A Phase 1/2b Study of an Investigational Malaria Vaccination Strategy in 5-17 Month Old Infants and Children in Burkina Faso
A Phase 1/2b Study of an Investigational Malaria Vaccination Strategy in 5-17 Month Old Infants and Children in Burkina Faso
Prime boost vaccination with ChAd63 ME-TRAP followed eight weeks later with MVA ME-TRAP shows
 efficacy against malaria infection when tested in UK volunteers using sporozoite challenge
 experiments. It is a leading candidate vaccination strategy against malaria. In the field,
 Phase I studies have been conducted in adults in Kenya and The Gambia and children and
 infants in The Gambia. The vaccination strategy appears safe and well tolerated in these
 populations, and also shows impressive immunogenicity, not significantly different to that
 seen in the UK trials where efficacy was shown. In particular, recent data from The Gambia
 shows excellent safety and immunogenicity in infants in malaria endemic areas, who would be
 the ones to benefit most from such a vaccine against malaria. With this clinical development
 as background, the investigators now propose to evaluate efficacy against natural malaria
 infection in this important target group for an effective malaria vaccine, that is, 5-17
 month infants and children living in malaria endemic areas. The proposed study area, Banfora,
 Burkina Faso, is highly endemic for Plasmodium falciparum malaria.
Inclusion Criteria:

 1. Healthy infant/child aged 5-17 months at the time of first study vaccination

 2. Informed consent of parent/guardian

 3. Infant / child and parent/guardian resident in the study area villages and anticipated
 to be available for vaccination and follow-up

 Exclusion Criteria:

 -  Clinically significant skin disorder (psoriasis, contact dermatitis etc.),
 immunodeficiency, cardiovascular disease, respiratory disease, endocrine disorder,
 liver disease, renal disease, gastrointestinal disease, neurological illness.

 -  Weight-for-age Z score of less than -3 or other clinical signs of malnutrition

 -  History of allergic reaction, significant IgE-mediated event, or anaphylaxis to
 immunisation

 -  History of allergic disease or reactions likely to be exacerbated by any component of
 the vaccines, e.g. egg products, Kathon, neomycin, beta-propiolactone.

 -  Haemoglobin less than 8.0 g/dL, where judged to be clinically significant in the
 opinion of the investigator

 -  Serum Creatinine concentration greater than 70 µmol/L, where judged to be clinically
 significant in the opinion of the investigator

 -  Serum ALT concentration greater than 45 U/L, where judged to be clinically significant
 in the opinion of the investigator

 -  Blood transfusion within one month of enrolment

 -  Previous vaccination with experimental malaria vaccines.

 -  Administration of any other vaccine or immunoglobulin less than one week before
 vaccination with any study vaccine.

 -  Current participation in another clinical trial, or within 12 weeks of this study.

 -  Any other finding which in the opinion of the investigators would increase the risk of
 an adverse outcome from participation in the trial or result in incomplete or poor
 quality data

 -  Known maternal HIV infection (No testing will be done by the study team)

 -  Immunosuppressive therapy (steroids, immune modulators or immune suppressors) within 3
 months prior recruitment. (For corticosteroids, this will mean prednisone, or
 equivalent, greater than or equal to 0.5 mg/kg/day. Inhaled and topical steroids are
 allowed.)