RT Journal A1 Kuehn BM T1 INjections may take the bite out of malaria studies JF JAMA JO JAMA YR 2012 FD December 12 VO 308 IS 22 SP 2325 OP 2325 DO 10.1001/jama.2012.105690 UL http://dx.doi.org/10.1001/jama.2012.105690 AB The phase I study, simultaneously published in the American Journal of Tropical Medicine and Hygiene (Roestenberg M et al. Am J Trop Med Hy. doi: 10.4269/ajtmh.2012.12-0613 [published online November 13, 2012]), involved 18 Dutch volunteers divided in 3 groups that received intradermal injections of 2500, 10 000, or 25 000 sporozoites. The sporozoites were produced by Sanaria, a biotechnology company, which raised infected mosquitos under aseptic conditions, purified the sporozoites from mosquito tissues, and preserved them in vials for injection. A total of 15 of 18 volunteers became infected with malaria, 5 of 6 in each inoculum group, with no observed differences in measures of infection between groups. All infected individuals were treated and recovered. Several reported headaches, likely due to the malaria infection, and 1 individual reported chest pain after malaria treatment. The trial was stopped while the trial's safety monitoring committee assessed the chest pain event, which was determined not to be a serious cardiac event, and the trial was resumed 3 days later, the authors noted.