Ignite Creation Date:
2024-05-05 @ 11:28 AM
Last Modification Date:
2024-10-26 @ 9:08 AM
Study NCT ID:
NCT00050310
Status:
RECRUITING
Last Update Posted:
2024-07-15
First Post:
2002-12-03
Brief Title:
Natural History of Anthrax a Study of Primary Infected Recovered and Exposed Individuals SPoRE and Evaluation of AVA-Vaccinated Recipients
Sponsor:
National Institute of Allergy and Infectious Diseases NIAID
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Natural History of Anthrax A Study of Primary Infected Recovered and Exposed SPoRE Individuals and Evaluation of AVA Vaccinated Recipients
Status:
RECRUITING
Status Verified Date:
2024-10-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will examine pathophysiology and immune response of anthrax in infected or exposed individuals to learn more about the disease symptoms prevention and response to treatment In addition it will evaluate immune response to the anthrax vaccine AVA Anthrax Vaccine Adsorbed in healthy non-infected individuals
The following individuals may be eligible for this study
1 People with confirmed or suspected anthrax inhalational cutaneous or gastrointestinal either acute or recovering
2 People exposed to anthrax who have no clinical symptoms
3 Healthy people who have not been exposed to anthrax and have been vaccinated with AVA
Those enrolled in the study will undergo the following tests and procedures
Infected and exposed individuals
Symptomatic participants will have the following clinical procedures if medically necessary
a blood tests for cell counts chemistries and evidence of anthrax bacteria
b nasal swab to test for evidence of anthrax
c chest X-ray
d computed tomography CT scan special X-rays to examine the lungs or abdomen
e echocardiogram to examine the heart
f magnetic resonance imaging MRI a special imaging test using a magnetic field and radio waves to examine the infected area of skin and soft tissue for patients with cutaneous anthrax
All subjects with or without symptoms will have the following research procedures
a blood tests to examine immune response to anthrax
b throat swab to test for evidence of anthrax
c nasopharyngeal wash to test for anthrax Water is sprayed into the nostrils and then allowed to drain for collection in a cup
d induced sputum to test for presence of and immune response to anthrax A mask with a saline mist is placed over the subject s mouth and nose causing the subject to cough and produce sputum from the lungs The sputum is collected in a cup this is for individuals 18 and older who do not undergo bronchoscopy described below
Participants 18 years of age and older may have the following optional research procedures
a leukapheresis or plasmapheresis see description under non-infected vaccinated individuals above
b lymph node biopsy A sample of lymph node tissue is surgically removed under local anesthetic
c bronchoalveolar lavage This 15- to 30-minute procedure is done in the intensive care unit The mouth nasal passages throat and airways are numbed with lidocaine and a thin flexible tube is passed through the nose into the lung airways Samples of cells and secretions are obtained by rinsing lavage the airways with salt water The fluid is analyzed for infection inflammatory cells and inflammatory chemicals
All infected and exposed individuals will have periodic medical history and physical exam evaluations and be offered treatment or prophylaxis treatment to prevent infection with antibiotics according to the guidelines of the Centers for Disease Control and Prevention CDC Patients will be monitored for at least 24 months after antibiotic treatment or longer if circumstances warrant
Non-infected vaccinated individuals
1 medical history and physical examination
2 blood tests-- between 10 and 50 ml 2-10 teaspoons of blood will be drawn at a time and not more than 450 ml will be taken in a 6-week period Based on the blood test results other optional research procedures may be requested
3 leukapheresis to collect white blood cells and plasmapheresis to collect plasma the liquid part of the blood For both of these procedures blood is collected through a needle placed in an arm vein The blood flows into a special machine that separates it into its components by spinning The desired components white cells or plasma are removed and the rest of the blood is returned to the body through the same needle or a second needle in the other arm
The following individuals may be eligible for this study
1 People with confirmed or suspected anthrax inhalational cutaneous or gastrointestinal either acute or recovering
2 People exposed to anthrax who have no clinical symptoms
3 Healthy people who have not been exposed to anthrax and have been vaccinated with AVA
Those enrolled in the study will undergo the following tests and procedures
Infected and exposed individuals
Symptomatic participants will have the following clinical procedures if medically necessary
a blood tests for cell counts chemistries and evidence of anthrax bacteria
b nasal swab to test for evidence of anthrax
c chest X-ray
d computed tomography CT scan special X-rays to examine the lungs or abdomen
e echocardiogram to examine the heart
f magnetic resonance imaging MRI a special imaging test using a magnetic field and radio waves to examine the infected area of skin and soft tissue for patients with cutaneous anthrax
All subjects with or without symptoms will have the following research procedures
a blood tests to examine immune response to anthrax
b throat swab to test for evidence of anthrax
c nasopharyngeal wash to test for anthrax Water is sprayed into the nostrils and then allowed to drain for collection in a cup
d induced sputum to test for presence of and immune response to anthrax A mask with a saline mist is placed over the subject s mouth and nose causing the subject to cough and produce sputum from the lungs The sputum is collected in a cup this is for individuals 18 and older who do not undergo bronchoscopy described below
Participants 18 years of age and older may have the following optional research procedures
a leukapheresis or plasmapheresis see description under non-infected vaccinated individuals above
b lymph node biopsy A sample of lymph node tissue is surgically removed under local anesthetic
c bronchoalveolar lavage This 15- to 30-minute procedure is done in the intensive care unit The mouth nasal passages throat and airways are numbed with lidocaine and a thin flexible tube is passed through the nose into the lung airways Samples of cells and secretions are obtained by rinsing lavage the airways with salt water The fluid is analyzed for infection inflammatory cells and inflammatory chemicals
All infected and exposed individuals will have periodic medical history and physical exam evaluations and be offered treatment or prophylaxis treatment to prevent infection with antibiotics according to the guidelines of the Centers for Disease Control and Prevention CDC Patients will be monitored for at least 24 months after antibiotic treatment or longer if circumstances warrant
Non-infected vaccinated individuals
1 medical history and physical examination
2 blood tests-- between 10 and 50 ml 2-10 teaspoons of blood will be drawn at a time and not more than 450 ml will be taken in a 6-week period Based on the blood test results other optional research procedures may be requested
3 leukapheresis to collect white blood cells and plasmapheresis to collect plasma the liquid part of the blood For both of these procedures blood is collected through a needle placed in an arm vein The blood flows into a special machine that separates it into its components by spinning The desired components white cells or plasma are removed and the rest of the blood is returned to the body through the same needle or a second needle in the other arm
Detailed Description:
The intentional use of Bacillus anthracis in 2001 as a bioterrorism weapon with fatal consequences renewed interest in past epidemiologic and animal research about pathogenesis and posed new dilemmas about diagnosis and treatment Cases in the October 2001 US outbreak were theoretically exposed via one dispersal method aerosolization of Ames strain spores While some developed the cutaneous anthrax form others sustained the more serious inhalational disease Inhaled spores are known to travel to alveolar macrophages and then onto the mediastinal lymph nodes where germination to the bacterium form and toxin release are thought to occur Infective dose significance of dormant spores after long-term antibiotic therapy spectrum of disease and even precise cause of death remain unknown This observational prospective natural history study was developed during the 2001 outbreak and is set up to follow participants from the time of exposure through post-recovery greater than ten years Healthy vaccinated participants have been included to evaluate serum titers and cell markers in relation to dose and frequency of Anthrax Vaccine Adsorbed AVA vaccine
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 02-I-0110 | None | None | None |