Phase 1
N=49
Safety and Immunogenicity of a First-in-Human Mosquito Saliva Peptide Vaccine
Mosquito-Borne Disease
Bottom Line
View on ClinicalTrials.gov: NCT03055000 ↗Enrolled (actual)
49
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: AEs Grade 3 or Higher — 0.44; 0.65; 0.63 adverse events
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- AGS-v (Biological); AGS-v + adjuvant (Biological); Placebo (Other)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)
- Primary completion
- Dec 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY AEs Grade 3 or Higher |
0.44; 0.65; 0.63 | — |
| PRIMARY GM-CSF Cytokine Level as Measured by Luminex |
1.198; 1.8; 0.902 | — |
| PRIMARY IL-10 Cytokine Level as Measured by Luminex |
1.376; 1.749; 0.813 | — |
| PRIMARY IL-1B Cytokine Level as Measured by Luminex |
0.905; 0.955; 0.758 | — |
| PRIMARY IL-2 Cytokine Level as Measured by Luminex |
1.027; 1.036; 0.98 | — |
| PRIMARY IL-4 Cytokine Level as Measured by Luminex |
1.034; 1.061; 0.915 | — |
| PRIMARY IL-5 Cytokine Level as Measured by Luminex |
2.233; 3.113; 0.933 | — |
| PRIMARY Interferon-gamma Cytokine Level as Measured by Luminex |
2.577; 2.004; 0.594 | — |
| PRIMARY Number of Subjects With 1 or More Aes |
16; 17; 15 | — |
| PRIMARY Number of Subjects With 1 or More Grade 3 or Higher AE |
6; 7; 7 | — |
| PRIMARY TNF-a Cytokine Level as Measured by Luminex |
1.392; 1.382; 0.707 | — |
| PRIMARY Total AGS-v Specific Immunoglobulin |
1.0077; 3.6537; 1.2011 | — |
| SECONDARY GM-CSF Cytokine Level as Measured by Luminex |
1.198; 1.8; 0.902 | — |
| SECONDARY IL-10 Cytokine Level as Measured by Luminex |
1.376; 1.749; 0.813 | — |
| SECONDARY IL-1B Cytokine Level as Measured by Luminex |
0.905; 0.955; 0.758 | — |
| SECONDARY IL-2 Cytokine Level as Measured by Luminex |
1.027; 1.036; 0.98 | — |
| SECONDARY IL-4 Cytokine Level as Measured by Luminex |
1.034; 1.061; 0.915 | — |
| SECONDARY IL-5 Cytokine Level as Measured by Luminex |
2.233; 3.113; 0.933 | — |
| SECONDARY Interferon-gamma Cytokine Level as Measured by Luminex |
2.577; 2.004; 0.594 | — |
| SECONDARY Number of Adults Developed From 100 Eggs |
69.13; 75.25; 78.53 | — |
| SECONDARY Number of Eggs Laid |
706; 673.88; 663 | — |
| SECONDARY Number of Pupae Hatched of 100 Eggs |
78.93; 79.62; 81.93 | — |
| SECONDARY Percent of Eggs That Developed Into Pupae |
11.59; 15.56; 13.76 | — |
| SECONDARY Percent of Pupae That Developed Into Adults |
88.12; 94.96; 95.77 | — |
| SECONDARY TNF-a Cytokine Level as Measured by Luminex |
1.392; 1.382; 0.707 | — |
| SECONDARY Total AGS-v Specific Immunoglobulin |
1.0077; 3.6537; 1.2011 | — |
Summary
Background:
Mosquitos carry diseases that cause major health problems and death worldwide. The AGS-v vaccine targets proteins in mosquito saliva. This may help prevent many mosquito-borne diseases. It might also reduce the lifespan of the mosquito that bites the vaccinated person.
Objective:
To see if the AGS-v vaccine is safe in humans and how it affects the immune system.
Eligibility:
Healthy adults ages 18-50
Design:
Participants will be screened another study.
Participants will be randomly assigned to get either the vaccine with a booster vaccine, the vaccine without the booster, or a placebo. These are given through a needle in the upper arm.
Participants will have visits that include medical history, physical exam, and blood and urine tests:
Baseline: They will get the vaccine and be monitored for 2 hours.
Follow-up visits 1 and 2 weeks after baseline.
Visit 3 weeks after baseline: They will get the booster and be monitored for 2 hours.
Follow-up visits 1 and 2 weeks after booster visit.
Visit 3-5 weeks after booster visit: This includes mosquito feeding. Mosquitos grown in the lab will be allowed to bite the arm. Blood will be drawn 4 times in the 3 hours after the feeding.
Phone follow-up a few days after the mosquito feeding.
After the feeding visit, 5 follow-up visits about every 2 months
Participants will keep a symptom diary for 7 days after each vaccine. They will record their temperature. They will measure any redness around the injection site. They will document and if possible photograph any mosquito bites they get.
Eligibility Criteria
-INCLUSION CRITERIA:
- Healthy women and men who are greater than or equal to 18 and less than or equal to 50 years of age.
- Willingness to complete all study visits and comply with all study requirements.
- A male subject is eligible for the study if he agrees to practicing abstinence or using a condom with spermicide plus an acceptable form of contraception (see inclusion criteria 4) being used by any female partner from 4 weeks before study start to 12 weeks after the second vaccine administration.
- A female participant is eligible for this study if she is not pregnant or breast feeding and 1 of the following:
- Of non-child bearing potential (i.e., women who have had a hysterectomy or tubal ligation or are postmenopausal, as defined by no menses in greater than or equal to 1 year).
- Of childbearing potential but agrees to practice effective contraception or abstinence for 4 weeks prior to study initiation through 12 weeks after the second vaccine administration. Acceptable methods of contraception include a male partner who is sterile and is the sole sexual partner of the female participant or a male partner who uses a condom with spermicide plus 1 or more of the following: 1) implants of levonorgestrel; 2) injectable progestogen; 3) an intrauterine device with a documented failure rate of <1%; 4) oral contraceptives; and 5) double barrier method including diaphragm.
- Willing to have samples stored for future research (including genetic research).
- Agrees to abstain from alcohol intake for 24 hours prior to each study visit.
- Agrees to not donate blood or blood products throughout the study.
EXCLUSION CRITERIA
- Participant has any underlying or current medical condition, which, in the opinion of the Investigator, would interfere with the participation in the study.
- Individual with body mass index (BMI) less than or equal to 18 and greater than or equal to 40.
- Participants who have a clinically significant (as determined by the PI) baseline Grade 1 or greater toxicity, or any Grade 3 or greater toxicity (regardless of clinical significance) by the toxicity table.
- Receipt of blood or blood products (including immunoglobulins) within 3 months prior to enrollment.
- Receipt of any unlicensed drug within 3 months or 5.5 half-lives (whichever is greater) prior to enrollment.
- Receipt of any unlicensed vaccine within 6 months prior to enrollment.
- Self-reported or known history of alcoholism or drug abuse within 6 months prior to enrollment, or positive urine/serum test for drugs of abuse at screening
- Self-reported or known history of psychiatric or psychological issues that require treatment and are deemed by the PI to be a contraindication to protocol participation.
- History of a previous severe allergic reaction with generalized urticaria, angioedema, anaphylaxis or anaphylactoid reaction.
- Any condition or event that, in the judgment of the PI, is a contraindication to protocol participation or impairs the volunteer's ability to give informed consent.
- Has a known allergy to any of the components of the vaccine.
- Has a history of severe immunization reaction.
- Has a severe allergic reaction to mosquito bites
Data sourced from ClinicalTrials.gov (NCT03055000). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.