- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05891236
Sikkerhed, tolerabilitet, farmakokinetik og beskyttende effekt af MAM01 hos raske voksne
Et fase 1, dosiseskalering, dobbeltblindet, placebokontrolleret klinisk forsøg med kontrollerede humane malariainfektioner (CHMI) for at evaluere sikkerhed, tolerabilitet, farmakokinetik og beskyttende effektivitet af et anti-malaria humant monoklonalt antistof, MAM01, i sund, malaria-naiv Voksne
Studieoversigt
Status
Betingelser
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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Maryland
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Baltimore, Maryland, Forenede Stater, 21201
- Center for Vaccine Development and Global Health, 685 W. Baltimore Street
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Deltagere, der er raske som bestemt ved medicinsk vurdering, herunder sygehistorie, fysisk undersøgelse og laboratorietests.
- Body Mass Index (BMI) 18 til 30 kg pr. kvadratmeter (kg/m^2) (inklusive) til et maksimum på 220 pund.
Både mænd og kvinder er berettiget til at deltage i henhold til følgende:
en. Kvindelige deltagere, der fysisk er i stand til at blive gravide, har mindst én negativ graviditetstest under screening, på tilmeldingsdagen, før administration af undersøgelsesprodukt (IP), før CHM og ved starten af antimalariabehandling, og som accepterer at bruge effektiv prævention at undgå graviditet fra 28 dage før tilmelding gennem afslutning af forsøgsbesøgene.
- I stand til at give underskrevet informeret samtykke, som omfatter overholdelse af kravene og begrænsninger, der er anført i formularen til informeret samtykke (ICF) og i denne protokol, og fuldførelse af en forståelsestest, hvis han/hun kan deltage i CHMI-proceduren.
- Rapporteret færdiggørelse af primær Coronavirus Disease (COVID) vaccineserie er dokumenteret.
Eksklusionskriterier:
- Akut sygdom eller feber ≥99,5°Fahrenheit (F) (eller >37,5 grader Celsius) på doseringsdagen.
- Kvinder, der er gravide eller ammer.
- Evidens og/eller anamnese med klinisk signifikant(e) medicinsk(e) tilstand(er) som vurderet af investigator, herunder maligniteter, diabetes mellitus og ustabil eller ukontrolleret hypertension.
- En 5-årig kardiovaskulær risiko på >10 % ved brug af Gaziano nomogram.
- Anamnese med enhver autoimmun sygdom eller immundefekt eller anden svækkelse af immunsystemet, inklusive men ikke begrænset til humant immundefektvirus (HIV), autoimmune tilstande eller immunsuppressiv terapi.
- Deltagelse i et interventionelt klinisk forsøg og/eller modtagelse af ethvert forsøgslægemiddel inden for 180 dage før administration af forsøgslægemidlet på dag 1.
- Forventet brug af medicin, der vides at forårsage lægemiddelreaktioner med chloroquin eller atovaquoneproguanil (Malarone), såsom cimetidin, metoclopramid, antacida og kaolin.
Bemærk: Andre protokoldefinerede inklusions-/eksklusionskriterier kan være gældende.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Del A: Enkelt stigende dosis (SAD): Dosiseskalering, kohorte 1: MAM01 og placebo Intravenøs (IV)
2 sentinel-deltagere vil blive randomiseret i forholdet 1:1 til at modtage MAM01 1,5 milligram pr. kilogram (mg/kg) IV eller placebo.
Efter mindst en 24-timers sikkerhedsgennemgangsperiode vil de 6 resterende deltagere i kohorte 1 blive randomiseret i forholdet 5:1 til at modtage MAM01 1,5 mg/kg IV eller placebo.
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1,5 mg/kg MAM01 vil blive indgivet via IV-vej.
Placebo vil blive givet via IV-vejen.
Placebo vil blive administreret ad SC-vejen.
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Eksperimentel: Del A: SAD-dosering: Dosiseskalering Kohorte 2: MAM01 og placebo SC
7 deltagere vil blive tilfældigt tildelt i forholdet 6:1 til at modtage MAM01 5 mg/kg SC eller placebo
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Placebo vil blive givet via IV-vejen.
Placebo vil blive administreret ad SC-vejen.
5 mg/kg MAM01 vil blive administreret via SC-vej.
5 mg/kg MAM01 vil blive administreret via IV-vej.
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Eksperimentel: Del A: SAD-dosering: Dosiseskalering Kohorte 3: MAM01 og placebo IV
7 deltagere vil blive tilfældigt tildelt i forholdet 6:1 til at modtage MAM01 5 mg/kg IV eller placebo.
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Placebo vil blive givet via IV-vejen.
Placebo vil blive administreret ad SC-vejen.
5 mg/kg MAM01 vil blive administreret via SC-vej.
5 mg/kg MAM01 vil blive administreret via IV-vej.
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Eksperimentel: Del A: SAD-dosering: Dosiseskalering Kohorte 4: MAM01 og placebo IV
8 deltagere vil blive tilfældigt tildelt i forholdet 6:2 til at modtage MAM01 10 mg/kg IV eller placebo.
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Placebo vil blive givet via IV-vejen.
Placebo vil blive administreret ad SC-vejen.
10 mg/kg MAM01 vil blive administreret via IV-vej.
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Eksperimentel: Del A: SAD-dosering: Dosiseskalering Kohorte 5: MAM01 og placebo IV
7 deltagere vil blive tilfældigt tildelt i forholdet 6:1 til at modtage MAM01 40 mg/kg IV eller placebo
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Placebo vil blive givet via IV-vejen.
Placebo vil blive administreret ad SC-vejen.
40 mg/kg MAM01 vil blive administreret via IV-vej.
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Eksperimentel: Del A: Multiple Ascending Dose (MAD) (Gentag dosering): MAM01
Deltagere fra kohorte 2 og fra kohorte 3 vil modtage 5 mg/kg MAM01 SC.
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5 mg/kg MAM01 vil blive administreret via SC-vej.
5 mg/kg MAM01 vil blive administreret via IV-vej.
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Eksperimentel: Del B: Dosisudvidelseskohorte 6: Gruppe 1: MAM01
6 deltagere vil modtage en 450 mg SC dosis af MAM01.
Dosis blev valgt ved at anvende en PK-farmakodynamisk (PD) model fra del A-dataene til at estimere en (datadrevet) beskyttelsestærskel ved kontrolleret human malariainfektion (CHMI).
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MAM01 vil blive administreret via SC rute.
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Eksperimentel: Del B: Dosisudvidelseskohorte 6: Gruppe 2: MAM01
8 deltagere vil modtage en 600 mg SC dosis af MAM01.
Dosis blev valgt ved at anvende en PK-PD-model fra del A-dataene til at estimere en (datadrevet) beskyttelsestærskel ved CHMI
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MAM01 vil blive administreret via SC rute.
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Eksperimentel: Del B: Dosisudvidelseskohorte 6: Gruppe 3: MAM01
8 deltagere vil modtage 900 mg SC dosis af MAM01.
Dosis blev valgt ved at anvende en PK-PD-model fra del A-dataene til at estimere en (datadrevet) beskyttelsestærskel ved CHMI.
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MAM01 vil blive administreret via SC rute.
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Eksperimentel: Intern smittekontrol
6 deltagere vil blive tilmeldt en ikke-randomiseret gruppe forud for CHMI.
Disse deltagere modtager ingen behandling og fungerer som smittekontrol
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Ingen medicin eller placebo vil blive administreret.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Number of Participants Reporting Solicited Adverse Events (AEs) in the Subcutaneous Cohorts
Tidsramme: Day 1 to Day 7 post dose
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Solicited AEs were defined events participants were specifically asked about, which were recorded by participants in the memory aid card.
Solicited AES included local injection site AEs (pain, redness, swelling, itching and bruising) and systemic AEs (fever, chills, headache, fatigue, nausea, muscle pain and joint pain).
A Solicited AE does not necessarily have a causal relationship with the intervention.
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Day 1 to Day 7 post dose
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Number of Participants Reporting Unsolicited Adverse Events
Tidsramme: Through Day 28 post dose
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In this study an unsolicited AE is any AE not captured as a solicited AE in the Memory Aid Card between Day 0 and Day 7 after MAM01 dosing, and all AEs occurring after Day 7 post dose were collected as Unsolicited AEs.
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Through Day 28 post dose
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Number of Participants Reporting Serious Adverse Events (SAEs) Including Suspected Unexpected Serious Adverse Reactions (SUSARs) and Adverse Events Special Interest (AESIs)
Tidsramme: Up to Day 168
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A SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or is a medically significant / important event or reaction.
SUSARs are AEs reported for a clinical trial participant, which is assessed by the Sponsor and or study investigator as being unexpected, serious and as having a reasonable possibility of a causal relationship with the study drug.
AESIs are adverse events that the Sponsor wants to monitor closely and which require expedited reporting.
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Up to Day 168
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Number of Participants Who Received 2 Doses Reporting SUSARs, SAEs and AESIs
Tidsramme: Through Day 336
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A SAE is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or is a medically significant / important event or reaction.
SUSARs are AEs reported for a clinical trial participant, which is assessed by the Sponsor and or study investigator as being unexpected, serious and as having a reasonable possibility of a causal relationship with the study drug.
AESIs are adverse events that the Sponsor wants to monitor closely and which require expedited reporting.
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Through Day 336
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Number of Participants With Clinically Significant Changes in Serum Chemistry Parameters
Tidsramme: Through Day 336
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Blood samples were collected for the assessment of alanine transaminase, aspartate aminotransferase, alkaline phosphatase, total carbon-dioxide (CO2), chloride, total bilirubin, creatinine, blood urea nitrogen, glucose, albumin, total protein, sodium and potassium.
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Through Day 336
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Number of Participants With Clinically Significant Changes in Hematology Parameters
Tidsramme: Through Day 336
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Blood samples were collected for the assessment of complete blood count (CBC) including hemoglobin, platelet count, and white blood cell counts, and differential to include the absolute counts for neutrophils, lymphocytes, eosinophils, and monocytes.
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Through Day 336
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Maximal Observed Concentration (Cmax) Following Single Dose of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Cmax Following Repeat Dosing of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours, Day 1: 24 hours, Day 2: 48 hours, Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours, Day 1: 24 hours, Day 2: 48 hours, Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Area Under the Curve (AUC) From Time=0 to the Last Measurable Concentration (AUC0-t) Following Single Dose of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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AUC (0-t) Following Repeat Dosing of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Partial AUC's Time= 0 to the CHMI Challenge (AUC0-CHMI) of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Concentration at the Time of CHMI (CCHMI) of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Blood Terminal Elimination Rate Constant (λz) of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Terminal Half Life (t1/2) Following Single Dose of MAM01
Tidsramme: Time Frame: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Time Frame: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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t1/2 Following Repeat Dosing of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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AUC From Time=0 Extrapolated to Infinity (AUC0-infinity) of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224 and 280 post-dose
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Absolute Bioavailability of SC Formulation Following Repeated Dosing of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224, 280 and 378 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140, 168, 224, 280 and 378 post-dose
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Accumulation Ratio (AUC0-168) Following Repeated Doses of MAM01
Tidsramme: Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140 and 168 post-dose
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Serum from venous blood samples was collected for measurement of MAM01 pharmacokinetics.
The accumulation ratio was calculated as the ratio of AUC (0-168) (post first dose) to AUC (210-378) (post redose).
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Pre-dose, Day 0: end of infusion (EOI), 1, 3 and 6 hours; Day 1: 24 hours; Day 2: 48 hours; Days 7, 14, 28, 42, 56, 70, 84, 98, 112, 140 and 168 post-dose
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Number of Participants With Confirmed Pf Infection Assessed by Quantitative Polymerase Chain Reaction Assay (qRT-PCR) After CHMI
Tidsramme: Up to Day 27 post-CHMI
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The characterization of protective efficacy against Pf following CHMI challenge, was assessed by evaluating the presence or absence of Pf infection as determined by qRT-PCR after CHMI (planned through 4 weeks post-CHMI) and evaluating the time to parasitemia after CHMI in each cohort.
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Up to Day 27 post-CHMI
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Time to Parasitemia After CHMI
Tidsramme: Up to Day 27 post-CHMI
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Parasitemia was assessed by qRT-PCR up to Day 27 following CHMI.
In addition, a thick blood smear was prepared for microscopic analysis, which was examined only once the first qRT-PCR sample tested positive.
Daily parasitemia monitoring continued until the participant had a confirmed initial positive qRT-PCR.
The first positive qRT-PCR triggered either a second PCR test or microscopic analysis of the blood smear.
Once two positive results were obtained, rescue therapy was initiated.
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Up to Day 27 post-CHMI
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Cohorts 1, 4 and 5: Numbers of Participants With Seroconversion
Tidsramme: Up to Day 280
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The formation of ADAs (immunogenicity) following MAM01 SC and/or IV administration) was evaluated by measuring titers of ADA to MAM01 to last study visit for all participants.
Capillary blood samples and selected serum samples were collected on volumetric absorptive micro-sampling (VAMS) devices at timepoints.
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Up to Day 280
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Cohorts 2 and 3: Numbers of Participants Receiving 2 Doses With Seroconversion
Tidsramme: Up to Day 378
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The formation of ADAs (immunogenicity) following MAM01 SC and/or IV administration) was evaluated by measuring titers of ADA to MAM01 to last study visit for all participants.
Capillary blood samples and selected serum samples were collected on volumetric absorptive micro-sampling (VAMS) devices at timepoints.
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Up to Day 378
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Cohort 6: Numbers of Participants With Seroconversion
Tidsramme: Up to Day 84
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The formation of ADAs (immunogenicity) following MAM01 SC and/or IV administration) was evaluated by measuring titers of ADA to MAM01 to last study visit for all participants.
Capillary blood samples and selected serum samples were collected on volumetric absorptive micro-sampling (VAMS) devices at timepoints.
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Up to Day 84
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: +1 866 789 5767, Gates Medical Research Institute
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- Gates MRI-MAM01-101
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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Kliniske forsøg med Malaria
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University of OxfordWellcome Trust; Ministry of public Health AfghanistanAfsluttetVivax malaria | Ukompliceret Falciparum MalariaAfghanistan
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Gadjah Mada UniversityMenzies School of Health Research; Eijkman Institute for Molecular Biology og andre samarbejdspartnereAfsluttet
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London School of Hygiene and Tropical MedicineWorld Health Organization; United Nations High Commissioner for Refugees; HealthNet TPO og andre samarbejdspartnereAfsluttetMalaria | Vivax malaria | Falciparum malariaPakistan
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Menzies School of Health ResearchNational Health and Medical Research Council, Australia; Wellcome Trust; National...AfsluttetVivax malaria | Falciparum malariaIndonesien
Kliniske forsøg med MAM01 1,5 mg/kg
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Gates Medical Research InstituteAfsluttet
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Gangnam Severance HospitalAfsluttet
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Aileron Therapeutics, Inc.AfsluttetVæksthormonmangelForenede Stater
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GlaxoSmithKlineAfsluttetMuskeldystrofierFrankrig, Forenede Stater
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Healthgen Biotechnology Corp.RekrutteringEmfysem sekundært til medfødt AATDForenede Stater
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Hoag Memorial Hospital PresbyterianDa Zen Theranostics IncTilmelding efter invitationKræft i bugspytkirtlen | Metastatisk bugspytkirteladenokarcinomForenede Stater
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Aridis Pharmaceuticals, Inc.Afsluttet
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Crucell Holland BVNational Institute of Allergy and Infectious Diseases (NIAID)Afsluttet