DSM265 Prophylaxis of Plasmodium Falciparum Malaria

Cohort 1:

- Controlled human malaria infection on Day 0 (Direct Venous Inoculation of 3200
cryopreserved Plasmodium falciparum sporozoites)

- Drug administration on Day -3

- 8 subjects: 6 DSM265 400 mg: 2 matching placebo Clinical safety review of Cohort 1 in
order to proceed to Cohorts 2a and 2b

Cohort 2a:

- Controlled human malaria infection on Day 0 (Direct Venous Inoculation of 3200
cryopreserved Plasmodium falciparum sporozoites)

- Drug administration on Day -X (to be defined following safety and pharmacokinetic data)

- 8 subjects: 6 DSM265 400 mg: 2 matching placebo

Cohort 2b:

- Controlled human malaria infection on Day 0 (infected mosquito bite)

- Drug administration on Day -X (to be defined following safety and pharmacokinetic data)

- 8 subjects: 6 DSM265 400 mg: 2 matching placebo

- Good health based on medical history and physical examination

- body mass index >18 and <30kg/m2

- Laboratory results without clinically significant findings within 60 days

- Males must use medically acceptable form of contraception from the dose of
DSM265/Placebo for 120 days

- Women must be of non-child bearing potential or willing and able to practice one of
the required continuous acceptable methods of contraception and have negative
pregnancy tests

- Able & willing to comply with all study requirements throughout the study

- Agree to undergo all study procedures, attend all study visits and stay overnight for
observation if required, to last follow-up visit

- Willing to undergo a controlled human malaria infection by mosquito bites /
inoculation

- Able and willing to answer all questions on informed consent correctly, and to sign
the informed consent form

- Reachable constantly by mobile phone or email throughout the study period

- Refrain from blood donation throughout the study

- Willing to take atovaquone-proguanil, Chloroquine or other registered antimalarial

Exclusion Criteria:

- Any history of malaria; any severe reactions to mosquito or insect bites; any history
of anaphylaxis

- Plans to travel to malaria endemic region during the study period

- Previous participation in any malaria vaccine study or controlled human malaria
infection study

- Participation in any other clinical study within 30 days of enrollment or plan to
participate in another investigational vaccine/drug research during the study

- Breastfeeding or planning to become pregnant during the time of the study

- Positive Human Immunodeficiency Virus, Hepatitis B or C tests

- Any confirmed/suspected immunosuppressive or immunodeficient state

- History of serious psychiatric condition that may affect participation in the study,
or history of convulsions, seizures, or of severe head trauma

- Symptoms, physical signs or laboratory values suggestive of systemic disorders

- History of cancer (except basal cell carcinoma of the skin)

- History of arrhythmias or documented prolonged QTcF-interval (>450 msec) or 12-lead
ECG demonstrating specific abnormalities

- Moderate risk or higher for cardiovascular event within 5 years (>10%)

- Positive family history in 1st or 2nd degree relative <50 years for cardiac disease,
or history of, or known active cardiac disease

- history of: psoriasis or porphyria which may be exacerbated by chloroquine;
splenectomy, or sickle cell anaemia or other red blood cell disorders; allergy or
contra-indication to chloroquine or atovaquone-proguanil

- Treatment with an investigational drug within 28 days or 5 half-lives of study
medication; use of any drugs or dietary supplements within 7 days or 5 half-lives
prior to study medication. Herbal supplements must be discontinued at least 28 days
prior to study medication. As an exception, acetaminophen or ibuprofen may be used as
approved by the investigator

- Use of any prohibited medication

- Grapefruit or product containing grapefruit from28 days before study medication or
throughout the study

- History of drug or alcohol abuse within 12 months prior to dosing, or laboratory
evidence of abuse

- Current smoking of more than 10 cigarettes or equivalent per day

- Plan for major surgery between enrolment and study completion