R21/MM Dosing, Presentations, and Preservatives

NCT ID: NCT07194668

Last Updated: 2026-01-12

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

375 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-01

Study Completion Date

2026-12-31

Brief Summary

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This is a single blind randomised controlled trial. This study aims to assess whether a half-dose of the R21/Matrix-M malaria vaccine is as effective as the full dose in child and adults. The results will help optimize vaccine usage and improve malaria prevention strategies.

All participants will receive the same number of injections and will be randomly assigned to receive one of the followings:

1. The standard dose (10μg R21/50μg Matrix-M) of the malaria vaccine is administered in three doses over a two-month period (at Month 0, 1, and 2), followed by a booster dose at Month 11 (n=125).

or
2. A half dose (5μg R21/50μg Matrix-M) of the malaria vaccine is administered in three doses over a two-month period (at Month 0, 1, and 2), followed by a booster dose at Month 11.

If participant receive the half dose, it will come from one of two types of vaccine:

2a. 10 dose vials with adaptor Preservative Free (n=125) 2b. 10 dose vials with 2PE Preservative (n=125)

Clinical procedure for participants:

* Standardized symptom questionnaire
* Physical examination:

* Weight, height, pulse, blood pressure, respiratory rate, tympanic temperature.
* Spleen and liver size will be recorded if palpable.
* Pregnancy test (for female of child bearing potential)
* Venous blood collection (Pre-vaccination) 3mL
* Vaccination

Detailed Description

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Conditions

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Plasmodium Falciparum Malaria Malaria Vaccine Reaction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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The standard adult vaccine dose

Adults and adolescents receiving the standard adult vaccine dose

Group Type ACTIVE_COMPARATOR

10μg R21/50μg Matrix-M

Intervention Type BIOLOGICAL

Adults and adolescents receiving the standard adult vaccine dose: 10μg R21/50μg Matrix-M (n=125)

A half of the standard adult vaccine dose with adaptor Preservative Free

Adults and adolescents receiving a half of the standard adult vaccine dose with adaptor Preservative Free (n=125)

Group Type ACTIVE_COMPARATOR

5μg R21/50μg Matrix-M with adaptor preservative free

Intervention Type BIOLOGICAL

Adults and adolescents receiving a half of the standard adult vaccine dose: 5μg R21/50μg Matrix-M using two presentations: 10 dose vials with adaptor Preservative Free (n=125)

A half of the standard adult vaccine dose with 2PE Preservative

Adults and adolescents receiving a half of the standard adult vaccine dose with 2PE Preservative (n=125)

Group Type ACTIVE_COMPARATOR

5μg R21/50μg Matrix-M with 2PE preservative

Intervention Type BIOLOGICAL

Adults and adolescents receiving a half of the standard adult vaccine dose: 5μg R21/50μg Matrix-M using two presentations: 10 dose vials with 2PE Preservative (n=125)

Interventions

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10μg R21/50μg Matrix-M

Adults and adolescents receiving the standard adult vaccine dose: 10μg R21/50μg Matrix-M (n=125)

Intervention Type BIOLOGICAL

5μg R21/50μg Matrix-M with adaptor preservative free

Adults and adolescents receiving a half of the standard adult vaccine dose: 5μg R21/50μg Matrix-M using two presentations: 10 dose vials with adaptor Preservative Free (n=125)

Intervention Type BIOLOGICAL

5μg R21/50μg Matrix-M with 2PE preservative

Adults and adolescents receiving a half of the standard adult vaccine dose: 5μg R21/50μg Matrix-M using two presentations: 10 dose vials with 2PE Preservative (n=125)

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Residence in a study village for the study period, i.e. 12 months.
* Age 14 years to 60 years.
* Written informed consent/assent provided by participants (or a parent/guardian in case the participant is under 18 years old).

Exclusion Criteria

* Pregnancy, plan to get pregnant within one month of vaccination, or breastfeeding.
* Acute illness requiring intervention.
* A history of an adverse reaction to study vaccine.
* Prior receipt of any other malaria vaccine.
* Enrolment in another intervention trial in the last month.
* Planned enrolment in another intervention trial in the coming 12 months.
* Regular use of Immunomodulating drugs e.g, Steroid, Methotrexate, Immunotherapy etc. in the past month and/or planned for the coming 12 months.
Minimum Eligible Age

14 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Lama Upazila Health Complex

Lāma, Lama, Bangladesh

Site Status

Alikadam Upazila Health Complex

Bāndarban, , Bangladesh

Site Status

Countries

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Bangladesh

Central Contacts

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Lorenz von Seidlein

Role: CONTACT

+66926486322

Rupam Tripura

Role: CONTACT

+8801572288558

Facility Contacts

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Mohammad Abul Faiz

Role: primary

+008801613008857

Mohammad Abul Faiz

Role: primary

+008801613008857

Other Identifiers

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MAL25005

Identifier Type: -

Identifier Source: org_study_id

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