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NCT05400655

Anti-malaria MAb in Kenyan Children

Completed Phase 2 Results posted Last updated 16 October 2025
What this trial tests

Phase 2 trial testing L9LS in Plasmodium Falciparum Infection in 912 participants. Completed in 2 June 2024.

Timeline
14 September 2022
Primary endpoint
2 June 2024
2 June 2024

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment912
Start date14 September 2022
Primary completion2 June 2024
Estimated completion2 June 2024
Sites1 location across Kenya

Drugs / interventions tested

Conditions studied

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Who can join

Adults 5 Months to 10, any sex, with Plasmodium Falciparum Infection or 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 Local Adverse Events (AEs) Primary · Age De-escalation and Dose escalation: within 7 days of administration of intervention; Efficacy study: within 7 days after first intervention, and 7 days after second intervention (second intervention occurred 6 months post first intervention)

Number of participants with at least one solicited local adverse events occurring within seven days of administration of intervention. Local reactogenicity included injection site pain, tenderness, bruising, swelling, redness, induration, pruritus, and other (e.g. injection site reaction). Adverse events were captured by Investigator examination and history from participants.

Injection site pain
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo1
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Injection site swelling
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS2
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS2
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo1
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS2
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS3
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo1
Injection site reaction
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Injection site induration
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Injection site pruritus
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Injection site bruising
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Injection site redness
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Number of Participants With Local Adverse Events (AEs) (by Grade) Primary · Age De-escalation and Dose escalation: within 7 days of administration of intervention; Efficacy study: within 7 days after first intervention, and 7 days after second intervention (second intervention occurred 6 months post first intervention)

The severity of local AEs was graded using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Clinical Trials Grade 1: Pain = does not interfere with activity; Tenderness = mild discomfort to touch; Erythema/Redness = 2.5-5 cm; Induration/Swelling = 2.5-5 cm and does not interfere with activity. Grade 2: Pain = Repeated use of non-narcotic pain reliever \> 24 hours or interferes with daily activity; Tenderness= Discomfort with movement; Erythema/Redness = 5.1-10 cm; Induration/Swelling = 5.1-10 cm and interferes with activity. Grade 3: Pain = Any us

Grade 1
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS2
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS2
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo2
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS4
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Grade 2
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo1
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Grade 3
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo1
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Grade 4
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Grade 5
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Number of Participants With Systemic Adverse Events (AEs) Primary · Age De-escalation and Dose escalation: within 7 days of administration of intervention; Efficacy study: within 7 days after first intervention, and 7 days after second intervention (second intervention occurred 6 months post first intervention)

Number of participants with local adverse events occurring within seven days of administration of intervention. Systemic reactogenicity events included pyrexia (fever), malaise (feeling unusually tired or unwell), muscle aches, headache, chills, nausea, and joint pain. Adverse events were captured by Investigator examination and history from participants.

Chills
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Headache
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS3
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo1
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo1
Pyrexia
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo1
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo3
Malaise
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo1
Muscle aches
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Nausea
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo5
Joint pain
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Number of Participants With Systemic Adverse Events (AEs) (by Grade) Primary · Age De-escalation and Dose escalation: within 7 days of administration of intervention; Efficacy study: within 7 days after first intervention, and 7 days after second intervention (second intervention occurred 6 months post first intervention)

The severity of systemic adverse events occurring after the administration of L9LS was assessed using the grading scale below: Grade 1: Fever = 37.5\^oC-37.9\^oC; Fatigue, Headache, Myalgia = No interference with activity; Nausea = no interference with activity or 1-2 episodes/hour Grade 2: Fever = 38\^oC-38.4\^oC; Fatigue, Myalgia = Some interference with activity; Headache = Repeated use of non-narcotic pain reliever \> 24 hours or some interference with activity; Nausea = Some interference with activity or \> 2 episodes/24 hours Grade 3: Fever = 38.5\^oC-39.5\^oC; Fatigue = Prevents daily

Grade 1
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS3
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo2
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo10
Grade 2
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo3
Grade 3
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS1
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Grade 4
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0
Grade 5
GroupValue95% CI
Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo0
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo0
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS0
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo0
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo0

Adverse events — posted to ClinicalTrials.gov

Time frame: Age De-escalation and Dose-escalation study: monitor for all adverse events (related & unrelated) till end of subject participation in study, which may be up to three months from dosing Efficacy study: Related adverse events - till end of subject participation in study, which may be up to 12 months from dosing Unrelated grade 1 or grade 2 adverse events - up to 28 days following dosing. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Age De-escalation and Dose-escalation Study: Arm 1a: Age 5-10 Years, 5 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 2a: Age 5-59 Months, 5 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 2c: Age 5-10 Years, 10 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 3a: Age 5-10 Years, 20 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Age 5-10 Years, Placebo
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 3c: Age 5-59 Months, 10 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 4a: Age 5-59 Months, 20 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Age 5-59 Months, Placebo
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 5a: Age 5-71 Months, 30 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Arm 6a: Age 5-71 Months, 40 mg/kg of L9LS
Serious: 0/9 (0%)
Deaths: 0/9
Age De-escalation and Dose-escalation Study: Age 5-71 Months, Placebo
Serious: 0/6 (0%)
Deaths: 1/6
Efficacy Study: Arm 1a: Age 5-17 Months, 10-20 mg/kg of L9LS/Placebo
Serious: 5/54 (9%)
Deaths: 0/54
Efficacy Study: Arm 1b: Age 5-17 Months, 10-20 mg/kg of L9L/10-20 mg/kg of L9LS
Serious: 4/54 (7%)
Deaths: 0/54
Efficacy Study: Arm 1c: Age 5-17 Months, Placebo/Placebo
Serious: 9/54 (17%)
Deaths: 0/54
Efficacy Study: Arm 2a: Age 18-59 Months, 10-20 mg/kg of L9LS/Placebo
Serious: 2/54 (4%)
Deaths: 0/54
Efficacy Study: Arm 2b: Age 18-59 Months, 10-20 mg/kg of L9L/10-20 mg/kg of L9LS
Serious: 0/52 (0%)
Deaths: 0/52
Efficacy Study: Arm 2c: Age 18-59 Months, Placebo/Placebo
Serious: 6/56 (11%)
Deaths: 0/56

Serious adverse events (15 terms)

ReactionSystemAge De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Efficacy Study: Arm 1a: Ag…Efficacy Study: Arm 1b: Ag…Efficacy Study: Arm 1c: Ag…Efficacy Study: Arm 2a: Ag…Efficacy Study: Arm 2b: Ag…Efficacy Study: Arm 2c: Ag…
MalariaInfections and infestations
HydroceleCongenital, familial and genetic disorders
Oesophageal ObstructionGastrointestinal disorders
PyrexiaGeneral disorders
BronchiolitisInfections and infestations
Febrile InfectionInfections and infestations
GastroenteritisInfections and infestations
Gastroenteritis SalmonellaInfections and infestations
MumpsInfections and infestations
PneumoniaInfections and infestations
Typhoid FeverInfections and infestations
Burns Second DegreeInjury, poisoning and procedural complications
False Positive Investigation ResultInvestigations
MalnutritionMetabolism and nutrition disorders
EpilepsyNervous system disorders
Other adverse events (123 terms — click to expand)

ReactionSystemAge De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Age De-escalation and Dose…Efficacy Study: Arm 1a: Ag…Efficacy Study: Arm 1b: Ag…Efficacy Study: Arm 1c: Ag…Efficacy Study: Arm 2a: Ag…Efficacy Study: Arm 2b: Ag…Efficacy Study: Arm 2c: Ag…
MalariaInfections and infestations
Upper Respiratory Tract InfectionInfections and infestations
GastroenteritisInfections and infestations
PyrexiaGeneral disorders
Rash PapularSkin and subcutaneous tissue disorders
Feeling HotGeneral disorders
PertussisInfections and infestations
AnaemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
ConjunctivitisInfections and infestations
PneumoniaInfections and infestations
Tinea CapitisInfections and infestations
RhinitisInfections and infestations
Otitis MediaInfections and infestations
TonsillitisInfections and infestations
StomatitisGastrointestinal disorders
Body TineaGeneral disorders
BronchiolitisInfections and infestations
Rash PustularInfections and infestations
Septic RashInfections and infestations
Febrile ConvulsionNervous system disorders
HeadacheNervous system disorders
Rash VesicularSkin and subcutaneous tissue disorders
Injection Site SwellingGeneral disorders
AcarodermatitisInfections and infestations
Wound InfectionInfections and infestations
ContusionInjury, poisoning and procedural complications
Thermal BurnInjury, poisoning and procedural complications
Rash PruriticSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
Cerumen ImpactionEar and labyrinth disorders
Ear PainEar and labyrinth disorders
Abdominal PainGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
MalaiseGeneral disorders
Bacterial InfectionGeneral disorders
FuruncleInfections and infestations
Hepatitis AInfections and infestations
MumpsInfections and infestations
Wound SepsisInfections and infestations

Most-reported serious reactions: Malaria, Hydrocele, Oesophageal Obstruction, Pyrexia, Bronchiolitis, Febrile Infection, Gastroenteritis, Gastroenteritis Salmonella.

Data from ClinicalTrials.gov NCT05400655 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and tolerability of one-time subcutaneous (SC) administration of monoclonal antibody (MAb) L9LS in healthy Kenyan children aged 5 months to 10 years, as well as the protective efficacy of one or two doses of L9LS against naturally occurring Plasmodium falciparum (Pf) infection among Kenyan children aged 5 to 59 months at enrollment, in a setting of perennial high transmission.

Publications & conference data

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

  1. Low-Dose Subcutaneous or Intravenous Monoclonal Antibody to Prevent Malaria.
    Wu RL, Idris AH, Berkowitz NM, Happe M, et al · · 2022 · cited 91× · PMID 35921449 · DOI 10.1056/nejmoa2203067
  2. Safety and Efficacy of a Monoclonal Antibody against Malaria in Mali.
    Kayentao K, Ongoiba A, Preston AC, Healy SA, et al · · 2022 · cited 88× · PMID 36317783 · DOI 10.1056/nejmoa2206966
  3. Subcutaneous Administration of a Monoclonal Antibody to Prevent Malaria.
    Kayentao K, Ongoiba A, Preston AC, Healy SA, et al · · 2024 · cited 66× · PMID 38669354 · DOI 10.1056/nejmoa2312775
  4. Low-dose intravenous and subcutaneous CIS43LS monoclonal antibody for protection against malaria (VRC 612 Part C): a phase 1, adaptive trial.
    Lyke KE, Berry AA, Mason K, Idris AH, et al · · 2023 · cited 26× · PMID 36708738 · DOI 10.1016/s1473-3099(22)00793-9
  5. Chemoprevention of malaria with long-acting oral and injectable drugs: an updated target product profile.
    El Gaaloul M, Tchouatieu AM, Kayentao K, Campo B, et al · · 2024 · cited 11× · PMID 39425110 · DOI 10.1186/s12936-024-05128-1
  6. Monoclonal antibody applications in travel medicine.
    de Jong HK, Grobusch MP. · · 2024 · cited 8× · PMID 38221606 · DOI 10.1186/s40794-023-00212-x
  7. Anti-sporozoite monoclonal antibody for malaria prevention: secondary efficacy outcome of a phase 2 randomized trial.
    Skinner J, Kayentao K, Ongoiba A, Healy SA, et al · · 2025 · cited 7× · PMID 40461818 · DOI 10.1038/s41591-025-03739-y
  8. Technological advancements in antibody-based therapeutics for treatment of diseases.
    Lu RM, Chiang HL, Yuan JP, Wang HH, et al · · 2025 · cited 6× · PMID 41219972 · DOI 10.1186/s12929-025-01190-2

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