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NCT02925403

A Study to Assess the Safety and Immunogenicity of the Malaria Vaccine, R21, With Matrix-M1 Adjuvant

Completed Phase 1, PHASE2 Results posted Last updated 6 November 2019
What this trial tests

Phase 1, PHASE2 trial testing R21/Matrix-M1 in Malaria in 13 participants. Completed in 15 February 2017.

Timeline
26 August 2016
Primary endpoint
15 February 2017
15 February 2017

Quick facts

Lead sponsorUniversity of Oxford
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeprevention
Enrollment13
Start date26 August 2016
Primary completion15 February 2017
Estimated completion15 February 2017
Sites1 location across Burkina Faso

Drugs / interventions tested

Conditions studied

Sponsor

University of Oxford

Who can join

Adults 18 to 45, any sex, with Malaria. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety and Tolerability of Administration of R21/Matrix-M1 Assessed by the Occurrence of Solicited Local and Systemic Adverse Events. Primary · Assessment of solicited AEs in the first 7 days post vaccination.

Occurrence of solicited local and systemic adverse events (i.e: pain, redness, swelling and pruritus at injection site and temperature, feverishness, myalgia, arthralgia, malaise, headache and nausea).

GroupValue95% CI
Group 110
Group 20
Safety and Tolerability of R21/Matrix-M1 Assessed by the Occurrence of Unsolicited Adverse Events. Primary · Unsolicited AEs to be assessed up to 28 days post vaccination.

Occurrence of unsolicited local and systemic adverse events. This will be done by recording the number of participants who experience unsolicited adverse events.

GroupValue95% CI
Group 18
Group 25
Safety and Tolerability of R21/Matrix-M1 Assessed by the Occurrence of Serious Adverse Events. Primary · 6 months

Occurrence of serious adverse events will be collected from enrolment until the end of the follow-up period.

GroupValue95% CI
Group 10
Group 20
Safety and Tolerability of R21/Matrix-M1 Assessed by the Occurrence of Laboratory Adverse Events. Primary · At Day 0 (baseline), day 7 and day 28 post vaccination.

Occurrence of laboratory adverse events defined as clinically significant changes from baseline. Haematology (Full Blood Count) and Biochemistry (Kidney and Liver Function Tests) will be assessed.

GroupValue95% CI
Group 118
Group 215

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited adverse events will be recorded daily for 7 days post-vaccination Unsolicited AEs of all severities will be recorded from receipt of vaccination through 28 days post-vaccination. After study Day 28, only SAEs or new chronic medical conditions that require ongoing medical management will be recorded through to the last study visit.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group 1
Serious: 0/8 (0%)
Deaths: 0/8
Group 2
Serious: 0/5 (0%)
Deaths: 0/5
Other adverse events (38 terms — click to expand)

ReactionSystemGroup 1Group 2
NeutropaeniaBlood and lymphatic system disorders
NeutropaeniaBlood and lymphatic system disorders
NeutropaeniaBlood and lymphatic system disorders
RhinitisRespiratory, thoracic and mediastinal disorders
BronchitisRespiratory, thoracic and mediastinal disorders
SwellingSkin and subcutaneous tissue disorders
PainGeneral disorders
PainGeneral disorders
PainGeneral disorders
Joint painMusculoskeletal and connective tissue disorders
HeadacheGeneral disorders
HeadacheGeneral disorders
EpigastralgiaGastrointestinal disorders
EnteritisGastrointestinal disorders
EpigastralgiaGastrointestinal disorders
Ocular hyperhemiaEye disorders
EpididymitisReproductive system and breast disorders
FuruncleSkin and subcutaneous tissue disorders
Sore throatRespiratory, thoracic and mediastinal disorders
Teeth decayInfections and infestations
ConjunctivitisEye disorders
HeadacheGeneral disorders
AnaemiaBlood and lymphatic system disorders
Elevated CreatinineRenal and urinary disorders
AnaemiaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
Elevated CreatinineRenal and urinary disorders
Elevated CreatinineRenal and urinary disorders
SwellingSkin and subcutaneous tissue disorders
RednessSkin and subcutaneous tissue disorders
RhinitisRespiratory, thoracic and mediastinal disorders
BronchitisRespiratory, thoracic and mediastinal disorders
BronchitisRespiratory, thoracic and mediastinal disorders
ConjunctivitisEye disorders
FuruncleSkin and subcutaneous tissue disorders
Elevated ALTHepatobiliary disorders
Elevated ALTHepatobiliary disorders
Elevated ALTHepatobiliary disorders

Data from ClinicalTrials.gov NCT02925403 adverse events section.

Sponsor's own description

This is a study in which healthy adult volunteers will be given either an experimental Malaria vaccine or a saline control vaccine. Each volunteer will receive three vaccinations in total. Volunteers will be randomly allocated to one of two groups: Group 1 will receive a low dose of the Malaria vaccine on days 0, 28, and 56. Group 2 will receive a saline solution on days 0, 28, and 56.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Malaria vaccines since 2000: progress, priorities, products.
    Duffy PE, Patrick Gorres J. · · 2020 · cited 177× · PMID 32566259 · DOI 10.1038/s41541-020-0196-3
  2. The Matrix-M™ adjuvant: A critical component of vaccines for the 21<sup>st</sup> century.
    Stertman L, Palm AE, Zarnegar B, Carow B, et al · · 2023 · cited 72× · PMID 37113023 · DOI 10.1080/21645515.2023.2189885
  3. Novel Strategies for Malaria Vaccine Design.
    Frimpong A, Kusi KA, Ofori MF, Ndifon W. · · 2018 · cited 41× · PMID 30555463 · DOI 10.3389/fimmu.2018.02769
  4. <i>Plasmodium falciparum</i> Malaria Vaccines and Vaccine Adjuvants.
    Bonam SR, Rénia L, Tadepalli G, Bayry J, et al · · 2021 · cited 29× · PMID 34696180 · DOI 10.3390/vaccines9101072
  5. Immune responses to malaria pre-erythrocytic stages: Implications for vaccine development.
    Abuga KM, Jones-Warner W, Hafalla JCR. · · 2021 · cited 14× · PMID 32981095 · DOI 10.1111/pim.12795
  6. Evaluation of a novel malaria anti-sporozoite vaccine candidate, R21 in Matrix-M adjuvant, in the UK and Burkina Faso: two phase 1, first-in-human trials.
    Venkatraman N, Tiono AB, Bowyer G, Bellamy DG, et al · · 2025 · cited 5× · PMID 39805302 · DOI 10.1016/s2666-5247(24)00084-3
  7. Bioresponsive engineered nanoparticles for immunomodulation.
    Hegde M, Mishra A, Banerjee R, Bintee B, et al · · 2025 · cited 4× · PMID 41162977 · DOI 10.1186/s12916-025-04305-6
  8. Validation of a multiplexed immunoassay for immunological analysis of pre erythrocytic malaria vaccines.
    Stockdale LK, Provstgaard-Morys S, Bellamy D, Woods D, et al · · 2025 · cited 2× · PMID 39833208 · DOI 10.1038/s41541-024-01039-z

Verify or expand the search:

Other trials of R21/Matrix-M1

Trials testing the same drug.

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Currently open trials in the same condition.

Other University of Oxford trials

Trials by the same sponsor.

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