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The safety and efficacy of human hookworm challenge infection in Gabonese adults: a phase 1 randomized controlled clinical trial

Safety and efficacy of the vaccination approach with the live chemo-attenuated Lamba-Na-L3 larvae against hookworm in adults living in and around Lambaréné: a randomized, controlled phase 1 clinical trial.

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
PACTR
Registry ID
PACTR202509484453226
Enrollment
24
Registered
2025-09-25
Start date
2025-12-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hookworm infection

Interventions

Sterile water and Necator americanus larvae

Sponsors

Centre de Recherches Medicales de Lambarene
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Subject is aged = 21 and = 45 years. 2. The subject is exposed to the study information for a sufficient period of time (at least two weeks between the first contact and the visit for the health check-up) to allow an adequate understanding of the issues and procedures of the study and the time for a serene decision. 3. Subject is able to communicate well with the investigator, is available to attend all study visits. 4. Subjects are able to respond to phone calls within 24 hours during the first 16 weeks of the study. 5. Subject is willing to refrain from blood donation procedures throughout the study period. 6. Subject has signed informed consent. 7. Subject is negative for helminth infections: PCR negative for hookworm and Strogyloides stercoralis; Negative for Ascaris lumbricoides, Trichuris trichuria, and Schistosoma spp by microscopy. Negative for Loa Loa by microscopy 8. Subject is willing to remain in the study area throughout the trial period.

Exclusion criteria

Exclusion criteria: 1. 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, hematological, 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: - history of severe asthma or other health conditions that may require future steroid use; - body weight 30.0 kg/m2 at screening; - positive HIV, HBV or 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; - having Hb value <7 g/dl - 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. - Inflammatory bowel syndrome - Regular constipation, resulting in bowel movements less than three times per week 2. Known hypersensitivity to or contra-indications for use of albendazole. Including co-medication known to interact with albendazole metabolism (e.g. carbamazepine, phenobarbital, phenytoin, cimetidine, theophylline, dexamethasone). 3. Known type 1 hypersensitivity to amphotericin B or gentamicin. 4. Positive fecal PCR or Kato-Katz for hookworm at screening. 5. Current or past scars, tattoos, or other disruptions of skin integrity at the intended site of larval application.

Design outcomes

Primary

MeasureTime frame
The difference in average egg count from week 12 to week 16 as compared between the intervention and placebo group

Secondary

MeasureTime frame
The immunological response after repeated hookworm infections

Countries

Gabon

Contacts

Public ContactAyodele Alabi

Clinical Investigator

ayodele.alabi@cermel.org+24176261477

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026