Malaria,FalciparumPhase 1NCT03867331
To Assess the Safety, Immunogenicity and Efficacy of VLPM01 in Healthy, Malaria-Naïve Volunteers
A Phase 1 study testing 5 microgram VLPM01, 15 microgram VLPM01 and 30 microgram VLPM01 in people with Malaria,Falciparum, run by VLP Therapeutics at 1 site in United States.
Trial summary
This study is a proof-of-concept, first in human, Phase I, single center study designed to evaluate the safety, tolerability, immunogenicity and experimental efficacy of VLPM01 in healthy, malaria-naïve adult volunteers. The VLPM01 product will be adjuvanted with alhydrogel. Read more about this study
- Who is it for?
- Ages 18 to 49 yearsHealthy volunteers can take part
- Conditions the study is for
- Malaria,Falciparum
- What is being tested?
- 5 microgram VLPM01, 15 microgram VLPM01 and 30 microgram VLPM01
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 1 siteUnited States
- Study dates
- 13 Mar 2019to 21 May 2020
- Phase
- Phase 1
- 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 49 years
- All sexes
- Healthy volunteers accepted
- Adult
Inclusion Criteria: It should say meet all the following criteria:
- Healthy adults between the ages 18-49 (inclusive);
- Able and willing to provide written, informed consent;
- Able and willing to comply with all research requirements, in the opinion of the Investigator;
- Agreement to refrain from blood donation during the course of the study. Volunteers who have undergone CHMI can donate to other research once the study is complete but cannot donate to the American Red Cross for at least three (3) years after the CHMI event;
- Laboratory Criteria within 56 days before enrollment:
- Hemoglobin ≥ 11.7 g/dL for women; ≥ 12.0 g/dL for men;
- White Blood Cell count = 3,800-10,800 cells/mm3;
- Platelets = 140,000-400,000/mm3;
- Alanine aminotransferase (ALT; SGPT) 9-46 U/L male and 6-29 U/L female;
- Serum creatinine ≤ 1.5 mg/dL;
- Negative HIV testing (HIV Ab / antigen 4th generation screen with reflex confirmatory RNA testing);
- Negative hepatitis B surface antigen (HBsAg) and hepatitis C antibody testing;
- Birth control requirements: Female participants must meet one of the following two (2) criteria:
- No reproductive potential due to post-menopausal status (12 months of natural [spontaneous] amenorrhea) or hysterectomy, bilateral oophorectomy or tubal ligation;
- Women of childbearing potential should agree to practice highly effective contraception at least 30 days before enrollment and through 60 days post-CHMI or post-last vaccination (whichever is latest), using one of the following methods: condoms (male or female) with spermicide; diaphragm, or cervical cap with spermicide; intrauterine device; contraceptive pills, patch, injection, intravaginal ring or other FDA-approved contraceptive method; male partner has previously undergone a vasectomy; abstinence. Male participants are encouraged but not required to practice highly effective contraception to avoid pregnancy in their partner from 30 days prior to enrollment through 60 days post-CHMI.
- For all female participants a negative β-HCG pregnancy test (urine) on day of enrollment, each day of vaccination, and the day of CHMI;
- Reachable (24/7) by mobile phone during the period between CHMI and 28 days post-CHMI, per volunteer report;
- No plans to travel outside the Washington DC metro area between the day of challenge and 28 days post-challenge;
- If a participant is active duty military, he or she must obtain approval from his or her supervisor per WRAIR Policy 11-45;
- Must have low (<10%) cardiac risk factors according to clinical Gaziano criteria assessed at screening, and a normal or normal variant ECG;
- Completion of Study Comprehension Quiz (minimum passing score of 70% with 3 attempts permitted).
Exclusion Criteria: Should meet anyone of the following criteria:
- History of malaria infection (any species) or residence in a malaria-endemic area for more than 5 years
- History of serology-confirmed or suspected chikungunya virus (CHIKV) infection;
- Previous travel to malaria endemic regions within the past three (3) months before study enrollment defined as first vaccination or day of challenge (for infectivity controls) or planned travel to malaria endemic regions during the vaccination, CHMI and follow-up period;
- Any history of receiving a malaria vaccine or chikungunya vaccine;
- Received an investigational product in the 30 days before enrollment, or planned to receive during the study period;
- Participation in another clinical research study that would require excessive blood draws in conjunction with this study (as determined by the investigator)
- Receipt of immunoglobulins or blood products within three (3) months before enrollment;
- Any history of anaphylaxis;
- History of sickle cell trait or disease, or any condition that could affect susceptibility to malaria infection, per patient verbal report;
- Pregnancy, lactation or intention to become pregnant during the study;
- Contraindications or allergies to the use of all three (3) proposed anti-malarial medications; Malarone (atovaquone/proguanil), Coartem (artemether/lumefantrine) and Chloroquine; contraindication to one or two is not exclusionary;
- History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ);
- History of autoimmune disease;
- Significant (e.g. systemic anaphylaxis) hypersensitivity reactions to mosquito bites (local reactions at the site of mosquito bites are not an exclusion criterion);
- Suspected or known current alcohol or drug abuse as defined by an alcohol intake of greater than three (3) drinks a day on average for a man, and greater than two (2) drinks a day on average for a woman for a period of 12 months before enrollment;
- Any medical, psychiatric, social condition, occupational reason or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent;
- Any clinically significant abnormal finding on chemistry or hematology blood tests or clinical examination, not already specified, as determined by the Investigator;
- Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data, in the opinion of the Investigator;
- Current anti-tuberculosis prophylaxis or treatment;
- History of splenectomy;
- History of confirmed or suspected immunodeficiency;
- Hereditary angioedema (HAE), acquired angioedema (AAE), or idiopathic forms of angioedema;
- Asthma that is unstable or required emergent care, urgent care, hospitalization or intubation during the past two (2) years;
- Diabetes mellitus (type I or II), with the exception of gestational diabetes;
- Thyroid disease;
- Idiopathic urticaria within the past year;
- Hypertension that is not well controlled by medication or is more than 150/95 at enrollment;
- Bleeding disorder diagnosed by a doctor (e.g., factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws;
- Chronic or active neurologic disease to include seizure disorder and chronic migraine headaches. Exceptions are: i) childhood febrile seizures, or ii) seizures secondary to alcohol withdrawal more than three [3] years ago;
- Participants receiving any of the following substances:
- Systemic immunosuppressive medications or cytotoxic medications within 12 weeks before enrollment [with the exception of a short course of corticosteroids (≤14 days duration or a single injection) for a self-limited condition at least two (2) weeks before enrollment; inhaled, intranasal or topical steroids are not considered exclusionary];
- History of receipt of malaria prophylaxis within eight (8) weeks of CHMI;
- Live attenuated vaccines within 28 days before initial study vaccine administration;
- Medically indicated subunit or killed vaccines, e.g. influenza, pneumococcal, or allergy treatment with antigen injections, planned for administration seven (7) days before or after study vaccine administration;
- History of arthritis diagnosis, either rheumatoid, osteoarthritis or any other type
- History of other diagnosed rheumatoid disorders.
Trial locations and contacts
1 site in 1 country.
United States1 site
Walter Reed Army Institute of Research
Bethesda, Maryland, 20889
About this study
Official title: A Phase I Dose Escalation Study With Controlled Human Malaria Infection (CHMI) to Assess the Safety, Immunogenicity and Efficacy of VLPM01 in Healthy, Malaria-Naïve Volunteers
This study is a proof-of-concept, first in human, Phase I, single center study designed to evaluate the safety, tolerability, immunogenicity and experimental efficacy of VLPM01 in healthy, malaria-naïve adult volunteers. The VLPM01 product will be adjuvanted with alhydrogel. The study design was based on the FDA's guidance "General Principles for the Development of Vaccines to protect Against Global Infectious Diseases" (2011).
Read the detailed description
The study will have four (4) phases: Screening, Dose Escalation, Controlled Human Malaria Infection (CHMI) and Follow-Up. The study will be conducted at the Walter Reed Army Institute of Research in Silver Spring, Maryland (WRAIR), as this institute has extensive experience in conducting clinical studies of malaria vaccines with CHMI.
A total of 36 participants will be enrolled in this study. Thirty (30) eligible participants will participate in the Dose Escalation Phase as vaccinees and 6 eligible participants will be added during the CHMI Phase to act as infectivity controls. Up to 6 additional eligible participants will serve as alternate vaccinees during the Dose Escalation Phase and up to 6 eligible participants will as act as alternate infectivity controls during the CHMI Phase. Alternates are only enrolled if a designated vaccinee is not eligible on the day of first vaccination or if a designated infectivity control is not eligible on the Day of Challenge. Withdrawn participants will not be replaced.
- Conditions
- Malaria,Falciparum
- Being tested
- 5 microgram VLPM01, 15 microgram VLPM01, 30 microgram VLPM01, Plasmodium falciparum challenge
- Medical subject headings
- Malaria, Falciparum
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
5 microgram VLPM01Biological
VLPM01 is an alpha-VLP pre-erythrocytic malaria vaccine which targets circumsporozoite protein (CSP), adjuvanted with 0.75 mg alum.
15 microgram VLPM01Biological
VLPM01 is an alpha-VLP pre-erythrocytic malaria vaccine which targets circumsporozoite protein (CSP), adjuvanted with 0.75 mg alum.
30 microgram VLPM01Biological
VLPM01 is an alpha-VLP pre-erythrocytic malaria vaccine which targets circumsporozoite protein (CSP), adjuvanted with 0.75 mg alum.
Plasmodium falciparum challengeOther
Expose forearms to five (5) Plasmodium falciparum (strain NF54; clone 3D7) bites
| Study group | Role | What they receive |
|---|---|---|
| 5 microgram VLPM01 | Experimental | 5 microgram doses of VLPM01 vaccine, intramuscular administration, n=10 Receives: Biological: 5 microgram VLPM01 |
| 15 microgram VLPM01 | Experimental | 15 microgram doses of VLPM01 vaccine, intramuscular administration, n=10 Receives: Biological: 15 microgram VLPM01 |
| 30 microgram VLPM01 | Experimental | 30 microgram doses of VLPM01 vaccine, intramuscular administration, n=10 Receives: Biological: 30 microgram VLPM01 |
| Controlled Human Malaria Infection (CHMI) Phase | Experimental | Infectivity Control Participants, n=6 Receives: Other: Plasmodium falciparum challenge |
What is being measured
The primary outcome is the main question the study is designed to answer.
Occurrence of solicited local reactogenicity to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination
Measured: 7 days following vaccination
Occurrence of solicited systemic reactogenicity to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination
Measured: 7 days following vaccination
Occurrence of unsolicited adverse events related to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination
Measured: 7 days following vaccination
Occurrence of adverse events of special interest during follow-up period
Measured: through study completion, an average of 18 months
Number of participants experiencing any serious adverse event after vaccination.
Measured: through study completion, an average of 18 months
Secondary outcomes (4)
Anti-CSP IgG levels measured by ELISA
Measured: day 113 after third dose
Positive thick blood smear test for P. falciparum malaria following CHMI
Measured: day 6 to day 20 post challenge
Time to first positive thick blood smear test for P. falciparum following CHMI
Number of subjects with Plasmodium Falciparum parasitemia defined by a positive blood slide, following sporozoite challenge
Measured: day 6 to day 20 post challenge
Percentage of participants with a minimum threshold of >20 μg/ml anti-CSP IgG after vaccination as measured by ELISA.
Measured: day 15 to post day 113 after third dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2019
- Study start13 Mar 2019
- Primary completion21 May 2020
- Study completion21 May 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Malaria,FalciparumStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- VLP Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03867331
- Sponsor's protocol ID
- VLPM01-01 WRAIR #2568
- Status last verified
- Apr 2021
- First submitted
- 28 Feb 2019
- Last updated
- 8 Apr 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Dose Escalation Study With Controlled Human Malaria Infection (CHMI) to Assess the Safety, Immunogenicity and Efficacy of VLPM01 in Healthy, Malaria-Naïve Volunteers
- ClinicalTrials.gov ID
- NCT03867331
- Acronym / sponsor ID
- VLPM01-01 WRAIR #2568
- Conditions
- Malaria,Falciparum
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- VLP TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 13 Mar 2019 (actual)
- Primary completion
- 21 May 2020 (actual)
- Study completion
- 21 May 2020 (actual)
- First posted
- 8 Mar 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a proof-of-concept, first in human, Phase I, single center study designed to evaluate the safety, tolerability, immunogenicity and experimental efficacy of VLPM01 in healthy, malaria-naïve adult volunteers. The VLPM01 product will be adjuvanted with alhydrogel. The study design was based on the FDA's guidance "General Principles for the Development of Vaccines to protect Against Global Infectious Diseases" (2011).
Detailed description
The study will have four (4) phases: Screening, Dose Escalation, Controlled Human Malaria Infection (CHMI) and Follow-Up. The study will be conducted at the Walter Reed Army Institute of Research in Silver Spring, Maryland (WRAIR), as this institute has extensive experience in conducting clinical studies of malaria vaccines with CHMI.
A total of 36 participants will be enrolled in this study. Thirty (30) eligible participants will participate in the Dose Escalation Phase as vaccinees and 6 eligible participants will be added during the CHMI Phase to act as infectivity controls. Up to 6 additional eligible participants will serve as alternate vaccinees during the Dose Escalation Phase and up to 6 eligible participants will as act as alternate infectivity controls during the CHMI Phase. Alternates are only enrolled if a designated vaccinee is not eligible on the day of first vaccination or if a designated infectivity control is not eligible on the Day of Challenge. Withdrawn participants will not be replaced.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 5 microgram VLPM01 | Experimental | Biological: 5 microgram VLPM015 microgram doses of VLPM01 vaccine, intramuscular administration, n=10 |
| 15 microgram VLPM01 | Experimental | Biological: 15 microgram VLPM0115 microgram doses of VLPM01 vaccine, intramuscular administration, n=10 |
| 30 microgram VLPM01 | Experimental | Biological: 30 microgram VLPM0130 microgram doses of VLPM01 vaccine, intramuscular administration, n=10 |
| Controlled Human Malaria Infection (CHMI) Phase | Experimental | Other: Plasmodium falciparum challengeInfectivity Control Participants, n=6 |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 5 microgram VLPM01VLPM01 is an alpha-VLP pre-erythrocytic malaria vaccine which targets circumsporozoite protein (CSP), adjuvanted with 0.75 mg alum. | Biological | 5 microgram VLPM01 |
| 15 microgram VLPM01VLPM01 is an alpha-VLP pre-erythrocytic malaria vaccine which targets circumsporozoite protein (CSP), adjuvanted with 0.75 mg alum. | Biological | 15 microgram VLPM01 |
| 30 microgram VLPM01VLPM01 is an alpha-VLP pre-erythrocytic malaria vaccine which targets circumsporozoite protein (CSP), adjuvanted with 0.75 mg alum. | Biological | 30 microgram VLPM01 |
| Plasmodium falciparum challengeExpose forearms to five (5) Plasmodium falciparum (strain NF54; clone 3D7) bites | Other | Controlled Human Malaria Infection (CHMI) Phase |
Primary outcome
Occurrence of solicited local reactogenicity to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination
Time frame: 7 days following vaccination
Occurrence of solicited systemic reactogenicity to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination
Time frame: 7 days following vaccination
Occurrence of unsolicited adverse events related to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination
Time frame: 7 days following vaccination
Occurrence of adverse events of special interest during follow-up period
Time frame: through study completion, an average of 18 months
Number of participants experiencing any serious adverse event after vaccination.
Time frame: through study completion, an average of 18 months
4 secondary outcomes
Anti-CSP IgG levels measured by ELISA
Time frame: day 113 after third dose
Positive thick blood smear test for P. falciparum malaria following CHMI
Time frame: day 6 to day 20 post challenge
Time to first positive thick blood smear test for P. falciparum following CHMI
Time frame: day 6 to day 20 post challenge
Percentage of participants with a minimum threshold of >20 μg/ml anti-CSP IgG after vaccination as measured by ELISA.
Time frame: day 15 to post day 113 after third dose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing 5 microgram VLPM01, 15 microgram VLPM01 and 30 microgram VLPM01 in people with Malaria,Falciparum, run by VLP Therapeutics at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 8 Apr 2021. 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 United States. 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 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.
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?
Occurrence of solicited local reactogenicity to VLPM01 at 5, 15 and 30 μg in the 7 days following vaccination (time frame: 7 days following vaccination). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 8 Apr 2021.