Malaria Clinical Trial
Official title:
Experimental Human Malaria Infection by Intradermal Injection of Plasmodium Falciparum Sporozoites (PfSPZ Challenge)
The study is a single center, varied dose, open label study. A maximum of eighteen volunteers will be exposed to live NF54 P. falciparum sporozoites (PfSPZ Challenge) by intradermal injection. Volunteers will be divided into three groups of 6 volunteers, each group spaced 25 days apart (21 days after the last challenge of the last volunteer from the previous dose group).
In every group on day 1, two volunteers will be injected. On day 3 the remaining four
volunteers of the group will be injected. Injections in subsequent volunteers are always
spaced at least one hour apart in any group. Injection of subsequent (groups of) volunteers
will only commence if the previous injection was shown to be safe. Three different doses of
PfSPZ will be administered: a dose of 2,500 PfSPZ Challenge (Group 1); a dose of 10,000
PfSPZ Challenge (Group 2) if not all volunteers become thick smear positive (TS+) in Group
1; and a dose of 25,000 PfSPZ Challenge (Group 3) if there is not 100% TS+ in Group 2. If
all volunteers in Group 1 (2,500 PfSPZ Challenge) become thick smear positive, then Group 2a
will receive 1,000 PfSPZ Challenge. If all volunteers in Group 2a become TS+, the volunteers
in Group 3a will receive 500 PfSPZ Challenge. If all volunteers in Group 2 (10,000 PfSPZ
Challenge) become TS+, Group 3b will receive 5,000 PfSPZ. If less than 100% of volunteers in
Group 2a (1,000 PfSPZ Challenge) become TS+ then Group 3c will receive 1,750 PfSPZ
Challenge.
The clinical, biological, parasitological and immunological data of these groups' volunteers
will be compared. Volunteers and the investigator will not be blinded, but the laboratory
personnel will be blinded.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label
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