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NCT03641339

Defining Skin Immunity of a Bite of Key Insect Vectors in Humans

Completed NA Results posted Last updated 8 December 2021
What this trial tests

NA trial testing One vector feeding in Zika in 95 participants. Completed in 20 May 2020.

Timeline
5 September 2018
Primary endpoint
20 May 2020
20 May 2020

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment95
Start date5 September 2018
Primary completion20 May 2020
Estimated completion20 May 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

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 Groups Primary · 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
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti18
Multiple Exposure Cohort B: Aedes AegyptiNA
Single Exposure Cohort A: Anopheles Gambiae1
Multiple Exposure Cohort B: Anopheles GambiaeNA
Single Exposure Cohort A: Lutzomyia Longipalpis5
Multiple Exposure Cohort B: Lutzomyia LongipalpisNA
4 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti227
Multiple Exposure Cohort B: Aedes Aegypti179
Single Exposure Cohort A: Anopheles Gambiae12
Multiple Exposure Cohort B: Anopheles Gambiae72
Single Exposure Cohort A: Lutzomyia Longipalpis172
Multiple Exposure Cohort B: Lutzomyia Longipalpis204
48 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes AegyptiNA
Multiple Exposure Cohort B: Aedes Aegypti503
Single Exposure Cohort A: Anopheles GambiaeNA
Multiple Exposure Cohort B: Anopheles Gambiae982
Single Exposure Cohort A: Lutzomyia LongipalpisNA
Multiple Exposure Cohort B: Lutzomyia Longipalpis797
Participants With Local Skin Adaptive Immune Response After Multiple Exposures Over Time to Bites of Each of the Three Vector Groups Primary · 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
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti3
Multiple Exposure Cohort B: Aedes AegyptiNA
Single Exposure Cohort A: Anopheles Gambiae2
Multiple Exposure Cohort B: Anopheles GambiaeNA
Single Exposure Cohort A: Lutzomyia Longipalpis0
Multiple Exposure Cohort B: Lutzomyia LongipalpisNA
Mononuclear Cells 30 minutes post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti3
Multiple Exposure Cohort B: Aedes AegyptiNA
Single Exposure Cohort A: Anopheles Gambiae1
Multiple Exposure Cohort B: Anopheles GambiaeNA
Single Exposure Cohort A: Lutzomyia Longipalpis3
Multiple Exposure Cohort B: Lutzomyia LongipalpisNA
Eosinophils 30 minutes post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti4
Multiple Exposure Cohort B: Aedes AegyptiNA
Single Exposure Cohort A: Anopheles Gambiae0
Multiple Exposure Cohort B: Anopheles GambiaeNA
Single Exposure Cohort A: Lutzomyia Longipalpis0
Multiple Exposure Cohort B: Lutzomyia LongipalpisNA
Neutrophils 4 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti5
Multiple Exposure Cohort B: Aedes Aegypti6
Single Exposure Cohort A: Anopheles Gambiae1
Multiple Exposure Cohort B: Anopheles Gambiae3
Single Exposure Cohort A: Lutzomyia Longipalpis3
Multiple Exposure Cohort B: Lutzomyia Longipalpis3
Mononuclear Cells 4 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti5
Multiple Exposure Cohort B: Aedes Aegypti3
Single Exposure Cohort A: Anopheles Gambiae0
Multiple Exposure Cohort B: Anopheles Gambiae2
Single Exposure Cohort A: Lutzomyia Longipalpis2
Multiple Exposure Cohort B: Lutzomyia Longipalpis6
Eosinophils 4 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes Aegypti3
Multiple Exposure Cohort B: Aedes Aegypti5
Single Exposure Cohort A: Anopheles Gambiae0
Multiple Exposure Cohort B: Anopheles Gambiae2
Single Exposure Cohort A: Lutzomyia Longipalpis1
Multiple Exposure Cohort B: Lutzomyia Longipalpis4
Neutrophils 48 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes AegyptiNA
Multiple Exposure Cohort B: Aedes Aegypti1
Single Exposure Cohort A: Anopheles GambiaeNA
Multiple Exposure Cohort B: Anopheles Gambiae0
Single Exposure Cohort A: Lutzomyia LongipalpisNA
Multiple Exposure Cohort B: Lutzomyia Longipalpis0
Mononuclear Cells 48 hours post bite
GroupValue95% CI
Single Exposure Cohort A: Aedes AegyptiNA
Multiple Exposure Cohort B: Aedes Aegypti8
Single Exposure Cohort A: Anopheles GambiaeNA
Multiple Exposure Cohort B: Anopheles Gambiae7
Single Exposure Cohort A: Lutzomyia LongipalpisNA
Multiple Exposure Cohort B: Lutzomyia Longipalpis8

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.

Single Exposure Cohort A: Aedes Aegypti
Serious: 0/15 (0%)
Deaths: 0/15
Multiple Exposure Cohort B: Aedes Aegypti
Serious: 0/15 (0%)
Deaths: 0/15
Single Exposure Cohort A: Anopheles Gambiae
Serious: 0/15 (0%)
Deaths: 0/15
Multiple Exposure Cohort B: Anopheles Gambiae
Serious: 0/14 (0%)
Deaths: 0/14
Single Exposure Cohort A: Lutzomyia Longipalpis
Serious: 0/15 (0%)
Deaths: 0/15
Multiple Exposure Cohort B: Lutzomyia Longipalpis
Serious: 0/15 (0%)
Deaths: 0/15
Other adverse events (35 terms — click to expand)

ReactionSystemSingle Exposure Cohort A: …Multiple Exposure Cohort B…Single Exposure Cohort A: …Multiple Exposure Cohort B…Single Exposure Cohort A: …Multiple Exposure Cohort B…
Erythema at biopsy siteInjury, poisoning and procedural complications
Sore throatRespiratory, thoracic and mediastinal disorders
RhinorrheaRespiratory, thoracic and mediastinal disorders
BradycardiaCardiac disorders
Drainage at biopsy siteSurgical and medical procedures
HypotensionVascular disorders
Systolic hypertensionVascular disorders
TachycardiaCardiac disorders
PalpitationsCardiac disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Non-cardiac chest painGeneral disorders
FeverishGeneral disorders
ConjunctivitisInfections and infestations
GastroenteritisInfections and infestations
LaryngitisInfections and infestations
Latent TuberculosisInfections and infestations
CoryzaInfections and infestations
URIInfections and infestations
Fractured metatarsalInjury, poisoning and procedural complications
Knee painMusculoskeletal and connective tissue disorders
Pain in hipMusculoskeletal and connective tissue disorders
Shoulder painMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Muscle weaknessMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Foot painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Difficulty sleepingPsychiatric disorders
Sinus painRespiratory, thoracic and mediastinal disorders
SneezingRespiratory, thoracic and mediastinal disorders
productive coughRespiratory, thoracic and mediastinal disorders
dry coughRespiratory, thoracic and mediastinal disorders
ecchymosisSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03641339 adverse events section.

Sponsor's own description

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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Other recruiting trials for Zika

Currently open trials in the same condition.

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Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing