- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00516659
ETEC Logistics Trial (TREK) (Trek)
A Phase II, Double Blind, Randomized, Placebo-Controlled Study to Evaluate the Epidemiology of Natural Infection With Enterotoxigenic Escherichia Coli Occurring After Transcutaneous Immunization in a Field Setting
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The primary objectives of the study are to evaluate the incidence of ETEC illness in a field setting and to compare the safety of LT delivered by TCI with placebo. The secondary objectives include, but are not limited to:
evaluate the stool frequency per episode of ETEC illness in placebo recipients, to evaluate the immunogenicity of LT delivered by TCI, to evaluate the incidence of IBS following travel to areas of ETEC endemnicity, and to evaluate the incidence of VPO in placebo and LT patch recipients.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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California
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Long Beach, California, Forenede Stater, 90806
- West Coast Clinical Trials
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Illinois
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Chicago, Illinois, Forenede Stater, 60610
- Radiant Research
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Maryland
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Baltimore, Maryland, Forenede Stater, 21205
- Johns Hopkins University, Bloomberg School of Public Health
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55430
- Twin Cities Clinical Research
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New Jersey
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Hackensack, New Jersey, Forenede Stater, 07601
- Advanced Biomedical Research
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New York
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Ithica, New York, Forenede Stater, 14850
- Asthma Allergy & Associates
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Ohio
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Columbus, Ohio, Forenede Stater, 43212
- Radiant Research
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Texas
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Dallas, Texas, Forenede Stater, 75235
- Radiant Research
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Houston, Texas, Forenede Stater, 77024
- Breco Research
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Houston, Texas, Forenede Stater, 77030
- Center for Infectious Diseases, The University of Texas Health Science Center at Houston
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San Antonio, Texas, Forenede Stater, 78229
- Radiant Research
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Utah
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Salt Lake City, Utah, Forenede Stater, 84124
- Jean Brown Research
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Washington
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Tacoma, Washington, Forenede Stater, 98418
- Northwest Kinetics
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Antigua Guatemala, Guatemala, 03001
- Private Clinic Antigua
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Guanajuata
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San Miguel de Allende, Guanajuata, Mexico, 37700
- Private Clinic San Miguel
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Jalisco
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Guadalajara, Jalisco, Mexico, 44690
- Private Clinic Guadalajara
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Marina Vallarta
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Puerto Vallarta, Marina Vallarta, Mexico, 48334
- AmeriMed Hospital
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Morelos
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Cuernavaca, Morelos, Mexico, 62250
- Private Clinic Cuernavaca
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Quintana Roo
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Cancun, Quintana Roo, Mexico, 77500
- Hospital Americano
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Healthy adult men and women 18-64 years of age inclusive at screening
- Signed Informed Consent form
- Planned travel to an area within 2 ½ hours traveling distance of Cuernavaca or Guadalajara, Mexico or Antigua, Guatemala (minimum stay of 7 days)
- If female who is not post-menopausal or surgically sterile, negative pregnancy test (within 24 hours prior to vaccination) and agreement to employ an effective form of birth control or practice abstinence through the end of the study.
Exclusion Criteria:
- Clinically significant abnormalities as determined by the Investigator/clinician during physical inspection
- Received investigational product from 30 days before date of first vaccination or during the entire study period
- Ever received LT, ETEC, or cholera vaccine
- History of traveler's diarrhea within the previous year
- Travel to a developing country within the last year
- Women who are pregnant or breastfeeding
- History of achlorhydria
- Evidence of immunosuppression, including concomitant immunosuppressive therapy; fever > 99.5°F (37.5°C) on day of vaccination
- Current problems with alcohol or substance abuse
- An employee of the study clinic
- Sensitivity or allergy to any of the vaccine components
- History of significant blood loss, blood product donation, or blood product recipient in the previous 60 days
- Planned use of Imodium or antibiotics for self treatment of diarrhea during the study period
- Visible tattoos or marks (tattoos/scars) at the vaccination areas that would prevent appropriate dermatologic monitoring of the vaccination sites; and
- Medical history of acute or chronic GI illness or major GI surgery.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Tildeling: Randomiseret
- Interventionel model: Faktoriel opgave
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Aktiv komparator: Group 1
Group 1 subjects will receive two vaccinations via transcutaneous immunization (TCI), 14 to 21 days apart, with a patch containing 37.5µg LT
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Subjects in Group 1 will receive two vaccinations of a patch containing 37.5µg LT 2 to 3 weeks apart.
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Placebo komparator: Group 2
Group 2 subjects will receive two vaccinations via transcutaneous immunization (TCI), 14 to 21 days apart, with a patch containing 0µg LT (placebo patch containing no LT)
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The placebo patch contains all of the components of the active patch, but with no LT included in the formulation.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Incidence of Enterotoxigenic Escherichia coli (ETEC) illness defined as a diarrheal episode associated with an LT, LT/ST, or ST-positive ETEC strain isolated from a sample of a stool
Tidsramme: during the diarrheal episode or within 48 hours after the last stool in the diarrheal episode.
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during the diarrheal episode or within 48 hours after the last stool in the diarrheal episode.
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Safety of heat-labile enterotoxin of Escherichia coli (LT) delivered by transcutaneous immunization (TCI) vs placebo
Tidsramme: From vaccination 1 to completion of Day 180 follow-up, about a seven month time period
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From vaccination 1 to completion of Day 180 follow-up, about a seven month time period
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Stool frequency per episode of ETEC illness in placebo recipients
Tidsramme: Duration of stay in Mexico or Guatemala assessed up to four weeks
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Duration of stay in Mexico or Guatemala assessed up to four weeks
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Immunogenicity of LT delivered by TCI
Tidsramme: at least three weeks prior to arrival in country, arrival in Mexico or Guatemala, and 5 to 18 days after arrival
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at least three weeks prior to arrival in country, arrival in Mexico or Guatemala, and 5 to 18 days after arrival
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Incidence of irritable bowel syndrome following travel to areas of ETEC endemnicity.
Tidsramme: Baseline through six months post return from Latin America. A period of about six months.
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Baseline through six months post return from Latin America. A period of about six months.
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Incidence of vaccine preventable outcome in placebo and LT patch recipients.
Tidsramme: Duration of each individual participant stay in Mexico or Guatemala ranging from 7 to 28 Days.
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Duration of each individual participant stay in Mexico or Guatemala ranging from 7 to 28 Days.
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Herbert L. DuPont, MD, Center for Infectious Diseases, The University of Texas Health Science Center at Houston
- Ledende efterforsker: Robin McKenzie, MD, Johns Hopkins University, Bloomberg School of Public Health
- Ledende efterforsker: Rama Yerramsetti, Breco Research, Houston, TX
- Ledende efterforsker: William P Jennings, Radiant Research, San Antonio, TX
- Ledende efterforsker: Yu-Luen Hsu, West Coast Clinical Trials, Long Beach, CA
- Ledende efterforsker: Christopher A Smith, Asthma & Allergy Associates, Ithaca, NY
- Ledende efterforsker: Benno G Roesch, Advanced Biomedical Research, Hackensack, NJ
- Ledende efterforsker: Jeffrey G Geohas, Radiant Research, Chicago, IL
- Ledende efterforsker: Gilbert Podolsky, Jean Brown Research, Salt Lake City, UT
- Ledende efterforsker: Thomas Lagen, Northwest Kinetics, Tacoma, WA
- Ledende efterforsker: Roy M Fleischmann, Radiant Research, Dallas, TX
- Ledende efterforsker: Douglas R Schumacher, Radiant Research, Columbus, OH
- Ledende efterforsker: Norman M Lunde, Twin Cities Clinical Research, Minneapolis, MN
- Ledende efterforsker: Francisco G Sandoval, Universidad Autonoma De Guadalajara, Mexico
- Ledende efterforsker: Juan Hector M Romero, Universidad Autonoma Guadalajara, Mexico
- Ledende efterforsker: Jaime B Gerson, University of Texas, Cuernavaca, Mexico
- Ledende efterforsker: Edwin Asturias, Universidad del Valle de Guatemala (Antigua)
- Ledende efterforsker: Roberto Garcia, AmeriMed Puerto Vallarta, Mexico
- Ledende efterforsker: Martha V Serrato, Hospital Americano, Cancun, Mexico
- Ledende efterforsker: Robert Maxwell, Private Clinic, San Miguel de Allende, Mexico
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- ELT206
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Kliniske forsøg med Diarré
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Merck Sharp & Dohme LLCAfsluttetClostridium Difficile Associated Diarrhea (CDAD)
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Merck Sharp & Dohme LLCAfsluttetClostridium Difficile Associated Diarrhea (CDAD)
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PharmaPlanter Technologies IncIkke rekrutterer endnuIrritabel tyktarm (IBS) | Clostridioides Difficile-infektion | Irritable Towel Syndrome, Diarrhea-Predominant (IBS-D) | Gentagne Clostridioides difficile infektion (RCDI) | Fækal mikrobiota -terapi (FMT)
Kliniske forsøg med Heat-Labile Enterotoxin of Escherichia coli (LT)
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Advagene Biopharma Co. Ltd.Ikke rekrutterer endnu
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Advagene Biopharma Co. Ltd.Taipei Medical University; Clinipace WorldwideAfsluttetAllergisk rhinitisTaiwan
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Advagene Biopharma Co. Ltd.Gadjah Mada UniversityAfsluttet
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Advagene Biopharma Co. Ltd.Taipei Medical University HospitalAfsluttet
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National Institute of Allergy and Infectious Diseases...AfsluttetGastroenteritis Escherichia ColiForenede Stater
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National Institute of Allergy and Infectious Diseases...Afsluttet
-
National Institute of Allergy and Infectious Diseases...Afsluttet
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National Institute of Allergy and Infectious Diseases...AfsluttetGastroenteritis Escherichia Coli | ImmuniseringBangladesh, Forenede Stater