Clinical trial NCT00509158: Safety and Efficacy Study of Plasmodium Falciparum LSA-3 Malaria Vaccine
Official title: Phase I and IIa Trial for Assessment of Safety, Immunogenicity and Efficacy Against Sporozoite Challenge of the Candidate Malaria Vaccine PfLSA-3-rec
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
PHASE2
Conditions: Healthy
Keywords: safety
immunogenicity
efficacy
Lead sponsor: Radboud University Medical Center
Sponsor class: OTHER
Collaborators: name: Institut Pasteur
First posted: 2007-07-31
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Malaria is responsible for over 2 million deaths each year. The development of an efficient vaccine would present by far the best solution for solving this disastrous situation. Liver-Stage-Antigen-3 (LSA-3) is an antigen that is mainly exhibited by Plasmodium falciparum sporozoites and liver-stage parasites. It is characterized by its remarkable antigenicity in humans with a wide range and a variety of B and T-lymphocyte epitopes, by its extremely high immunogenicity and by an excellent protective efficacy against sporozoite challenge in animal models. Therefore, PfLSA-3-rec is a promising candidate vaccine against P. falciparum in humans The aim is to screen two different formulations of the recombinant malaria vaccine PfLSA-3-rec, one adjuvated with aluminium hydroxide and one with Montanide Isa 720, by assessing the safety and immunogenicity (phase I) profile of each formulation in humans, as well as its protective efficacy following a sporozoite challenge (phase IIa).


Eligibility criteria: (Main) Inclusion Criteria:

* Male and female age ≥18 and ≤ 45 years
* Good general health based on history, physical en laboratory examination
* Available for and willingness to undergo a P. falciparum sporozoite challenge following the immunization course
* Resident near the Radboud University Medical Center Nijmegen, having 24h access to a telephone
* Living with a third party that could contact the clinicians in case of alteration of conscience
* Agreement to refrain from blood donation during the course of the study and afterwards
* Negative pregnancy test and the use of effective contraception during the whole study period

(Main) Exclusion Criteria:

* Any history of malaria
* Known exposure to malaria in the previous 6 months, defined as a visit to a malaria-endemic region.
* Planned to travel to endemic malaria areas during the study period
* Prior administration of an investigational malaria vaccine
* Administration of a vaccine or gammaglobulin not foreseen by the clinical trial protocol within 30 days prior to the first immunization and up to six months after the last immunization.
* Participation in any other clinical trial within 90 days prior to the onset of the trial or more than four clinical trials in the past year
* The use of chronic immunosuppressive drugs or other immune modifying drugs within three months of vaccination (inhaled and topical corticosteroids are allowed)
* Positive serological tests for P falciparum (LSA-3) ELISA and/or a positive P. falciparum PCR
* Known hypersensitivity to vaccine components
* Contra-indications to Riamet® including treatment taken by the volunteers that interfere with Riamet® (e.g. concurrent use of medicines that prolong QT-interval)
* Symptoms, physical signs and laboratory values suggestive of systemic disorders, including renal, hepatic, cardiovascular, pulmonary, skin, immunodeficiency, psychiatric and other conditions, which could interfere with the interpretation of the study results or compromise the health of the volunteers
* An estimated, ten year risk of fatal cardiovascular disease of ≥5%, as estimated by the Systematic Coronary Risk Evaluation (SCORE) system.

Primary outcomes:
measure: Phase I: proportion and severity of adverse events in both intervention groups.
timeFrame: 1 year from first immunization
measure: Phase IIa: proportion of volunteers reaching day 21 post-infection without or with a delayed onset of parasitemiae compared to control group (parasetimiae defined as ≥2 parasites per 200 fields in a thick blood film).
timeFrame: 6 weeks from sporozoite challenge
Secondary outcomes:
measure: Phase I and IIa: Immunogenicity evaluation: antibody and cellular responses to vaccination with PfLSA-3-rec vaccine formulations.
timeFrame: 1 year from first immunization
measure: Phase IIa: The length of time (in hours) between parasite inoculation and detection of parasitemia, if any, up to 21 days.
timeFrame: 6 weeks from sporozoite challenge
Other outcomes:
Locations:
city: Nijmegen
country: Netherlands
facility: Radboud University Nijmegen Medical Centre
Study officials:
affiliation: Radboud University Medical Center
name: Robert Sauerwein, Prof MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Coffeng LE, Hermsen CC, Sauerwein RW, de Vlas SJ. The Power of Malaria Vaccine Trials Using Controlled Human Malaria Infection. PLoS Comput Biol. 2017 Jan 12;13(1):e1005255. doi: 10.1371/journal.pcbi.1005255. eCollection 2017 Jan.