ETEC Logistics Trial (TREK)

NCT ID: NCT00516659

Last Updated: 2012-03-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2007-12-31

Brief Summary

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This is a multicenter, double-blind, randomized, placebo-controlled field trial to evaluate the epidemiology of natural infection with ETEC occurring after transcutaneous immunization in a field setting.

Detailed Description

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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.

Conditions

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Diarrhea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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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

Group Type ACTIVE_COMPARATOR

Heat-Labile Enterotoxin of Escherichia coli (LT)

Intervention Type BIOLOGICAL

Subjects in Group 1 will receive two vaccinations of a patch containing 37.5µg LT 2 to 3 weeks apart.

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)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

The placebo patch contains all of the components of the active patch, but with no LT included in the formulation.

Interventions

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Heat-Labile Enterotoxin of Escherichia coli (LT)

Subjects in Group 1 will receive two vaccinations of a patch containing 37.5µg LT 2 to 3 weeks apart.

Intervention Type BIOLOGICAL

Placebo

The placebo patch contains all of the components of the active patch, but with no LT included in the formulation.

Intervention Type BIOLOGICAL

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Intercell USA, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Herbert L. DuPont, MD

Role: PRINCIPAL_INVESTIGATOR

Center for Infectious Diseases, The University of Texas Health Science Center at Houston

Robin McKenzie, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University, Bloomberg School of Public Health

Rama Yerramsetti

Role: PRINCIPAL_INVESTIGATOR

Breco Research, Houston, TX

William P Jennings

Role: PRINCIPAL_INVESTIGATOR

Radiant Research, San Antonio, TX

Yu-Luen Hsu

Role: PRINCIPAL_INVESTIGATOR

West Coast Clinical Trials, Long Beach, CA

Christopher A Smith

Role: PRINCIPAL_INVESTIGATOR

Asthma & Allergy Associates, Ithaca, NY

Benno G Roesch

Role: PRINCIPAL_INVESTIGATOR

Advanced Biomedical Research, Hackensack, NJ

Jeffrey G Geohas

Role: PRINCIPAL_INVESTIGATOR

Radiant Research, Chicago, IL

Gilbert Podolsky

Role: PRINCIPAL_INVESTIGATOR

Jean Brown Research, Salt Lake City, UT

Thomas Lagen

Role: PRINCIPAL_INVESTIGATOR

Northwest Kinetics, Tacoma, WA

Roy M Fleischmann

Role: PRINCIPAL_INVESTIGATOR

Radiant Research, Dallas, TX

Douglas R Schumacher

Role: PRINCIPAL_INVESTIGATOR

Radiant Research, Columbus, OH

Norman M Lunde

Role: PRINCIPAL_INVESTIGATOR

Twin Cities Clinical Research, Minneapolis, MN

Francisco G Sandoval

Role: PRINCIPAL_INVESTIGATOR

Universidad Autonoma De Guadalajara, Mexico

Juan Hector M Romero

Role: PRINCIPAL_INVESTIGATOR

Universidad Autonoma Guadalajara, Mexico

Jaime B Gerson

Role: PRINCIPAL_INVESTIGATOR

University of Texas, Cuernavaca, Mexico

Edwin Asturias

Role: PRINCIPAL_INVESTIGATOR

Universidad del Valle de Guatemala (Antigua)

Roberto Garcia

Role: PRINCIPAL_INVESTIGATOR

AmeriMed Puerto Vallarta, Mexico

Martha V Serrato

Role: PRINCIPAL_INVESTIGATOR

Hospital Americano, Cancun, Mexico

Robert Maxwell

Role: PRINCIPAL_INVESTIGATOR

Private Clinic, San Miguel de Allende, Mexico

Locations

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West Coast Clinical Trials

Long Beach, California, United States

Site Status

Radiant Research

Chicago, Illinois, United States

Site Status

Johns Hopkins University, Bloomberg School of Public Health

Baltimore, Maryland, United States

Site Status

Twin Cities Clinical Research

Minneapolis, Minnesota, United States

Site Status

Advanced Biomedical Research

Hackensack, New Jersey, United States

Site Status

Asthma Allergy & Associates

Ithica, New York, United States

Site Status

Radiant Research

Columbus, Ohio, United States

Site Status

Radiant Research

Dallas, Texas, United States

Site Status

Breco Research

Houston, Texas, United States

Site Status

Center for Infectious Diseases, The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Radiant Research

San Antonio, Texas, United States

Site Status

Jean Brown Research

Salt Lake City, Utah, United States

Site Status

Northwest Kinetics

Tacoma, Washington, United States

Site Status

Private Clinic Antigua

Antigua Guatemala, , Guatemala

Site Status

Private Clinic San Miguel

San Miguel de Allende, Guanajuata, Mexico

Site Status

Private Clinic Guadalajara

Guadalajara, Jalisco, Mexico

Site Status

AmeriMed Hospital

Puerto Vallarta, Marina Vallarta, Mexico

Site Status

Private Clinic Cuernavaca

Cuernavaca, Morelos, Mexico

Site Status

Hospital Americano

Cancún, Quintana Roo, Mexico

Site Status

Countries

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United States Guatemala Mexico

References

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Frech SA, Dupont HL, Bourgeois AL, McKenzie R, Belkind-Gerson J, Figueroa JF, Okhuysen PC, Guerrero NH, Martinez-Sandoval FG, Melendez-Romero JH, Jiang ZD, Asturias EJ, Halpern J, Torres OR, Hoffman AS, Villar CP, Kassem RN, Flyer DC, Andersen BH, Kazempour K, Breisch SA, Glenn GM. Use of a patch containing heat-labile toxin from Escherichia coli against travellers' diarrhoea: a phase II, randomised, double-blind, placebo-controlled field trial. Lancet. 2008 Jun 14;371(9629):2019-25. doi: 10.1016/S0140-6736(08)60839-9.

Reference Type DERIVED
PMID: 18554712 (View on PubMed)

Related Links

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Other Identifiers

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ELT206

Identifier Type: -

Identifier Source: org_study_id

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