ClinicalTrials.gg
TerminatedNCT05604521Updated Nov 25, 2024Results posted

A Phase 1 Trial of PfSPZ Vaccine in Healthy Adults to Determine Safety, Tolerability and Efficacy Against Heterologous CHMI

A Phase 1 interventional study of PfSPZ Vaccine and PfSPZ Challenge (7G8) in Malaria and Malaria,Falciparum, sponsored by Sanaria Inc.. Terminated at 1 site in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-25.

Primary conditionMalaria, FalciparumRegistry: MalariaReclassifiedWhy we changed it
Registry
Malaria — the first condition term the registry derived for this study.
ClinicalTrials.gg
Malaria, Falciparum
Why
  1. The study's listed conditions name Malaria, Falciparum, a narrower term within Malaria.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Sanaria Inc. · Phase 1, Interventional, and Prevention

Why this study was terminated
The main reason for trial discontinuation was the inability to address the primary objectives of the study following an extended gap between the second and third doses.
Phase
Phase 1
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

USSPZV7 is a randomized, phase 1, double-blind, placebo-controlled trial of Sanaria® PfSPZ Vaccine administered on Days 1, 8 and 29 by direct venous inoculation (DVI) to assess safety, tolerability, immunogenicity, and vaccine efficacy (VE) against heterologous controlled human malaria infection (CHMI) with the 7G8 clone of Plasmodium falciparum (Pf) conducted at 3 or 12 weeks after the third immunization. The trial is designed to determine if individuals living in a non-malaria endemic area such as the United States (US) are protected against heterologous CHMI conducted at these time points.

Read the detailed description
  1. Randomized, phase 1, double-blind, placebo-controlled clinical trial enrolling healthy adult participants 18-50-years-old living in the US.
  2. The trial is designed to measure safety, tolerability, immunogenicity and VE against heterologous controlled human malaria vaccine conducted at 3 or 12 weeks after vaccination.
  3. Participants will be randomized to two study groups, vaccine and placebo, in a 3:1 ratio. Treatment assignment will be double blind; however, whether a given participant will be receiving CHMI at 3 or 12 weeks will not be blind.
  4. Bias will be minimized by the randomized, double-blind design and by the inability to distinguish vaccine or placebo based on appearance, tolerability or other characteristics discernable by clinical staff or study participants.
  5. The study will take approximately 6 to 8 months to complete, not including 2-3 months of recruitment. The period of follow-up for each immunized participant and placebo controls is through 8 weeks post-CHMI.
  6. Study participation by individuals will last 4 to 6 months (not including screening) depending upon group assignment.
02

Conditions studied

  • Malaria
  • Malaria,Falciparum

Browse trials for

Keywords

  • Malaria
  • Plasmodium falciparum
  • Sporozoites
  • PfSPZ Vaccine
03

In context

Malaria, Falciparum Reclassified

455 studies on the registry are indexed under Malaria, Falciparum; 37 are open to participants now.

This study's enrollment of 31 is below the median of 126 across 376 interventional studies indexed under Malaria, Falciparum.

Browse Malaria, Falciparum studies →

Lead sponsor

Sanaria Inc. is the lead sponsor of 29 studies on the registry; 4 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

Compared within Malaria, Falciparum, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Malaria. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy adults (male or non-pregnant female) 18 to 50 years of age.
  • Able and willing to participate for the duration of the study.
  • Able and willing to provide written and satisfactorily complete a test of understanding with a passing score >80%.
  • Physical examination and laboratory results without findings.
  • Women of must agree to use effective means of (e.g. oral or implanted contraceptives, IUD, female condom, diaphragm with spermicide, cervical cap, abstinence, use of a condom by the sexual partner or sterile sexual partner) during the entire study. Women with a history of surgical or chemical sterilization (e.g. tubal ligation, hysterectomy, other).
  • Willing to refrain from blood donation for 3 years following CHMI.
  • Agree not to travel to a malaria endemic region during the trial.

Exclusion criteria

Exclusion Criteria:

  • Unable to provide including inability to pass the test of understanding, which is written in English for the US-based study sites.
  • Receipt of a malaria vaccine in a prior clinical trial.
  • History of a splenectomy or sickle cell disease.
  • History of a neurologic disorder (including non-febrile seizures or complex febrile seizures) or formal history of migraine headache.
  • Current use of systemic pharmacotherapy.
  • Receipt of a within 4 weeks of first immunization or of 3 or more non-live vaccines within 2 weeks of first immunization.
  • Women who are breast-feeding, pregnant or planning to become pregnant during the study period.
  • Known allergy to atovaquone-proguanil (Malarone®), artemether-lumefantrine (Coartem®), or any component of the products.
  • A history of malaria in the 2 years prior to screening.
  • Participation in any study involving investigational vaccine or drug within 4 weeks prior to enrollment that in the estimation of the site PI might adversely affect the individual's safety or the quality of data to be collected.
  • Evidence of increased cardiovascular disease risk; defined as >10% five-year risk by nonlaboratory method.
  • Plan to participate in another investigational vaccine/drug research during the study.
  • Plan for major surgery between enrollment until 28 days post-CHMI.
  • Use or planned use of any drug with anti-malarial activity that would precede or coincide with malaria challenge or vaccination.
  • Anticipated use of medications known to cause drug reactions with atovaquone-proguanil or artemether-lumefantrine such as cimetidine, metoclopramide, antacids, and kaolin.
  • Positive or positive or testing consistent with active infection.
  • An abnormal , defined as one showing pathologic Q waves and significant STT wave changes; left ventricular hypertrophy; any non-sinus rhythm including isolated premature ventricular contractions, but excluding isolated premature atrial contractions; right or left bundle branch block; or advanced (secondary or tertiary) A-V heart block; or other abnormalities on the electrocardiogram as determined by the consulting cardiologist.
  • Any clinically significant deviation from the normal range in biochemistry or hematology tests measured at screening and not resolving.
  • Any medical, psychiatric, social, behavioral or occupational condition or situation (including active alcohol or drug abuse) that, in the judgment of the site PI, impairs the volunteer's ability to give informed consent, increases the risk to the participant of participation in the study, affects the ability of the participant to participate fully in the study, or might negatively impact the quality, consistency, integrity or interpretation of data derived from their participation in the study.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
31 participants (actual)

Study arms

  • Active comparator
    Group 1a: PfSPZ Vaccine

    45 participants will receive 3 doses of 9.0x10\^5 PfSPZ Vaccine on Days 1, 8, and 29 with a total dose of 2.7x10\^6 PfSPZ Vaccine. Group 1a: Approximately half (22/23) of the volunteers will undergo CHMI 3 weeks after last immunization by exposure to 3.2x10\^3 PfSPZ Challenge (7G8).

    Biological: PfSPZ Vaccine · Biological: PfSPZ Challenge (7G8)

  • Active comparator
    Group 1b: PfSPZ Vaccine

    45 participants will receive 3 doses of 9.0x10\^5 PfSPZ Vaccine on Days 1, 8, and 29 with a total dose of 2.7x10\^6 PfSPZ Vaccine. Group 1b: Approximately half (22/23) of the volunteers will undergo CHMI 12 weeks after last immunization by exposure to 3.2x10\^3 PfSPZ Challenge (7G8).

    Biological: PfSPZ Vaccine · Biological: PfSPZ Challenge (7G8)

  • Placebo comparator
    Group 2a: Normal Saline Controls

    15 participants will receive 3 doses of normal saline on Days 1, 8, and 29. Group 2a: Approximately half (7/8) of the volunteers will undergo CHMI 3 weeks after last immunization by exposure to 3.2x10\^3 PfSPZ Challenge (7G8).

    Biological: PfSPZ Challenge (7G8) · Other: Normal Saline

  • Placebo comparator
    Group 2b: Normal Saline Controls

    15 participants will receive 3 doses of normal saline on Days 1, 8, and 29. Group 2b: Approximately half (7/8) of the volunteers will undergo CHMI 12 weeks after last immunization by exposure to 3.2x10\^3 PfSPZ Challenge (7G8).

    Biological: PfSPZ Challenge (7G8) · Other: Normal Saline

Interventions

  • BiologicalPfSPZ Vaccine

    PfSPZ vaccine consists of radiation-attenuated, aseptic, purified Plasmodium falciparum (NF54) sporozoites (SPZ) cryopreserved in liquid nitrogen vapor phase (LNVP) at -150C to - 196C. PfSPZ Vaccine is composed of PfSPZ derived from the NF54 strain of Pf, which is thought to be from West Africa. PfSPZ Vaccine is diluted in phosphate buffered saline (PBS) with human serum albumin (HSA) to achieve the correct dosage and is administered by DVI.

  • BiologicalPfSPZ Challenge (7G8)

    PfSPZ Challenge (7G8) is similar to PfSPZ Vaccine but has not been attenuated by radiation and is therefore infectious.PfSPZ Challenge (7G8) is composed of PfSPZ derived from the 7G8 clone of Pf, which is from Brazil.

  • OtherNormal Saline

    0.9% sodium chloride

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Adverse Events

    The differences in proportions of vaccinees compared to controls experiencing related moderate, severe, or serious solicited and unsolicited adverse events and laboratory abnormalities after vaccination.

    Time frame: Day of immunization to 28 days post immunization

07

Results

Posted Nov 25, 2024
Limitations and caveats
The trial was terminated early. The main reason for trial discontinuation was the inability to address the primary objectives of the study following an extended gap between the second and third doses. Thus, vaccination was not completed and efficacy measurement was not performed.

Participant flow

Altogether, 72 persons were screened, 31 received immunizations, 15 were screen failures, 4 were eligible but yet not enrolled, and 22 were still being evaluated when the study was terminated.

Participant flow — Overall Study
MilestoneGroup 1: PfSPZ VaccineGroup 2: Normal Saline Placebo
Started247
Completed00
Not completed247
Withdrew: Trial terminated early due to an extended gap between the 2nd and 3rd doses (3rd dose not given).237
Withdrew: Adverse event10

Outcome measures

PrimaryAdverse Events

The differences in proportions of vaccinees compared to controls experiencing related moderate, severe, or serious solicited and unsolicited adverse events and laboratory abnormalities after vaccination.

Time frame:
Day of immunization to 28 days post immunization
Reported as:
Count of participants · Participants
Adverse Events
ParticipantsGroup 1: PfSPZ VaccineGroup 2: Normal Saline Placebo
Adverse Events177
Statistical analysis
  • Group 1: PfSPZ Vaccine vs Group 2: Normal Saline Placebo · Fisher Exact · p = 0.3944
  • Group 1: PfSPZ Vaccine vs Group 2: Normal Saline Placebo · Fisher Exact · p = 0.3717
  • Group 1: PfSPZ Vaccine vs Group 2: Normal Saline Placebo · Fisher Exact · p = 1.0

Adverse events

Collected over Solicited local adverse events (AEs) were collected for two days after each immunization. Solicited systemic AEs were collected for 7 days after each immunization. Unsolicited AEs were collected from the first immunization to 28 days after the second immunization (since the study was terminated early). SAEs were to be recorded through the entire duration of the trial.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1: PfSPZ Vaccine0/24 (0%)0/24 (0%)17/24 (70.8%)
Group 2: Normal Saline Placebo0/7 (0%)0/7 (0%)7/7 (100%)
Most frequent other events
Showing 10 of 18
Most frequent other events
EventGroup 1: PfSPZ VaccineGroup 2: Normal Saline Placebo
BruisingGeneral disorders7/245/7
ErythemaGeneral disorders5/244/7
FatigueGeneral disorders8/244/7
MyalgiaMusculoskeletal and connective tissue disorders9/244/7
HeadacheNervous system disorders9/243/7
MalaiseGeneral disorders7/243/7
PainGeneral disorders3/242/7
Subjective feverGeneral disorders6/242/7
ArthralgiaMusculoskeletal and connective tissue disorders5/240/7
RigorsGeneral disorders5/241/7

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Group 1: PfSPZ VaccineGroup 2: Normal Saline PlaceboTotal
<=18 years000
Between 18 and 65 years24731
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Group 1: PfSPZ VaccineGroup 2: Normal Saline PlaceboTotal
Female10313
Male14418
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1: PfSPZ VaccineGroup 2: Normal Saline PlaceboTotal
American Indian or Alaska Native000
Asian112
Native Hawaiian or Other Pacific Islander000
Black or African American303
White18624
More than one race202
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)Group 1: PfSPZ VaccineGroup 2: Normal Saline PlaceboTotal
United States24731
08

Study locations

1 site
  • University of Maryland, Baltimore, Center for Vaccine Development and Global Health
    Baltimore, Maryland 21201, United States
09

References and documents

Publications

  • Mordmuller B, Sulyok Z, Sulyok M, Molnar Z, Lalremruata A, Calle CL, Bayon PG, Esen M, Gmeiner M, Held J, Heimann HL, Woldearegai TG, Ibanez J, Flugge J, Fendel R, Kreidenweiss A, Kc N, Murshedkar T, Chakravarty S, Riyahi P, Billingsley PF, Church LWP, Richie TL, Sim BKL, Hoffman SL, Kremsner PG. A PfSPZ vaccine immunization regimen equally protective against homologous and heterologous controlled human malaria infection. NPJ Vaccines. 2022 Aug 23;7(1):100. doi: 10.1038/s41541-022-00510-z. PubMed 35999221 ↗
  • Lyke KE, Singer A, Berry AA, Reyes S, Chakravarty S, James ER, Billingsley PF, Gunasekera A, Manoj A, Murshedkar T, Laurens MB, Church WP, Garver Baldwin LS, Sedegah M, Banania G, Ganeshan H, Guzman I, Reyes A, Wong M, Belmonte A, Ozemoya A, Belmonte M, Huang J, Villasante E, Sim BKL, Hoffman SL, Richie TL, Epstein JE; Warfighter II Study Team. Multidose Priming and Delayed Boosting Improve Plasmodium falciparum Sporozoite Vaccine Efficacy Against Heterologous P. falciparum Controlled Human Malaria Infection. Clin Infect Dis. 2021 Oct 5;73(7):e2424-e2435. doi: 10.1093/cid/ciaa1294. PubMed 32920641 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05604521
Lead sponsor
Sanaria Inc.
Responsible party
Sponsor
First posted
Nov 3, 2022
Start date
Dec 6, 2022
Primary completion
Sep 5, 2023
Completion
Sep 5, 2023
Results posted
Nov 25, 2024
Last update
Nov 25, 2024

Study contacts

Kirsten E Lyke, MD
principal investigator · University of Maryland, Baltimore

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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