Evidence map›Paper›PMID 27930652›Full record

ArticlePLoS neglected tropical diseases2016

Safety and Reproducibility of a Clinical Trial System Using Induced Blood Stage Plasmodium vivax Infection and Its Potential as a Model to Evaluate Malaria Transmission.

Paul Griffin, Cielo Pasay, Suzanne Elliott, Silvana Sekuloski, Maggy Sikulu, Leon Hugo, David Khoury, Deborah Cromer, Miles Davenport, Jetsumon Sattabongkot and 3 more

2 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05071079 narecruitingnot on this mapstarted 2022, after this paper: background citation

A Clinical Study to Assess the Safety and Feasibility of Controlled Blood-stage Plasmodium Vivax Human Malaria Infection Through Experimental Inoculation of Cryopreserved Infected Erythrocytes in Healthy Thai Adults

TypeinterventionalSponsorUniversity of OxfordRan2022 to 2026Enrolled48ConditionsPlasmodium Vivax InfectionArmsAn inoculum of malaria parasitised red blood cells with whole dose blood-stage inoculum, An inoculum of malaria parasitised red blood cells with 1:5 dilution blood-stage inoculum, An inoculum of malaria parasitised red blood cells with 1:10 dilution blood-stage inoculum, An inoculum of malaria parasitised red blood cells with 1:20 dilution blood-stage inoculum
NCT05095272 phase1completednot on this mapstarted 2022, after this paper: background citation

Induced Blood-Stage Plasmodium Vivax Infection With HMPBS02-Pv Challenge Agent in Healthy Malaria-Naive Adults to Produce a Plasmodium Vivax Parasite Cell Bank for Future Studies

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2022 to 2022Enrolled2ConditionsMalariaArmsHMPBS02-Pv
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review
  8. Review
  9. Review
  10. Monoclonal antibodies for malaria prevention.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Review
  11. Article
  12. Article
  13. The challenges ofFrontiers in immunology · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Progress towards the development of aExpert review of vaccines · 2021
    Review
  19. Article
  20. Liver Function Test Abnormalities in Experimental and ClinicalThe American journal of tropical medicine and hygiene · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Paul GriffinClinical Tropical Medicine Laboratory, QIMR Berghofer, Brisbane, Australia.
Cielo PasayClinical Tropical Medicine Laboratory, QIMR Berghofer, Brisbane, Australia.
Suzanne ElliottQ-Pharm Pty Ltd, Brisbane, Australia.
Silvana SekuloskiClinical Tropical Medicine Laboratory, QIMR Berghofer, Brisbane, Australia.
Maggy SikuluClinical Tropical Medicine Laboratory, QIMR Berghofer, Brisbane, Australia.
Leon HugoClinical Tropical Medicine Laboratory, QIMR Berghofer, Brisbane, Australia.
David KhouryUniversity of New South Wales, Sydney, Australia.
Deborah CromerUniversity of New South Wales, Sydney, Australia.
Miles DavenportUniversity of New South Wales, Sydney, Australia.
Jetsumon SattabongkotMahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Karen IvinsonPATH, Malaria Vaccine Initiative, Washington, DC, United States.
Christian OckenhousePATH, Malaria Vaccine Initiative, Washington, DC, United States.
James McCarthyClinical Tropical Medicine Laboratory, QIMR Berghofer, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterventions to interrupt transmission of malaria from humans to mosquitoes represent an appealing approach to assist malaria elimination. A limitation has been the lack of systems to test the efficacy of such interventions before proceeding to efficacy trials in the field. We have previously demonstrated the feasibility of induced blood stage malaria (IBSM) infection with Plasmodium vivax. In this study, we report further validation of the IBSM model, and its evaluation for assessment of transmission of P. vivax to Anopheles stephensi mosquitoes.

methodsSix healthy subjects (three cohorts, n = 2 per cohort) were infected with P. vivax by inoculation with parasitized erythrocytes. Parasite growth was monitored by quantitative PCR, and gametocytemia by quantitative reverse transcriptase PCR (qRT-PCR) for the mRNA pvs25. Parasite multiplication rate (PMR) and size of inoculum were calculated by linear regression. Mosquito transmission studies were undertaken by direct and membrane feeding assays over 3 days prior to commencement of antimalarial treatment, and midguts of blood fed mosquitoes dissected and checked for presence of oocysts after 7-9 days.

resultsThe clinical course and parasitemia were consistent across cohorts, with all subjects developing mild to moderate symptoms of malaria. No serious adverse events were reported. Asymptomatic elevated liver function tests were detected in four of six subjects; these resolved without treatment. Direct feeding of mosquitoes was well tolerated. The estimated PMR was 9.9 fold per cycle. Low prevalence of mosquito infection was observed (1.8%; n = 32/1801) from both direct (4.5%; n = 20/411) and membrane (0.9%; n = 12/1360) feeds.

conclusionThe P. vivax IBSM model proved safe and reliable. The clinical course and PMR were reproducible when compared with the previous study using this model. The IBSM model presented in this report shows promise as a system to test transmission-blocking interventions. Further work is required to validate transmission and increase its prevalence.

trial registrationAnzctr.org.au ACTRN12613001008718.

Indexed as

AnimalsAnophelesDisease Models, AnimalErythrocytesHealthy VolunteersHuman ExperimentationHumansMalaria, VivaxMosquito VectorsOocystsParasitemiaReproducibility of Results

Identifiers

PMID27930652
PMCPMC5145139

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.