Vaccination with Plasmodium vivax Duffy-binding protein inhibits parasite growth during controlled human malaria infection

Author:

Hou Mimi M.123ORCID,Barrett Jordan R.123ORCID,Themistocleous Yrene2ORCID,Rawlinson Thomas A.2,Diouf Ababacar4,Martinez Francisco J.5ORCID,Nielsen Carolyn M.123ORCID,Lias Amelia M.123ORCID,King Lloyd D. W.123,Edwards Nick J.2ORCID,Greenwood Nicola M.2,Kingham Lucy2,Poulton Ian D.2ORCID,Khozoee Baktash2ORCID,Goh Cyndi2ORCID,Hodgson Susanne H.123ORCID,Mac Lochlainn Dylan J.123ORCID,Salkeld Jo123ORCID,Guillotte-Blisnick Micheline5,Huon Christèle5ORCID,Mohring Franziska6,Reimer Jenny M.7ORCID,Chauhan Virander S.8,Mukherjee Paushali9ORCID,Biswas Sumi2,Taylor Iona J.2ORCID,Lawrie Alison M.2,Cho Jee-Sun123,Nugent Fay L.2ORCID,Long Carole A.4ORCID,Moon Robert W.6ORCID,Miura Kazutoyo4ORCID,Silk Sarah E.123ORCID,Chitnis Chetan E.5ORCID,Minassian Angela M.12310ORCID,Draper Simon J.12310ORCID

Affiliation:

1. Department of Biochemistry, University of Oxford, Oxford OX1 3QU, UK.

2. Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK.

3. Kavli Institute for Nanoscience Discovery, University of Oxford, Oxford OX1 3QU, UK.

4. Laboratory of Malaria and Vector Research, NIAID/NIH, Rockville, MD 20852, USA.

5. Unité de Biologie de Plasmodium et Vaccins, Institut Pasteur, Université Paris Cité, 25-28 Rue du Dr Roux, 75015 Paris, France.

6. Department of Infection Biology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.

7. Novavax AB, Kungsgatan 109, SE-753 18 Uppsala, Sweden.

8. International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi, India.

9. Multi Vaccines Development Program (MVDP), New Delhi, India.

10. NIHR Oxford Biomedical Research Centre, Oxford, UK.

Abstract

There are no licensed vaccines against Plasmodium vivax . We conducted two phase 1/2a clinical trials to assess two vaccines targeting P. vivax Duffy-binding protein region II (PvDBPII). Recombinant viral vaccines using chimpanzee adenovirus 63 (ChAd63) and modified vaccinia virus Ankara (MVA) vectors as well as a protein and adjuvant formulation (PvDBPII/Matrix-M) were tested in both a standard and a delayed dosing regimen. Volunteers underwent controlled human malaria infection (CHMI) after their last vaccination, alongside unvaccinated controls. Efficacy was assessed by comparisons of parasite multiplication rates in the blood. PvDBPII/Matrix-M, given in a delayed dosing regimen, elicited the highest antibody responses and reduced the mean parasite multiplication rate after CHMI by 51% ( n = 6) compared with unvaccinated controls ( n = 13), whereas no other vaccine or regimen affected parasite growth. Both viral-vectored and protein vaccines were well tolerated and elicited expected, short-lived adverse events. Together, these results support further clinical evaluation of the PvDBPII/Matrix-M P. vivax vaccine.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine

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