NCT00890760

Brief Summary

Malaria affects around 515 million people each year, about a million of whom die from the disease. It is a major problem for those who live in affected areas as well as for travellers to affected areas. There is a great need for a safe, effective malaria vaccine. The purpose of this study is to test 2 new vaccination regimes that include a new malaria vaccine candidate, for their ability to prevent malaria infection. The vaccines are different types of virus which contain genetic information (DNA) from the malaria parasite. This genetic material is named ME-TRAP. The aim is to use these viruses to help the body make an immune response against the malaria parasite. Both viruses are inactivated so that they are unable to multiply within the body. The first vaccine virus is a weakened version of a common cold virus. Such adenoviruses occur in many strain types and commonly infect chimpanzees as well as people and this vaccine uses a strain originally derived from a chimpanzee. The vaccine is called AdCh63 ME-TRAP. The other virus is Modified Vaccinia Ankara Virus, (MVA), which is a safer form of the vaccine virus previously widely used for smallpox vaccination. The vaccine is called MVA ME-TRAP. This study will enable the investigators to assess:

  1. 1.The ability of different vaccine combinations to prevent malaria infection
  2. 2.The safety of the vaccine combinations in healthy volunteers
  3. 3.The response of the human immune system to the vaccines

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
55

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Mar 2009

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2009

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 29, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 30, 2009

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2010

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2011

Completed
Last Updated

November 29, 2012

Status Verified

November 1, 2012

Enrollment Period

11 months

First QC Date

April 29, 2009

Last Update Submit

November 28, 2012

Conditions

Keywords

MalariaVaccine

Outcome Measures

Primary Outcomes (1)

  • Vaccine prevention (partial or complete) of malaria infection by sporozoite challenge

    Approxiamately 5-16 months following last intervention

Secondary Outcomes (1)

  • Safety of vaccine

    Approxiamately 5-16 months following last intervention

Study Arms (10)

Group 1

EXPERIMENTAL

AdCh63 ME-TRAP prime followed by MVA ME-TRAP boost 8 weeks later and challenged by sporozoite 3 weeks after boost

Biological: AdCh63 ME-TRAPBiological: MVA ME-TRAPOther: Sporozoite challenge

Group 2

EXPERIMENTAL

AdCh63 ME-TRAP alone followed by sporozoite challenge 3 weeks later

Biological: AdCh63 ME-TRAPOther: Sporozoite challenge

Group 3

EXPERIMENTAL

Non-vaccinated Control for Groups 1 and 2 challenged with sporozoite

Other: Sporozoite challenge

Group 4

EXPERIMENTAL

AdCh63 ME-TRAP prime followed by MVA ME-TRAP boost 8 weeks later and challenged by sporozoite 11 weeks after boost

Biological: AdCh63 ME-TRAPBiological: MVA ME-TRAPOther: Sporozoite challenge

Group 5

EXPERIMENTAL

AdCh63 ME-TRAP prime followed by MVA ME-TRAP boost 8 weeks later and challenged by sporozoite 3 weeks after boost

Biological: AdCh63 ME-TRAPBiological: MVA ME-TRAPOther: Sporozoite challenge

Group 6

EXPERIMENTAL

Protected volunteers from Group 1 re-challenged with sporozoite after 6 months

Biological: AdCh63 ME-TRAPOther: Sporozoite challenge

Group 7

EXPERIMENTAL

Non vaccinated control for Groups 4-6, 8-10 challenged with sporozoite

Other: Sporozoite challenge

Group 8

EXPERIMENTAL

3 vaccinations of mixture formulation AdCh63 ME-TRAP and MVA ME-TRAP give at 8 weeks interval each followed by sporozoite challenge 3 weeks after last vaccination

Other: Sporozoite challengeBiological: Mixture of AdCh63 ME-TRAP and MVA ME-TRAP intramuscularly

Group 9

EXPERIMENTAL

2 vaccinations of mixture formulation AdCh63 ME-TRAP and MVA ME-TRAP give at 8 weeks interval followed by sporozoite challenge 3 weeks after last vaccination

Other: Sporozoite challengeBiological: Mixture of AdCh63 ME-TRAP and MVA ME-TRAP intramuscularly

Group 10

EXPERIMENTAL

3 vaccinations of mixture formulation AdCh63 ME-TRAP and MVA ME-TRAP give at 4 weeks interval each followed by sporozoite challenge 3 weeks after last vaccination

Other: Sporozoite challengeBiological: Mixture of AdCh63 ME-TRAP and MVA ME-TRAP intramuscularly

Interventions

AdCh63 ME-TRAPBIOLOGICAL

5 x 10\*10 vp IM

Group 1Group 2Group 4Group 5Group 6
MVA ME-TRAPBIOLOGICAL

2 x 10\*8 pfu ID

Group 1Group 4Group 5

Infected mosquito bite

Group 1Group 10Group 2Group 3Group 4Group 5Group 6Group 7Group 8Group 9

AdCh63 ME-TRAP 5 x 10\*10 vp MVA ME-TRAP 2 x 10\*8 pfu

Group 10Group 8Group 9

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Able and willing (in the Investigator's opinion) to comply with all study requirements
  • Willing to allow the investigators to discuss the volunteer's medical history with their General Practitioner
  • For females only: willingness to practise effective contraception throughout the study
  • Agreement to refrain from blood donation during the course of the study
  • Written informed consent

You may not qualify if:

  • Participation in another research study involving an investigational product in the 30 days preceding enrolment, or planned use during the study period.
  • Prior receipt of an investigational malaria vaccine encoding ME-TRAP or any other investigational vaccine likely to impact on interpretation of the trial data
  • Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate
  • Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed)
  • Pregnancy, lactation or intention to become pregnant during the study
  • Contraindication to both anti-malarial drugs (Riamet® and chloroquine)
  • o concomitant use with other drugs known to cause QT-interval prolongation, ( e.g. macrolides, quinolones, amiodarone etc)
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g. egg products, Kathon.
  • History of clinically significant contact dermatitis
  • Any history of anaphylaxis in reaction to vaccination
  • History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
  • History of serious psychiatric condition
  • Any other serious chronic illness requiring hospital specialist supervision
  • Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week
  • Suspected or known injecting drug abuse
  • +8 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford

Oxford, Headington, OX3 7LJ, United Kingdom

Location

Related Publications (1)

  • Ewer KJ, O'Hara GA, Duncan CJ, Collins KA, Sheehy SH, Reyes-Sandoval A, Goodman AL, Edwards NJ, Elias SC, Halstead FD, Longley RJ, Rowland R, Poulton ID, Draper SJ, Blagborough AM, Berrie E, Moyle S, Williams N, Siani L, Folgori A, Colloca S, Sinden RE, Lawrie AM, Cortese R, Gilbert SC, Nicosia A, Hill AV. Protective CD8+ T-cell immunity to human malaria induced by chimpanzee adenovirus-MVA immunisation. Nat Commun. 2013;4:2836. doi: 10.1038/ncomms3836.

MeSH Terms

Conditions

Malaria

Condition Hierarchy (Ancestors)

Protozoan InfectionsParasitic DiseasesInfectionsMosquito-Borne DiseasesVector Borne Diseases

Study Officials

  • Adrian VS Hill, D.Phil, FRCP

    University of Oxford

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

April 29, 2009

First Posted

April 30, 2009

Study Start

March 1, 2009

Primary Completion

February 1, 2010

Study Completion

February 1, 2011

Last Updated

November 29, 2012

Record last verified: 2012-11

Locations