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| ID | Type | Description | Link |
|---|---|---|---|
| A-13949 | Other Identifier | WRAIR Protocol ID | |
| ETrack Protocol No. 104936 | Other Identifier | E-Track | |
| MAL-045 | Other Identifier | GSK | |
| #20060900 | Other Identifier | Internal |
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| Name | Class |
|---|---|
| The PATH Malaria Vaccine Initiative (MVI) | OTHER |
| GlaxoSmithKline | INDUSTRY |
| United States Agency for International Development (USAID) | FED |
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The purpose of this study is to determine whether 2 investigational malaria vaccines are safe as well as protective against malaria in adults living in the United States
35 volunteers aged 18 to 50 years will be enrolled to receive one of 2 investigational malaria vaccines. The vaccines are made of a malaria protein FMP2.1 mixed in 2 different adjuvants (AS01B and AS02A). Five volunteers will get a small (10 µg) dose of FMP2.1/AS01B since this vaccine has not yet been in humans. If it is safe, then 15 volunteers will get 50 µg FMP2.1 in AS02A and 15 will get 50 µg FMP2.1 in AS01B. All vaccines are given IM in the deltoid of the non-dominant arm, every 1 month for 3 months. After vaccination, the subjects will follow up at clinical trials for evaluation of any adverse events.
20 vaccinees (10 from each 50 µg vaccine group) will undergo primary sporozoite challenge 14-30 days after dose 3 via bite of 5 malaria-infected mosquitoes. All subjects will have a blood slide prepared and read to check for asexual P. falciparum parasitemia at least once daily beginning day 5 post challenge. Beginning on day 10 post challenge, subjects will check into a designated hotel, where 24 hour evaluation and care will be available for 10 nights. After this hotel phase, there will be follow-up visits to ensure there are no late developments of malaria in those who have not fallen ill (and thus are considered protected).
Any subject who tests positive for malaria will be treated with chloroquine. Efficacy readouts are complete protection or significant delay in patency defined as >2 days than the median prepatent period for the 6 infectivity controls. These 6 controls receive no vaccine and are enrolled for malaria-challenge only in order to provide comparison group for vaccinated individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | FMP 2.1 50 μg FMP2.1/AS01B |
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| Group B | Experimental | FMP 2.1 50 μg FMP2.1/AS02A |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A FMP2.1/AS01B | Biological |
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| Group B FMP2.1/AS02A |
| Measure | Description | Time Frame |
|---|---|---|
| Number of adverse events | Up to 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-AMA-1 antibody titers during Immunization Phase | Up to 70 days | |
| Anti-AMA-I antibody titers during Challenge Phase | Up to 90 days | |
| Anti-AMA-I antibodies as percent parasite growth inhibition during Immunization Phase |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michele D. Spring, MD, M.S.P.H. | Walter Reed Army Institute of Research (WRAIR) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Trials Center, Walter Reed Army Institute of Research | Silver Spring | Maryland | 20910 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12011004 | Background | Dutta S, Lalitha PV, Ware LA, Barbosa A, Moch JK, Vassell MA, Fileta BB, Kitov S, Kolodny N, Heppner DG, Haynes JD, Lanar DE. Purification, characterization, and immunogenicity of the refolded ectodomain of the Plasmodium falciparum apical membrane antigen 1 expressed in Escherichia coli. Infect Immun. 2002 Jun;70(6):3101-10. doi: 10.1128/IAI.70.6.3101-3110.2002. | |
| 19390585 |
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| ID | Term |
|---|---|
| D008288 | Malaria |
| ID | Term |
|---|---|
| D011528 | Protozoan Infections |
| D010272 | Parasitic Diseases |
| D007239 | Infections |
| D000096724 | Mosquito-Borne Diseases |
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| Biological |
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| Up to 70 days |
| Anti-AMA-I antibodies as percent parasite growth inhibition during Challenge Phase | Up to 90 days |
| Time to parasitemia development after primary challenge following administration of the FMP2.l/ASOIB and FMP2.l /AS02A | Up to 1 Year |
| Spring MD, Cummings JF, Ockenhouse CF, Dutta S, Reidler R, Angov E, Bergmann-Leitner E, Stewart VA, Bittner S, Juompan L, Kortepeter MG, Nielsen R, Krzych U, Tierney E, Ware LA, Dowler M, Hermsen CC, Sauerwein RW, de Vlas SJ, Ofori-Anyinam O, Lanar DE, Williams JL, Kester KE, Tucker K, Shi M, Malkin E, Long C, Diggs CL, Soisson L, Dubois MC, Ballou WR, Cohen J, Heppner DG Jr. Phase 1/2a study of the malaria vaccine candidate apical membrane antigen-1 (AMA-1) administered in adjuvant system AS01B or AS02A. PLoS One. 2009;4(4):e5254. doi: 10.1371/journal.pone.0005254. Epub 2009 Apr 23. |
| D000079426 |
| Vector Borne Diseases |