Adenovirus Vaccine for Malaria
A Phase I Randomized, Controlled, Dosage-Escalation Trial to Evaluate the Immunogenicity, Safety, and Reactogenicity of an Adenovirus Type 35 Based Circumsporozoite Malaria Vaccine in Healthy Adults 18 to 45 Years of Age
2 other identifiers
interventional
75
1 country
2
Brief Summary
Malaria is caused by a parasite carried by a mosquito. Currently, there is no vaccine licensed to prevent malaria. The purpose of this study is to find the most effective and safest dose of an experimental vaccine for the treatment of malaria. Participants will include 72 healthy adults, ages18 to 45, enrolled at Vanderbilt University Medical Center and Stanford University. Volunteers will receive 3 doses of either the malaria vaccine or placebo (contains no vaccine) by injection into a muscle at 0, 1 and 6 months. Investigators will evaluate how the body responds to increasing dosage strengths of the vaccine. Study procedures include physical exam, multiple blood draws, and completion of a memory aid (diary). Each participant will be actively involved in the study for about 12 months. Then, an annual phone call will be made to check for any serious illness events for a period of 5 years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jan 2007
Longer than P75 for phase_1
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 31, 2006
CompletedFirst Posted
Study publicly available on registry
September 1, 2006
CompletedStudy Start
First participant enrolled
January 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedSeptember 22, 2014
June 1, 2014
7.4 years
August 31, 2006
September 18, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Frequency and severity of local, systemic, and safety laboratory adverse events.
Enrollment through to Day 208
Secondary Outcomes (3)
T cell responses against the malaria circumsporozoite antigen by enzyme-linked immunosorbent spot (ELISPOT) and flow cytometry.
Days 28, 56, 120, 180, 208.
Antibody titers against the malaria circumsporozoite antigen via enzyme-linked immunosorbent assay (ELISA).
Days 28, 56, 120, 180, 208.
Neutralizing antibody titers against Adenovirus type 35 by Adenovirus Neutralization Assay.
Days 28, 56, 120, 180, 208.
Study Arms (4)
Group C: Ad35.CS.01-10^10 vp/ml
EXPERIMENTAL15 subjects will receive dosage 10\^10 vp/mL; 3 subjects will receive placebo.
Group D: Ad35.CS.01-10^11 vp/ml
EXPERIMENTAL15 subjects will receive dosage 10\^11 vp/mL; 3 subjects will receive placebo.
Group A: Ad35.CS.01-10^8 vp/ml
EXPERIMENTAL15 subjects will receive dosage 10\^8 vp/mL; 3 subjects will receive placebo.
Group B: Ad35.CS.01-10^9 vp/ml
EXPERIMENTAL15 subjects will receive dosage 10\^9 vp/mL; 3 subjects will receive placebo.
Interventions
Normal saline.
Adenovirus Type 35 Circumsporozoite Malaria Vaccine (Ad35.CS.01); administered at 0, 1, and 6 months; dosage levels: 10\^8 viral particles (vp)/mL, 10\^9 vp/mL, 10\^10 vp/mL and 10\^11 vp/mL.
Eligibility Criteria
You may qualify if:
- Provision of informed consent before any protocol procedures are performed.
- Males and non-pregnant females between the ages of 18 and 45 years, inclusive.
- Females and males must agree to practice adequate contraception until at least 28 days following their last immunization dose (including abstinence; hormonal contraception; condoms with spermicidal agents; post-menopausal; or surgical sterilization/vasectomy).
- Participants must agree to avoid high risk sexual behavior for exposure to human immunodeficiency virus (HIV).
- In good health as determined by screening medical history, physical examination (PE), and laboratory assessments.
- Willingness to comply with protocol requirements.
- Willingness to be contacted annually for five years for assessment of serious adverse events.
- Must have access to a cell phone.
You may not qualify if:
- Current or recent (within the last four weeks) treatment with parenteral, inhaled, or oral corticosteroids (intranasal steroids are acceptable), or other immunosuppressive agents, or chemotherapy.
- History of splenectomy.
- Abnormal screening laboratory values. Any abnormal screening value for any screening test will exclude the subject from the study. Abnormal screening labs will not be repeated with the exception of high glucose levels will be repeated at a fasting state.
- Detectible neutralizing antibody titer against adenovirus serotype 35.
- History of intravenous (IV) drug abuse.
- History of, or current medical, occupational, social or family problems as a result of alcohol or illicit drug use.
- History of moderate to severe mental illness, as defined by symptoms interfering with social or occupational function or suicidal thoughts/attempts.
- History of receiving blood or blood products (such as blood transfusion, platelet transfusion, immunoglobulins, hyperimmune serum) in the previous 6 months.
- Vaccination with a live vaccine within the past 30 days or with a nonreplicating, inactivated, or subunit vaccine within the last 14 days.
- Known hypersensitivity to components of the vaccine.
- History of acute or chronic medical conditions including, but not limited to, disorders of the liver, kidney, lung, heart, or nervous system, or other metabolic or autoimmune/inflammatory conditions.
- History of coagulation defect or bleeding from (bruising at) multiple sites that cannot be linked to trauma or surgery.
- History of anaphylaxis or severe hypersensitivity reaction.
- Severe asthma, as defined by an emergency room visit or hospitalization within the last 12 months.
- Pregnant or breastfeeding women.
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Stanford University School of Medicine
Stanford, California, 94305-2200, United States
Vanderbilt University - Pediatric - Vanderbilt Vaccine Research Center
Nashville, Tennessee, 37232-2573, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 31, 2006
First Posted
September 1, 2006
Study Start
January 1, 2007
Primary Completion
June 1, 2014
Study Completion
June 1, 2014
Last Updated
September 22, 2014
Record last verified: 2014-06