Safety and Immunogenicity of 30 and 100 µg of GMZ2 in Gabonese Children Aged 1-5 Years
Primary Purpose
Malaria
Status
Unknown status
Phase
Phase 1
Locations
Gabon
Study Type
Interventional
Intervention
GMZ 2 vaccine (GLURP + MSP 3)
GMZ 2 vaccine (GLURP + MSP 3)
Rabies vaccine
Sponsored by
About this trial
This is an interventional prevention trial for Malaria focused on measuring Malaria, Vaccine, GMZ2, Safety, African, immunogenicity
Eligibility Criteria
Inclusion Criteria:
- Children age 1-5 years inclusive at the time of screening;
- Residing in Lambaréné for the duration of the study;
- Written informed consent obtained before screening and study start, respectively;
- Available to participate in follow-up for the duration of study (13 months);
- General good health based on history and clinical examination.
Exclusion Criteria:
- Previous vaccination with any other malaria candidate vaccine.
- Concomitant vaccination with a investigational vaccine or a rabies vaccine;
- Use of a investigational or non-registered drug or vaccine other than the study vaccine(s) within 30 days preceding the first study vaccination, or planned use up to 30 days after the third vaccination;
- Chronic administration (defined as more than 14 days) of immuno-suppressants or other immune-modifying drugs within six months prior to the first vaccination. This includes any dose level of oral steroids or inhaled steroids, but not topical steroids;
- Confirmed or suspected immunosuppressive or immuno-deficient condition, including human immunodeficiency virus (HIV) infection;
- Confirmed or suspected autoimmune disease;
- History of allergic reactions or anaphylaxis to immunizations or to any of the vaccine components, or of serious allergic reactions to any substance, requiring hospitalization or emergent medical care;
- History of splenectomy;
- Laboratory evidence of liver disease (Alanine aminotransferase [ALT] greater than 1.25 times the upper limit of normal (<45 U/L) of the testing laboratory);
- Laboratory evidence of renal disease (serum creatinine greater than the upper limit of normal of the testing laboratory, or more than trace protein or blood on urine dipstick testing);
- Laboratory evidence of haematological disease (absolute leukocyte count 3.5-11/µL, absolute lymphocyte count 560-5280/µL, platelet count 120,000-400,000/µL, or haemoglobin 10.0-16.5g/dL);
- Administration of immunoglobulins and/or any blood products within the three months preceding the first study vaccination or planned administration during the study period;
- Simultaneous participation in any other interventional clinical trial;
- Acute or chronic pulmonary, cardiovascular, hepatic, renal or neurological condition, malnutrition, or any other clinical findings that in the opinion of the clinical investigator, may increase the risk of participating in the study;
- Other condition that in the opinion of the clinical investigator would jeopardize the safety or rights of a participant in the trial or would render the participant unable to comply with the protocol.
Sites / Locations
- Medical Research Unit, Albert Schweitzer Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
1
2
3
Arm Description
three doses of 30µg GMZ2,
3 doses of 100 µg of GMZ2
Rabies vaccine
Outcomes
Primary Outcome Measures
Immediate reactogenicity.
Local and systemic reactogenicity
unsolicited Adverse events
Occurrence of serious adverse events
Biological safety
Secondary Outcome Measures
Humoral immune response to GLURP and MSP 3
Cellular immune response
Full Information
NCT ID
NCT00703066
First Posted
June 20, 2008
Last Updated
November 23, 2008
Sponsor
African Malaria Network Trust
1. Study Identification
Unique Protocol Identification Number
NCT00703066
Brief Title
Safety and Immunogenicity of 30 and 100 µg of GMZ2 in Gabonese Children Aged 1-5 Years
Official Title
A Phase I, Randomized, Controlled, Double-Blind, Single Centre Trial to Evaluate the Safety and Immunogenicity of 30 and 100 µg of GMZ2 in Gabonese Children Aged 1-5 Years
Study Type
Interventional
2. Study Status
Record Verification Date
November 2008
Overall Recruitment Status
Unknown status
Study Start Date
June 2008 (undefined)
Primary Completion Date
July 2009 (Anticipated)
Study Completion Date
August 2009 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
African Malaria Network Trust
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The study aims to show that the candidate malaria vaccine GMZ2 is as safe as the already publicly used vaccine against rabies. 30 Gabonese children aged 1-5 years will be enrolled and randomly allocated to receive either malaria vaccine or rabies vaccine without the investigator or the participants knowing what they received. They will receive 3 doses each at one month intervals, and will be followed up for one year to evaluate safety parameters. 30 and 100µg doses for the candidate malaria vaccine GMZ 2 will be evaluated for safety.
This is the second time that candidate malaria vaccine GMZ 2 is being tested in Africa, the first time being in Gabonese adults where the product was found to be safe.
Detailed Description
Background. GMZ2 is a recombinant hybrid of the Glutamate Rich Protein (GLURP) and the Merozoite Surface Protein 3 (MSP 3).This product has been developed at State Serum Institute/EMVI in Denmark and Batch released by Henogen of Belgium. The phase Ia trial in malaria naive volunteers was done in Germany, at Tuebingen University. This phase Ia trial established safety of the vaccine and also assisted in selecting the best dosage (10, 30 or 100 µg). The dosage with the best safety and immunogenicity profile will be tested for the phase Ib trials in Gabon, including this phase Ib trial in children.
Objectives:
Primary objective:
To evaluate the safety and reactogenicity of three doses of 30 and 100µg GMZ2, adsorbed on aluminium hydroxide, in comparison with three doses of the control vaccine (rabies), in healthy Gabonese children aged 1-5 years.
Secondary objectives:
To assess the humoral immune response to the vaccine antigens GMZ2, GLURP and MSP3 by measuring the total IgG concentration and IgG isotypes against GMZ2 by ELISA.
To assess B-cell memory by memory B-cell ELISPOT.
Exploratory Objectives:
To assess the functionality of the immune response by measuring the Growth Inhibition of P. falciparum in the presence or absence of Monocytes, and by measuring the recognition of native antigen of P. falciparum by IFA.
Study Design:
Phase Ib double-blind, randomised, and controlled trial with three groups at one study site; rabies vaccine,30µg and 100 µg GMZ 2 vaccine.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria
Keywords
Malaria, Vaccine, GMZ2, Safety, African, immunogenicity
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
three doses of 30µg GMZ2,
Arm Title
2
Arm Type
Experimental
Arm Description
3 doses of 100 µg of GMZ2
Arm Title
3
Arm Type
Active Comparator
Arm Description
Rabies vaccine
Intervention Type
Biological
Intervention Name(s)
GMZ 2 vaccine (GLURP + MSP 3)
Intervention Description
three doses of 30µg of GMZ 2 vaccine,
Intervention Type
Biological
Intervention Name(s)
GMZ 2 vaccine (GLURP + MSP 3)
Intervention Description
100 µg of GMZ 2 vaccine
Intervention Type
Biological
Intervention Name(s)
Rabies vaccine
Intervention Description
3 doses of Rabies vaccine
Primary Outcome Measure Information:
Title
Immediate reactogenicity.
Time Frame
within 30 minutes after each injection
Title
Local and systemic reactogenicity
Time Frame
14 days following each immunization
Title
unsolicited Adverse events
Time Frame
up to 1 month after the 3rd vaccination
Title
Occurrence of serious adverse events
Time Frame
1 year
Title
Biological safety
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Humoral immune response to GLURP and MSP 3
Time Frame
1 year
Title
Cellular immune response
Time Frame
1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
1 Year
Maximum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Children age 1-5 years inclusive at the time of screening;
Residing in Lambaréné for the duration of the study;
Written informed consent obtained before screening and study start, respectively;
Available to participate in follow-up for the duration of study (13 months);
General good health based on history and clinical examination.
Exclusion Criteria:
Previous vaccination with any other malaria candidate vaccine.
Concomitant vaccination with a investigational vaccine or a rabies vaccine;
Use of a investigational or non-registered drug or vaccine other than the study vaccine(s) within 30 days preceding the first study vaccination, or planned use up to 30 days after the third vaccination;
Chronic administration (defined as more than 14 days) of immuno-suppressants or other immune-modifying drugs within six months prior to the first vaccination. This includes any dose level of oral steroids or inhaled steroids, but not topical steroids;
Confirmed or suspected immunosuppressive or immuno-deficient condition, including human immunodeficiency virus (HIV) infection;
Confirmed or suspected autoimmune disease;
History of allergic reactions or anaphylaxis to immunizations or to any of the vaccine components, or of serious allergic reactions to any substance, requiring hospitalization or emergent medical care;
History of splenectomy;
Laboratory evidence of liver disease (Alanine aminotransferase [ALT] greater than 1.25 times the upper limit of normal (<45 U/L) of the testing laboratory);
Laboratory evidence of renal disease (serum creatinine greater than the upper limit of normal of the testing laboratory, or more than trace protein or blood on urine dipstick testing);
Laboratory evidence of haematological disease (absolute leukocyte count 3.5-11/µL, absolute lymphocyte count 560-5280/µL, platelet count 120,000-400,000/µL, or haemoglobin 10.0-16.5g/dL);
Administration of immunoglobulins and/or any blood products within the three months preceding the first study vaccination or planned administration during the study period;
Simultaneous participation in any other interventional clinical trial;
Acute or chronic pulmonary, cardiovascular, hepatic, renal or neurological condition, malnutrition, or any other clinical findings that in the opinion of the clinical investigator, may increase the risk of participating in the study;
Other condition that in the opinion of the clinical investigator would jeopardize the safety or rights of a participant in the trial or would render the participant unable to comply with the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Kremsner, MD, PhD
Organizational Affiliation
Medical research Unit, Albert Schweitzer Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Medical Research Unit, Albert Schweitzer Hospital
City
Lambarene
Country
Gabon
12. IPD Sharing Statement
Citations:
PubMed Identifier
21829466
Citation
Belard S, Issifou S, Hounkpatin AB, Schaumburg F, Ngoa UA, Esen M, Fendel R, de Salazar PM, Murbeth RE, Milligan P, Imbault N, Imoukhuede EB, Theisen M, Jepsen S, Noor RA, Okech B, Kremsner PG, Mordmuller B. A randomized controlled phase Ib trial of the malaria vaccine candidate GMZ2 in African children. PLoS One. 2011;6(7):e22525. doi: 10.1371/journal.pone.0022525. Epub 2011 Jul 28.
Results Reference
derived
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Safety and Immunogenicity of 30 and 100 µg of GMZ2 in Gabonese Children Aged 1-5 Years
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