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Phase 1 N=32 Prevention

Trial to Evaluate L9LS in Healthy Adults

Malaria

Enrolled (actual)
32
Serious AEs
0.0%
Results posted
Oct 2023
Primary outcome: Primary: Number of Participants Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of L9LS Product Administration — 2; 3; 3; 4 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
VRC-MALMAB0114-00-AB (Drug); Plasmodium falciparum (P. falciparum) sporozoite challenge (Other)
Age
Adult · 18+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Sep 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of L9LS Product Administration
2; 3; 3; 4; 4; 3
PRIMARY
Number of Participants Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of L9LS Product Administration
4; 3; 2; 4; 5; 1
PRIMARY
Number of Participants With One or More Unsolicited Non-Serious Adverse Events (AEs) Following L9LS Product Administration
1; 0; 0; 0; 0; 1
PRIMARY
Number of Participants With One or More Unsolicited Non-Serious Adverse Events (AEs) Following Controlled Human Malaria Infection (CHMI)
0; 0; 0; 0; 0; 1
PRIMARY
Number of Participants With Serious Adverse Events (SAEs) Following L9LS Product Administration
0; 0; 0; 0; 0
PRIMARY
Number of Participants With New Chronic Medical Conditions Following L9LS Product Administration
0; 0; 0; 0; 0
PRIMARY
Number of Participants With Abnormal Laboratory Measures of Safety Following L9LS Product Administration
0; 0; 0; 0; 1; 1
SECONDARY
Number of Participants Who Developed Plasmodium Falciparum (P. Falciparum) Parasitemia Following Controlled Human Malaria Infection (CHMI) Challenge
1; 0; 1; 0; 6
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Maximum Observed Serum Concentration (Cmax)
41.5; 164.9; 66.5; 914.2; 68.9
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Time to Reach Maximum Observed Serum Concentration (Tmax)
0.08; 0.06; 9.94; 0.08; 5.86
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Beta Half-life (T1/2b)
62.06; 70.57; 73.39; 59.45; 66.95
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Clearance (CL) Following IV Administration
35.38; 43.54; 40.48
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Clearance (CL/F) Following SC or IM Administration
45.87; 60.70
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Volume of Distribution at Steady-State (Vss) Following IV Administration
3.13; 4.43; 3.42
SECONDARY
Pharmacokinetic (PK) Parameters of L9LS: Volume of Distribution at Steady-State (Vss/F) Following SC or IM Administration
4.70; 5.77

Summary

Background: Malaria is a parasitic disease carried by mosquitoes in tropical areas. There is no vaccine to prevent malaria infection. If not treated right away, it can become serious or deadly. Researchers want to test a drug to prevent malaria. Objective: To test if the drug L9LS is safe and if it prevents malaria infection in people. Eligibility: Healthy adults ages 18-50 who have never had malaria. Design: Participants were screened with a medical history, physical exam, and blood tests. Participants were divided into 6 groups: * Three groups received L9LS by infusion into a vein, and gave blood samples before and after infusion. * One group received L9LS injected into the fat under the skin. * One group did not get L9LS. * One group received L9LS injected into the muscle. All participants who received L9LS were monitored for side effects. They had 2-3 follow-up visits during the week after the drug was given, and gave blood samples. They received a thermometer to check their temperature daily for 7 days. They received a tool to measure any redness, swelling, or bruising at the injection site. Most participants took part in the controlled human malaria infection (CHMI) or malaria challenge to find out if L9LS prevents malaria after being bitten by infected mosquitos. Participants in the group who received L9LS injected in the muscle were enrolled after CHMI and did not take part in the CHMI. Participants who received CHMI were bitten by mosquitoes carrying the malaria parasites. A cup containing mosquitoes was placed on their arm for 5 minutes. On days 7-17 after exposure, they received daily study visits to give blood samples. Those who got malaria were treated immediately. On day 21, all CHMI participants received treatment for malaria. Participation lasted 2-6 months, depending on study group.

Eligibility Criteria

INCLUSION CRITERIA

A volunteer must have met all of the following criteria to be included:

  • Able and willing to complete the informed consent process
  • Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process
  • Available for clinical follow-up through the last study visit
  • 18 to 50 years of age
  • In good general health without clinically significant medical history
  • Physical examination without clinically significant findings within the 56 days prior to enrollment
  • Weight 10% five-year risk by the non-laboratory method (except Group 6)

Criteria Specific to Women:

  • Postmenopausal for at least 1 year, post-hysterectomy or bilateral oophorectomy, or if of childbearing potential:
  • Negative beta-human chorionic gonadotropin (beta-HCG) pregnancy test (urine or serum) on day of enrollment, and prior to product administration and CHMI, and
  • Agrees to use an effective means of birth control through the duration of study participation

EXCLUSION CRITERIA

A volunteer would have been excluded if one or more of the following conditions applied:

  • Woman who is breast-feeding or planning to become pregnant during study participation
  • Previous receipt of a malaria vaccine or anti-malaria monoclonal antibody
  • History of malaria infection
  • Any history of a severe allergic reaction with generalized urticaria, angioedema or anaphylaxis prior to enrollment that has a reasonable risk of recurrence during the study
  • Hypertension that is not well controlled
  • Receipt of any investigational study product within 28 days prior to enrollment/product administration (Note: SARS-CoV-2 vaccines approved by emergency use authorization are not exclusionary)
  • Receipt of any live attenuated vaccines within 28 days prior to enrollment/product administration
  • Receipt of any vaccine within 2 weeks prior to enrollment/product administration
  • Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with intramuscular injections or blood draws
  • History of a splenectomy, sickle cell disease or sickle cell trait
  • History of skeeter syndrome or anaphylactic response to mosquito-bites (except Group 6)
  • Known intolerance to chloroquine phosphate, atovaquone or proguanil (except Group 6)
  • Use or planned use of any drug with antimalarial activity that would coincide with study product or CHMI (except Group 6)
  • History of psoriasis or porphyria, which may be exacerbated after treatment with chloroquine (except Group 6)
  • Anticipated use of medications known to cause drug reactions with chloroquine or atovaquone-proguanil (Malarone) such as cimetidine, metoclopramide, antacids, and kaolin
  • History of Sjogren's Syndrome
  • History of chronic or recurrent salivary gland disorder diagnosed by a clinician (note: an isolated occurrence of parotitis, sialadenitis, sialolithiasis, or of a salivary gland tumor is not exclusionary)
  • History of therapeutic head or neck radiation
  • Any other chronic or clinically significant medical condition that in the opinion of the investigator would jeopardize the safety or rights of the volunteer, including but not limited to: diabetes mellitus type I, chronic hepatitis; OR clinically significant forms of: drug or alcohol abuse, asthma, autoimmune disease, infectious diseases, psychiatric disorders, heart disease, or cancer
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05019729). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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