A Phase Ia Clinical Trial to Assess the Safety and Immunogenicity of the Blood-stage Malaria Candidate Vaccines RH5.1 in Matrix-M and R78C in Matrix-M in Healthy UK Adults

Malaria, Falciparum Clinical Trial

Official title:

A Phase Ia Clinical Trial to Assess the Safety and Immunogenicity of the Blood-stage Malaria Candidate Vaccines RH5.1 in Matrix-M and R78C in Matrix-M, Both Alone and in Combination, in Healthy UK Adults

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05385471
• Other study ID #: VAC089
• Status: Recruiting
• Phase: Early Phase 1
• Start date: January 13, 2023
• Est. completion date: July 31, 2024

Study information

• Verified date: December 2023
• Source: University of Oxford
• Contact: Volunteer Recruitment Co-ordinator
• Phone: 01865 611424
• Email: vaccinetrials[@]ndm.ox.ac.uk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is an open-label, single-centre Phase I P. falciparum blood-stage vaccine trial to assess the safety and immunogenicity and efficacy of the candidate malaria vaccines R78C and RH5.1 formulated in adjuvant Matrix-M

Description:

Volunteers will be recruited into one of four groups (n=8+1 per group) at the Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Oxford. Volunteers in groups 1, 2 and 4 will be followed up for a total of approximately 12 months. There will be 3 sentinel participants in each group (and for each successive vaccination), which will require an independent safety review prior to each successive vaccination. Group 3 is not a first-in-human group and so can be recruited at any time and participants will be followed up for a total of approximately 20 months from first vaccination. All volunteers will be given 10 µg R78C and/or 10 µg RH5.1 soluble protein in combination with 50 µg of Matrix-M via intramuscular (IM) injection in the deltoid region of the non-dominant arm.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 36
• Est. completion date: July 31, 2024
• Est. primary completion date: July 31, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

The volunteer must satisfy all the following criteria to be eligible for the study:

• Healthy adult aged 18 to 45 years

• Able and willing (in the Investigator's opinion) to comply with all study requirements.

• Willing to allow the Investigators to discuss the volunteer's medical history with their GP

• Participants of childbearing potential only: must practice continuous effective contraception until 3 months after the final study vaccination (see section 9.10)

• Agreement to refrain from blood donation for the duration of the study

• Able and willing to provide written informed consent to participate in the trial

Exclusion Criteria:

The volunteer may not enter the study if any of the following apply:

• History of clinical malaria (any species) or previous participation in any malaria vaccine trial or controlled human malaria infection trial

• Travel to a clearly malaria endemic locality during the study period or within the preceding six months

• Use of immunoglobulins or blood products (e.g. blood transfusion) in the last three months

• Receipt of any vaccine in the 30 days preceding enrolment, or planned receipt of any other vaccine within 30 days following each study vaccination, with the exception of COVID-19 vaccines, which should not be received between 14 days before to 7 days after any study vaccination

• Receipt of an investigational product in the 30 days preceding enrolment, or planned receipt during the study period

• Concurrent involvement in another clinical trial involving an investigational product or planned involvement during the study period

• Prior receipt of an investigational vaccine likely to impact on interpretation of the trial data, as assessed by the Investigator

• Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed)

• History of allergic disease or reactions likely to be exacerbated by any component of the vaccine

• Any history of anaphylaxis in reaction to vaccinations

• Pregnancy, lactation or intention to become pregnant during the study

• History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)

• History of serious psychiatric condition that may affect participation in the study

• Any other serious chronic illness requiring hospital specialist supervision

• Suspected or known current alcohol misuse as defined by an alcohol intake of greater than 25 standard UK units every week

• Suspected or known injecting drug use in the 5 years preceding enrolment

• Hepatitis B surface antigen (HBsAg) detected in serum

• Seropositive for hepatitis C virus (antibodies to HCV) at screening (unless volunteer has taken part in a prior hepatitis C vaccine study with confirmed negative HCV antibodies prior to participation in that study, and negative HCV ribonucleic acid (RNA) PCR at screening for this study)

• Volunteers unable to be closely followed for social, geographic or psychological reasons.

• Any clinically significant abnormal finding on biochemistry or haematology blood tests, urinalysis or clinical examination. In the event of abnormal test results, confirmatory repeat tests will be requested.

• Any other significant disease, disorder, or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data

• Inability of the study team to contact the volunteer's GP to confirm medical history and safety to participate

Related Conditions & MeSH terms

• Malaria
• Malaria, Falciparum

Intervention

Biological:
• Matrix M with R78C and/or RH5.1
50 µg of Matrix-M adjuvant with R78C and/or RH5.1 at different doses and timepoints

Locations

Country	Name	City	State
United Kingdom	CCVTM, University of Oxford, Churchill Hospital	Oxford

Sponsors (1)

Lead Sponsor	Collaborator
University of Oxford

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To assess the safety of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy adult volunteers at alone and in combination by assessing the occurrence of solicited local reactogenicity signs and symptoms for 7 days following each vaccination	Occurrence of solicited local reactogenicity signs and symptoms for 7 days following each vaccination. These will be tabulated, detailing frequency, duration and severity of AEs. Haematological and biochemical laboratory values will be presented according to local grading scales.	7 days following each vaccination
Primary	To assess the safety of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy adult volunteers at alone and in combination by assessing the occurrence of solicited systemic reactogenicity signs and symptoms for 7 days following each vaccination	Occurrence of solicited systemic reactogenicity signs and symptoms for 7 days following each vaccination. These will be tabulated, detailing frequency, duration and severity of AEs. Haematological and biochemical laboratory values will be presented according to local grading scales.	7 days following each vaccination
Primary	To assess the safety of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy adult volunteers at alone and in combination by assessing the occurrence of unsolicited adverse events for 28 days following the vaccination	Occurrence of unsolicited adverse events for 28 days following the vaccination. These will be tabulated, detailing frequency, duration and severity of AEs. Haematological and biochemical laboratory values will be presented according to local grading scales.	28 days following the vaccination
Primary	To assess the safety of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy adult volunteers at alone and in combination, assessed through the number of participants with abnormal laboratory test results	Occurrence of change from baseline laboratory tests	28 days following vaccination
Primary	To assess the safety of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy adult volunteers at alone and in combination, assessed through the number of participants with serious adverse events	Occurrence of serious adverse events during the whole study duration. Haematological and biochemical laboratory values will be presented according to local grading scales.	Whole duration of the Study (up to day 600 depending on group)
Secondary	To assess the humoral immunogenicity of R78C in Matrix-M™ and RH5.1 in Matrix-M when administered to healthy volunteers alone and in combination assessing antigen-specific IgG antibody levels, with comparison before and after vaccination	Serum ELISA response, quantitative antigen-specific IgG antibody levels (µg/mL readout) over time - analysis of peak responses and longevity, with comparison before and after vaccination	From a number of key timepoints, baseline up to day 600 (dependant on group)
Secondary	To assess the humoral immunogenicity of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy volunteers assessing antigen-specific antibody subclass/isotype measurement, with comparison before and after vaccination	Serum ELISA response, antigen-specific antibody subclass/isotype measurement, with comparison before and after vaccination	From a number of key timepoints, baseline up to day 600 (dependant on group)
Secondary	To assess the humoral immunogenicity of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy volunteers assessing antigen-specific antibody avidity measurement, with comparison before and after vaccination	Serum ELISA response, antigen-specific antibody avidity measurement, with comparison before and after vaccination	From a number of key timepoints, baseline up to day 600 (dependant on group)
Secondary	To assess the humoral immunogenicity of R78C in Matrix-M™ and RH5.1 in Matrix-M when administered to healthy volunteers alone and in combination assessing In vitro GIA, with comparison before and after vaccination	In vitro GIA against 3D7 clone P. falciparum parasites using purified total IgG and a single-cycle pLDH readout assay, with comparison before and after vaccination	From a number of key timepoints, baseline up to day 600 (dependant on group)
Secondary	To assess the humoral immunogenicity of R78C in Matrix-M™ and RH5.1 in Matrix-M in healthy volunteers assessing Purified IgG ELISA versus GIA titration "Quality Analysis", with comparison before and after vaccination	Purified IgG ELISA versus GIA titration "Quality Analysis"	From a number of key timepoints, baseline up to day 600 (dependant on group)