Clinical trial

A Phase 1, Dose Escalation, Double Blind, Placebo Controlled Clinical Trial With Controlled Human Malaria Infections (CHMI) to Evaluate Safety, Tolerability, Pharmacokinetics, and Protective Efficacy of an Anti-Malaria Human Monoclonal Antibody, MAM01, in Healthy, Malaria-Naive Adults

Name
Gates MRI-MAM01-101
Description
This is a First-in-Human (FiH) double-blind, randomized, placebo-controlled, two-part, dose-escalation trial of MAM01 monoclonal antibody (mAb) targeting the Plasmodium falciparum (Pf) Circumsporozoite Protein (CSP). This study will evaluate the safety, tolerability, pharmacokinetics (PK), and protective efficacy of MAM01, as well as safety and PK of repeat subcutaneous (SC) dosing.
Trial arms
Trial start
2023-08-14
Estimated PCD
2025-03-01
Trial end
2025-06-01
Status
Recruiting
Phase
Early phase I
Treatment
MAM01 1.5 mg/kg
1.5 mg/kg MAM01 will be administered via IV route.
Arms:
Part A: Single Ascending Dose (SAD): Dose escalation cohort 1: MAM01 and placebo Intravenous (IV)
Placebo
Placebo will be administered via IV route.
Arms:
Part A: SAD dosing: Dose escalation Cohort 3: MAM01 and placebo IV, Part A: SAD dosing: Dose escalation Cohort 4: MAM01 and placebo IV, Part A: SAD dosing: Dose escalation Cohort 5: MAM01 and placebo IV, Part A: Single Ascending Dose (SAD): Dose escalation cohort 1: MAM01 and placebo Intravenous (IV)
MAM01 5 mg/kg
5 mg/kg MAM01 will be administered via SC route.
Arms:
Part A: Multiple Ascending Dose (MAD) (Repeat dosing): MAM01 and placebo SC, Part A: SAD dosing: Dose escalation Cohort 2: MAM01 and placebo SC
MAM01 10 mg/kg
10 mg/kg MAM01 will be administered via IV route.
Arms:
Part A: SAD dosing: Dose escalation Cohort 4: MAM01 and placebo IV
MAM01 40 mg/kg
40 mg/kg MAM01 will be administered via IV route.
Arms:
Part A: SAD dosing: Dose escalation Cohort 5: MAM01 and placebo IV
MAM01
MAM01 will be administered via SC route.
Arms:
Part B: Dose Expansion Cohort 6: Group 1: MAM01 and placebo SC (optional), Part B: Dose Expansion Cohort 6: Group 2: MAM01 and placebo SC (optional), Part B: Dose Expansion Cohort 6: Group 3: MAM01 and placebo SC (optional)
Placebo
Placebo will be administered via SC route.
Arms:
Part A: Multiple Ascending Dose (MAD) (Repeat dosing): MAM01 and placebo SC, Part A: SAD dosing: Dose escalation Cohort 2: MAM01 and placebo SC, Part B: Dose Expansion Cohort 6: Group 1: MAM01 and placebo SC (optional), Part B: Dose Expansion Cohort 6: Group 2: MAM01 and placebo SC (optional), Part B: Dose Expansion Cohort 6: Group 3: MAM01 and placebo SC (optional)
MAM01 5 mg/kg
5 mg/kg MAM01 will be administered via IV route.
Arms:
Part A: SAD dosing: Dose escalation Cohort 3: MAM01 and placebo IV
Size
61
Primary endpoint
Number of participants reporting solicited local and systemic adverse events (AEs) in the SC cohorts
Through 7 days post-dose
Number of participants reporting unsolicited AEs (single dose or multiple dose)
Through Day 28
Number of participants reporting serious adverse events (SAEs) including suspected unexpected serious adverse reactions (SUSARs) and adverse events special interest (AESIs)
Through 168 days post-dose
Number of re-dosed participants reporting SUSARs, SAEs and AESIs
Through 378 days
Number of participants with safety laboratory assessments by grade (grade 1 and above)
Up to 378 Days
Eligibility criteria
Inclusion criteria: * Participants who are healthy as determined by medical evaluation including medical history, physical examination and laboratory tests * Body Mass Index (BMI) 18 to 30 kilograms per square meter (kg/m\^2) (inclusive) to a maximum of 220 pounds * Both males and females are eligible to participate as per the following: a. Female participants physically capable of pregnancy, have at least one negative pregnancy test during Screening, on the day of enrollment, prior to Investigational product (IP) administration, prior to CHM and at the start of antimalarial treatment, and who agree to use effective contraception to avoid pregnancy from 28 days before enrollment through 10 months after last administration of investigation product are eligible to participate * Capable of giving signed Informed Consent which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and the trial protocol, and completion of a test of understanding if he/she may participate in the CHMI procedure * Reported completion of primary Coronavirus Disease (COVID) vaccine series is documented Exclusion criteria: * Acute illness or fever ≥99.5°Fahrenheit (F) (or ≥37.5 degrees Celsius) on day of dosing * Women who are pregnant or breastfeeding * Evidence and/or history of clinically significant medical condition(s) as judged by the Investigator, including malignancies, diabetes mellitus, and unstable or uncontrolled hypertension * A 5-year cardiovascular risk of ≥10% using the Gaziano nomogram * History of any autoimmune disease or immune deficiency or other impairment to the immune system, including but not limited to Human immunodeficiency virus (HIV), autoimmune conditions or immunosuppressive therapy * Participation in an interventional clinical trial and/or receipt of any investigational drug within 180 days prior to administration of trial drug on Day 1 * Anticipated use of medications known to cause drug reactions with chloroquine or atovaquoneproguanil (Malarone) such as cimetidine, metoclopramide, antacids, and kaolin Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER']}}, 'enrollmentInfo': {'count': 61, 'type': 'ESTIMATED'}}
Updated at
2024-03-05

1 organization

1 product

1 drug

1 indication

Product
MAM01
Indication
Malaria