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Sporozoite Challenge of Polyprotein Vaccinees

Primary Purpose

Malaria, Falciparum, Malaria

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
FP9-PP (FP9 polyprotein)
MVA-PP (Modified Virus Ankara polyprotein)
Sponsored by
European Vaccine Initiative
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Malaria, Falciparum focused on measuring Malaria, Vaccine, Prime-boost, Challenge

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy non-pregnant adults aged 18 to 50 years
  • The vaccinated group will be subjects who have received the vaccine regime described for group 6 or 7 in VAC027.1
  • Resident in or near Oxford, UK for the duration of the challenge study
  • For females only, willingness to practice effective contraception during the challenge study.
  • Agreement to refrain from blood donation during the course of the study
  • Written informed consent
  • Willingness to allow the investigators to access hospital and General Practitioner medical notes
  • 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 (unless administered in VAC027.1)
  • Use of any investigational or non-registered drug, live 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 country within the previous 3 months prior to the planned challenge
  • 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
  • Evidence of cardiovascular disease
  • 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 requiring ongoing specialist supervision
  • Chronic gastrointestinal disease requiring ongoing specialist supervision
  • History of > 2 hospitalisations for invasive bacterial infections (pneumonia, meningitis)
  • 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 other on-going chronic illness requiring hospital specialist supervision
  • Acute disease at the time of enrolment
  • Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate
  • Pregnant or lactating female
  • Female who is willing or intends to become pregnant during the study
  • History of severe reactions or allergy to mosquito bites
  • PI 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

  • Imperial College, University of London
  • Centre for Clinical Vaccinology & Tropical Medicine, University of Oxford

Outcomes

Primary Outcome Measures

Efficacy (time in hours to parasitaemia)

Secondary Outcome Measures

Immunogenicity

Full Information

First Posted
September 10, 2006
Last Updated
October 18, 2007
Sponsor
European Vaccine Initiative
Collaborators
University of Oxford, Wellcome Trust, Walter Reed Army Institute of Research (WRAIR)
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1. Study Identification

Unique Protocol Identification Number
NCT00375128
Brief Title
Sporozoite Challenge of Polyprotein Vaccinees
Official Title
Assessment of Protection Against Malaria by Sporozoite Challenge of Healthy Adults Vaccinated With the Polyprotein Malaria Vaccines 'FP9-PP, MVA-PP' and Control Non-Vaccinated Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2007
Overall Recruitment Status
Completed
Study Start Date
September 2006 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
April 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
European Vaccine Initiative
Collaborators
University of Oxford, Wellcome Trust, Walter Reed Army Institute of Research (WRAIR)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study examines the ability of two new malaria vaccines (FP9-PP and MVA-PP) to prevent the development of malaria infection after controlled exposure to the parasite. Volunteers for this trial will have received these vaccines in the preceding trial VAC027.1.
Detailed Description
Malaria infection kills over 2 million people each year. It is a major problem for those who live in endemic areas and for travellers. There is clearly a great need for a safe effective malaria vaccine. The purpose of this study is to test the clinical efficacy of two candidate malaria vaccines (FP9-PP and MVA-PP). These live viral vector vaccines were administered in a 'prime boost' regime in the preceding trial VAC027.1. Volunteers will now be exposed to 5 infective bites from mosquitoes carrying P. falciparum malaria. This trial will: Measure efficacy as the time in hours from malaria exposure to blood film positive for malaria parasites Examine immunogenicity before and after malaria infection Measure longer term vaccine efficacy by re-challenging any protected volunteers 6 - 12 months later

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria, Falciparum, Malaria
Keywords
Malaria, Vaccine, Prime-boost, Challenge

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
26 (false)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
FP9-PP (FP9 polyprotein)
Intervention Type
Biological
Intervention Name(s)
MVA-PP (Modified Virus Ankara polyprotein)
Primary Outcome Measure Information:
Title
Efficacy (time in hours to parasitaemia)
Secondary Outcome Measure Information:
Title
Immunogenicity

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 non-pregnant adults aged 18 to 50 years The vaccinated group will be subjects who have received the vaccine regime described for group 6 or 7 in VAC027.1 Resident in or near Oxford, UK for the duration of the challenge study For females only, willingness to practice effective contraception during the challenge study. Agreement to refrain from blood donation during the course of the study Written informed consent Willingness to allow the investigators to access hospital and General Practitioner medical notes 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 (unless administered in VAC027.1) Use of any investigational or non-registered drug, live 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 country within the previous 3 months prior to the planned challenge 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 Evidence of cardiovascular disease 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 requiring ongoing specialist supervision Chronic gastrointestinal disease requiring ongoing specialist supervision History of > 2 hospitalisations for invasive bacterial infections (pneumonia, meningitis) 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 other on-going chronic illness requiring hospital specialist supervision Acute disease at the time of enrolment Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate Pregnant or lactating female Female who is willing or intends to become pregnant during the study History of severe reactions or allergy to mosquito bites PI 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
Imperial College, University of London
City
London
ZIP/Postal Code
SW7 2AZ
Country
United Kingdom
Facility Name
Centre for Clinical Vaccinology & Tropical Medicine, University of Oxford
City
Oxford
ZIP/Postal Code
OX3 7LJ
Country
United Kingdom

12. IPD Sharing Statement

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Sporozoite Challenge of Polyprotein Vaccinees

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