Efficacy of Combined PEV3A Virosomal Vaccine and FP9-MVA ME-TRAP Prime Boost Regimen
Primary Purpose
Malaria, Malaria, Falciparum
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
PEV3A
FP9 ME-TRAP
MVA ME-TRAP
Sponsored by
About this trial
This is an interventional prevention trial for Malaria focused on measuring Malaria Vaccine
Eligibility Criteria
Inclusion Criteria:
- Healthy adults aged 18 to 50 years
- Written informed consent
- Resident in or near Oxford for the duration of the vaccination study
- For women only, willingness to practice continuous effective contraception during the study and (if participating) during the subsequent challenge study.
- Agreement to refrain from blood donation during the course of the study
- Willingness to undergo an HIV test
Exclusion Criteria:
- Any deviation from the protocol defined normal range in biochemistry or haematology blood tests or in urine analysis
- Prior receipt of an investigational malaria vaccine
- Use of any investigational or non-registered drug, vaccine or medical device other than the study vaccine within 30 days preceding dosing of study vaccine, or planned use during the study period
- Administration of chronic immunosuppressive drugs or other immune modifying drugs within six months of vaccination.
- History of malaria chemoprophylaxis with chloroquine within 5 months prior to the planned challenge, with Lariam within 6 weeks prior to the challenge, and Riamet® within 2 weeks prior to the challenge
- Any history of malaria
- Travel to a malaria endemic area within the previous 6 months
- Planned travel to malarious areas during the study period
- Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection and asplenia
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g. egg products
- History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
- History of haemoglobinopathies
- History of diabetes mellitus
- Chronic or active neurological disease
- History of > 2 hospitalisations for invasive bacterial infections
- Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week
- Seropositive for hepatitis B surface antigen (HBsAg)
- Seropositive for hepatitis C virus (antibodies to HCV)
- Hepatomegaly, right upper quadrant abdominal pain or tenderness
- Evidence of serious psychiatric condition
- Any on-going chronic illness requiring hospital specialist supervision
- Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate
- Pregnant or lactating woman
- Any woman who is willing or intends to become pregnant during the study
- Any history of anaphylaxis in reaction to vaccination
- Principal Investigator assessment of lack of willingness to participate and comply with all requirements of the protocol
- History or clinical evidence of intravenous drug abuse
- Any other finding which in the opinion of the investigator would significantly increase the risk of having an adverse outcome from participating in this protocol
Sites / Locations
- Centre for Clinical Vaccinology and Tropical Medicine
Outcomes
Primary Outcome Measures
Vaccine efficacy: The primary outcome is protection against malaria infection in a P. falciparum sporozoite challenge model.
Secondary Outcome Measures
Immunogenicity - Vaccine immunogenicity assessed by IFN-γ ELISPOT and ELISA for vaccine specific antibodies
Safety - Vaccine safety assessed by collection of local and systemic adverse events.
Full Information
NCT ID
NCT00408668
First Posted
December 5, 2006
Last Updated
December 5, 2006
Sponsor
University of Oxford
Collaborators
Medical Research Council, Pevion Biotech Ltd, Swiss Tropical & Public Health Institute, Walter Reed Army Institute of Research (WRAIR)
1. Study Identification
Unique Protocol Identification Number
NCT00408668
Brief Title
Efficacy of Combined PEV3A Virosomal Vaccine and FP9-MVA ME-TRAP Prime Boost Regimen
Official Title
Assessment of Protection Against Malaria by Sporozoite Challenge of Healthy Adults Vaccinated With the Virosomal Vaccine PEV3A and FP9-MVA ME-TRAP. A Phase I / IIa Controlled Challenge Trial
Study Type
Interventional
2. Study Status
Record Verification Date
October 2006
Overall Recruitment Status
Completed
Study Start Date
August 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
February 2006 (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
University of Oxford
Collaborators
Medical Research Council, Pevion Biotech Ltd, Swiss Tropical & Public Health Institute, Walter Reed Army Institute of Research (WRAIR)
4. Oversight
5. Study Description
Brief Summary
The purpose of this study is to test three candidate malaria vaccines in new combinations to assess their efficacy at preventing malaria infection and triggering immune responses against malaria.
Detailed Description
Two of the vaccines ('FP9 ME-TRAP' and 'MVA ME-TRAP') have been designed at the University of Oxford. The other vaccine (PEV3A) has been designed jointly between the Swiss Tropical Institute and a Swiss company called Pevion Biotech Ltd. These are new vaccines that have been given to only a limited number of people before.
We aim to test these vaccines by:
assessing their ability to prevent malaria infection
determining how good they are at triggering a detectable immune response against malaria
studying their safety further
Volunteers will be given up to six vaccinations over three months and will then be exposed to malaria infection. We do this by allowing mosquitoes infected with malaria to bite them under closely regulated conditions and observing if and when they develop blood stage malaria. If the vaccines provide some protection from malaria infection then either they will not develop malaria after the bites or the time taken to develop malaria will be longer. If not all volunteers are protected then we will be able to try and improve our vaccines by comparing the immune responses of volunteers who are protected to those not protected.
The information we get from this study may help to prevent malaria infection and disease in those who live in endemic areas and in travellers. The results of this study will be published in scientific journals and may be presented at professional meetings.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria, Malaria, Falciparum
Keywords
Malaria Vaccine
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (false)
8. Arms, Groups, and Interventions
Intervention Type
Biological
Intervention Name(s)
PEV3A
Intervention Type
Biological
Intervention Name(s)
FP9 ME-TRAP
Intervention Type
Biological
Intervention Name(s)
MVA ME-TRAP
Primary Outcome Measure Information:
Title
Vaccine efficacy: The primary outcome is protection against malaria infection in a P. falciparum sporozoite challenge model.
Secondary Outcome Measure Information:
Title
Immunogenicity - Vaccine immunogenicity assessed by IFN-γ ELISPOT and ELISA for vaccine specific antibodies
Title
Safety - Vaccine safety assessed by collection of local and systemic adverse events.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy adults aged 18 to 50 years
Written informed consent
Resident in or near Oxford for the duration of the vaccination study
For women only, willingness to practice continuous effective contraception during the study and (if participating) during the subsequent challenge study.
Agreement to refrain from blood donation during the course of the study
Willingness to undergo an HIV test
Exclusion Criteria:
Any deviation from the protocol defined normal range in biochemistry or haematology blood tests or in urine analysis
Prior receipt of an investigational malaria vaccine
Use of any investigational or non-registered drug, vaccine or medical device other than the study vaccine within 30 days preceding dosing of study vaccine, or planned use during the study period
Administration of chronic immunosuppressive drugs or other immune modifying drugs within six months of vaccination.
History of malaria chemoprophylaxis with chloroquine within 5 months prior to the planned challenge, with Lariam within 6 weeks prior to the challenge, and Riamet® within 2 weeks prior to the challenge
Any history of malaria
Travel to a malaria endemic area within the previous 6 months
Planned travel to malarious areas during the study period
Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection and asplenia
History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g. egg products
History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
History of haemoglobinopathies
History of diabetes mellitus
Chronic or active neurological disease
History of > 2 hospitalisations for invasive bacterial infections
Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week
Seropositive for hepatitis B surface antigen (HBsAg)
Seropositive for hepatitis C virus (antibodies to HCV)
Hepatomegaly, right upper quadrant abdominal pain or tenderness
Evidence of serious psychiatric condition
Any on-going chronic illness requiring hospital specialist supervision
Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate
Pregnant or lactating woman
Any woman who is willing or intends to become pregnant during the study
Any history of anaphylaxis in reaction to vaccination
Principal Investigator assessment of lack of willingness to participate and comply with all requirements of the protocol
History or clinical evidence of intravenous drug abuse
Any other finding which in the opinion of the investigator would significantly increase the risk of having an adverse outcome from participating in this protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Adrian VS Hill, MA, BM BCh, DPhil, DM
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Clinical Vaccinology and Tropical Medicine
City
Oxford
State/Province
Oxfordshire
ZIP/Postal Code
OX3 7LJ
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
18231580
Citation
Thompson FM, Porter DW, Okitsu SL, Westerfeld N, Vogel D, Todryk S, Poulton I, Correa S, Hutchings C, Berthoud T, Dunachie S, Andrews L, Williams JL, Sinden R, Gilbert SC, Pluschke G, Zurbriggen R, Hill AV. Evidence of blood stage efficacy with a virosomal malaria vaccine in a phase IIa clinical trial. PLoS One. 2008 Jan 30;3(1):e1493. doi: 10.1371/journal.pone.0001493. Erratum In: PLoS One. 2011;6(2). doi: 10.1371/annotation/419b2f36-d46f-4f8a-8ffb-7fd2bfb33aa6.
Results Reference
derived
Learn more about this trial
Efficacy of Combined PEV3A Virosomal Vaccine and FP9-MVA ME-TRAP Prime Boost Regimen
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