About this trial
This study is a human challenge study to assess the feasibility and safety of controlled human malaria infection (via P. vivax sporozites) in healthy volunteers, and to develop a bank of P. vivax-infected blood for use in future controlled human P. vivax malaria infection studies. Additional objectives are to obtain data on host immune response to P. vivax infection and pre-treatment gametocytaemia.
This study is funded by the UK Wellcome Trust. The grant reference number are Oxford/MORU: 212336/Z/18/Z and 212336/Z/18/A, and Mahidol University: 212336/A/18/Z and 212336/A/18/A.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Healthy adult aged 20 to 55 years with weight more than 50 kg.
Blood group O.
Red blood cells positive for the Duffy antigen/chemokine receptor (DARC).
CYP2D6 alleles consistent with normal metaboliser status
Disqualifiers
History of clinical malaria.
Positive malaria PCR OR malaria film OR malaria serology (recent exposure)
History of severe allergy to mosquito bite
Presence of any medical condition (either physical or psychological) which in the judgment of the investigator would place the participant at undue risk or interfere with the results of the study (e.g. serious underlying cardiac, renal, hepatic or neurological disease; severe malnutrition; congenital defects or febrile condition)
Trial design
Single group
Treatments tested in this trial
Mosquito bites
Other interventionSuccessful feeding of 5 infected P. vivax mosquitoes
Treatment groups
Trial outcomes
Primary outcomes
Successful infection of controlled P. vivax sporozoite human challenge
Measured by successful infection (development of detectable persistent parasitaemia) and malaria clinical symptoms, if any, after mosquito bite malaria sporozoite challenge
(Serious) Adverse Event(s) occurrences of controlled P. vivax sporozoite human challenge
Measured by (S)AE(s) occurrences after mosquito bite malaria sporozoite challenge.
Collection and freezing down of up to 250 mL P. vivax-infected blood from each of the 6 volunteers.
measured by successful collection and freezing down of up to 250 mL P. vivax-infected blood from each of the 6 volunteers.
Secondary outcomes
Cellular Immune response to primary P. vivax infection.
immune cells including Innate and adaptive immune cells react and express during the PV infection (profile and frequency)
Humoral Immune response to primary P. vivax infection.
Immune cells defense PV antigen by determining the level of antibody response and inflammatory cytokine
Gametocytaemia following primary P. vivax infection delivered by the mosquito bite
Gametocyte qPCR following primary P. vivax infection delivered by the mosquito bite
Sponsors and contacts
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University of Oxford
Lead sponsor
Mahidol University
Collaborator