Trial Outcomes & Findings for Safety and Immunogenicity of Plant-Derived Pfs25 VLP-FhCMB Malaria Transmission Blocking Vaccine in Healthy Adults (NCT NCT02013687)

NCT ID: NCT02013687

Last Updated: 2017-03-08

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

44 participants

Primary outcome timeframe

336 days

Results posted on

2017-03-08

Participant Flow

Participant milestones

Participant milestones
Measure
2 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
Overall Study
STARTED
6
6
16
16
Overall Study
COMPLETED
6
6
14
14
Overall Study
NOT COMPLETED
0
0
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
2 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
Overall Study
Lost to Follow-up
0
0
1
0
Overall Study
Protocol Violation
0
0
0
1
Overall Study
Withdrawal by Subject
0
0
0
1
Overall Study
Missed visits due to patient travel
0
0
1
0

Baseline Characteristics

Safety and Immunogenicity of Plant-Derived Pfs25 VLP-FhCMB Malaria Transmission Blocking Vaccine in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
2 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
Total
n=44 Participants
Total of all reporting groups
Age, Customized
36.8 years
STANDARD_DEVIATION 8.93 • n=5 Participants
36.7 years
STANDARD_DEVIATION 6.59 • n=7 Participants
36.1 years
STANDARD_DEVIATION 8.96 • n=5 Participants
30.6 years
STANDARD_DEVIATION 8.86 • n=4 Participants
34.3 years
STANDARD_DEVIATION 8.82 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
5 Participants
n=4 Participants
18 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
9 Participants
n=5 Participants
11 Participants
n=4 Participants
26 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
5 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants
14 Participants
n=4 Participants
38 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
11 Participants
n=4 Participants
28 Participants
n=21 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
5 Participants
n=4 Participants
15 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 336 days

Outcome measures

Outcome measures
Measure
2 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
Subjects With at Least One Adverse Event
4 Participants
4 Participants
11 Participants
15 Participants

PRIMARY outcome

Timeframe: 336 days

Outcome measures

Outcome measures
Measure
2 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
Subjects With Solicited Systemic Adverse Events
2 Participants
4 Participants
8 Participants
10 Participants

PRIMARY outcome

Timeframe: 336 days

Outcome measures

Outcome measures
Measure
2 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
Subjects With Solicited Local Adverse Events
4 Participants
6 Participants
12 Participants
15 Participants

SECONDARY outcome

Timeframe: 196 days

Population: In the "30 µg + Alhydrogel" group, 15 out of 16 patient samples were analyzed as 1 patient in the group had withdrawn from the study by study day 196. In the "100 µg + Alhydrogel" group, 13 out of 16 patient samples were analyzed due to 2 patients in the group withdrawing from the study and an insufficient serum sample from a third patient.

Serum anti-Pfs25 antibody IgG titers determined using an ELISA unit assay.

Outcome measures

Outcome measures
Measure
2 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
n=6 Participants
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=15 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=13 Participants
Pfs25 VLP- FhCMB vaccine
Assessment of Anti-Pfs25 IgG Following the Third Immunization.
139.2 Antibody Titer
Interval 19.0 to 1018.0
511.2 Antibody Titer
Interval 79.5 to 3287.0
492.9 Antibody Titer
Interval 202.4 to 1200.0
996.0 Antibody Titer
Interval 510.0 to 1942.0

SECONDARY outcome

Timeframe: 84 days

Assessment of TRA, as measured by the standard membrane feeding assay (SMFA), one month after the second vaccination (Study Day 84) in either the 30 μg or 100 μg dose groups.

Outcome measures

Outcome measures
Measure
2 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=16 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=15 Participants
Pfs25 VLP- FhCMB vaccine
Assessment of Transmission Reducing Activity (TRA) of Malaria Parasite
3.5 % TRA
Interval -106.4 to 54.7
4.3 % TRA
Interval -103.8 to 55.3

SECONDARY outcome

Timeframe: 196 days

Assessment of TRA, as measured by the standard membrane feeding assay (SMFA), showing ≥80% reduction of oocysts in Anopheles mosquito gut in ≥50% of the subjects with Study Day 196 sera (one month after the third vaccination) (Study Day 196) in either the 30 μg or 100 μg dose groups.

Outcome measures

Outcome measures
Measure
2 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
10 µg + Alhydrogel
Pfs25 VLP- FhCMB vaccine
30 µg + Alhydrogel
n=15 Participants
Pfs25 VLP- FhCMB vaccine
100 µg + Alhydrogel
n=13 Participants
Pfs25 VLP- FhCMB vaccine
Assessment of Transmission Reducing Activity (TRA) of Malaria Parasite
9.1 % TRA
Interval -92.1 to 56.9
22.5 % TRA
Interval -59.8 to 62.9

Adverse Events

2 µg + Alhydrogel

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

10 µg + Alhydrogel

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

30 µg + Alhydrogel

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

100 µg + Alhydrogel

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
2 µg + Alhydrogel
n=6 participants at risk
Pfs25 VLP-FhCMB vaccine
10 µg + Alhydrogel
n=6 participants at risk
Pfs25 VLP-FhCMB vaccine
30 µg + Alhydrogel
n=16 participants at risk
Pfs25 VLP-FhCMB vaccine
100 µg + Alhydrogel
n=16 participants at risk
Pfs25 VLP-FhCMB vaccine
Reproductive system and breast disorders
Breast Abscess
0.00%
0/6 • 7 months
196 days
16.7%
1/6 • Number of events 1 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
Surgical and medical procedures
Foot Deformity
0.00%
0/6 • 7 months
196 days
0.00%
0/6 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
6.2%
1/16 • Number of events 1 • 7 months
196 days

Other adverse events

Other adverse events
Measure
2 µg + Alhydrogel
n=6 participants at risk
Pfs25 VLP-FhCMB vaccine
10 µg + Alhydrogel
n=6 participants at risk
Pfs25 VLP-FhCMB vaccine
30 µg + Alhydrogel
n=16 participants at risk
Pfs25 VLP-FhCMB vaccine
100 µg + Alhydrogel
n=16 participants at risk
Pfs25 VLP-FhCMB vaccine
General disorders
Fatigue/Malaise
33.3%
2/6 • 7 months
196 days
33.3%
2/6 • 7 months
196 days
25.0%
4/16 • 7 months
196 days
37.5%
6/16 • 7 months
196 days
General disorders
Headache
0.00%
0/6 • 7 months
196 days
50.0%
3/6 • 7 months
196 days
31.2%
5/16 • 7 months
196 days
25.0%
4/16 • 7 months
196 days
Musculoskeletal and connective tissue disorders
Myalgia
33.3%
2/6 • 7 months
196 days
16.7%
1/6 • 7 months
196 days
6.2%
1/16 • 7 months
196 days
31.2%
5/16 • 7 months
196 days
Gastrointestinal disorders
Nausea
16.7%
1/6 • 7 months
196 days
16.7%
1/6 • 7 months
196 days
12.5%
2/16 • 7 months
196 days
25.0%
4/16 • 7 months
196 days
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
1/6 • 7 months
196 days
0.00%
0/6 • 7 months
196 days
12.5%
2/16 • 7 months
196 days
18.8%
3/16 • 7 months
196 days
General disorders
Chills
33.3%
2/6 • 7 months
196 days
16.7%
1/6 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
18.8%
3/16 • 7 months
196 days
Gastrointestinal disorders
Diarrhea
16.7%
1/6 • 7 months
196 days
0.00%
0/6 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
18.8%
3/16 • 7 months
196 days
General disorders
Sweats
0.00%
0/6 • 7 months
196 days
16.7%
1/6 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
12.5%
2/16 • 7 months
196 days
Gastrointestinal disorders
Vomiting
16.7%
1/6 • 7 months
196 days
0.00%
0/6 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
12.5%
2/16 • 7 months
196 days
General disorders
Fever
16.7%
1/6 • 7 months
196 days
0.00%
0/6 • 7 months
196 days
0.00%
0/16 • 7 months
196 days
0.00%
0/16 • 7 months
196 days

Additional Information

Dr. Jessica Chichester, Senior Scientist Immunology

Fraunhofer USA Center for Molecular Biotechnology

Phone: 302-369-3635

Results disclosure agreements

  • Principal investigator is a sponsor employee In no event shall the PI publish or present, at any time, the data generated in the course of the performance of the study.
  • Publication restrictions are in place

Restriction type: OTHER