Safety and Immunogenicity of 30 and 100 µg of GMZ2 in Gabonese Children Aged 1-5 Years - Full Text View

Sponsored by:	African Malaria Network Trust
Information provided by:	African Malaria Network Trust
ClinicalTrials.gov Identifier:	NCT00703066

Purpose

The study aims to show that the candidate malaria vaccine GMZ2 is as safe as the already publicly used vaccine against rabies. 30 Gabonese children aged 1-5 years will be enrolled and randomly allocated to receive either malaria vaccine or rabies vaccine without the investigator or the participants knowing what they received. They will receive 3 doses each at one month intervals, and will be followed up for one year to evaluate safety parameters. 30 and 100µg doses for the candidate malaria vaccine GMZ 2 will be evaluated for safety.

This is the second time that candidate malaria vaccine GMZ 2 is being tested in Africa, the first time being in Gabonese adults where the product was found to be safe.

Condition	Intervention	Phase
Malaria	Biological: GMZ 2 vaccine (GLURP + MSP 3) Biological: Rabies vaccine	Phase I

MedlinePlus related topics: Malaria Rabies

Drug Information available for: Rabies Vaccine Rabies Vaccines

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Single Group Assignment, Safety Study
Official Title:	A Phase I, Randomized, Controlled, Double-Blind, Single Centre Trial to Evaluate the Safety and Immunogenicity of 30 and 100 µg of GMZ2 in Gabonese Children Aged 1-5 Years

Further study details as provided by African Malaria Network Trust:

Primary Outcome Measures:

Immediate reactogenicity. [ Time Frame: within 30 minutes after each injection ] [ Designated as safety issue: Yes ]
Local and systemic reactogenicity [ Time Frame: 14 days following each immunization ] [ Designated as safety issue: Yes ]
unsolicited Adverse events [ Time Frame: up to 1 month after the 3rd vaccination ] [ Designated as safety issue: Yes ]
Occurrence of serious adverse events [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
Biological safety [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Humoral immune response to GLURP and MSP 3 [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Cellular immune response [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Estimated Enrollment:	30
Study Start Date:	June 2008
Estimated Study Completion Date:	August 2009
Estimated Primary Completion Date:	July 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental three doses of 30µg GMZ2,	Biological: GMZ 2 vaccine (GLURP + MSP 3) three doses of 30µg of GMZ 2 vaccine,
2: Experimental 3 doses of 100 µg of GMZ2	Biological: GMZ 2 vaccine (GLURP + MSP 3) 100 µg of GMZ 2 vaccine
3: Active Comparator Rabies vaccine	Biological: Rabies vaccine 3 doses of Rabies vaccine

Detailed Description:

Background. GMZ2 is a recombinant hybrid of the Glutamate Rich Protein (GLURP) and the Merozoite Surface Protein 3 (MSP 3).This product has been developed at State Serum Institute/EMVI in Denmark and Batch released by Henogen of Belgium. The phase Ia trial in malaria naive volunteers was done in Germany, at Tuebingen University. This phase Ia trial established safety of the vaccine and also assisted in selecting the best dosage (10, 30 or 100 µg). The dosage with the best safety and immunogenicity profile will be tested for the phase Ib trials in Gabon, including this phase Ib trial in children.

Objectives:

Primary objective:

To evaluate the safety and reactogenicity of three doses of 30 and 100µg GMZ2, adsorbed on aluminium hydroxide, in comparison with three doses of the control vaccine (rabies), in healthy Gabonese children aged 1-5 years.

Secondary objectives:

To assess the humoral immune response to the vaccine antigens GMZ2, GLURP and MSP3 by measuring the total IgG concentration and IgG isotypes against GMZ2 by ELISA.

To assess B-cell memory by memory B-cell ELISPOT.

Exploratory Objectives:

To assess the functionality of the immune response by measuring the Growth Inhibition of P. falciparum in the presence or absence of Monocytes, and by measuring the recognition of native antigen of P. falciparum by IFA.

Study Design:

Phase Ib double-blind, randomised, and controlled trial with three groups at one study site; rabies vaccine,30µg and 100 µg GMZ 2 vaccine.

Eligibility

Ages Eligible for Study:	1 Year to 5 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Children age 1-5 years inclusive at the time of screening;
Residing in Lambaréné for the duration of the study;
Written informed consent obtained before screening and study start, respectively;
Available to participate in follow-up for the duration of study (13 months);
General good health based on history and clinical examination.

Exclusion Criteria:

Previous vaccination with any other malaria candidate vaccine.
Concomitant vaccination with a investigational vaccine or a rabies vaccine;
Use of a investigational or non-registered drug or vaccine other than the study vaccine(s) within 30 days preceding the first study vaccination, or planned use up to 30 days after the third vaccination;
Chronic administration (defined as more than 14 days) of immuno-suppressants or other immune-modifying drugs within six months prior to the first vaccination. This includes any dose level of oral steroids or inhaled steroids, but not topical steroids;
Confirmed or suspected immunosuppressive or immuno-deficient condition, including human immunodeficiency virus (HIV) infection;
Confirmed or suspected autoimmune disease;
History of allergic reactions or anaphylaxis to immunizations or to any of the vaccine components, or of serious allergic reactions to any substance, requiring hospitalization or emergent medical care;
History of splenectomy;
Laboratory evidence of liver disease (Alanine aminotransferase [ALT] greater than 1.25 times the upper limit of normal (<45 U/L) of the testing laboratory);
Laboratory evidence of renal disease (serum creatinine greater than the upper limit of normal of the testing laboratory, or more than trace protein or blood on urine dipstick testing);
Laboratory evidence of haematological disease (absolute leukocyte count 3.5-11/µL, absolute lymphocyte count 560-5280/µL, platelet count 120,000-400,000/µL, or haemoglobin 10.0-16.5g/dL);
Administration of immunoglobulins and/or any blood products within the three months preceding the first study vaccination or planned administration during the study period;
Simultaneous participation in any other interventional clinical trial;
Acute or chronic pulmonary, cardiovascular, hepatic, renal or neurological condition, malnutrition, or any other clinical findings that in the opinion of the clinical investigator, may increase the risk of participating in the study;
Other condition that in the opinion of the clinical investigator would jeopardize the safety or rights of a participant in the trial or would render the participant unable to comply with the protocol.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00703066

Locations

Gabon
Medical Research Unit, Albert Schweitzer Hospital
Lambarene, Gabon

Sponsors and Collaborators

African Malaria Network Trust

Investigators

Study Director:

Peter Kremsner, MD, PhD

Medical research Unit, Albert Schweitzer Hospital

More Information

Responsible Party:	African Malaria Network Trust ( Roma Chilengi )
Study ID Numbers:	GMZ2_3_08
Study First Received:	June 20, 2008
Last Updated:	November 23, 2008
ClinicalTrials.gov Identifier:	NCT00703066
Health Authority:	Gabon: Ministry of Health

Keywords provided by African Malaria Network Trust:

Malaria
Vaccine
GMZ2

Safety
African
immunogenicity

Study placed in the following topic categories:

Protozoan Infections
Parasitic Diseases
Malaria

Additional relevant MeSH terms:

Coccidiosis

ClinicalTrials.gov processed this record on January 16, 2009