DSM265 Prophylaxis of Plasmodium Falciparum Malaria

NCT ID: NCT02562872

Last Updated: 2022-01-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2017-05-31

Brief Summary

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The study is a single centre, randomised, placebo-controlled, double-blind study with DSM265 including up to two cohorts of healthy male and female volunteers aged 18 to 45 years.

The study will be conducted into two sequential parts (Cohort 1 and Cohorts 2a and 2b).

Detailed Description

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Cohort 1:

* Controlled human malaria infection on Day 0 (Direct Venous Inoculation of 3200 cryopreserved Plasmodium falciparum sporozoites)
* Drug administration on Day -3
* 8 subjects: 6 DSM265 400 mg: 2 matching placebo Clinical safety review of Cohort 1 in order to proceed to Cohorts 2a and 2b

Cohort 2a:

* Controlled human malaria infection on Day 0 (Direct Venous Inoculation of 3200 cryopreserved Plasmodium falciparum sporozoites)
* Drug administration on Day -X (to be defined following safety and pharmacokinetic data)
* 8 subjects: 6 DSM265 400 mg: 2 matching placebo

Cohort 2b:

* Controlled human malaria infection on Day 0 (infected mosquito bite)
* Drug administration on Day -X (to be defined following safety and pharmacokinetic data)
* 8 subjects: 6 DSM265 400 mg: 2 matching placebo

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cohort 1 Active DSM265

Group Type EXPERIMENTAL

DSM265

Intervention Type DRUG

DSM265 400 mg single oral dose

Sporozoites

Intervention Type BIOLOGICAL

Direct venous inoculation of 3200 cryopreserved Plasmodium falciparum (NF54 strain) sporozoites

Cohort 1 Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo to match DSM265, single oral dose

Sporozoites

Intervention Type BIOLOGICAL

Direct venous inoculation of 3200 cryopreserved Plasmodium falciparum (NF54 strain) sporozoites

Cohort 2a Active DSM265

Group Type EXPERIMENTAL

DSM265

Intervention Type DRUG

DSM265 400 mg single oral dose

Sporozoites

Intervention Type BIOLOGICAL

Direct venous inoculation of 3200 cryopreserved Plasmodium falciparum (NF54 strain) sporozoites

Cohort 2a Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo to match DSM265, single oral dose

Sporozoites

Intervention Type BIOLOGICAL

Direct venous inoculation of 3200 cryopreserved Plasmodium falciparum (NF54 strain) sporozoites

Cohort 2b Active DSM265

Group Type EXPERIMENTAL

DSM265

Intervention Type DRUG

DSM265 400 mg single oral dose

Infective mosquito bite

Intervention Type BIOLOGICAL

Five single bites by laboratory reared female Anopheles stephensi mosquitoes carrying Plasmodium falciparum

Cohort 2b Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo to match DSM265, single oral dose

Infective mosquito bite

Intervention Type BIOLOGICAL

Five single bites by laboratory reared female Anopheles stephensi mosquitoes carrying Plasmodium falciparum

Interventions

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DSM265

DSM265 400 mg single oral dose

Intervention Type DRUG

Placebo

Placebo to match DSM265, single oral dose

Intervention Type DRUG

Sporozoites

Direct venous inoculation of 3200 cryopreserved Plasmodium falciparum (NF54 strain) sporozoites

Intervention Type BIOLOGICAL

Infective mosquito bite

Five single bites by laboratory reared female Anopheles stephensi mosquitoes carrying Plasmodium falciparum

Intervention Type BIOLOGICAL

Other Intervention Names

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PfSPZ

Eligibility Criteria

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Exclusion Criteria

* Any history of malaria; any severe reactions to mosquito or insect bites; any history of anaphylaxis
* Plans to travel to malaria endemic region during the study period
* Previous participation in any malaria vaccine study or controlled human malaria infection study
* Participation in any other clinical study within 30 days of enrollment or plan to participate in another investigational vaccine/drug research during the study
* Breastfeeding or planning to become pregnant during the time of the study
* Positive Human Immunodeficiency Virus, Hepatitis B or C tests
* Any confirmed/suspected immunosuppressive or immunodeficient state
* History of serious psychiatric condition that may affect participation in the study, or history of convulsions, seizures, or of severe head trauma
* Symptoms, physical signs or laboratory values suggestive of systemic disorders
* History of cancer (except basal cell carcinoma of the skin)
* History of arrhythmias or documented prolonged QTcF-interval (\>450 msec) or 12-lead ECG demonstrating specific abnormalities
* Moderate risk or higher for cardiovascular event within 5 years (\>10%)
* Positive family history in 1st or 2nd degree relative \<50 years for cardiac disease, or history of, or known active cardiac disease
* history of: psoriasis or porphyria which may be exacerbated by chloroquine; splenectomy, or sickle cell anaemia or other red blood cell disorders; allergy or contra-indication to chloroquine or atovaquone-proguanil
* Treatment with an investigational drug within 28 days or 5 half-lives of study medication; use of any drugs or dietary supplements within 7 days or 5 half-lives prior to study medication. Herbal supplements must be discontinued at least 28 days prior to study medication. As an exception, acetaminophen or ibuprofen may be used as approved by the investigator
* Use of any prohibited medication
* Grapefruit or product containing grapefruit from28 days before study medication or throughout the study
* History of drug or alcohol abuse within 12 months prior to dosing, or laboratory evidence of abuse
* Current smoking of more than 10 cigarettes or equivalent per day
* Plan for major surgery between enrolment and study completion
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fred Hutchinson Cancer Center

OTHER

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

Center for Infectious Disease Research

UNKNOWN

Sponsor Role collaborator

Medicines for Malaria Venture

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James G Kublin, MD/MPH

Role: PRINCIPAL_INVESTIGATOR

Fred Hutchinson Cancer Research Centre

Locations

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Fred Hutchinson Cancer Research Center - Prevention Center

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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CDMRP-PR130402

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MMV_DSM265_14_03

Identifier Type: -

Identifier Source: org_study_id

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