen Skin Test

    All participants will be skin tested with Na-ASP-2 skin test reagent applied to their arms, using both the prick-puncture and intradermal techniques.

    Biological: Na-ASP-2 Skin Test Reagent

Interventions

  • BiologicalNa-ASP-2 Skin Test Reagent

    Na-ASP-2 Hookworm Skin Test Reagent, 1-1000 mcg/mL solution

06

What researchers measure

Primary outcomes

  1. Size of Wheal Diameter at Site of Skin Test Application, Measured 15 Minutes After Injection

    Time frame: 15 minutes after skin test application

Secondary outcomes

  1. Anti-Na-ASP-2 IgE Antibody Level on Day of Skin Test Reaction

    Time frame: Upon skin testing

07

Results

Posted Aug 1, 2018

Participant flow

Participant flow — Overall Study
MilestoneNa-ASP-2 Hookworm Antigen Skin Test
Started87
Completed87
Not completed0

Outcome measures

PrimarySize of Wheal Diameter at Site of Skin Test Application, Measured 15 Minutes After Injection
Time frame:
15 minutes after skin test application
Reported as:
Median · cm
Size of Wheal Diameter at Site of Skin Test Application, Measured 15 Minutes After Injection
cmNa-ASP-2 Hookworm Antigen Skin Test
Size of Wheal Diameter at Site of Skin Test Application, Measured 15 Minutes After Injection3.5 (0 to 6.5)
SecondaryAnti-Na-ASP-2 IgE Antibody Level on Day of Skin Test Reaction
Time frame:
Upon skin testing
Reported as:
Median · kU/L
Anti-Na-ASP-2 IgE Antibody Level on Day of Skin Test Reaction
kU/LNa-ASP-2 Hookworm Antigen Skin Test
Anti-Na-ASP-2 IgE Antibody Level on Day of Skin Test Reaction1.89 (0.36 to 5.11)

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Na-ASP-2 Hookworm Antigen Skin Test—0/87 (0%)0/87 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Na-ASP-2 Hookworm Antigen Skin Test
<=18 years0
Between 18 and 65 years87
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Na-ASP-2 Hookworm Antigen Skin Test
Female48
Male39
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Na-ASP-2 Hookworm Antigen Skin Test
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White87
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Na-ASP-2 Hookworm Antigen Skin Test
Brazil87
08

Study locations

1 site
  • Centro de Pesquisas Rene Rachou
    Belo Horizonte, Minas Gerais, Brazil
09

References and documents

Publications

  • Fujiwara RT, Bethony J, Bueno LL, Wang Y, Ahn SY, Samuel A, Bottazzi ME, Hotez P, Mendez S. Immunogenicity of the hookworm Na-ASP-2 vaccine candidate: characterization of humoral and cellular responses after vaccination in the Sprague Dawley rat. Hum Vaccin. 2005 May-Jun;1(3):123-8. doi: 10.4161/hv.1.3.1924. Epub 2005 May 20. PubMed 17012856 ↗
  • Goud GN, Bottazzi ME, Zhan B, Mendez S, Deumic V, Plieskatt J, Liu S, Wang Y, Bueno L, Fujiwara R, Samuel A, Ahn SY, Solanki M, Asojo OA, Wang J, Bethony JM, Loukas A, Roy M, Hotez PJ. Expression of the Necator americanus hookworm larval antigen Na-ASP-2 in Pichia pastoris and purification of the recombinant protein for use in human clinical trials. Vaccine. 2005 Sep 15;23(39):4754-64. doi: 10.1016/j.vaccine.2005.04.040. PubMed 16054275 ↗
  • Diemert DJ, Bethony JM, Hotez PJ. Hookworm vaccines. Clin Infect Dis. 2008 Jan 15;46(2):282-8. doi: 10.1086/524070. PubMed 18171264 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00939198
Lead sponsor
Albert B. Sabin Vaccine Institute
Responsible party
Sponsor
First posted
Jul 14, 2009
Start date
Aug 2009
Primary completion
Jan 2012
Completion
Dec 2012
Results posted
Aug 1, 2018
Last update
Aug 1, 2018

Study contacts

Jeffrey Bethony, PhD
principal investigator · Albert B. Sabin Vaccine Institute

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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