PMID- 21862998 OWN - NLM STAT- MEDLINE DCOM- 20120322 LR - 20220129 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 19 IP - 12 DP - 2011 Dec TI - Phase Ia clinical evaluation of the Plasmodium falciparum blood-stage antigen MSP1 in ChAd63 and MVA vaccine vectors. PG - 2269-76 LID - 10.1038/mt.2011.176 [doi] AB - Efficacy trials of antibody-inducing protein-in-adjuvant vaccines targeting the blood-stage Plasmodium falciparum malaria parasite have so far shown disappointing results. The induction of cell-mediated responses in conjunction with antibody responses is thought to be one alternative strategy that could achieve protective efficacy in humans. Here, we prepared chimpanzee adenovirus 63 (ChAd63) and modified vaccinia virus Ankara (MVA) replication-deficient vectors encoding the well-studied P. falciparum blood-stage malaria antigen merozoite surface protein 1 (MSP1). A phase Ia clinical trial was conducted in healthy adults of a ChAd63-MVA MSP1 heterologous prime-boost immunization regime. The vaccine was safe and generally well tolerated. Fewer systemic adverse events (AEs) were observed following ChAd63 MSP1 than MVA MSP1 administration. Exceptionally strong T-cell responses were induced, and these displayed a mixed of CD4(+) and CD8(+) phenotype. Substantial MSP1-specific serum immunoglobulin G (IgG) antibody responses were also induced, which were capable of recognizing native parasite antigen, but these did not reach titers sufficient to neutralize P. falciparum parasites in vitro. This viral vectored vaccine regime is thus a leading approach for the induction of strong cellular and humoral immunogenicity against difficult disease targets in humans. Further studies are required to assess whether this strategy can achieve protective efficacy against blood-stage malaria infection. FAU - Sheehy, Susanne H AU - Sheehy SH AD - Centre for Clinical Vaccinology and Tropical Medicine, The Jenner Institute, University of Oxford, Churchill Hospital, Oxford, UK. susanne.sheehy@ndm.ox.ac.uk FAU - Duncan, Christopher J A AU - Duncan CJ FAU - Elias, Sean C AU - Elias SC FAU - Collins, Katharine A AU - Collins KA FAU - Ewer, Katie J AU - Ewer KJ FAU - Spencer, Alexandra J AU - Spencer AJ FAU - Williams, Andrew R AU - Williams AR FAU - Halstead, Fenella D AU - Halstead FD FAU - Moretz, Samuel E AU - Moretz SE FAU - Miura, Kazutoyo AU - Miura K FAU - Epp, Christian AU - Epp C FAU - Dicks, Matthew D J AU - Dicks MD FAU - Poulton, Ian D AU - Poulton ID FAU - Lawrie, Alison M AU - Lawrie AM FAU - Berrie, Eleanor AU - Berrie E FAU - Moyle, Sarah AU - Moyle S FAU - Long, Carole A AU - Long CA FAU - Colloca, Stefano AU - Colloca S FAU - Cortese, Riccardo AU - Cortese R FAU - Gilbert, Sarah C AU - Gilbert SC FAU - Nicosia, Alfredo AU - Nicosia A FAU - Hill, Adrian V S AU - Hill AV FAU - Draper, Simon J AU - Draper SJ LA - eng GR - G1000527(95710)/MRC_/Medical Research Council/United Kingdom GR - G0700735/MRC_/Medical Research Council/United Kingdom GR - 095540/Wellcome Trust/United Kingdom GR - 084113/Z/07/Z/WT_/Wellcome Trust/United Kingdom GR - 45488/Z/05/WT_/Wellcome Trust/United Kingdom GR - G1000527/MRC_/Medical Research Council/United Kingdom GR - 090532/Wellcome Trust/United Kingdom GR - G1000527/WT_/Wellcome Trust/United Kingdom PT - Clinical Trial, Phase I PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110823 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Adjuvants, Immunologic) RN - 0 (Antibodies, Protozoan) RN - 0 (Immunoglobulin G) RN - 0 (Merozoite Surface Protein 1) SB - IM MH - Adenoviridae/*genetics MH - Adjuvants, Immunologic MH - Adult MH - Animals MH - Antibodies, Protozoan/immunology MH - Blotting, Western MH - CD4-Positive T-Lymphocytes/*immunology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry MH - Fluorescent Antibody Technique MH - Genetic Vectors/*therapeutic use MH - Humans MH - Immunity, Cellular MH - Immunoglobulin G/immunology MH - Immunologic Memory MH - Macaca mulatta MH - Malaria, Falciparum/blood/*immunology/*therapy MH - Male MH - Merozoite Surface Protein 1/blood/genetics/*immunology MH - Mice MH - Plasmodium falciparum/genetics/immunology MH - Vaccination MH - Vaccinia virus/*genetics MH - Young Adult PMC - PMC3242658 EDAT- 2011/08/25 06:00 MHDA- 2012/03/23 06:00 PMCR- 2012/12/01 CRDT- 2011/08/25 06:00 PHST- 2011/08/25 06:00 [entrez] PHST- 2011/08/25 06:00 [pubmed] PHST- 2012/03/23 06:00 [medline] PHST- 2012/12/01 00:00 [pmc-release] AID - S1525-0016(16)32712-5 [pii] AID - 10.1038/mt.2011.176 [doi] PST - ppublish SO - Mol Ther. 2011 Dec;19(12):2269-76. doi: 10.1038/mt.2011.176. Epub 2011 Aug 23.