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Infection and Immunity, November 2004, p. 6519-6527, Vol. 72, No. 11
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.11.6519-6527.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Phase I Testing of a Malaria Vaccine Composed of Hepatitis B Virus Core Particles Expressing Plasmodium falciparum Circumsporozoite Epitopes
Elizabeth H. Nardin,1*
Giane A. Oliveira,1
J. Mauricio Calvo-Calle,1
Kristiane Wetzel,2
Carolin Maier,2
Ashley J. Birkett,3
Pramod Sarpotdar,3
Michael L. Corado,4
George B. Thornton,2,3 and
Annette Schmidt2
Department of Medical and Molecular Parasitology, New York University School of Medicine, New York, New York,1
Apovia AG, Martinsried, Germany,2
Apovia Inc., San Diego, California,3
and Advanced Biologics LLCNew Hope, Pennsylvania4
Received 5 May 2004/
Returned for modification 1 July 2004/
Accepted 26 July 2004
We report the first phase I trial to assess the safety and immunogenicity of a malaria vaccine candidate, ICC-1132 (Malarivax), composed of a modified hepatitis B virus core protein (HBc) containing minimal epitopes of the Plasmodium falciparum circumsporozoite (CS) protein. When expressed in Escherichia coli, the recombinant ICC-1132 protein forms virus-like particles that were found to be highly immunogenic in preclinical studies of mice and monkeys. Twenty healthy adult volunteers received a 20- or a 50-µg dose of alum-adsorbed ICC-1132 administered intramuscularly at 0, 2, and 6 months. The majority of volunteers in the group receiving the 50-µg dose developed antibodies to CS repeats as well as to HBc. Malaria-specific T cells that secreted gamma interferon were also detected after a single immunization with ICC-1132-alum. These studies support ICC-1132 as a promising malaria vaccine candidate for further clinical testing using more-potent adjuvant formulations and confirm the potential of modified HBc virus-like particles as a delivery platform for vaccines against other human pathogens.
* Corresponding author. Mailing address: New York University School of Medicine, Department of Medical and Molecular Parasitology, 341 East 25th St., New York, NY 10010. Phone: (212) 263-6819. Fax: (212) 263-8116. E-mail: nardie01{at}med.nyu.edu.
Editor: J. D. Clements
Infection and Immunity, November 2004, p. 6519-6527, Vol. 72, No. 11
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.11.6519-6527.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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Copyright © 2004 by the American Society for Microbiology. All rights reserved.