Last Updated: 02/10/2025

A novel P. vivax pre-erythrocytic malaria vaccine for broad coverage: Progression to GMP manufacture of a clinical vaccine lot

Objectives

With this project, it is proposed to manufacture the Rv21 candidate vaccine to GMP standards. Our pre-clinical results indicate that this could be the most effective P. vivax vaccine yet developed with additional potential to prevent hypnozoite and relapse, while offering the possibility of medium term licensure and deployment. This project will take 30 months to complete and will involve GMP production of a vaccine lot, as well as ethics and regulatory approvals for a first-in-human clinical trial.

The primary objectives of this proposal are to:

  1. produce Rv21 to GMP standards and we will deliver a product suitable for a future phase I clinical trial in quantity and quality. We will rely on the Jenner’s clinical biomanufacturing facility (CBF) to produce the vaccine, which has recently succeeded in producing a similar VLP for falciparum: R21.
  2. perform toxicology and stability testing.
  3. apply for ethics and regulatory approvals for a future clinical trial.

Therefore, pre-erythrocytic vaccines such as the one proposed here, could make P. vivax elimination economically feasible or even possible, by preventing hypnozoite formation or by eliminating such structure.

Principal Investigators / Focal Persons

Arturo Reyes-Sandoval

Partner Investigators

Lucy Dorrell

Rationale and Abstract

Elimination of Plasmodium vivax (Pv) will be key to achieve malaria eradication, but it is proving to be far more difficult than elimination of P. falciparum (Pf). Countries, where both malaria parasites co-exist, have found that elimination of Pf is feasible but Pv is more resilient and extremely difficult to eliminate.
The major reason for such resilience is the liver hypnozoite. This is an extraordinary structure that P. vivax has evolved to survive in temperate and cold regions. A hypnozoite can have the ability to hide for a long period of time to reactivate in a following hot season, where mosquitoes will be next available to take a blood meal containing parasites coming from the liver rather than from a mosquito bite. Major vivax drug developments are aimed at targeting the hypnozoite, but only one drug, primaquine, is effective to treat these structures.

SHARE
SHARE