National Institute of Allergy and Infectious Diseases (NIAID)
Who can join
Adults 18 to 64, any sex, with Zika or Dengue. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Differentially Expressed Genes Between Bitten (Case) Versus Unbitten (Control) Skin for Each of the Three Vector GroupsPrimary· Up to 48 hours post bite
Number of differentially expressed genes between bitten and unbitten skin with adjusted p-values (adjusted for multiple comparisons) of \< 0.05 and a minimum absolute fold change \> 4 in samples derived from skin biopsies for the three vector groups - Aedes aegypti, Anopheles gambiae, Lutzomyia longipalpis
30 minutes post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
18
Multiple Exposure Cohort B: Aedes Aegypti
NA
Single Exposure Cohort A: Anopheles Gambiae
1
Multiple Exposure Cohort B: Anopheles Gambiae
NA
Single Exposure Cohort A: Lutzomyia Longipalpis
5
Multiple Exposure Cohort B: Lutzomyia Longipalpis
NA
4 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
227
Multiple Exposure Cohort B: Aedes Aegypti
179
Single Exposure Cohort A: Anopheles Gambiae
12
Multiple Exposure Cohort B: Anopheles Gambiae
72
Single Exposure Cohort A: Lutzomyia Longipalpis
172
Multiple Exposure Cohort B: Lutzomyia Longipalpis
204
48 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
NA
Multiple Exposure Cohort B: Aedes Aegypti
503
Single Exposure Cohort A: Anopheles Gambiae
NA
Multiple Exposure Cohort B: Anopheles Gambiae
982
Single Exposure Cohort A: Lutzomyia Longipalpis
NA
Multiple Exposure Cohort B: Lutzomyia Longipalpis
797
Participants With Local Skin Adaptive Immune Response After Multiple Exposures Over Time to Bites of Each of the Three Vector GroupsPrimary· Up to 48 hours post bite
Number of participants with certain types of inflammatory cell infiltrates, which includes neutrophils, mononuclear cells, and eosinophils, in the skin biopsies of bitten skin at 30 minutes, 4 hours, and 48 hours post bite for each of the three vector groups - Aedes aegypti, Anopheles gambiae, and Lutzomyia longipalpis
Neutrophils 30 minutes post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
3
Multiple Exposure Cohort B: Aedes Aegypti
NA
Single Exposure Cohort A: Anopheles Gambiae
2
Multiple Exposure Cohort B: Anopheles Gambiae
NA
Single Exposure Cohort A: Lutzomyia Longipalpis
0
Multiple Exposure Cohort B: Lutzomyia Longipalpis
NA
Mononuclear Cells 30 minutes post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
3
Multiple Exposure Cohort B: Aedes Aegypti
NA
Single Exposure Cohort A: Anopheles Gambiae
1
Multiple Exposure Cohort B: Anopheles Gambiae
NA
Single Exposure Cohort A: Lutzomyia Longipalpis
3
Multiple Exposure Cohort B: Lutzomyia Longipalpis
NA
Eosinophils 30 minutes post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
4
Multiple Exposure Cohort B: Aedes Aegypti
NA
Single Exposure Cohort A: Anopheles Gambiae
0
Multiple Exposure Cohort B: Anopheles Gambiae
NA
Single Exposure Cohort A: Lutzomyia Longipalpis
0
Multiple Exposure Cohort B: Lutzomyia Longipalpis
NA
Neutrophils 4 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
5
Multiple Exposure Cohort B: Aedes Aegypti
6
Single Exposure Cohort A: Anopheles Gambiae
1
Multiple Exposure Cohort B: Anopheles Gambiae
3
Single Exposure Cohort A: Lutzomyia Longipalpis
3
Multiple Exposure Cohort B: Lutzomyia Longipalpis
3
Mononuclear Cells 4 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
5
Multiple Exposure Cohort B: Aedes Aegypti
3
Single Exposure Cohort A: Anopheles Gambiae
0
Multiple Exposure Cohort B: Anopheles Gambiae
2
Single Exposure Cohort A: Lutzomyia Longipalpis
2
Multiple Exposure Cohort B: Lutzomyia Longipalpis
6
Eosinophils 4 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
3
Multiple Exposure Cohort B: Aedes Aegypti
5
Single Exposure Cohort A: Anopheles Gambiae
0
Multiple Exposure Cohort B: Anopheles Gambiae
2
Single Exposure Cohort A: Lutzomyia Longipalpis
1
Multiple Exposure Cohort B: Lutzomyia Longipalpis
4
Neutrophils 48 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
NA
Multiple Exposure Cohort B: Aedes Aegypti
1
Single Exposure Cohort A: Anopheles Gambiae
NA
Multiple Exposure Cohort B: Anopheles Gambiae
0
Single Exposure Cohort A: Lutzomyia Longipalpis
NA
Multiple Exposure Cohort B: Lutzomyia Longipalpis
0
Mononuclear Cells 48 hours post bite
Group
Value
95% CI
Single Exposure Cohort A: Aedes Aegypti
NA
Multiple Exposure Cohort B: Aedes Aegypti
8
Single Exposure Cohort A: Anopheles Gambiae
NA
Multiple Exposure Cohort B: Anopheles Gambiae
7
Single Exposure Cohort A: Lutzomyia Longipalpis
NA
Multiple Exposure Cohort B: Lutzomyia Longipalpis
8
Adverse events — posted to ClinicalTrials.gov
Time frame: Monitoring for adverse events was over a 7 day period for all Cohort A groups. Monitoring for adverse events was over a 51 day period for all Cohort B groups..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Background:
Mosquitoes and similar insects called sand flies carry parasites that can cause diseases. These viruses and parasites can spread quickly and be difficult to control. How people s bodies respond to insect bites may affect how they get infected. The response to bites is caused by the immune system, which helps fight off infections. Researchers want to study the immune response in skin to mosquito or sand fly bites and how the response changes after bites on multiple days. This may help researchers develop better vaccines.
Objective:
To study the immune response in skin to certain insect bites and how that changes after bites on multiple days.
Eligibility:
Healthy adults ages 18-64
Design:
Participants will be screened under another protocol. Women must agree to practice effective contraception or abstinence. All participants must agree to not donate blood or use certain lotions or creams on visit days.
Some participants will have 2 visits over a week. Others will have 5 visits over 8 weeks.
All participants will have the following at least once:
Medical history
Physical exam
Blood and urine collected
Mosquito or sand fly feeding. Up to 10 insects will feed on participant s arm for up to 20 minutes. The insects are grown at NIH and do not carry any diseases. The skin will be checked and bites will be treated.
Skin samples taken. The skin will be cleaned and numbed. A tool will remove a small piece of skin from 3 places on the arm.
About a week after the last visit, participants will be called to see how they feel.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Sponsor: as reported to ClinicalTrials.gov by National Institute of Allergy and Infectious Diseases (NIAID)
Last refreshed: 8 December 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03641339.