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CompletedNCT01289977Updated Feb 19, 2018

Immune Responses After Human Subject Challenge With Sand Fly Bites

An observational study in Healthy, sponsored by Uniformed Services University of the Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-19.

Sponsored by Uniformed Services University of the Health Sciences · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
68
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Sand flies can carry the infection leishmaniasis (a parasite). The purpose of this study is to evaluate the human immune response to uninfected laboratory raised sand fly bites and select from the immune response to sand fly saliva, possible substances to use for a future vaccine to protect against the parasite leishmaniasis.

Read the detailed description

Based on travel history and possible exposure, subjects were entered into one of 2 arms, Ph. dubosqui or Lu. lutzomyia controlled sand fly repeated feedings. At baseline a pheresis was done to collect baseline cells. Subjects received sand fly bites on a q2 week schedule for 2 months followed by a q2 months schedule for one year. They had an option to extend for a late recall feeding at 18 months, when a skin biopsy was performed 48 hours after sand fly bites. Currently the study is fully enrolled and all human subject contact is complete. We (laboratory at NIAID) are studying the humoral, cellular immune responses using blood samples, and cytokine expression in the skin biopsy samples.

02

Conditions studied

  • Healthy

Keywords

  • Sandfly
  • leishmaniasis
  • immune response
  • individuals age 18-50
03

In context

Lead sponsor

Uniformed Services University of the Health Sciences is the lead sponsor of 45 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Male and female military health care beneficiaries in good health, age 18-50

Inclusion criteria

  • Age 18-50
  • Plans to remain in DC area for at least one year
  • willingness to participate in all study procedures
  • general good health
  • military health care beneficiary
  • able to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Prior travel to geographic areas where leishmania transmitting sand flies are common
  • positive antibody to sand fly saliva on screening blood test
  • pregnancy
  • elevated serum IgE
  • history of chronic medical illness
  • adult history of treatment requiring anemia
  • large reactions to insect bites
  • history of multiple vasovagal reactions to phlebotomy
  • difficult venous access for phlebotomy
  • Taking medications that could interfere with immune responses
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
68 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Phlebotomus group

    Those in the Phlebotomus group will have exposure to P. duboscqui sand fly

  • Lutzomyia group

    Those placed in this group will receive exposure to L. longipalpis sand fly bites.

06

What researchers measure

Primary outcomes

  1. Human Th1 immune response to specific sand fly salivary proteins

    Subject blood will be obtained at set points after repeated controlled sand fly feedings, duration for 20 minutes. Sand fly salivary molecules that demonstrate a strong Th1 immune response in these human PBMC, and little Th2 cytokine induction will be considered for development as future leishmania vaccine antigen candidates.

    Time frame: 6-18 months

07

Study locations

1 site
  • Walter Reed National Military Medical Center
    Bethesda, Maryland 20814, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01289977
Lead sponsor
Uniformed Services University of the Health Sciences
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
Sponsor
First posted
Feb 4, 2011
Start date
Oct 2010
Primary completion
Apr 2016
Completion
Apr 15, 2016
Last update
Feb 19, 2018

Study contacts

Naomi E Aronson, MD
principal investigator · Uniformed Services University of the Health Sciences

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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