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NCT03989102

Safety, Immunogenicity, and Protective Efficacy of Radiation Attenuated Plasmodium Falciparum NF54 Sporozoites (PfSPZ Vaccine) During Malaria Transmission Season in Healthy African Adult Women of Childbearing Potential in Mali

Completed Phase 2 Results posted Last updated 19 March 2024
What this trial tests

Phase 2 trial testing PfSPZ Vaccine in Malaria in 324 participants. Completed in 17 March 2023.

Timeline
3 July 2019
Primary endpoint
5 April 2022
17 March 2023

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment324
Start date3 July 2019
Primary completion5 April 2022
Estimated completion17 March 2023
Sites1 location across Mali

Drugs / interventions tested

Conditions studied

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Who can join

Under 38, 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.

Number of Participants With Adverse Events Within 7 Days After Each Vaccine Administration Primary · 7 days after each vaccination at days 1, 8, and 29

Assess safety and tolerability of PfSPZ Vaccine primary series in healthy Malian women of child-bearing potential (WOCBP) when given at 1, 8, 29 days at two doses (9 x10\^5; 1.8 x10\^6).

GroupValue95% CI
Arm 151
Arm 243
Arm 343

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events monitored/assessed for 7 days after each vaccination at days 1, 8, and 29, All-Cause Mortality monitored/assessed through year 4. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1
Serious: 0/100 (0%)
Deaths: 0/100
Arm 2
Serious: 0/100 (0%)
Deaths: 1/100
Arm 3
Serious: 0/100 (0%)
Deaths: 0/100
Other adverse events (27 terms — click to expand)

ReactionSystemArm 1Arm 2Arm 3
HeadacheNervous system disorders
Injection site painGeneral disorders
Neutrophil count decreasedInvestigations
White blood cell count decreasedInvestigations
AstheniaGeneral disorders
DiarrheaGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
Alanine Aminotransferase IncreasedInvestigations
NauseaGastrointestinal disorders
Abdominal PainGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Blood creatinine increasedInvestigations
Hemoglobin decreasedInvestigations
Injection site erythemaGeneral disorders
PainGeneral disorders
Pruritis (generalized)Skin and subcutaneous tissue disorders
White blood cell count increasedInvestigations
ChillsGeneral disorders
FatigueGeneral disorders
Injection site edemaGeneral disorders
Injection site pruritusGeneral disorders
Pruritus (localized)Skin and subcutaneous tissue disorders
PyrexiaGeneral disorders
ThrombocytopeniaBlood and lymphatic system disorders
UrticariaSkin and subcutaneous tissue disorders
Vessel puncture site erythemaGastrointestinal disorders

Data from ClinicalTrials.gov NCT03989102 adverse events section.

Sponsor's own description

Background: Malaria is a disease spread by mosquitos. Pregnant women are highly susceptible to malaria. This can lead to poor health outcomes for pregnant women and their babies. Researchers want to test a malaria vaccine in women of child bearing potential (WOCBP) and pregnant women. This has not been done before. Objective: To assess the safety and tolerability of PfSPZ vaccine in healthy Malian WOCBP. Eligibility: Healthy women ages 18 38 who live in Ouelessebougou, Mali, and surrounding villages Design: Participants will be screened with: * Physical exam * Medical history * Blood, urine, and heart tests * Multiple-choice test about malaria Participants will get 3 injections by needle into a vein of the study vaccine or a placebo. All 3 will be within 1 month. They will not know whether they receive the vaccine or placebo. Participants will receive treatment to prevent malaria. This will be about 2 weeks before the first and third injections. After the third injection, participants will be followed for about 1 year. They will be tested to see if the vaccine is safe and protects against malaria infection. They will have blood tests. If participants get a rash or injection site reaction, photos of the site may be taken. Any women who become pregnant during the trial will be followed through the end of pregnancy. Babies and their mothers will be followed through the first year of life

Publications & conference data

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

  1. Sporozoite immunization: innovative translational science to support the fight against malaria.
    Richie TL, Church LWP, Murshedkar T, Billingsley PF, et al · · 2023 · cited 44× · PMID 37571809 · DOI 10.1080/14760584.2023.2245890
  2. A PfSPZ vaccine immunization regimen equally protective against homologous and heterologous controlled human malaria infection.
    Mordmüller B, Sulyok Z, Sulyok M, Molnar Z, et al · · 2022 · cited 42× · PMID 35999221 · DOI 10.1038/s41541-022-00510-z
  3. Severe Acute Respiratory Syndrome Coronavirus 2 Seroassay Performance and Optimization in a Population With High Background Reactivity in Mali.
    Woodford J, Sagara I, Dicko A, Zeguime A, et al · · 2021 · cited 35× · PMID 34612499 · DOI 10.1093/infdis/jiab498
  4. Five decades of clinical assessment of whole-sporozoite malaria vaccines.
    Nunes-Cabaço H, Moita D, Prudêncio M. · · 2022 · cited 30× · PMID 36159849 · DOI 10.3389/fimmu.2022.977472
  5. Safety and efficacy of PfSPZ Vaccine against malaria in healthy adults and women anticipating pregnancy in Mali: two randomised, double-blind, placebo-controlled, phase 1 and 2 trials.
    Diawara H, Healy SA, Mwakingwe-Omari A, Issiaka D, et al · · 2024 · cited 24× · PMID 39153490 · DOI 10.1016/s1473-3099(24)00360-8
  6. Safety and Immunogenicity of Radiation-Attenuated PfSPZ Vaccine in Equatoguinean Infants, Children, and Adults.
    Jongo SA, Urbano Nsue Ndong Nchama V, Church LWP, Olotu A, et al · · 2023 · cited 7× · PMID 37160281 · DOI 10.4269/ajtmh.22-0773
  7. A new landscape for malaria vaccine development.
    Laurenson AJ, Laurens MB. · · 2024 · cited 6× · PMID 38935630 · DOI 10.1371/journal.ppat.1012309
  8. Recent malaria does not substantially impact COVID-19 antibody response or rates of symptomatic illness in communities with high malaria and COVID-19 transmission in Mali, West Africa.
    Woodford J, Sagara I, Diawara H, Assadou MH, et al · · 2022 · cited 3× · PMID 35990648 · DOI 10.3389/fimmu.2022.959697

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