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MalariaPhase 1/2SPZ-IrradNCT01082341

Immunization of Human Volunteers With P. Vivax Irradiated Sporozoites

A Phase 1/2 study testing Immunization with P. vivax irradiated sporozoites in people with Malaria, run by Malaria Vaccine and Drug Development Center at 1 site in Colombia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

It is possible to safely protect human volunteers immunized with P. vivax irradiated sporozoites from P. vivax challenge with live sporozoites. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Malaria
What is being tested?
Immunization with P. vivax irradiated sporozoites
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
1 siteColombia
Study dates
Jun 2012to Sep 2017
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • • Healthy 18 to 45 years old man or non-pregnant women.
  • To have the capacity to sign an informed consent in a free and voluntary way.
  • Have an acceptable understanding of the clinical trial through the approval of a questionnaire regarding the information given in the consent process.
  • Obligatory use of adequate contra-conceptive method from beginning of recruitment and screening time up to three months after last immunization
  • Do not have chronic or acute diseases. These conditions will be determined by clinical history, physical exam and laboratory tests.
  • To accept not traveling to malaria endemic areas during the clinical trial should
  • To have telephone at home or mobile phone that permit permanent contact for follow up
  • He (she) manifest that is willing to participated during both steps of the clinical trial.

Who cannot join

  • Volunteers with less than 18 old year or more than 45 old years.
  • Pregnant and suckling women will be excluded. Pregnancy will be determined both by interview, and by serum B-subunit chorionic gonadotrophin testing.
  • History of moderate or severe insect, or food allergies.
  • G-6PD deficiency or any Hb genetic defect (for example; sickle cell disease)
  • Previous malaria infection demonstrated by think smear, PCR or specific antimalarial antibodies.
  • If the subject has previously participated in a malarial vaccine trial.
Show all 14Show fewer
  • Clinical record of allergies to drug or insect bites.
  • Symptoms, signs or data from laboratory test that suggests to the physician any systemic disorder like renal, hepatic, cardiovascular, pulmonary, psychiatric disorders or other illnesses that could interfere with results of clinical trial or could compromise the health of the volunteer.
  • To have antibodies against hepatitis C, VIH, or hepatitis B superficial antigen and/or hepatitis B core antibodies.
  • To have any abnormality in the parameters assessed by blood laboratory tests. Base-line values will be established before initiation of the clinical trial.
  • Presence or history of an auto-immune disease such as; Asthma, lupus, rheumatoid arthritis, Graves's disease, Hashimoto tyroiditis, and others.
  • History of surgical removal of the spleen (splenectomy).
  • Volunteer with medical treatment known to alter the immune system before 3 months to recruitment, such as; cortico-steroids, chemotherapeutic agents, fludarabine, cyclosporine, tacrolimus, mycophenolate mofetil, rapamycine, ATG, alemtuzumab.
  • Alcoholism or drug abuse that may interfere with social relationship of individual.

Trial locations and contacts

1 site in 1 country.

Colombia1 site
  • Malaria Vaccine of Develepmente Center

    Cali, Valle del Cauca Department

Other trials in Colombia

About this study

Official title: Phase 1 and Phase 2a Clinical Trial:Immunization of Human Volunteers With P. Vivax Irradiated Sporozoites

It is possible to safely protect human volunteers immunized with P. vivax irradiated sporozoites from P. vivax challenge with live sporozoites.

Read the detailed description

Title: Phase 1 and Phase 2a Clinical Trial: Immunization of human volunteers with P. vivax irr-spz. (Short name: Irrad-SPZ) Population 27 healthy adult volunteers, males and non-pregnant females, between 18-45 years of age, who fulfill inclusion/exclusion criteria (described below) as determined by clinical history and serological tests. Approximately 20 parasitized blood-donor volunteers will be required to infected Anopheles mosquitoes which will be used to immunize volunteers with a total of 1000-1500 infected mosquitoes, during 8-10 months. Afterwards challenge to prove protection.

Number of Sites: 2 Study Duration: 2 years. Subject Duration : Step1: 1-2 hours to blood donors; Step 2 and 3: 2 years to immunized volunteers Objectives Primary

  • To assess the safety and protective efficacy of P. vivax irradiated sporozoite vaccination.

Secondary

  • To determine the immune responses and duration elicited by the P. vivax challenge in human Fy(+) volunteers previously immunized with irr-spz, as compared with non-immunized human volunteers.
  • To determine the immune responses and duration elicited by irr-spz immunization scheme in human Fy(+) volunteers; comparing it with the same immunization scheme with non irr-spz in Fy(-) participants, and also with controls exposed to the same mosquito bite scheme as that of immunization but using mosquitoes without parasite infection.
  • To study new antigens potentially useful to induce pre-erythrocytic protection against P. vivax malaria infection
Conditions
Malaria
Being tested
Immunization with P. vivax irradiated sporozoites
Keywords
GCP Good Clinical Practice, IFAT Indirect Immunofluorescence antibody test, MFA Membrane Feeding Assay, N Number (typically refers to subjects), RBC Red Blood Cells, SOP Standard Operating Procedure, TBS Thick blood smear, P. Vivax, irradiated sporozoite vaccination.
Medical subject headings
Malaria

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Immunization with P. vivax irradiated sporozoitesBiological

    Also called P. vivax irradiated sporozoites vaccine

    Anopheles albimanus mosquitoes will be infected by artificial membrane feeding using blood from P. vivax infected donors. Once mosquitoes are positive will be irradiated at 15000 cGy and kept in boxes until use.

    14 Fy(+) human volunteers in the experimental group will be immunized with 1,000-2,000 P. vivax irrad-spz bites. Seven Fy(+) volunteers in the control group will be exposed to non-infected mosquito bites. Six Fy(-) volunteers will be exposed to infective mosquito bites. For the challenge both the immunized and control groups will be exposed to 3 ± 1 infective mosquito bites. Volunteers will be closely monitored post infection and will be treated with antimalarials.

Study groups in NCT01082341
Study groupRoleWhat they receive
Fy(+)Experimental14 Fy(+) human volunteers in the experimental group will be immunized with 1,000-2,000 P. vivax irrad-spz bites
Receives: Biological: Immunization with P. vivax irradiated sporozoites
Fy(+) controlActive comparatorSeven Fy(+) volunteers in the control group will be exposed to non-infected mosquito bites.
Receives: Biological: Immunization with P. vivax irradiated sporozoites
Fy(-)Active comparatorSix Fy(-) volunteers will be exposed to infective mosquito bites.
Receives: Biological: Immunization with P. vivax irradiated sporozoites

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Three groups are considered to be intervened. Experimental, Control and Fy(-) groups. Comparison will be done between E and C groups for protective efficacy. For immune response tests E vs Fy(-),E vs Fy(-), and Fy(-) vs C, pairs will be compared.

    Measured: 2 years

Secondary outcomes (1)
  1. The number of subjects reporting any AEs, the occurrence of specifics AEs, and discontinuation due to AEs will be tabulated. Frequency of AEs will be cross-tabulated by group for each immunization session

    Measured: 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Mar 2010 (estimated)
  2. Study startJun 2012
  3. Primary completionMay 2015
  4. Study completionSep 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01082341
Sponsor's protocol ID
MVDC-2008-005
Other IDs
SPZ IRR HUMAN, 5R01HL086488-02
Acronym
SPZ-Irrad
Status last verified
Mar 2018
First submitted
5 Mar 2010
Last updated
23 Mar 2018
Results posted
No
Data monitoring committee
Yes

Publications

  • Wang R, Arevalo-Herrera M, Gardner MJ, Bonelo A, Carlton JM, Gomez A, Vera O, Soto L, Vergara J, Bidwell SL, Domingo A, Fraser CM, Herrera S. Immune responses to Plasmodium vivax pre-erythrocytic stage antigens in naturally exposed Duffy-negative humans: a potential model for identification of liver-stage antigens. Eur J Immunol. 2005 Jun;35(6):1859-68. doi: 10.1002/eji.200425807.

    PubMed 15864779
  • Coban C, Ishii KJ, Horii T, Akira S. Manipulation of host innate immune responses by the malaria parasite. Trends Microbiol. 2007 Jun;15(6):271-8. doi: 10.1016/j.tim.2007.04.003. Epub 2007 Apr 26.

    PubMed 17466521
  • Hoffman SL, Goh LM, Luke TC, Schneider I, Le TP, Doolan DL, Sacci J, de la Vega P, Dowler M, Paul C, Gordon DM, Stoute JA, Church LW, Sedegah M, Heppner DG, Ballou WR, Richie TL. Protection of humans against malaria by immunization with radiation-attenuated Plasmodium falciparum sporozoites. J Infect Dis. 2002 Apr 15;185(8):1155-64. doi: 10.1086/339409. Epub 2002 Apr 1.

    PubMed 11930326
  • Richie TL, Saul A. Progress and challenges for malaria vaccines. Nature. 2002 Feb 7;415(6872):694-701. doi: 10.1038/415694a.

    PubMed 11832958
  • Doolan DL, Hoffman SL, Southwood S, Wentworth PA, Sidney J, Chesnut RW, Keogh E, Appella E, Nutman TB, Lal AA, Gordon DM, Oloo A, Sette A. Degenerate cytotoxic T cell epitopes from P. falciparum restricted by multiple HLA-A and HLA-B supertype alleles. Immunity. 1997 Jul;7(1):97-112. doi: 10.1016/s1074-7613(00)80513-0.

    PubMed 9252123
  • Mellouk S, Lunel F, Sedegah M, Beaudoin RL, Druilhe P. Protection against malaria induced by irradiated sporozoites. Lancet. 1990 Mar 24;335(8691):721. doi: 10.1016/0140-6736(90)90832-p. No abstract available.

    PubMed 1969073
  • Nussenzweig R, Vanderberg J, Most H. Protective immunity produced by the injection of x-irradiated sporozoites of Plasmodium berghei. IV. Dose response, specificity and humoral immunity. Mil Med. 1969 Sep;134(10):1176-82. No abstract available.

    PubMed 4987036
  • Seguin MC, Klotz FW, Schneider I, Weir JP, Goodbary M, Slayter M, Raney JJ, Aniagolu JU, Green SJ. Induction of nitric oxide synthase protects against malaria in mice exposed to irradiated Plasmodium berghei infected mosquitoes: involvement of interferon gamma and CD8+ T cells. J Exp Med. 1994 Jul 1;180(1):353-8. doi: 10.1084/jem.180.1.353.

    PubMed 7516412
  • Weiss WR. Host-parasite interactions and immunity to irradiated sporozoites. Immunol Lett. 1990 Aug;25(1-3):39-42. doi: 10.1016/0165-2478(90)90088-8.

    PubMed 2283161
  • Weiss WR, Sedegah M, Beaudoin RL, Miller LH, Good MF. CD8+ T cells (cytotoxic/suppressors) are required for protection in mice immunized with malaria sporozoites. Proc Natl Acad Sci U S A. 1988 Jan;85(2):573-6. doi: 10.1073/pnas.85.2.573.

    PubMed 2963334
  • Collins WE, Contacos PG. Immunization of monkeys against Plasmodium cynomolgi by X-irradiated sporozoites. Nat New Biol. 1972 Apr 12;236(67):176-7. doi: 10.1038/newbio236176a0. No abstract available.

    PubMed 4624244
  • Collins WE, Nussenzweig RS, Ballou WR, Ruebush TK 2nd, Nardin EH, Chulay JD, Majarian WR, Young JF, Wasserman GF, Bathurst I, et al. Immunization of Saimiri sciureus boliviensis with recombinant vaccines based on the circumsporozoite protein of Plasmodium vivax. Am J Trop Med Hyg. 1989 May;40(5):455-64. doi: 10.4269/ajtmh.1989.40.455.

    PubMed 2658634
  • Gwadz RW, Cochrane AH, Nussenzweig V, Nussenzweig RS. Preliminary studies on vaccination of rhesus monkeys with irradiated sporozoites of Plasmodium knowlesi and characterization of surface antigens of these parasites. Bull World Health Organ. 1979;57 Suppl 1(Suppl):165-73.

    PubMed 120766
  • Zavala F, Cochrane AH, Nardin EH, Nussenzweig RS, Nussenzweig V. Circumsporozoite proteins of malaria parasites contain a single immunodominant region with two or more identical epitopes. J Exp Med. 1983 Jun 1;157(6):1947-57. doi: 10.1084/jem.157.6.1947.

    PubMed 6189951
  • Egan JE, Hoffman SL, Haynes JD, Sadoff JC, Schneider I, Grau GE, Hollingdale MR, Ballou WR, Gordon DM. Humoral immune responses in volunteers immunized with irradiated Plasmodium falciparum sporozoites. Am J Trop Med Hyg. 1993 Aug;49(2):166-73. doi: 10.4269/ajtmh.1993.49.166.

    PubMed 8357078

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Immunization with P. vivax irradiated sporozoites in people with Malaria, run by Malaria Vaccine and Drug Development Center at 1 site in Colombia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Colombia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Three groups are considered to be intervened. Experimental, Control and Fy(-) groups. Comparison will be done between E and C groups for protective efficacy. For immune response tests E vs Fy(-),E vs Fy(-), and Fy(-) vs C, pairs will be compared. (time frame: 2 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01082341, which also lists 114 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2018.

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