search
Back to results

A Clinical Trial to Evaluate Plasmodium Falciparum 7G8 and NF54 Challenge Strains (PfSPZ) in a Head-to-head Comparative Study - (ECG-CHMI) (ECG-CHMI)

Primary Purpose

Plasmodium Falciparum

Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
atovaquone-proguanil
Sponsored by
U.S. Army Medical Research and Development Command
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Plasmodium Falciparum

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Adults (male or non-lactating, non-pregnant female)
  • Between the ages of 18 and 45 (inclusive) at the time of enrollment
  • Body weight equal to or greater than 110 lbs
  • Available and willing to participate for duration of study
  • Able and willing to provide a written informed consent
  • Able to complete an Assessment of Understanding with a score of at least 80% correct
  • In good general health with no clinically significant health problems as established by medical history, physical examination, and laboratory screening
  • Sexually active females, unless surgically sterile or at least 1 year post-menopausal, must use an effective method of avoiding pregnancy (Section 5.4.5.3) from 14 days prior to CHMI and agree to continue using such precautions during the study until at least 2 months after CHMI
  • If female subjects are unable to bear children due to menopause or have had a procedure performed (e.g. tubal ligation or hysterectomy), a medical note from a physician is required
  • If post-menopausal, subjects must have experienced at least 1 year of amenorrhea and provide a medical note from her physician documenting this medical history
  • Agree not to travel to a malaria endemic area during the course of the study
  • Agree to refrain from blood donation from the time of CHMI and for 3 years following CHMI
  • Must be willing to take anti-malarial treatment after CHMI
  • Must agree to stay in a pre-determined hotel near the NMRC CTC from approximately 7 days after CHMI until antimalarial treatment is completed or through 18 days post CHMI
  • For active-duty military personnel, documentation of their command's approval to participate

Exclusion Criteria:

  • Pregnant (positive urine pregnancy test) or nursing at screening or plans to become pregnant or nurse at any period from the time of enrollment through 56 days after CHMI.
  • Receipt of any investigational malaria vaccine
  • Any history of malaria infection
  • Travel to a malaria endemic region within 6 months of enrollment or during the study (from enrollment through 2 months after CHMI)
  • History of long-term residence (>5 years) in an area known to have significant transmission of P falciparum (http://www.cdc.gov/malaria/map/)
  • History of clinically significant contact dermatitis
  • Seropositive for the human immunodeficiency virus (HIV), hepatitis C virus (HCV), and/or hepatitis B surface antigen (HBsAg)
  • Positive sickle cell screening test, including evidence of sickle cell trait or sickle cell anemia (due to its effect on subject's susceptibility to malaria)
  • History of thalassemia or thalassemia trait (due to its effect on subject's susceptibility to malaria)
  • Participation in any clinical study involving another investigational vaccine, drug, or other products within 60 days prior to enrollment or plan to participate in such a clinical study during or within 1 month following the active study phase of the study (from the day enrollment through 2 months after CHMI)
  • Allergy to any component of the PfSPZ Challenge formulation, Malarone® (atovaquone-proguanil), and/or Coartem® (artemether-lumefantrine)
  • History of porphyria

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Group 1 - PfSPZ, (NF54) strain

    Group 2 - PfSPZ, (7G8) strain

    Arm Description

    Group 1 (N=9) will receive PfSPZ Challenge (NF54) A one-time dose of 3,200 aseptic, purified, cryopreserved, non-attenuated Plasmodium falciparum (Pf) NF54 sporozoites (Pf SPZ Challenge) Mode of administration: Direct venous inoculation (DVI) through a 25 gauge needle and syringe

    Group 2 (N=9) will receive PfSPZ Challenge (7G8) A one-time dose of 3,200 aseptic, purified, cryopreserved, non-attenuated Plasmodium falciparum 7G8 sporozoites (Pf SPZ Challenge) Mode of administration: Direct venous inoculation (DVI) through a 25 gauge needle and syringe

    Outcomes

    Primary Outcome Measures

    Difference in the pre-patent period
    The difference in the time of first malaria event (symptom or sign of malaria),in subjects infected with PfSPZ Challenge (NF54) vs. PfSPZ Challenge (7G8)
    Difference in the total number of malaria events
    The difference in the total number of Grade 2 or greater malaria events (symptoms and signs of malaria) experienced by subjects infected with PfSPZ Challenge (NF54) vs PfSPZ Challenge (7G8)

    Secondary Outcome Measures

    Determine differences in pre-patent periods
    Determine differences in prepatent periods in subjects infected with PfSPZ Challenge (NF54) vs PfSPZ Challenge (7G8) as detected by TBS, RDT, hsRDT and by PCR
    Determine differences in the growth rate of parasites
    Determine differences in the growth rate of parasites in the blood of subjects infected by PfSPZ Challenge (NF54) vs PfSPZ Challenge (7G8) as detected by PCR

    Full Information

    First Posted
    December 16, 2019
    Last Updated
    May 6, 2020
    Sponsor
    U.S. Army Medical Research and Development Command
    Collaborators
    Naval Medical Research Center
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT04203186
    Brief Title
    A Clinical Trial to Evaluate Plasmodium Falciparum 7G8 and NF54 Challenge Strains (PfSPZ) in a Head-to-head Comparative Study - (ECG-CHMI)
    Acronym
    ECG-CHMI
    Official Title
    A Phase 1 Clinical Trial To Evaluate The Safety and Infectivity Of Direct Venus Inoculation of Aseptic, Purified, Cryopreserved Plasmodium Falciparum 7G8 And NF54 Challenge Strains (PfSPZ) in a Head-To-Head Comparative Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2020
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Funding was lost due to the COVID19 Pandemic
    Study Start Date
    March 2020 (Anticipated)
    Primary Completion Date
    June 2021 (Anticipated)
    Study Completion Date
    September 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    U.S. Army Medical Research and Development Command
    Collaborators
    Naval Medical Research Center

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    A comparison of Malaria events (symptoms and signs of malaria) experienced by subjects infected with PfSPZ Challenge (NF54) vs. PfSPZ Challenge (7G8).
    Detailed Description
    The single center study is designed as a double-blind, randomized, placebo-controlled CHMI trial with 2 parallel test groups to directly compare clinical and laboratory characteristics of the NF54 and 7G8 strains of PfSPZ Challenge. This study will also evaluate signatures of and time to parasitemia by multiple methods and evaluate physiologic status data collected by non-invasive wearable monitors before and during Plasmodium falciparum infection to characterize and trend physiologic changes appearing prior to the onset of parasitemia. PfSPZ Challenge (aseptic, purified, cryopreserved, infectious Plasmodium falciparum sporozoites) or normal saline will be administered by direct venous inoculation (DVI) by 25-gauge needle and syringe to healthy malaria naïve adults. Data generated from samples collected for biomarker assay analysis will be useful for developing predictive models to evaluate the efficacy of malaria vaccine candidates.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    2 parallel test groups to directly compare clinical and laboratory characteristics
    Masking
    ParticipantCare ProviderInvestigator
    Masking Description
    double-blind, randomized, placebo-controlled trial
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Group 1 - PfSPZ, (NF54) strain
    Arm Type
    Active Comparator
    Arm Description
    Group 1 (N=9) will receive PfSPZ Challenge (NF54) A one-time dose of 3,200 aseptic, purified, cryopreserved, non-attenuated Plasmodium falciparum (Pf) NF54 sporozoites (Pf SPZ Challenge) Mode of administration: Direct venous inoculation (DVI) through a 25 gauge needle and syringe
    Arm Title
    Group 2 - PfSPZ, (7G8) strain
    Arm Type
    Active Comparator
    Arm Description
    Group 2 (N=9) will receive PfSPZ Challenge (7G8) A one-time dose of 3,200 aseptic, purified, cryopreserved, non-attenuated Plasmodium falciparum 7G8 sporozoites (Pf SPZ Challenge) Mode of administration: Direct venous inoculation (DVI) through a 25 gauge needle and syringe
    Intervention Type
    Drug
    Intervention Name(s)
    atovaquone-proguanil
    Other Intervention Name(s)
    artemether/lumefantrine (AL; Coartem)
    Intervention Description
    Malaria standard treatment regimen
    Primary Outcome Measure Information:
    Title
    Difference in the pre-patent period
    Description
    The difference in the time of first malaria event (symptom or sign of malaria),in subjects infected with PfSPZ Challenge (NF54) vs. PfSPZ Challenge (7G8)
    Time Frame
    29 days
    Title
    Difference in the total number of malaria events
    Description
    The difference in the total number of Grade 2 or greater malaria events (symptoms and signs of malaria) experienced by subjects infected with PfSPZ Challenge (NF54) vs PfSPZ Challenge (7G8)
    Time Frame
    29 days
    Secondary Outcome Measure Information:
    Title
    Determine differences in pre-patent periods
    Description
    Determine differences in prepatent periods in subjects infected with PfSPZ Challenge (NF54) vs PfSPZ Challenge (7G8) as detected by TBS, RDT, hsRDT and by PCR
    Time Frame
    29 days
    Title
    Determine differences in the growth rate of parasites
    Description
    Determine differences in the growth rate of parasites in the blood of subjects infected by PfSPZ Challenge (NF54) vs PfSPZ Challenge (7G8) as detected by PCR
    Time Frame
    29 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Adults (male or non-lactating, non-pregnant female) Between the ages of 18 and 45 (inclusive) at the time of enrollment Body weight equal to or greater than 110 lbs Available and willing to participate for duration of study Able and willing to provide a written informed consent Able to complete an Assessment of Understanding with a score of at least 80% correct In good general health with no clinically significant health problems as established by medical history, physical examination, and laboratory screening Sexually active females, unless surgically sterile or at least 1 year post-menopausal, must use an effective method of avoiding pregnancy (Section 5.4.5.3) from 14 days prior to CHMI and agree to continue using such precautions during the study until at least 2 months after CHMI If female subjects are unable to bear children due to menopause or have had a procedure performed (e.g. tubal ligation or hysterectomy), a medical note from a physician is required If post-menopausal, subjects must have experienced at least 1 year of amenorrhea and provide a medical note from her physician documenting this medical history Agree not to travel to a malaria endemic area during the course of the study Agree to refrain from blood donation from the time of CHMI and for 3 years following CHMI Must be willing to take anti-malarial treatment after CHMI Must agree to stay in a pre-determined hotel near the NMRC CTC from approximately 7 days after CHMI until antimalarial treatment is completed or through 18 days post CHMI For active-duty military personnel, documentation of their command's approval to participate Exclusion Criteria: Pregnant (positive urine pregnancy test) or nursing at screening or plans to become pregnant or nurse at any period from the time of enrollment through 56 days after CHMI. Receipt of any investigational malaria vaccine Any history of malaria infection Travel to a malaria endemic region within 6 months of enrollment or during the study (from enrollment through 2 months after CHMI) History of long-term residence (>5 years) in an area known to have significant transmission of P falciparum (http://www.cdc.gov/malaria/map/) History of clinically significant contact dermatitis Seropositive for the human immunodeficiency virus (HIV), hepatitis C virus (HCV), and/or hepatitis B surface antigen (HBsAg) Positive sickle cell screening test, including evidence of sickle cell trait or sickle cell anemia (due to its effect on subject's susceptibility to malaria) History of thalassemia or thalassemia trait (due to its effect on subject's susceptibility to malaria) Participation in any clinical study involving another investigational vaccine, drug, or other products within 60 days prior to enrollment or plan to participate in such a clinical study during or within 1 month following the active study phase of the study (from the day enrollment through 2 months after CHMI) Allergy to any component of the PfSPZ Challenge formulation, Malarone® (atovaquone-proguanil), and/or Coartem® (artemether-lumefantrine) History of porphyria

    12. IPD Sharing Statement

    Learn more about this trial

    A Clinical Trial to Evaluate Plasmodium Falciparum 7G8 and NF54 Challenge Strains (PfSPZ) in a Head-to-head Comparative Study - (ECG-CHMI)

    We'll reach out to this number within 24 hrs