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DSM265 Prophylaxis of Plasmodium Falciparum Malaria

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
DSM265
Placebo
Sporozoites
Infective mosquito bite
Sponsored by
Medicines for Malaria Venture
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Healthy focused on measuring Controlled, Human, Malaria, Infection, Healthy, Volunteer

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers
  • Good health based on medical history and physical examination
  • body mass index >18 and <30kg/m2
  • Laboratory results without clinically significant findings within 60 days
  • Males must use medically acceptable form of contraception from the dose of DSM265/Placebo for 120 days
  • Women must be of non-child bearing potential or willing and able to practice one of the required continuous acceptable methods of contraception and have negative pregnancy tests
  • Able & willing to comply with all study requirements throughout the study
  • Agree to undergo all study procedures, attend all study visits and stay overnight for observation if required, to last follow-up visit
  • Willing to undergo a controlled human malaria infection by mosquito bites / inoculation
  • Able and willing to answer all questions on informed consent correctly, and to sign the informed consent form
  • Reachable constantly by mobile phone or email throughout the study period
  • Refrain from blood donation throughout the study
  • Willing to take atovaquone-proguanil, Chloroquine or other registered antimalarial

Exclusion Criteria:

  • Any history of malaria; any severe reactions to mosquito or insect bites; any history of anaphylaxis
  • Plans to travel to malaria endemic region during the study period
  • Previous participation in any malaria vaccine study or controlled human malaria infection study
  • Participation in any other clinical study within 30 days of enrollment or plan to participate in another investigational vaccine/drug research during the study
  • Breastfeeding or planning to become pregnant during the time of the study
  • Positive Human Immunodeficiency Virus, Hepatitis B or C tests
  • Any confirmed/suspected immunosuppressive or immunodeficient state
  • History of serious psychiatric condition that may affect participation in the study, or history of convulsions, seizures, or of severe head trauma
  • Symptoms, physical signs or laboratory values suggestive of systemic disorders
  • History of cancer (except basal cell carcinoma of the skin)
  • History of arrhythmias or documented prolonged QTcF-interval (>450 msec) or 12-lead ECG demonstrating specific abnormalities
  • Moderate risk or higher for cardiovascular event within 5 years (>10%)
  • Positive family history in 1st or 2nd degree relative <50 years for cardiac disease, or history of, or known active cardiac disease
  • history of: psoriasis or porphyria which may be exacerbated by chloroquine; splenectomy, or sickle cell anaemia or other red blood cell disorders; allergy or contra-indication to chloroquine or atovaquone-proguanil
  • Treatment with an investigational drug within 28 days or 5 half-lives of study medication; use of any drugs or dietary supplements within 7 days or 5 half-lives prior to study medication. Herbal supplements must be discontinued at least 28 days prior to study medication. As an exception, acetaminophen or ibuprofen may be used as approved by the investigator
  • Use of any prohibited medication
  • Grapefruit or product containing grapefruit from28 days before study medication or throughout the study
  • History of drug or alcohol abuse within 12 months prior to dosing, or laboratory evidence of abuse
  • Current smoking of more than 10 cigarettes or equivalent per day
  • Plan for major surgery between enrolment and study completion

Sites / Locations

  • Fred Hutchinson Cancer Research Center - Prevention Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Cohort 1 Active DSM265

Cohort 1 Placebo

Cohort 2a Active DSM265

Cohort 2a Placebo

Cohort 2b Active DSM265

Cohort 2b Placebo

Arm Description

Outcomes

Primary Outcome Measures

Number of subjects with positive parasitemia
positive parasitemia detected by qRT-PCR
Time interval between challenge and the first positive parasitemia
Time from infection to peripheral parasitemia (qRT-PCR) in DSM265 / placebo treated subjects in each cohort given as a geometric mean [days]

Secondary Outcome Measures

Full Information

First Posted
September 28, 2015
Last Updated
January 13, 2022
Sponsor
Medicines for Malaria Venture
Collaborators
Fred Hutchinson Cancer Center, United States Department of Defense, Center for Infectious Disease Research
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1. Study Identification

Unique Protocol Identification Number
NCT02562872
Brief Title
DSM265 Prophylaxis of Plasmodium Falciparum Malaria
Official Title
Proof-of-concept, Single Center Study in Healthy Adult Volunteers to Investigate Safety, Tolerability, Pharmacokinetics and Prophylactic Activity of Single Dose DSM265 in a Controlled Human Malarial Infection Challenge Either by Direct Venous Inoculation of Plasmodium Falciparum Sporozoites or Mosquito-borne Plasmodium Falciparum
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
March 2016 (Actual)
Primary Completion Date
May 2017 (Actual)
Study Completion Date
May 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medicines for Malaria Venture
Collaborators
Fred Hutchinson Cancer Center, United States Department of Defense, Center for Infectious Disease Research

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study is a single centre, randomised, placebo-controlled, double-blind study with DSM265 including up to two cohorts of healthy male and female volunteers aged 18 to 45 years. The study will be conducted into two sequential parts (Cohort 1 and Cohorts 2a and 2b).
Detailed Description
Cohort 1: Controlled human malaria infection on Day 0 (Direct Venous Inoculation of 3200 cryopreserved Plasmodium falciparum sporozoites) Drug administration on Day -3 8 subjects: 6 DSM265 400 mg: 2 matching placebo Clinical safety review of Cohort 1 in order to proceed to Cohorts 2a and 2b Cohort 2a: Controlled human malaria infection on Day 0 (Direct Venous Inoculation of 3200 cryopreserved Plasmodium falciparum sporozoites) Drug administration on Day -X (to be defined following safety and pharmacokinetic data) 8 subjects: 6 DSM265 400 mg: 2 matching placebo Cohort 2b: Controlled human malaria infection on Day 0 (infected mosquito bite) Drug administration on Day -X (to be defined following safety and pharmacokinetic data) 8 subjects: 6 DSM265 400 mg: 2 matching placebo

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
Keywords
Controlled, Human, Malaria, Infection, Healthy, Volunteer

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 Active DSM265
Arm Type
Experimental
Arm Title
Cohort 1 Placebo
Arm Type
Placebo Comparator
Arm Title
Cohort 2a Active DSM265
Arm Type
Experimental
Arm Title
Cohort 2a Placebo
Arm Type
Placebo Comparator
Arm Title
Cohort 2b Active DSM265
Arm Type
Experimental
Arm Title
Cohort 2b Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
DSM265
Intervention Description
DSM265 400 mg single oral dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to match DSM265, single oral dose
Intervention Type
Biological
Intervention Name(s)
Sporozoites
Other Intervention Name(s)
PfSPZ
Intervention Description
Direct venous inoculation of 3200 cryopreserved Plasmodium falciparum (NF54 strain) sporozoites
Intervention Type
Biological
Intervention Name(s)
Infective mosquito bite
Intervention Description
Five single bites by laboratory reared female Anopheles stephensi mosquitoes carrying Plasmodium falciparum
Primary Outcome Measure Information:
Title
Number of subjects with positive parasitemia
Description
positive parasitemia detected by qRT-PCR
Time Frame
28 days
Title
Time interval between challenge and the first positive parasitemia
Description
Time from infection to peripheral parasitemia (qRT-PCR) in DSM265 / placebo treated subjects in each cohort given as a geometric mean [days]
Time Frame
28 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
Good health based on medical history and physical examination body mass index >18 and <30kg/m2 Laboratory results without clinically significant findings within 60 days Males must use medically acceptable form of contraception from the dose of DSM265/Placebo for 120 days Women must be of non-child bearing potential or willing and able to practice one of the required continuous acceptable methods of contraception and have negative pregnancy tests Able & willing to comply with all study requirements throughout the study Agree to undergo all study procedures, attend all study visits and stay overnight for observation if required, to last follow-up visit Willing to undergo a controlled human malaria infection by mosquito bites / inoculation Able and willing to answer all questions on informed consent correctly, and to sign the informed consent form Reachable constantly by mobile phone or email throughout the study period Refrain from blood donation throughout the study Willing to take atovaquone-proguanil, Chloroquine or other registered antimalarial Exclusion Criteria: Any history of malaria; any severe reactions to mosquito or insect bites; any history of anaphylaxis Plans to travel to malaria endemic region during the study period Previous participation in any malaria vaccine study or controlled human malaria infection study Participation in any other clinical study within 30 days of enrollment or plan to participate in another investigational vaccine/drug research during the study Breastfeeding or planning to become pregnant during the time of the study Positive Human Immunodeficiency Virus, Hepatitis B or C tests Any confirmed/suspected immunosuppressive or immunodeficient state History of serious psychiatric condition that may affect participation in the study, or history of convulsions, seizures, or of severe head trauma Symptoms, physical signs or laboratory values suggestive of systemic disorders History of cancer (except basal cell carcinoma of the skin) History of arrhythmias or documented prolonged QTcF-interval (>450 msec) or 12-lead ECG demonstrating specific abnormalities Moderate risk or higher for cardiovascular event within 5 years (>10%) Positive family history in 1st or 2nd degree relative <50 years for cardiac disease, or history of, or known active cardiac disease history of: psoriasis or porphyria which may be exacerbated by chloroquine; splenectomy, or sickle cell anaemia or other red blood cell disorders; allergy or contra-indication to chloroquine or atovaquone-proguanil Treatment with an investigational drug within 28 days or 5 half-lives of study medication; use of any drugs or dietary supplements within 7 days or 5 half-lives prior to study medication. Herbal supplements must be discontinued at least 28 days prior to study medication. As an exception, acetaminophen or ibuprofen may be used as approved by the investigator Use of any prohibited medication Grapefruit or product containing grapefruit from28 days before study medication or throughout the study History of drug or alcohol abuse within 12 months prior to dosing, or laboratory evidence of abuse Current smoking of more than 10 cigarettes or equivalent per day Plan for major surgery between enrolment and study completion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James G Kublin, MD/MPH
Organizational Affiliation
Fred Hutchinson Cancer Research Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fred Hutchinson Cancer Research Center - Prevention Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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DSM265 Prophylaxis of Plasmodium Falciparum Malaria

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