The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers. / Steiner-Monard, Viviane; Kamaka, Kassim; Karoui, Olfa; Roethlisberger, Samuel; Audran, Régine; Daubenberger, Claudia; Fayet-Mello, Aurélie; Erdmann-Voisin, Aude; Felger, Ingrid; Geiger, Kristina; Govender, Lerisa; Houard, Sophie; Huber, Eric; Mayor, Carole; Mkindi, Catherine; Portevin, Damien; Rusch, Sebastian; Schmidlin, Sandro; Tiendrebeogo, Regis W; Theisen, Michael; Thierry, Anne-Christine; Vallotton, Laure; Corradin, Giampietro; Leroy, Odile; Abdulla, Salim; Shekalaghe, Seif; Genton, Blaise; Spertini, François; Jongo, Said A.

In: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, Vol. 68, No. 3, 2019, p. 466-474.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Steiner-Monard, V, Kamaka, K, Karoui, O, Roethlisberger, S, Audran, R, Daubenberger, C, Fayet-Mello, A, Erdmann-Voisin, A, Felger, I, Geiger, K, Govender, L, Houard, S, Huber, E, Mayor, C, Mkindi, C, Portevin, D, Rusch, S, Schmidlin, S, Tiendrebeogo, RW, Theisen, M, Thierry, A-C, Vallotton, L, Corradin, G, Leroy, O, Abdulla, S, Shekalaghe, S, Genton, B, Spertini, F & Jongo, SA 2019, 'The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers', Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, vol. 68, no. 3, pp. 466-474. https://doi.org/10.1093/cid/ciy514

APA

Steiner-Monard, V., Kamaka, K., Karoui, O., Roethlisberger, S., Audran, R., Daubenberger, C., Fayet-Mello, A., Erdmann-Voisin, A., Felger, I., Geiger, K., Govender, L., Houard, S., Huber, E., Mayor, C., Mkindi, C., Portevin, D., Rusch, S., Schmidlin, S., Tiendrebeogo, R. W., ... Jongo, S. A. (2019). The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 68(3), 466-474. https://doi.org/10.1093/cid/ciy514

Vancouver

Steiner-Monard V, Kamaka K, Karoui O, Roethlisberger S, Audran R, Daubenberger C et al. The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2019;68(3):466-474. https://doi.org/10.1093/cid/ciy514

Author

Steiner-Monard, Viviane ; Kamaka, Kassim ; Karoui, Olfa ; Roethlisberger, Samuel ; Audran, Régine ; Daubenberger, Claudia ; Fayet-Mello, Aurélie ; Erdmann-Voisin, Aude ; Felger, Ingrid ; Geiger, Kristina ; Govender, Lerisa ; Houard, Sophie ; Huber, Eric ; Mayor, Carole ; Mkindi, Catherine ; Portevin, Damien ; Rusch, Sebastian ; Schmidlin, Sandro ; Tiendrebeogo, Regis W ; Theisen, Michael ; Thierry, Anne-Christine ; Vallotton, Laure ; Corradin, Giampietro ; Leroy, Odile ; Abdulla, Salim ; Shekalaghe, Seif ; Genton, Blaise ; Spertini, François ; Jongo, Said A. / The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers. In: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2019 ; Vol. 68, No. 3. pp. 466-474.

Bibtex

@article{ce69f7f2dc7548848eb9f18d14bef7e7,
title = "The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers",
abstract = "Background: P27A is an unstructured 104mer synthetic peptide from Plasmodium falciparum trophozoite exported protein 1 (TEX1), the target of human antibodies inhibiting parasite growth. The present project aimed at evaluating the safety and immunogenicity of P27A peptide vaccine in malaria-nonexposed European and malaria-exposed African adults.Methods: This study was designed as a staggered, fast-track, randomized, antigen and adjuvant dose-finding, multicenter phase 1a/1b trial, conducted in Switzerland and Tanzania. P27A antigen (10 or 50 μg), adjuvanted with Alhydrogel or glucopyranosil lipid adjuvant stable emulsion (GLA-SE; 2.5 or 5 μg), or control rabies vaccine (Verorab) were administered intramuscularly to 16 malaria-nonexposed and 40 malaria-exposed subjects on days 0, 28, and 56. Local and systemic adverse events (AEs) as well as humoral and cellular immune responses were assessed after each injection and during the 34-week follow-up.Results: Most AEs were mild to moderate and resolved completely within 48 hours. Systemic AEs were more frequent in the formulation with alum as compared to GLA-SE, whereas local AEs were more frequent after GLA-SE. No serious AEs occurred. Supported by a mixed Th1/Th2 cell-mediated immunity, P27A induced a marked specific antibody response able to recognize TEX1 in infected erythrocytes and to inhibit parasite growth through an antibody-dependent cellular inhibition mechanism. Incidence of AEs and antibody responses were significantly lower in malaria-exposed Tanzanian subjects than in nonexposed European subjects.Conclusions: The candidate vaccine P27A was safe and induced a particularly robust immunogenic response in combination with GLA-SE. This formulation should be considered for future efficacy trials.Clinical Trials Registration: NCT01949909, PACTR201310000683408.",
author = "Viviane Steiner-Monard and Kassim Kamaka and Olfa Karoui and Samuel Roethlisberger and R{\'e}gine Audran and Claudia Daubenberger and Aur{\'e}lie Fayet-Mello and Aude Erdmann-Voisin and Ingrid Felger and Kristina Geiger and Lerisa Govender and Sophie Houard and Eric Huber and Carole Mayor and Catherine Mkindi and Damien Portevin and Sebastian Rusch and Sandro Schmidlin and Tiendrebeogo, {Regis W} and Michael Theisen and Anne-Christine Thierry and Laure Vallotton and Giampietro Corradin and Odile Leroy and Salim Abdulla and Seif Shekalaghe and Blaise Genton and Fran{\c c}ois Spertini and Jongo, {Said A}",
year = "2019",
doi = "10.1093/cid/ciy514",
language = "English",
volume = "68",
pages = "466--474",
journal = "Clinical Infectious Diseases",
issn = "1058-4838",
publisher = "Oxford University Press",
number = "3",

}

RIS

TY - JOUR

T1 - The candidate blood-stage malaria vaccine P27A induces a robust humoral response in a fast track to the field Phase 1 trial in exposed and nonexposed volunteers

AU - Steiner-Monard, Viviane

AU - Kamaka, Kassim

AU - Karoui, Olfa

AU - Roethlisberger, Samuel

AU - Audran, Régine

AU - Daubenberger, Claudia

AU - Fayet-Mello, Aurélie

AU - Erdmann-Voisin, Aude

AU - Felger, Ingrid

AU - Geiger, Kristina

AU - Govender, Lerisa

AU - Houard, Sophie

AU - Huber, Eric

AU - Mayor, Carole

AU - Mkindi, Catherine

AU - Portevin, Damien

AU - Rusch, Sebastian

AU - Schmidlin, Sandro

AU - Tiendrebeogo, Regis W

AU - Theisen, Michael

AU - Thierry, Anne-Christine

AU - Vallotton, Laure

AU - Corradin, Giampietro

AU - Leroy, Odile

AU - Abdulla, Salim

AU - Shekalaghe, Seif

AU - Genton, Blaise

AU - Spertini, François

AU - Jongo, Said A

PY - 2019

Y1 - 2019

N2 - Background: P27A is an unstructured 104mer synthetic peptide from Plasmodium falciparum trophozoite exported protein 1 (TEX1), the target of human antibodies inhibiting parasite growth. The present project aimed at evaluating the safety and immunogenicity of P27A peptide vaccine in malaria-nonexposed European and malaria-exposed African adults.Methods: This study was designed as a staggered, fast-track, randomized, antigen and adjuvant dose-finding, multicenter phase 1a/1b trial, conducted in Switzerland and Tanzania. P27A antigen (10 or 50 μg), adjuvanted with Alhydrogel or glucopyranosil lipid adjuvant stable emulsion (GLA-SE; 2.5 or 5 μg), or control rabies vaccine (Verorab) were administered intramuscularly to 16 malaria-nonexposed and 40 malaria-exposed subjects on days 0, 28, and 56. Local and systemic adverse events (AEs) as well as humoral and cellular immune responses were assessed after each injection and during the 34-week follow-up.Results: Most AEs were mild to moderate and resolved completely within 48 hours. Systemic AEs were more frequent in the formulation with alum as compared to GLA-SE, whereas local AEs were more frequent after GLA-SE. No serious AEs occurred. Supported by a mixed Th1/Th2 cell-mediated immunity, P27A induced a marked specific antibody response able to recognize TEX1 in infected erythrocytes and to inhibit parasite growth through an antibody-dependent cellular inhibition mechanism. Incidence of AEs and antibody responses were significantly lower in malaria-exposed Tanzanian subjects than in nonexposed European subjects.Conclusions: The candidate vaccine P27A was safe and induced a particularly robust immunogenic response in combination with GLA-SE. This formulation should be considered for future efficacy trials.Clinical Trials Registration: NCT01949909, PACTR201310000683408.

AB - Background: P27A is an unstructured 104mer synthetic peptide from Plasmodium falciparum trophozoite exported protein 1 (TEX1), the target of human antibodies inhibiting parasite growth. The present project aimed at evaluating the safety and immunogenicity of P27A peptide vaccine in malaria-nonexposed European and malaria-exposed African adults.Methods: This study was designed as a staggered, fast-track, randomized, antigen and adjuvant dose-finding, multicenter phase 1a/1b trial, conducted in Switzerland and Tanzania. P27A antigen (10 or 50 μg), adjuvanted with Alhydrogel or glucopyranosil lipid adjuvant stable emulsion (GLA-SE; 2.5 or 5 μg), or control rabies vaccine (Verorab) were administered intramuscularly to 16 malaria-nonexposed and 40 malaria-exposed subjects on days 0, 28, and 56. Local and systemic adverse events (AEs) as well as humoral and cellular immune responses were assessed after each injection and during the 34-week follow-up.Results: Most AEs were mild to moderate and resolved completely within 48 hours. Systemic AEs were more frequent in the formulation with alum as compared to GLA-SE, whereas local AEs were more frequent after GLA-SE. No serious AEs occurred. Supported by a mixed Th1/Th2 cell-mediated immunity, P27A induced a marked specific antibody response able to recognize TEX1 in infected erythrocytes and to inhibit parasite growth through an antibody-dependent cellular inhibition mechanism. Incidence of AEs and antibody responses were significantly lower in malaria-exposed Tanzanian subjects than in nonexposed European subjects.Conclusions: The candidate vaccine P27A was safe and induced a particularly robust immunogenic response in combination with GLA-SE. This formulation should be considered for future efficacy trials.Clinical Trials Registration: NCT01949909, PACTR201310000683408.

U2 - 10.1093/cid/ciy514

DO - 10.1093/cid/ciy514

M3 - Journal article

C2 - 29945169

VL - 68

SP - 466

EP - 474

JO - Clinical Infectious Diseases

JF - Clinical Infectious Diseases

SN - 1058-4838

IS - 3

ER -

ID: 213186588