The purpose of this study is to assess the safety, tolerability and immunogenicity of two dose levels (1x10\^10 and 5x10\^10 virus particles (vp)) of the adenovirus serotype (Ad) Ad35.CS.01/Ad26.CS.01 prime-boost malaria candidate vaccine, followed by an evaluation of the protective efficacy of the higher dose level in an experimental malaria challenge. The study will be in 3 phases: 1. a dose escalation / vaccination phase in which both dose levels will be tested 2. a malaria challenge phase in which only subjects receiving the Ad35.CS.01/Ad26.CS.01 5x10\^10 vp dose level, together with six infectivity control subjects, will be exposed to experimental challenge with Plasmodium falciparum 3. a long term follow up phase in which all subjects who received active vaccine from both dose levels and/or malaria challenge will be included
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
36
Prime-boost schedule: Each subject receives two injections of Ad35.CS.01 (on Days 0 and 28) followed by one injection of Ad26.CS.01 (on either Day 55 or 59).
Prime-boost schedule: Each subject receives two injections of Ad35.CS.01 (on Days 0 and 28) followed by one injection of Ad26.CS.01 (on either Day 55 or 59).
Each placebo subject receives in total three injections of placebo: Day 0, Day 28, and either Day 55 or 59
Malaria Clinical Trials Center at Seattle Biomedical Research Institute
Seattle, Washington, United States
Solicited local and systemic adverse events (AEs)
Type and frequency of solicited local and systemic AEs to be recorded. Solicited AEs in the challenge period are collected via a reactogenicity checklist during study visits. Solicited AEs in the vaccination period are collected via a Subject Diary.
Time frame: For 7 days after each vaccination and at each visit during the challenge period
Unsolicited AEs
Type and frequency of unsolicited AEs to be recorded
Time frame: At each visit during the vaccination period
Vital signs
Temperature (oral), pulse, respiratory rate, blood pressure and pulse oximetry will be measured
Time frame: Before and after each vaccination during the vaccination period, before and after malaria challenge and at each visit during the challenge period
Changes in laboratory parameters from baseline to end of vaccination phase
Assessment made on the changes in each laboratory parameter from baseline to the end of the vaccination phase at each time point. Parameters measured: Biochemistry: glucose, potassium, creatinine, γ-glutamyl transferase, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, total bilirubin, C-reactive protein and erythrocyte sedimentation rate. Hematology: hemoglobin, hematocrit, white blood cell count, white blood cell differential, red blood cell count and platelet count. Urinalysis: leucocytes, blood, protein, ketones and glucose (by dipstick).
Time frame: Screening/baseline, 7 days after each vaccination, and Days 101 and 115 of the challenge period
Immunogenicity
* Anti-circumsporozoite antibodies will be assessed by enzyme-linked immunosorbent assay * T-cell responses against circumsporozoite protein will be assessed by ELISPOT assays and flow cytometry * Neutralizing antibodies to Ad26, and Ad35 will be assessed by neutralizing antibody assay
Time frame: Blood samples drawn at baseline (screening) and Study Days 14, 28, 42, 55/59, 69/73, 86 and 115
Efficacy - patent parasitemia
Development of patent parasitemia diagnosed on peripheral blood smear
Time frame: Vaccine recipients are monitored for the development of parasitemia for 28 days post-malaria challenge
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