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Experimental infection and protection against ... - TI Pharma

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12 Chapter 1<br />

Preclinical Clinical<br />

Phase 1A Phase 1B Phase 2A Phase 2B Phase 3<br />

Aim Safety, dose, efficacy, long-term effects Safety & dose Safety & dose Efficacy & side Efficacy & side Adverse<br />

effects effects reactions <strong>and</strong><br />

long-term<br />

Population Rodent <strong>and</strong>/or simian Non-endemic Endemic Non-endemic Endemic Endemic<br />

Duration 3-6 years 3-12 months 3-12 months 3-24 months 3-24 months 3 years<br />

Typical size of<br />

test group<br />

~10 ~10 ~10 100-300 10,000-50,000<br />

FMP2.1/AS02A (AMA-1 3D7 E. coli-expressed in<br />

Erythrocytic vaccine c<strong>and</strong>idates<br />

Combined vaccine<br />

c<strong>and</strong>idates<br />

Transmissio<br />

n blocking<br />

vaccine<br />

c<strong>and</strong>idates<br />

GMZ2<br />

MSP3 [181-276]<br />

AMA1-C1/Alhydrogel ® + CPG 7909<br />

AdCh63/MVA MSP1<br />

FMP2.1/AS01B (AMA-1 3D7 E. coli expressed<br />

in ASO1B adjuvant)<br />

AdCh63 AMA1/MVA AMA1<br />

EBA175 RII<br />

FMP010/AS01B (MSP-1 42 FVO E. coliexpressed<br />

in AS01B adjuvant)<br />

SE36<br />

BSAM-2/Alhydrogel®+CPG 7909<br />

JAIVAC (MSP1 19/EBA175)<br />

P27A<br />

pfAMA1 DiCo<br />

PAM VAR2CSA<br />

Var2-CSA DBL2/3-X<br />

MSP1 full length<br />

FMP1/AS02A (MSP-1 42 3D7 E. coli-expressed<br />

in AS02A adjuvant)<br />

MSP2-C1/ISA720<br />

AMA1-FVO [25-545]<br />

PfCP2.9 (MSP-1 19/AMA-1 chimera)<br />

GLURP [85-213]<br />

MSP1-C1/AlOH/AlOH + CpG<br />

AMA1-C1/ ISA720<br />

AMA-1 (Australia)<br />

NMRC-M3V-Ad-PfCA<br />

CSP, AMA1 virosomes (PEV 301,302)<br />

SR11.1<br />

NMRC-M3V-Ad-Pf5<br />

RESA, MSP1, MSP2 (combination B)<br />

FP9/MVA Polyprotein<br />

RTS,S/AS02 <strong>and</strong> FMP1/AS02<br />

NMRC-M3V-Ad-PfCA in Adjuvant (7DW8-5)<br />

Pf10C-MBP<br />

Pfs25-rEPA/Alhydrogel<br />

Pfs25-Pfs25 conjugate vaccine<br />

Pfs25<br />

Figure 2 (continued): Malaria vaccines in (pre-)clinical development. Vaccines in lighter<br />

shades have stopped or halted in development. [16]<br />

research efforts <strong>and</strong> a significant increase in the number of vaccine c<strong>and</strong>idates<br />

being developed, there is no licensed malaria vaccine yet.<br />

Malaria vaccine development<br />

Developments in molecular techniques have advanced the development of<br />

malaria vaccine c<strong>and</strong>idates to a current number of approximately 36 Pf<br />

c<strong>and</strong>idate (sub-unit) malaria vaccines in clinical development [11], an overview is<br />

provided in Figure 2. Only a fraction of lead vaccine c<strong>and</strong>idates entering the

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