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临床试验/NCT04269915
NCT04269915已完成不适用

Establishing a Female-only Controlled Human Schistosoma Mansoni Infection Model: a Safety and Dose Finding Study (CoHSI2)

Leiden University Medical Center2 个研究点 分布在 1 个国家目标入组 13 人开始时间: 2020年8月12日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
13
试验地点
2
主要终点
Number and severity of adverse events, possibly, probably or definitely related to controlled human Schistosoma mansoni infection with female cercariae.

研究概览

简要总结

Groups of 3 or 7 volunteers will be exposed to a predetermined number of female Schistosoma mansoni cercariae until 10 volunteers are found infected.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 45 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Subject is aged ≥ 18 and ≤ 45 years and in good health.
  • Subject has adequate understanding of the procedures of the study and agrees to abide strictly thereby.
  • Subject is able to communicate well with the investigator, is available to attend all study visits.
  • Subject will remain within Europe (excluding Corsica) during the study period and is reachable by mobile telephone from week 3 to week 8 of the study period.
  • Subject agrees to refrain from blood donation to "Sanquin" (blood bank) or for other purposes throughout the study period.
  • For female subjects: subject agrees to use adequate contraception and not to breastfeed for the duration of study.
  • Subject has signed informed consent.

排除标准

  • 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:
  • body weight <50 kg or Body Mass Index (BMI) <18.0 or >30.0 kg/m2 at screening;
  • positive human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (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;
  • 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.
  • The chronic use of any drug known to interact with praziquantel, artesunate or lumefantrine metabolism (e.g. phenytoin, carbamazepine, phenobarbital, primidon, dexamethasone, rifampicin, cimetidine, flecainide, metoprolol, imipramine, amitriptyline, clomipramine, class I-A and III anti-arrythmics, antipsychotics, antidepressants, macrolides, fluoroquinolones, imidazole- and triazole antimycotics, antihistamines) Because lumefantrine may cause extension of QT-time, chronic use of drugs with effect on QT interval are excluded from the study.
  • For female subjects: positive urine pregnancy test at screening.
  • Any history of schistosomiasis or treatment for schistosomiasis.
  • Positive serology for schistosomiasis or elevated serum CAA at screening.
  • Known hypersensitivity to or contra-indications (including co-medication) for use of praziquantel, artesunate or lumefantrine.
  • Being an employee or student of the department of parasitology or infectious diseases of the Leiden University Medical Center.

结局指标

主要结局

Number and severity of adverse events, possibly, probably or definitely related to controlled human Schistosoma mansoni infection with female cercariae.

时间窗: 20 weeks

Number of female cercariae at which 100% volunteers show detectable Schistosoma mansoni circulating anodic antigen.

时间窗: 8 weeks

次要结局

  • Ex vivo lymphocyte profiles using flow cytometry between infected and uninfected individuals(1 year)
  • Comparison of peak serum circulating anodic antigen (CAA) concentration in different dose groups(8 weeks)
  • Humoral (antibody) response profile by protein and glycan array between infected and uninfected individuals(1 year)
  • Average number of weeks until positive serum circulating anodic antigen (CAA) test(8 weeks)
  • Changes over time in commensal gut bacteria by looking at the relative abundance of microbiota using 16S rRNA gene amplicon sequencing after controlled human Schistosoma mansoni infection with female cercariae(1 year)

研究者

发起方
Leiden University Medical Center
申办方类型
Other
责任方
Principal Investigator
主要研究者

Meta Roestenberg

Principal Investigator

Leiden University Medical Center

研究点 (2)

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