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Comparison of Three Plasmodium Falciparum Isolates in an Experimental Human Malaria Infection (TIP1)

Primary Purpose

Plasmodium Falciparum, Malaria

Status
Completed
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
Exposure to Plasmodium falciparum infected mosquitoes
Sponsored by
Radboud University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Plasmodium Falciparum focused on measuring Plasmodium falciparum, Malaria

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age > 18 and < 35 years healthy volunteers (males or females)
  • General good health based on history and clinical examination
  • Negative pregnancy test
  • Use of adequate contraception for females
  • All volunteers have to sign the informed consent form following proper understanding of the meaning and procedures of the study
  • Volunteer agrees to inform the general practitioner and agrees to sign a request for medical information concerning contra-indications for participation in the study
  • Willingness to undergo a Pf sporozoite challenge
  • Agreement to stay in a hotel room close to the trial center during a part of the study (Day 5 till Day T +3)
  • Reachable by mobile phone during the whole study period
  • Available to attend all study visits
  • Agreement to refrain from blood donation to Sanquin or for other purposes, during the course of the study
  • Willingness to undergo an HIV, hepatitis B and C test
  • Negative urine toxicology screening test at screening visit and day before challenge
  • Willingness to take a curative regimen of Malarone®

Exclusion Criteria:

  • History of malaria
  • Plans to travel to endemic malaria areas during the study period
  • Previous participation in any malaria vaccine study and/or positive serology for Pf
  • 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
  • History of diabetes mellitus or cancer (except basal cell carcinoma of the skin)
  • History of arrhythmia's or prolonged QT-interval
  • Positive family history in 1st and 2nd degree relatives for cardiac disease < 50 years old
  • An estimated, ten year risk of fatal cardiovascular disease of ≥5%, as estimated by the Systematic Coronary Risk Evaluation (SCORE) system
  • Body Mass Index (BMI) below 18 or above 30 kg/m2
  • Any clinically significant deviation from the normal range in biochemistry or haematology blood tests or in urine analysis
  • Positive HIV, HBV or HCV tests
  • Participation in any other clinical study within 30 days prior to the onset of the study
  • Volunteers enrolled in any other clinical study during the study period
  • Pregnant or lactating women
  • Volunteers unable to give written informed consent
  • Volunteers unable to be closely followed for social, geographic or psychological reasons
  • Previous history of drug or alcohol abuse interfering with normal social function during a period of one year prior to enrolment in the study
  • A history of psychiatric disease
  • Known hypersensitivity for anti-malaria drugs
  • History of severe reactions or allergy to mosquito bites
  • The use of chronic immunosuppressive drugs, antibiotics, or other immune modifying drugs within three months before study onset (inhaled and topical corticosteroids are allowed) and during the study period
  • Contra-indications to Malarone® including treatment taken by the volunteers that interfere with Malarone®
  • Any confirmed or suspected immunosuppressive or immunodeficiency condition, including asplenia
  • Co-workers of the departments of Medical Microbiology or Internal Medicine of the Radboud University Nijmegen Medical Centre or Leiden University Medical Center
  • A history of sickle cell, thalassaemia trait and G6PD deficiency

Sites / Locations

  • Leiden University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

PfA

PfB

NF54

Arm Description

Exposure of human volunteers to bites of mosquitoes infected with the A strain of Plasmodium falciparum

Exposure of human volunteers to bites of mosquitoes infected with the B strain of Plasmodium falciparum

Exposure of human volunteers to bites of mosquitoes infected with the NF54 strain of Plasmodium falciparum

Outcomes

Primary Outcome Measures

A significant difference in kinetics of parasitemia between groups A, B and C

Secondary Outcome Measures

Immunological properties of different Plasmodium falciparum isolates
Time to thick smear positivity between groups A, B and C
Maximum parasitemia and duration of parasitemia as measured by PCR
Frequency of signs and symptoms between groups A, B and C

Full Information

First Posted
October 26, 2009
Last Updated
November 8, 2010
Sponsor
Radboud University Medical Center
Collaborators
Leiden University Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT01002833
Brief Title
Comparison of Three Plasmodium Falciparum Isolates in an Experimental Human Malaria Infection
Acronym
TIP1
Official Title
Comparison of Three Plasmodium Falciparum Isolates in an Experimental Human Malaria Infection
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
April 2010 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
November 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Radboud University Medical Center
Collaborators
Leiden University Medical Center

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Plasmodium falciparum isolates display a wide genetic diversity with possibly different properties to induce immune responses. These properties could directly influence the ability to induce protective efficacy. Since 1998 an experimental human malaria infection model at the Radboud University Nijmegen Medical Center (RUNMC) has been very successful in answering questions with regards to immunological mechanisms of human Pf infection. To date only the NF54 strain of Pf has been deployed in this Nijmegen model. However, investigation of heterologous Pf challenge is not only highly informative for our basic understanding of induction of immune responses but also provides an essential model for protective capacity testing in the clinical development of candidate malaria vaccines. Recently, the parasite culture laboratory of the RUNMC has been able to overcome technical hurdles to produce infectious mosquitoes of two genetically different isolates from different geographical regions to increase the portfolio for Phase IIa trials. These isolates, PfA and PfB will be compared with the NF54 strain for parasitic, immunological and clinical features in humans.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plasmodium Falciparum, Malaria
Keywords
Plasmodium falciparum, Malaria

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PfA
Arm Type
Experimental
Arm Description
Exposure of human volunteers to bites of mosquitoes infected with the A strain of Plasmodium falciparum
Arm Title
PfB
Arm Type
Experimental
Arm Description
Exposure of human volunteers to bites of mosquitoes infected with the B strain of Plasmodium falciparum
Arm Title
NF54
Arm Type
Active Comparator
Arm Description
Exposure of human volunteers to bites of mosquitoes infected with the NF54 strain of Plasmodium falciparum
Intervention Type
Biological
Intervention Name(s)
Exposure to Plasmodium falciparum infected mosquitoes
Intervention Description
Healthy volunteers are exposed to the bites of 5 Plasmodium falciparum infected mosquitoes
Primary Outcome Measure Information:
Title
A significant difference in kinetics of parasitemia between groups A, B and C
Time Frame
35 days
Secondary Outcome Measure Information:
Title
Immunological properties of different Plasmodium falciparum isolates
Time Frame
140 days
Title
Time to thick smear positivity between groups A, B and C
Time Frame
35 days
Title
Maximum parasitemia and duration of parasitemia as measured by PCR
Time Frame
35 days
Title
Frequency of signs and symptoms between groups A, B and C
Time Frame
140 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age > 18 and < 35 years healthy volunteers (males or females) General good health based on history and clinical examination Negative pregnancy test Use of adequate contraception for females All volunteers have to sign the informed consent form following proper understanding of the meaning and procedures of the study Volunteer agrees to inform the general practitioner and agrees to sign a request for medical information concerning contra-indications for participation in the study Willingness to undergo a Pf sporozoite challenge Agreement to stay in a hotel room close to the trial center during a part of the study (Day 5 till Day T +3) Reachable by mobile phone during the whole study period Available to attend all study visits Agreement to refrain from blood donation to Sanquin or for other purposes, during the course of the study Willingness to undergo an HIV, hepatitis B and C test Negative urine toxicology screening test at screening visit and day before challenge Willingness to take a curative regimen of Malarone® Exclusion Criteria: History of malaria Plans to travel to endemic malaria areas during the study period Previous participation in any malaria vaccine study and/or positive serology for Pf 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 History of diabetes mellitus or cancer (except basal cell carcinoma of the skin) History of arrhythmia's or prolonged QT-interval Positive family history in 1st and 2nd degree relatives for cardiac disease < 50 years old An estimated, ten year risk of fatal cardiovascular disease of ≥5%, as estimated by the Systematic Coronary Risk Evaluation (SCORE) system Body Mass Index (BMI) below 18 or above 30 kg/m2 Any clinically significant deviation from the normal range in biochemistry or haematology blood tests or in urine analysis Positive HIV, HBV or HCV tests Participation in any other clinical study within 30 days prior to the onset of the study Volunteers enrolled in any other clinical study during the study period Pregnant or lactating women Volunteers unable to give written informed consent Volunteers unable to be closely followed for social, geographic or psychological reasons Previous history of drug or alcohol abuse interfering with normal social function during a period of one year prior to enrolment in the study A history of psychiatric disease Known hypersensitivity for anti-malaria drugs History of severe reactions or allergy to mosquito bites The use of chronic immunosuppressive drugs, antibiotics, or other immune modifying drugs within three months before study onset (inhaled and topical corticosteroids are allowed) and during the study period Contra-indications to Malarone® including treatment taken by the volunteers that interfere with Malarone® Any confirmed or suspected immunosuppressive or immunodeficiency condition, including asplenia Co-workers of the departments of Medical Microbiology or Internal Medicine of the Radboud University Nijmegen Medical Centre or Leiden University Medical Center A history of sickle cell, thalassaemia trait and G6PD deficiency
Facility Information:
Facility Name
Leiden University Medical Center
City
Leiden
ZIP/Postal Code
2300 RC
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
28081133
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.
Results Reference
derived
PubMed Identifier
23186785
Citation
Teirlinck AC, Roestenberg M, van de Vegte-Bolmer M, Scholzen A, Heinrichs MJ, Siebelink-Stoter R, Graumans W, van Gemert GJ, Teelen K, Vos MW, Nganou-Makamdop K, Borrmann S, Rozier YP, Erkens MA, Luty AJ, Hermsen CC, Sim BK, van Lieshout L, Hoffman SL, Visser LG, Sauerwein RW. NF135.C10: a new Plasmodium falciparum clone for controlled human malaria infections. J Infect Dis. 2013 Feb 15;207(4):656-60. doi: 10.1093/infdis/jis725. Epub 2012 Nov 27.
Results Reference
derived

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Comparison of Three Plasmodium Falciparum Isolates in an Experimental Human Malaria Infection

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