This is an Open label, first-in-human, Phase I/IIa, blood-stage P. vivax malaria vaccine trial to assess the safety, immunogenicity and efficacy of the blood-stage Plasmodium vivax malaria vaccine candidate PvDBPII in Matrix M1 in healthy adults living in the UK.
This Phase I/IIa clinical trial is designed to primarily assess the safety of the PvDBPII-Matrix M1 vaccine in healthy volunteers and to establish whether the PvDBPII-Matrix M1 vaccine can demonstrate a reduced parasite multiplication rate in vaccinated subjects compared to infectivity controls in a blood-stage controlled human malaria infection model. Up to 24 healthy volunteers aged 18-45 will be recruited in England at the Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Oxford. Volunteers in Groups 1 and 2 will receive three doses of the PvDBPII 50ug/Matrix M1 50ug candidate vaccine prior to blood-stage CHMI 2-4 weeks after the third vaccination. Volunteers in Group 1 who complete 3 vaccinations and CHMI will be invited back for a fourth vaccination at 5 months following their third vaccination and form a new study group- Group 3. Volunteers will undergo blood stage CHMI with Plasmodium vivax. Volunteers in a parallel study (VAC069), who will undergo the same CHMI without prior vaccination, will be used as infectivity controls. Participants in Group 1 will be followed for approximately 9 months after the third vaccination, approximately 2 years in total from enrolment. Participants in Group 2 will be followed for 1 year from enrolment. Participants in Group 3 will be followed for 9 months after their final (fourth) vaccination, approximately up to 2.5 years in total from enrolment.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
24
50ug PvDBPII in 50ug Matrix M1
CCVTM, University of Oxford, Churchill Hospital
Oxford, United Kingdom
Safety of the PvDBPII-Matrix M1 Vaccine Candidate, Assessed Through Collection of Data on the Frequency, Duration and Severity of Solicited and Unsolicited Adverse Events.
Number of volunteers reporting a grade 3 solicited or unsolicited adverse event within 28 days post-vaccination or serious adverse event throughout the study period
Time frame: 12 months
Establish Whether the PvDBPII-Matrix M1 Vaccine Can Demonstrate a Reduced Parasite Multiplication Rate in Vaccinated Subjects Compared to Infectivity Controls in a Blood-stage Controlled Human Malaria Infection Model
Assessed by quantitative PCR-derived parasite multiplication rate (PMR). The PMR of the volunteers vaccinated with PvDBPII-Matrix M1 will be compared to the PMR of the malaria-naïve controls partaking in parallel primary CHMI in study VAC069.
Time frame: 12 months
Assessment of the Humoral Immunogenicity of the PvDBPII-Matrix M1 Vaccine Candidate.
Total IgG antibody response to the P. vivax Duffy-binding protein (PvDBPII) vaccine
Time frame: 12 months
Assessment of the Cellular Immunogenicity of the PvDBPII-Matrix M1 Vaccine Candidate.
PvDBPII-specific CD4+ CD45RA- CCR7- effector memory T cells producing IFN-γ at 14 days after the third vaccination
Time frame: 12 months
Immunological Readouts for Association With a Reduced Parasite Multiplication Rate
Correlation between anti-PvDBP responses induced by the PvDBPII-Matrix M1 vaccine candidate and PMR.
Time frame: 12 months
Assess the Durability of Any Reduction in PMR in Group 3 Volunteers Undergoing a Fourth Vaccination and Rechallenge
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Assessed by quantitative PCR-derived parasite multiplication rate (PMR). Comparison will be made between volunteers in Group 3 and two control groups: malaria-naive controls undergoing primary CHMI and volunteers undergoing their second CHMI in the parallel VAC069 study (NCT03797989).
Time frame: 12 months