ClinicalTrials.gg
CompletedNCT05816330Updated Apr 2, 2025Results posted

L9LS MAb in Malian Adults

A Phase 2 interventional study of L9LS (VRC-MALMAB0114-00-AB) and Placebo in Plasmodium Falciparum Infection and Malaria, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 3 sites in Mali. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-02.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
490
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and tolerability of a one time SC administration of L9LS in healthy adults in Mali, as well as its protective efficacy against naturally occurring Plasmodium falciparum (Pf) infection over a 6-month malaria season. A secondary objective is to determine if SC administration of L9LS at 900 mg (compared to placebo) mediates protection against naturally occurring Pf infection in healthy Malian adult females stratified by weight during a single malaria season.

Read the detailed description

A phase 2 trial evaluating the safety and tolerability of a one time subcutaneous (SC) administration of L9LS, as well its protective efficacy against naturally occurring Pf infection over a 6-month malaria season. The primary study hypotheses is that L9LS will be safe and protective against malaria infection. As a secondary objective, the efficacy of L9LS within three body weight strata among female participants will each be compared to placebo. Before study agent administration, all subjects will be given artemether lumefantrine to clear any preexisting Pf blood stage infection.

The study is a randomized, double-blind, placebo-controlled, sex-stratified (2:1 female to male ratio) and weight-stratified trial (N=288 total) with 2 treatment arms: L9LS 900 mg SC (n=216) and placebo (n=72) to assess safety and protective efficacy of L9LS compared to placebo.

Subjects will receive the study agent and be followed at study visits 1, 3, 7, 14, 21, and 28 days later, and once every 2 weeks thereafter through 24 weeks. Primary study assessments include physical examination and blood collection for identification of Pf infection and other research laboratory evaluations.

02

Conditions studied

  • Plasmodium Falciparum Infection
  • Malaria

Keywords

  • Malaria
  • Plasmodium falciparum
  • L9LS
  • Monoclonal antibodies
03

In context

Malaria

1,184 studies on the registry are indexed under Malaria; 79 are open to participants now.

This study's enrollment of 490 is above the median of 252 across 937 interventional studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 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

  1. Females aged ≥18 and ≤49 years and weighing ≥ 45.0 and ≤ 90.0 kg.
  2. Males aged ≥18 and ≤55 years and weighing ≥ 50.0 and ≤ 100.0 kg.
  3. Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process.
  4. In good general health and without medical history.
  5. Able to provide .
  6. Willing to have blood samples and data stored for future research.
  7. Resides in or near Kalifabougou, Faladje, or Torodo, Mali, and available for the duration of the study.
  8. Females of must be willing to use reliable from 21 days prior to study day 0 through the final study visit as described below.

    1. Reliable methods of birth control include 1 of the following: confirmed pharmacologic contraceptives via parenteral delivery or intrauterine or implantable device.
    2. Nonchildbearing women will be required to report date of last menstrual period, history of surgical sterility (i.e., tubal ligation, hysterectomy) or premature ovarian insufficiency, and will have urine or serum pregnancy tests performed per protocol.

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy, as determined by a positive urine or serum beta-human choriogonadotropin (β hCG) test (if female).
  2. Currently breastfeeding.
  3. Behavioral, cognitive, or psychiatric disease that in the opinion of the investigator affects the ability of the subject to understand and comply with the study protocol.
  4. Study comprehension examination score of \<80% correct or per investigator discretion.
  5. , white blood cell, absolute neutrophil, or count outside the local laboratory-defined limits of normal. (Subjects may be included at the investigator's discretion for "not " values.)
  6. (ALT) or creatinine (Cr) level above the local laboratory-defined . (Subjects may be included at the investigator's discretion for "not clinically significant" values.)
  7. Infected with (HIV), virus (HCV), or virus (HBV).
  8. Known or documented sickle cell disease by history. (Note: Known sickle cell trait is NOT exclusionary.)
  9. Clinically significant abnormal (ECG; >460 or other significant abnormal findings, including unexplained tachycardia or bradycardia).
  10. Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, endocrine, rheumatologic, , hematological, oncologic, or renal disease by history, physical examination, and/or laboratory studies including urinalysis.
  11. Receipt of any product within the past 30 days.
  12. Participation or planned participation in an interventional trial with an investigational product until the last required protocol visit. [Note: Past, current, or planned participation in observational studies is NOT exclusionary; participation in the placebo arm of the Mali adult CIS43LS MAb trial (ClinicalTrials.gov Identifier: NCT04329104) is NOT exclusionary.]
  13. Medical, occupational, or family problems as a result of alcohol or illicit drug use during the past 12 months.
  14. History of a severe allergic reaction or anaphylaxis.
  15. Severe asthma (defined as asthma that is unstable or required emergent care, urgent care, hospitalization, or intubation during the past 2 years, or that has required the use of oral or parenteral at any time during the past 2 years).
  16. Pre-existing autoimmune or antibody-mediated diseases including but not limited to: systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, Sjögren's syndrome, or autoimmune thrombocytopenia.
  17. Salivary gland disorder diagnosed by a doctor (e.g., parotitis, sialadenitis, sialolithiasis, salivary gland tumors).
  18. Known immunodeficiency syndrome.
  19. Known asplenia or functional asplenia.
  20. Use of chronic (≥14 days) oral or IV corticosteroids (excluding topical or nasal) at doses (i.e., prednisone >10 mg/day) or immunosuppressive drugs within 30 days of day 0.
  21. Receipt of a within the past 4 weeks or a killed vaccine within the past 2 weeks prior to study agent administration.
  22. Receipt of immunoglobulins and/or blood products within the past 6 months.
  23. Previous receipt of an investigational malaria vaccine or monoclonal antibody in the last 5 years.
  24. Known allergies or against artemether lumefantrine.
  25. Other condition(s) that, in the opinion of the investigator, would jeopardize the safety or rights of a subject participating in the trial, interfere with the evaluation of the study objectives, or render the subject unable to comply with the protocol.
Terms in these criteria, in plain language(19)

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.

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.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
490 participants (actual)

Study arms

  • Experimental
    L9LS 900 mg

    Adult participants receive a single dose of L9LS 900 mg subcutaneously.

    Biological: L9LS (VRC-MALMAB0114-00-AB)

  • Placebo comparator
    Placebo

    Adult participants receive a single dose of Placebo subcutaneously.

    Other: Placebo

Interventions

  • BiologicalL9LS (VRC-MALMAB0114-00-AB)

    Administered one time via subcutaneous route.

  • OtherPlacebo

    Normal saline administered one time via subcutaneous route.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Local Adverse Events (AEs)

    Number of participants with local adverse events occurring within 7 days after administration of L9LS. Local reactogenicity included pain/tenderness, swelling, redness, bruising, and pruritus at the site of infusion. Adverse events were captured by Investigator examination and history from participants.

    Time frame: Within 7 days after administration of intervention

  2. Number of Participants With Systemic Adverse Events (AEs)

    Number of participants with local adverse events occurring within 7 days after administration of L9LS. Systemic reactogenicity events included fever, feeling unusually tired or unwell, muscle aches, headache, chills, nausea, and joint pain. Adverse events were captured by Investigator examination and history from participants.

    Time frame: Within 7 days after administration of intervention

  3. Number of Participants With Local Adverse Events (AEs) (by Grade)

    The severity of local AEs was graded using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Clinical Trials Grade 1: Pain = does not interfere with activity; Tenderness = mild discomfort to touch; Erythema/Redness = 2.5-5 cm; Induration/Swelling = 2.5-5 cm and does not interfere with activity. Grade 2: Pain = Repeated use of non-narcotic pain reliever \> 24 hours or interferes with daily activity; Tenderness= Discomfort with movement; Erythema/Redness = 5.1-10 cm; Induration/Swelling = 5.1-10 cm and interferes with activity. Grade 3: Pain = Any use of narcotic pain reliever or prevents daily activity; Tenderness = Significant discomfort at rest; Erythema/Redness = \> 10 cm; Induration/Swelling = \> 10 cm or prevents daily activity. Grade 4: Pain = Emergency room (ER) visit or hospitalization; Tenderness = ER visit or hospitalization; Erythema/Redness = Necrosis or exfoliative dermatitis; induration/Swelling = Necrosis Grade 5: Death

    Time frame: Within 7 days after administration of intervention

  4. Number of Participants With Systemic Adverse Events (AEs) (by Grade)

    The severity of systemic adverse events occurring after the administration of L9LS was assessed using the grading scale below: Grade 1: Fever = 37.5\^oC-37.9\^oC; Fatigue, Headache, Myalgia = No interference with activity; Nausea = no interference with activity or 1-2 episodes/hour Grade 2: Fever = 38\^oC-38.4\^oC; Fatigue, Myalgia = Some interference with activity; Headache = Repeated use of non-narcotic pain reliever \> 24 hours or some interference with activity; Nausea = Some interference with activity or \> 2 episodes/24 hours Grade 3: Fever = 38.5\^oC-39.5\^oC; Fatigue = Prevents daily activity; Headache =Significant; any use of narcotic pain reliever or prevents daily activity; Myalgia =Significant; prevents daily activity; Nausea = Prevents daily activity, requires outpatient intravenous hydration Grade 4: Fever = \> 39.5\^oC; Fatigue, Headache, Myalgia = Emergency room (ER) visit or hospitalization; Nausea = ER visit or hospitalization for hypotensive shock Grade 5: Death

    Time frame: Within 7 days after administration of intervention

  5. Participants With Plasmodium Falciparum (Pf) Infection Detected by Microscopic Examination for Thick Blood Smear

    Number of participants with Plasmodium falciparum (Pf) blood stage infection defined as blood smear-positive for Pf was assessed by microscopic examination of thick blood smear collected from participants from day 7 through week 24 (168 days) after administration of L9LS or placebo. Sample was collected every two weeks from day seven until week 24. Analysis was done as number of participants who had at least one positive blood smear.

    Time frame: Day 7 through week 24

Secondary outcomes

  1. Participants With Plasmodium Falciparum (Pf) Infection Detected by Real-Time Polymerase Chain Reaction (RT-PCR)

    Number of participants with Plasmodium falciparum (Pf) blood stage infection defined as blood sample positive for Pf was assessed by real-time polymerase chain reaction (RT-PCR) of blood sample collected from participants from day 7 through week 24 (168 days) after administration of L9LS or placebo. Sample was collected every two weeks from day seven until week 24. Analysis was done as number of participants who had at least one positive blood sample.

    Time frame: Day 7 through week 24

  2. Maximum Total Plasma Concentration (Cmax) for L9LS

    Maximum total plasma concentration (Cmax) following a 900 mg dose of L9LS. Serum collected on days 0, 1, 7, 14, 28, 56, 84, 112, 140, \& 168 after the administration of L9LS. Cmax for L9LS was obtained directly by visual inspection of the plasma concentration versus time profiles postdose. Analysis was done to determine each participant's observed maximum concentration based on all available timepoints and cumulative output was calculated as the central tendency and dispersion metric based on the observed maximum concentrations.

    Time frame: Measure through week 24

  3. Time to Maximum Plasma Concentration (TMax) for L9LS - Hours

    Time to maximum total plasma concentration (Cmax) following a 900 mg dose of L9LS on day 7 post administration of drug. Tmax for L9LS was obtained directly by visual inspection of the plasma concentration versus time profiles. Analysis was done to determine the time (in hours) at which the maximum observed concentration was achieved for each participant and cumulative output was calculated as the central tendency and dispersion metric based on the observed time of maximum concentration.

    Time frame: Day 7 post administration of drug

  4. Time to Maximum Plasma Concentration (TMax) for L9LS - Days

    Time to maximum total plasma concentration (Cmax) following a 900 mg dose of L9LS. Serum collected on days 0, 1, 7, 14, 28, 56, 84, 112, 140, \& 168 after the administration of L9LS. Tmax for L9LS was obtained directly by visual inspection of the plasma concentration versus time profiles. Analysis was done to determine the time (in days) at which the maximum observed concentration was achieved for each participant and cumulative output was calculated as the central tendency and dispersion metric based on the observed time of maximum concentration.

    Time frame: Measure through week 24

07

Results

Posted Apr 2, 2025

Participant flow

Participant flow — Overall Study
MilestoneL9LS 900 mgPlacebo
Started21771
Completed21370
Not completed41
Withdrew: Withdrawal by subject41

Outcome measures

PrimaryNumber of Participants With Local Adverse Events (AEs)

Number of participants with local adverse events occurring within 7 days after administration of L9LS. Local reactogenicity included pain/tenderness, swelling, redness, bruising, and pruritus at the site of infusion. Adverse events were captured by Investigator examination and history from participants.

Time frame:
Within 7 days after administration of intervention
Reported as:
Count of participants · Participants
Number of Participants With Local Adverse Events (AEs)
ParticipantsL9LS 900 mgPlacebo
Injection site swelling71
Pain at Injection site00
Tenderness at injection site00
Redness at injection site00
Bruising at injection site00
Pruritus at injection site00
PrimaryNumber of Participants With Systemic Adverse Events (AEs)

Number of participants with local adverse events occurring within 7 days after administration of L9LS. Systemic reactogenicity events included fever, feeling unusually tired or unwell, muscle aches, headache, chills, nausea, and joint pain. Adverse events were captured by Investigator examination and history from participants.

Time frame:
Within 7 days after administration of intervention
Reported as:
Count of participants · Participants
Number of Participants With Systemic Adverse Events (AEs)
ParticipantsL9LS 900 mgPlacebo
Fever10
Malaise00
Muscle aches00
Headache214
Chills02
Nausea20
Joint pain00
PrimaryNumber of Participants With Local Adverse Events (AEs) (by Grade)

The severity of local AEs was graded using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Clinical Trials Grade 1: Pain = does not interfere with activity; Tenderness = mild discomfort to touch; Erythema/Redness = 2.5-5 cm; Induration/Swelling = 2.5-5 cm and does not interfere with activity. Grade 2: Pain = Repeated use of non-narcotic pain reliever \> 24 hours or interferes with daily activity; Tenderness= Discomfort with movement; Erythema/Redness = 5.1-10 cm; Induration/Swelling = 5.1-10 cm and interferes with activity. Grade 3: Pain = Any use of narcotic pain reliever or prevents daily activity; Tenderness = Significant discomfort at rest; Erythema/Redness = \> 10 cm; Induration/Swelling = \> 10 cm or prevents daily activity. Grade 4: Pain = Emergency room (ER) visit or hospitalization; Tenderness = ER visit or hospitalization; Erythema/Redness = Necrosis or exfoliative dermatitis; induration/Swelling = Necrosis Grade 5: Death

Time frame:
Within 7 days after administration of intervention
Reported as:
Count of participants · Participants
Number of Participants With Local Adverse Events (AEs) (by Grade)
ParticipantsL9LS 900 mgPlacebo
Grade 171
Grade 200
Grade 300
Grade 400
Grade 500
PrimaryNumber of Participants With Systemic Adverse Events (AEs) (by Grade)

The severity of systemic adverse events occurring after the administration of L9LS was assessed using the grading scale below: Grade 1: Fever = 37.5\^oC-37.9\^oC; Fatigue, Headache, Myalgia = No interference with activity; Nausea = no interference with activity or 1-2 episodes/hour Grade 2: Fever = 38\^oC-38.4\^oC; Fatigue, Myalgia = Some interference with activity; Headache = Repeated use of non-narcotic pain reliever \> 24 hours or some interference with activity; Nausea = Some interference with activity or \> 2 episodes/24 hours Grade 3: Fever = 38.5\^oC-39.5\^oC; Fatigue = Prevents daily activity; Headache =Significant; any use of narcotic pain reliever or prevents daily activity; Myalgia =Significant; prevents daily activity; Nausea = Prevents daily activity, requires outpatient intravenous hydration Grade 4: Fever = \> 39.5\^oC; Fatigue, Headache, Myalgia = Emergency room (ER) visit or hospitalization; Nausea = ER visit or hospitalization for hypotensive shock Grade 5: Death

Time frame:
Within 7 days after administration of intervention
Reported as:
Count of participants · Participants
Number of Participants With Systemic Adverse Events (AEs) (by Grade)
ParticipantsL9LS 900 mgPlacebo
Grade 1112
Grade 2134
Grade 300
Grade 400
Grade 500
PrimaryParticipants With Plasmodium Falciparum (Pf) Infection Detected by Microscopic Examination for Thick Blood Smear

Number of participants with Plasmodium falciparum (Pf) blood stage infection defined as blood smear-positive for Pf was assessed by microscopic examination of thick blood smear collected from participants from day 7 through week 24 (168 days) after administration of L9LS or placebo. Sample was collected every two weeks from day seven until week 24. Analysis was done as number of participants who had at least one positive blood smear.

Time frame:
Day 7 through week 24
Reported as:
Count of participants · Participants
Participants With Plasmodium Falciparum (Pf) Infection Detected by Microscopic Examination for Thick Blood Smear
ParticipantsL9LS 900 mgPlacebo
Participants With Plasmodium Falciparum (Pf) Infection Detected by Microscopic Examination for Thick Blood Smear3340
SecondaryParticipants With Plasmodium Falciparum (Pf) Infection Detected by Real-Time Polymerase Chain Reaction (RT-PCR)

Number of participants with Plasmodium falciparum (Pf) blood stage infection defined as blood sample positive for Pf was assessed by real-time polymerase chain reaction (RT-PCR) of blood sample collected from participants from day 7 through week 24 (168 days) after administration of L9LS or placebo. Sample was collected every two weeks from day seven until week 24. Analysis was done as number of participants who had at least one positive blood sample.

Time frame:
Day 7 through week 24
Reported as:
Count of participants · Participants
Participants With Plasmodium Falciparum (Pf) Infection Detected by Real-Time Polymerase Chain Reaction (RT-PCR)
ParticipantsL9LS 900 mgPlacebo
Participants With Plasmodium Falciparum (Pf) Infection Detected by Real-Time Polymerase Chain Reaction (RT-PCR)6843
SecondaryMaximum Total Plasma Concentration (Cmax) for L9LS

Maximum total plasma concentration (Cmax) following a 900 mg dose of L9LS. Serum collected on days 0, 1, 7, 14, 28, 56, 84, 112, 140, \& 168 after the administration of L9LS. Cmax for L9LS was obtained directly by visual inspection of the plasma concentration versus time profiles postdose. Analysis was done to determine each participant's observed maximum concentration based on all available timepoints and cumulative output was calculated as the central tendency and dispersion metric based on the observed maximum concentrations.

Time frame:
Measure through week 24
Reported as:
Mean · ug/mL
Maximum Total Plasma Concentration (Cmax) for L9LS
ug/mLL9LS 900 mg
Maximum Total Plasma Concentration (Cmax) for L9LS158.07 ± 30.41
SecondaryTime to Maximum Plasma Concentration (TMax) for L9LS - Hours

Time to maximum total plasma concentration (Cmax) following a 900 mg dose of L9LS on day 7 post administration of drug. Tmax for L9LS was obtained directly by visual inspection of the plasma concentration versus time profiles. Analysis was done to determine the time (in hours) at which the maximum observed concentration was achieved for each participant and cumulative output was calculated as the central tendency and dispersion metric based on the observed time of maximum concentration.

Time frame:
Day 7 post administration of drug
Reported as:
Mean · Hours
Time to Maximum Plasma Concentration (TMax) for L9LS - Hours
HoursL9LS 900 mg
Time to Maximum Plasma Concentration (TMax) for L9LS - Hours172.9 ± 30.0
SecondaryTime to Maximum Plasma Concentration (TMax) for L9LS - Days

Time to maximum total plasma concentration (Cmax) following a 900 mg dose of L9LS. Serum collected on days 0, 1, 7, 14, 28, 56, 84, 112, 140, \& 168 after the administration of L9LS. Tmax for L9LS was obtained directly by visual inspection of the plasma concentration versus time profiles. Analysis was done to determine the time (in days) at which the maximum observed concentration was achieved for each participant and cumulative output was calculated as the central tendency and dispersion metric based on the observed time of maximum concentration.

Time frame:
Measure through week 24
Reported as:
Mean · Days
Time to Maximum Plasma Concentration (TMax) for L9LS - Days
DaysL9LS 900 mg
Time to Maximum Plasma Concentration (TMax) for L9LS - Days7.20 ± 1.25

Adverse events

Collected over Up to 24 weeks from administration of intervention. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
L9LS 900 mg0/217 (0%)0/217 (0%)192/217 (88.5%)
Placebo0/71 (0%)1/71 (1.4%)57/71 (80.3%)
Most frequent serious events
Most frequent serious events
EventL9LS 900 mgPlacebo
Intervertebral Disc ProtrusionMusculoskeletal and connective tissue disorders0/2171/71
Most frequent other events
Showing 10 of 69
Most frequent other events
EventL9LS 900 mgPlacebo
HeadacheNervous system disorders112/21724/71
MalariaInfections and infestations20/21723/71
RhinitisInfections and infestations42/21717/71
Upper Respiratory Tract InfectionInfections and infestations37/21714/71
GastritisGastrointestinal disorders32/2173/71
CoughRespiratory, thoracic and mediastinal disorders27/2178/71
ToothacheGastrointestinal disorders24/2173/71
LeukopeniaBlood and lymphatic system disorders21/2175/71
ConjunctivitisInfections and infestations17/2176/71
VomitingGastrointestinal disorders8/2175/71

Baseline characteristics

Age, Customized
Age, Customized(Participants)L9LS 900 mgPlaceboTotal
18-20 years31738
21-30 years611980
31-40 years721890
41-49 years482270
50-55 years (Male only)5510
Sex: Female, Male
Sex: Female, Male(Participants)L9LS 900 mgPlaceboTotal
Female742296
Male14349192
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)L9LS 900 mgPlaceboTotal
African21771288
Region of Enrollment
Region of Enrollment(participants)L9LS 900 mgPlaceboTotal
Mali21771288
08

Study locations

3 sites
  • Faladje MRTC Clinic
    Faladiè, Région De Koulikoro, Mali
  • Kalifabougou MRTC Clinic
    Kalifabougou, Région De Koulikoro, Mali
  • Torodo MRTC Clinic
    Torodo, Région De Koulikoro, Mali
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Human data generated in this study for future research will be shared as follows: De-identified or identified data with approved outside collaborators under appropriate agreements. De-identified results or data in publication and/or public presentations.

Supporting information: Study protocol

Time frame: Data will be shared at the time of publication or shortly thereafter.

Access criteria: Data from this study may be requested from other researchers indefinitely after the completion of the primary endpoint by contacting Laboratory of Immunogenetics at NIH

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2023 to primary completion in Feb 2024, 8 months.

Results were first posted in Apr 2025, 1 year 1 month after primary completion.

Of 39 phase 2 interventional studies under Malaria, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 27. This study's 8 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 31, 2023
First posted
Apr 18, 2023
StartActual
May 25, 2023
Primary completionActual
Feb 11, 2024
CompletionActual
Feb 11, 2024
Results first posted
Apr 2, 2025
Last update
Apr 2, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05816330
Collaborators
National Institutes of Health (NIH), Malaria Research and Training Center, Bamako, Mali, University of the Sciences, Techniques and Technologies of Bamako, University of Washington, Harvard School of Public Health (HSPH), Indiana University School of Medicine
Responsible party
Sponsor
First posted
Apr 18, 2023
Start date
May 25, 2023
Primary completion
Feb 11, 2024
Completion
Feb 11, 2024
Results posted
Apr 2, 2025
Last update
Apr 2, 2025

Study contacts

Kassoum Kayentao, MD, MPH, PhD
principal investigator · Faculté de Médecine Pharmacie d'Odontostomatologie (FMPOS)
Peter Crompton, MD, MPH
principal investigator · National Institutes of Health (NIH)

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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