Title
A Multi-center Study of Spherule-Derived Coccidioidin
Safety, Sensitivity and Specificity of Spherule-derived Coccidioidin in Naive Adults, in Adults With a History of Pulmonary Coccidioidomycosis and in Adults With a History of Pulmonary Histoplasmosis
Phase
Phase 3Lead Sponsor
Nielsen BioSciences, Inc.Study Type
InterventionalStatus
Completed No Results PostedIndication/Condition
CoccidioidomycosisIntervention/Treatment
Coccidioides immitis Spherule - Derived Skin Test Antigen ...Study Participants
113Adult volunteers were skin tested with 1.27 ug spherule-derived coccidioidin. The skin test antigen was evaluated in three different populations of adult volunteers to determine the safety and efficacy of the product in the assessment of delayed-type hypersensitivity to Coccidioides immitis. Induration greater than or equal to 5 mm after 48 hours was considered positive for exposure to C. immitis.
1.27 ug of sterile, injectable product (spherule-derived coccidioidin). Product was administered once by intradermal injection along with positive and negative control agents and results read after 48 hours.
Volunteers with a history of pulmonary coccidioidomycosis verified by serology and/or histology or mycology.
Volunteers without a history of pulmonary coccidioidomycosis confirmed by serology (naive).
Volunteers with a history of pulmonary histoplasmosis but no history of coccidioidomycosis confirmed by serology.
Inclusion Criteria: Good Health (absence of active medical disease) Meets criteria specific to population groups: Coccidioidomycosis Group: History of coccidioidomycosis of at least 45 days duration confirmed by roentgenograph serologic or mycologic findings Histoplasmosis Group: History of pulmonary histoplasmosis Naive Control Group: Lifetime residence in the states of WA, OR, ID, or MT Never employed as an agricultural worker Serology negative for C.immitis antibodies Exclusion Criteria (All Groups): Active medical disease Alcohol abuse or illicit drug use Influenza-like illness within the past 4 weeks Immunizations within the past 4 weeks Current atopic or contact dermatitis, psoriasis, erythema nodosum, urticaria Current treatment with corticosteroids, cytotoxic or immunosuppressive drugs Immunodeficiency disease HIV infection Previous skin test with coccidioidin or SD Coccidioidin Pregnant or lactating Adverse reaction to thimerosal Adverse reaction to Candida or Trichophyton skin test antigens Coccidioidomycosis Group: Current cavitary or disseminated coccidioidomycosis History of histoplasmosis, or blastomycosis Histoplasmosis Group: History of coccidioidomycosis or blastomycosis Naive Control Group: History of coccidioidomycosis, histoplasmosis, blastomycosis Travel for more than 30 days in designated areas of CA, AZ, NV, UT, NM, TX and Mexico, Central and South America. Travel for more than 7 days in restricted areas of CA, AZ and TX.