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Trial registered on ANZCTR
Registration number
ACTRN12612001153808
Ethics application status
Approved
Date submitted
28/10/2012
Date registered
31/10/2012
Date last updated
14/10/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Infectivity of the Plasmodium falciparum NF54 malaria cell bank, MCB-002, in humans
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Scientific title
Characterisation of the in vivo infectivity of the Plasmodium falciparum NF54 cell bank, MCB-002, in malaria naive adults
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Secondary ID [1]
281445
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malaria
287706
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Condition category
Condition code
Infection
288043
288043
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0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Human red blood cells infected with Plasmodium falciparum NF54
Dose: 1,800 viable Plasmodium falciparum infected red blood cells
Mode of administration: intra-venous injection
Duration: one injection at Day 0
Patients will be actively monitored up to Day 28 post injection. A blood sample will be collected on Day 90 post infection for safety serum.
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Intervention code [1]
285951
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Treatment: Drugs
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary Outcome 1: In vivo infectivity of the P. falciparum NF54 cell bank, MCB-002 in humans.
Assessed by Thick blood smear and polymerase chain reaction
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Assessment method [1]
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Timepoint [1]
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Day 3-Day 11 post administration of P. falciparum infected red blood cells
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Primary outcome [2]
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Primary Outcome 2: Safety of the P. falciparum NF54 cell bank, MCB-002 in humans
Assessed by frequency and type of clinical adverse events, hematology, blood chemistry, serology, physical examination including vital signs and electrocardiograms
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Assessment method [2]
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Timepoint [2]
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Day 0-D90 post administration of P. falciparum infected red blood cells
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Secondary outcome [1]
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Secondary Outcome 1: Immunogenicity of the P. falciparum NF54 cell bank, MCB-002 in humans
Assessed by measuring malaria-specific antibody responses and T cell responses
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Assessment method [1]
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Timepoint [1]
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D0, D3-8, D28 and D90.
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Eligibility
Key inclusion criteria
1. Males aged 18-45yrs who do not live alone from D1 until at least the end of anti-malarial treatment
2. Body Mass Index within range of 18-30
3. Contactable and available for the duration of the trial (90 days)
4. Non-smokers and in good health as assessed during pre-study medical examination and by review of screening results
5. Good peripheral venous access
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. History of malaria.
2. Travelled to or lived (>2 weeks) in a malaria-endemic country during the past 12 months or planned travel to a malaria-endemic country during the course of the study.
3. Has evidence of increased cardiovascular disease risk (defined as >10%, 5 year risk) as determined by the method of Gaziano et al. Risk factors include sex, age, systolic blood pressure (mm Hg), smoking status, body mass index (BMI, kg/mm2), reported diabetes status and blood pressure.
4. History of splenectomy.
5. History of a severe allergic reaction, anaphylaxis or convulsions following any vaccination, infusion or treatment with the anti-malarial drugs artemether and/or lumefantrine.
6. Presence of current or suspected serious chronic diseases such as cardiac or autoimmune disease (HIV or other immunodeficiencies), insulin dependent diabetes, progressive neurological disease, severe malnutrition, acute or progressive hepatic disease, acute or progressive renal disease, psoriasis, rheumatoid arthritis, asthma, epilepsy or obsessive compulsive disorder, skin carcinoma excluding non-spreadable skin cancers such as basal cell and squamous cell carcinoma.
7. Known inherited genetic anomaly (known as cytogenetic disorders) e.g., Down’s syndrome.
8. Individuals wishing to donate blood to the Australian Red Cross Blood Service during the study or within 6 months of administration of the malaria inoculum.
9. The volunteer has a diagnosis of schizophrenia, severe depression, bi-polar disease, or other severe (disabling) chronic psychiatric diagnosis. Participants who are receiving a single antidepressant drug and are stable for at least 3 months prior to enrollment without decompensating may be allowed to enroll in the study at the investigator’s discretion.
10. Known pre-existing prolongation of the QTc interval. Family history of congenital prolongation of the QTc interval on electrocardiograms or of sudden death or any other clinical condition known to prolong the QTc interval, e.g. volunteers with a history of symptomatic cardiac arrhythmias, with clinically relevant bradycardia or with severe cardiac disease.
11. Recent or current therapy with an antibiotic or drug with potential anti-malarial activity (tetracycline, azthromycin, clindamycin, hydroxychloroquine etc).
12. Concomitant use of any drug which is metabolised by the cytochrome enzyme CYP2D6 (e.g. flecainide, metoprolol, imipramine, amitriptyline, clomipramine) OR drugs that are known to prolong the QTc interval, e.g. antiarrhythmics of classes IA and III, neuroleptics, antidepressant agents, certain antibiotics (including some agents of the following classes: macrolides, fluoroquinolones, imidazole and triazole antifungal agents), certain nonsedating antihistamines (terfenadine, astemizole), cisapride.
13. Use of corticosteroids, anti-inflammatory drugs, any immunomodulators or anticoagulants. Currently receiving or have previously received immunosuppressive therapy, including systemic steroids including ACTH or inhaled steroids in dosages which are associated with hypothalamic-pituitary-adrenal axis suppression such as 1mg/kg/day of prednisone or its equivalent or chronic use of inhaled high potency corticosteroids (budesonide 800 microgram per day or fluticasone 750 microgram).
14. Presence of acute infectious disease or fever (e.g., sub-lingual temperature greater than or equal to 38.5 degrees celsius) within the five days prior to study product administration).
15. Evidence of acute illness within the four weeks before trial prior to screening.
16. Significant intercurrent disease of any type, in particular liver, renal, cardiac, pulmonary, neurologic, rheumatologic, or autoimmune disease by history, physical examination, and/or laboratory studies including urinalysis.
17. Alcohol consumption greater than community norms (i.e. more than 21 standard drinks per week for males).
18. A history of drug habituation, or any prior intravenous usage of an illicit substance.
19. Medical requirement for intravenous immunoglobulin or blood transfusions.
20. Participation in any investigational product study within the 8 weeks preceding the study.
21. Participation in any research study involving significant blood sampling, or blood donation to Red Cross (or other) blood bank during the 8 weeks preceding the reference drug dose in the study.
22. Have ever received a blood transfusion.
23. Positive test for HIV, Hepatitis B, hepatitis C, Human T-cell Lymphotropic Virus I & II (HTLVI & HTLVII), and syphilis.
24. Any clinically significant biochemical or haematologic abnormality (Hb must begreater than or equal to 13.5g/dL).
25. Ingestion of any poppy seeds within the 48 hours prior to the screening blood test
(volunteers will be advised by phone not to consume any poppy seed in this time period).
26. Detection of any drug listed Appendix 3 "Laboratory Values" in the urine drug screen unless there is an explanation acceptable to the medical investigator (e.g. the subject has stated in advance that they consumed a prescription or OTC product which contained the detected drug) and/or the subject has a negative urine drug screen on retest by the pathology laboratory. These drugs include: Amphetamines, Methamphetamines, Barbituates, Benzodiazepines, Cocaine, Methadone, Opiates, Phencyclidine, Tetrahydrocannabinols and Tricyclic anti-depressants.
27. Evidence of any condition that, in the opinion of the clinical investigator, might interfere with the evaluation of the study objectives or pose excessive risks to participants.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 0
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2013
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Actual
19/02/2013
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Date of last participant enrolment
Anticipated
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Actual
25/02/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
2
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Accrual to date
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Final
2
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
286212
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Charities/Societies/Foundations
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Name [1]
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The Atlantic Philanthropies
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Address [1]
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The Atlantic Philanthropies
Suite 106
12 Waters Road
Neutral Bay
NSW 2089
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Country [1]
286212
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Australia
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Primary sponsor type
University
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Name
Griffith University
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Address
c/- Chris Davis
Griffith University, Gold Coast Campus
Institute for Glycomics, Building G26
Parklands Drive
Southport, 4222
QLD
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
285022
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Address [1]
285022
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Country [1]
285022
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288288
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The Gold Coast Hospital and Health Service Human Research Ethics Committee
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Ethics committee address [1]
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8 Little High Street Southport QLD 4215
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
288288
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Approval date [1]
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24/10/2012
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Ethics approval number [1]
288288
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HREC/12/QGC/142
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Summary
Brief summary
This study is examining the infectivity of a Plasmodium falciparum NF54 malaria cell bank in humans. Participants will receive a single inoculum of the malaria cell bank, which consists of human red blood cells containing P. falciparum NF54 malaria parasites. Following administration of the inoculum, we will measure the growth of the malaria parasites in the blood-stream and then administer anti-malarial treatment (Riamet) according to specific criteria (based on the number of parasites in the blood as well as clinical signs/symptoms of malaria). We will also be assessing the safety of the inoculum and also the way the immune system responds to it. Determining the infectivity and safety of the malaria cell bank is important as it will form a critical part of future clinical trials investigating the effectiveness of a new malaria vaccine that is currently being developed.
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Trial website
Not applicable
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Trial related presentations / publications
The data from this study is currently being prepared for publication
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Public notes
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Contacts
Principal investigator
Name
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Prof Michael Good
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Address
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c/- Griffith University, Gold Coast Campus, Institute for Glycomics, Building G26, Parklands Drive, Southport, 4215, QLD
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Country
34879
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Australia
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Phone
34879
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61 7 555 29435
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Fax
34879
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61 7 555 28098
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Email
34879
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[email protected]
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Contact person for public queries
Name
18126
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Dr Danielle Stanisic
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Address
18126
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C/- Griffith University, Gold Coast Campus
Institute for Glycomics, Building G26
Parklands Drive,
SOuthport, 4222
QLD
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Country
18126
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Australia
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Phone
18126
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61 7 555 28051
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Fax
18126
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61 7 555 28098
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Email
18126
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[email protected]
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Contact person for scientific queries
Name
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Professor Michael Good
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Address
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C/- Griffith University, Gold Coast Campus
Institute for Glycomics, Building G26
Parklands Drive,
SOuthport, 4222
QLD
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Country
9054
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Australia
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Phone
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61 7 555 28051
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Fax
9054
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61 7 555 28098
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Email
9054
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Infectivity of Plasmodium falciparum in Malaria-Naive Individuals Is Related to Knob Expression and Cytoadherence of the Parasite
2016
https://doi.org/10.1128/iai.00414-16
N.B. These documents automatically identified may not have been verified by the study sponsor.
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