This is a Phase 1, individually randomized, double-blind, dose escalating study designed to evaluate the safety, tolerability, and immunogenicity of Pfs230D1 conjugate vaccines, R21 nanoparticle vaccine, or their combination conjugate vaccines, formulated on Matrix-M in healthy African adults aged 18 to 50 years.
240 healthy adults (18-50 years of age) will be enrolled from Mali, Africa in a staggered manner by increasing Pfs230D1 dosing. Participants will be randomized by cohorts as (detailed below) to one of the study arms to receive single antigen (Pfs230D1 or R21) or combination (Pfs230D1 + R21) with 50 μg of Matrix-M, all administered as an IM injection on a 1, 29, 57-day schedule. Participants will be followed for safety for 6 months post last dose with continued assessment for clinical malaria cases and immunogenicity up until 12 months post last dose. Cohort 1 (n=120); 1:1:1:1:1:1 * Arm 1a (n=20): 6μg Pfs230D1-CRM197 + 5μg of R21 in 50μg Matrix-M * Arm 1b (n=20): 6μg Pfs230D1-CRM197 + 10μg of R21 in 50μg Matrix-M * Arm 1c (n=20): 12μg Pfs230D1-CRM197 + 5μg of R21 in 50μg Matrix-M * Arm 1d (n=20): 12μg Pfs230D1-CRM197 + 10μg of R21 in 50μg Matrix-M * Arm 1e (n=20): 5μg of R21 in 50μg Matrix-M * Arm 1f (n=20): 10μg of R21 in 50μg Matrix-M Followed by Cohort 2 (n=80); 1:1:1:1 * Arm 2a (n=20): 20μg Pfs230D1-CRM197 + 5μg of R21 in 50μg Matrix-M * Arm 2b (n=20): 20μg Pfs230D1-CRM197 + 10μg of R21 in 50μg Matrix-M * Arm 2c (n=20): 20μg Pfs230D1-CRM197 in 50μg Matrix-M * Arm 2d (n=20): 20μg Pfs230D1-EPA + 5μg of R21 in 50μg Matrix-M Followed by Cohort 3 (n=40); 1:1 * Arm 3a (n=20): 40μg Pfs230D1-CRM197 + 5μg of R21 in 50μg Matrix-M * Arm 3b (n=20): 40μg Pfs230D1-CRM197 + 10μg of R21 in 50μg Matrix-M
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
240
R21 is a portion of Pf circumsporozoite protein fused with hepatitis B surface antigen in the form of non-infectious virus-like particles (VLPs) produced in yeast cells (Hansenula) by recombinant DNA technology.
Recombinant Pfs230 domain 1 (Pfs230D1; a subdomain of a surface antigen of gametocytes, gametes, and zygotes, in the mosquito stage of Pf conjugated to CRM197 and adjuvanted with 50μg of Matrix-M.
Recombinant Pfs230D1 conjugated to a recombinant Pseudomonas aeruginosa ExoProtein A (EPA)
University of Science, Technique and Technology of Bamako (Usttb)
Bamako, Mali
Number of Participants with Immediate adverse events
Occurrence of immediate adverse events
Time frame: within 30-minutes following each dose
Number of Participants with Solicited local adverse events
Occurrence of solicited local adverse events
Time frame: for 7 days following each dose
Number of Participants with Solicited systemic adverse events
Occurrence of solicited systemic adverse events
Time frame: for 7 days following each dose
Number of Participants with Unsolicited adverse events
Occurrence of all unsolicited adverse events
Time frame: for 28 days following each dose
Number of Participants with Abnormal Laboratory Values post-vaccination
Any significant change from baseline for laboratory values defined as adverse events
Time frame: within 7 days following each dose
Number of Participants with Serious adverse events
Occurrence of serious adverse events
Time frame: Till 6 months post last dose
Anti-NANP IgG antibodies
Comparison of anti-NANP IgG antibodies
Time frame: at 2 weeks post dose 3 in all treatment arms
Anti-Pfs230D1 IgG antibodies
Comparison of Anti-Pfs230D1 IgG antibodies
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Vaccine adjuvant that contains purified saponin (from Quillaja saponaria Molina) and cholesterol and phosphatidyl choline. Matrix-M will be used at a 50μg dose for vaccinations.
Time frame: at 2 weeks post dose 3 in all treatment arms