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PfSPZ Vaccine

Phase 1

Malaria | Monoclonal antibody | Infectious Disease |Atlantic International Corp.|Last Updated: Jan 7, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment104
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03590340Regimen Optimization Trial of PfSPZ Vaccine in Equatorial GuineaPHASE1 COMPLETED 104Jul 30, 2018Mar 12, 2019Jan 7, 20201 Equatorial Guinea
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Study Endpoints
Primary Endpoints
Incidence and type of Adverse Events (AEs)
Day of first immunization until 1 year

1. Occurrence of solicited local AEs during priming vaccination and a 3-day surveillance period after priming and boost vaccinations. 2. Occurrence of solicited systemic AEs during priming vaccination and a 7-day surveillance period after priming and boost vaccinations. 3. Occurrence of unsolicited AEs during priming vaccination and a 14-day surveillance period after priming and boost vaccinations. 4. Occurrence of serious adverse events (SAEs) during the study.

Secondary Endpoints
Proportion of volunteers who become parasitemic will be recorded, detected by thick blood smear microscopy (TBS) and/ or quantitative real time polymerase chain reaction (qPCR)
Post first immunization uptil 56 days post-CHMI
Level of Antibodies against Pf proteins in volunteer sera
Post first immunization uptil 56 days post-CHMI
Inhibitory Capacity of Volunteer Sera against in vitro Sporozoite Invasion of Hepatocytes
Post first immunization uptil 56 days post-CHMI
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group 1a (PfSPZ Vaccine)EXPERIMENTALGroup 1a: subjects (n=21) will receive four doses of PfSPZ Vaccine (9.0 x 10\^5 PfSPZ/dose) on Days 1, 3, 5, and 7 as a prime, followed by a boost of 9.0x10\^5 PfSPZ Vaccine on Day 113. Controlled human malaria infection (CHMI) with PfSPZ Challenge (NF54) will be administered 8 weeks after the last boost dose by DVI injection.
Group 2a (PfSPZ Vaccine)EXPERIMENTALGroup 2a: subjects (n=21) will receive four doses of PfSPZ Vaccine (9.0 x 10\^5 PfSPZ/dose) on Days 1, 3, 5, and 7 as a prime. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last prime dose by DVI injection.
Group 3a (PfSPZ Vaccine)EXPERIMENTALGroup 3a: subjects (n=21) will receive four doses of PfSPZ Vaccine (9.0 x 10\^5 PfSPZ/dose) on Days 1, 3, 5, and 7 as a prime, followed by a boost of 9.0x10\^5 PfSPZ Vaccine on Day 29. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last boost dose by DVI injection.
Group 4a (PfSPZ Vaccine)EXPERIMENTALGroup 4a: subjects (n=21) will receive two doses of PfSPZ Vaccine (9.0 x 10\^5 PfSPZ/dose) on Days 1 and 8 as a prime, followed by a boost of 9.0x10\^5 PfSPZ Vaccine on Day 29. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last boost dose by DVI injection.
Group 1b (NS)PLACEBO_COMPARATORGroup 1b: subjects (n=5) will receive normal saline (NS) placebo on Days 1, 3, 5, 7, and 113. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last immunization by DVI.
Group 2b (NS)PLACEBO_COMPARATORGroup 2b: subjects (n=5) will receive NS placebo on Days 1, 3, 5, and 7. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last immunization by DVI.
Group 3b (NS)PLACEBO_COMPARATORGroup 3b: subjects (n=5) will receive NS placebo on Days 1, 3, 5, 7, and 29. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last immunization by DVI.
Group 4b (NS)PLACEBO_COMPARATORGroup 4b: subjects (n=5) will receive NS placebo on Days 1 and 8. CHMI with PfSPZ Challenge (NF54) will be administered 8 weeks after the last immunization by DVI.
Interventions
NameTypeDescription
PfSPZ VaccineBIOLOGICALMetabolically active, non-replicating, radiation attenuated, aseptic, purified, cryopreserved NF54 P. falciparum (Pf) sporozoites (PfSPZ Vaccine)
Normal salineOTHERNormal saline is 0.9% sodium chloride
PfSPZ Challenge (for CHMI)BIOLOGICALLive, infectious, aseptic, purified, vialed, cryopreserved, Plasmodium falciparum sporozoites, strain NF54
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Eligibility Criteria
Age Range18 Years — 45 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Healthy males and non-pregnant/non-lactating females, age 18 to 45 years at time of enrollment. 2. Provision of signed and dated informed consent form. 3. Demonstrate understanding of the study by responding correctly to 10 out of 10 true/false statements about the trial (a m...

Countries:Equatorial Guinea
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