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CompletedNCT00138372Updated Jan 20, 2022

Human Immunity to MSP-1 in Western Kenya

An observational study in Plasmodium Falciparum Malaria, sponsored by Case Western Reserve University. Completed at 1 site in Kenya. Open to participants aged 1 Month and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-20.

Sponsored by Case Western Reserve University · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
475
Ages
1 Month and older
Sex
All
01

Study summary

This is a study of 125 healthy male and female Kenyan adults aged 18 years and above, and 300 healthy male and female Kenyan infants enrolled at 1 month of age and followed to 3 years of age. Twenty healthy adults (US residents) who have no self-reported history of Malaria exposure, infection or travel to malaria endemic areas of the world will serve as Malaria Naive Negative Controls. The proposed study represents a continuation of molecular and immunologic studies done in human populations describing mechanisms of protection against malaria infection and disease. Human investigation of those experiencing natural exposure to malaria infections are justified since they will eventually be the target population for testing malaria vaccine safety and efficacy.

Read the detailed description

This study will include two major populations: (1) the Adult Repeat Cross Sectional study (ARCS) will involve 125 healthy Kenya-residents male and female aged 18 years and above; and (2) the Pediatric Infant Cohort (PIC) will include 300 healthy male and female infants who are residents of Kenya. In addition, 20 healthy adult US residents, who have no self-reported history of malaria exposure, infection or travel to malaria endemic areas of the world, will serve as Malaria Naive Negative Controls (MNNC). The adult (ARCS) study will consist of 6 venous blood donations to be completed in one year. The primary outcome of the ACRS is to determine the stability of Immune responses to MSP-1 who are clinically protected against P. falciparum infections and the secondary outcome is to measure the level and stability of MSP-1 specific IIA activity, MSP-1 specific T-cell memory phenotypes and immune functions and lastly, to determine the MSP-1 genotypes. The PIC study is both home and clinic-based. The overall duration of this study will be three years. The subjects will be recruited during their routine immunizations visit. The data and sample collections consist of monthly home-visits interspersed by clinic-visits every 6 months until the child reaches 3 years old. The primary outcome of the PIC study is to evaluate the development of humoral and cellular immunity to MSP-1 in healthy children in relation to their history of P. falciparum infections, number of episodes of uncomplicated acute malarial infections in the first 3 years of life and secondary outcome is to measure the acquisition of MSP-1 specific IIA activity, shifts in T-cell memory phenotypes and amalaira-specific immunity and their association with the history of exposure to P. falciparum MSP-1 alleleic variants. For the MNNS study, the primary objective is to optimize molecular and immunologic assays to be used in Kenya and to determine background level responses in healthy adult and the secondary outcomes aims to measure the level of MSP-1 specific IIA-activity, T-cell memory phenotypes and any non-specific immunity to malaria antigens and to provide negative control DNA for P. falciparum detection and genotyping studies. The result of these studies will provide insight into how the frequency and intensity of prior malaria infection and antigenic polymorphism influence the generation and maintenance of T-cell memory and AB responses to merozoite surface proteins in humans.

02

Conditions studied

  • Plasmodium Falciparum Malaria

Keywords

  • malaria
  • immunity
  • MSP-1
  • Kenya
  • infants
03

In context

Malaria

1,299 studies on the registry are indexed under Malaria; 86 are open to participants now.

This study's enrollment of 475 is below the median of 600 across 218 observational studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

Case Western Reserve University is the lead sponsor of 158 studies on the registry; 29 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Month and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Study population will consist of 125 healthy male and female adults older than 18 years from a rural area of Western Kenya AND 300 healthy male and female infants from Western Kenya enrolled at 1 month of age and followed until the age of 3 years.

Normal volunteers will be recruited from the CWRU/UHCMC area as well as general local community.

Inclusion criteria

  1. Permanent residency in the study area for ARCS study and within 50 km of Chulaimbo Rural Health Training Center for PIC study.
  2. Healthy by medical examination.
  3. Understood and signed written informed consent and is willing to participate in the study.
  4. ARCs study participants must be older than 18 years of age, and PIC study participants will be enrolled at 1 month and followed until 3 years of age.
  5. Study participant willing to attend scheduled follow up visits at clinic and willing to have field assistant make home visits during follow-up.

Exclusion criteria

Exclusion Criteria:

  1. Hemoglobin \<5 g/dl for children, \<10 g/dl for adults.
  2. Received a blood transfusion within the past 6 months for adults or ever for children.
  3. Presence or signs of severe complicated falciparum malaria (WHO, 1989).
  4. Women who are self-reported to be pregnant.
  5. Unwilling or unable to continue participation.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
475 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Adult Repeat Cross-Sectional study (ARCS)

    This group will be enrolled from the sub-location of Kanyawegi, Kisumu District, Nyanza Province.

  • Prospective Infant Cohort study (PIC)

    will be a clinic-based study recruiting infants attending Chulaimbo Rural Health Training Center (CRHTC), Maseno Division, Kisumu District, Nyanza Province for routine immunizations.

  • Normal volunteers

    will be recruited from the CWRU/UHCMC area as well as general local community.

06

Study locations

1 site
  • Kenya Medical Research Institute
    Kisumu, Kenya
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00138372
Lead sponsor
Case Western Reserve University
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
James Kazura (Distinguished University Professor School of Medicine, Case Western Reserve University) — Principal investigator
First posted
Aug 30, 2005
Start date
Jul 2004
Primary completion
Sep 2008
Completion
Apr 2013
Last update
Jan 20, 2022

Study contacts

James W Kazura, M.D.
principal investigator · Case Western Reserve University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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