Evidence map›Paper›PMID 16988273›Full record

Trial reportInfection and immunity2006

A DNA prime-modified vaccinia virus ankara boost vaccine encoding thrombospondin-related adhesion protein but not circumsporozoite protein partially protects healthy malaria-naive adults against Plasmodium falciparum sporozoite challenge.

S J Dunachie, M Walther, J E Epstein, S Keating, T Berthoud, L Andrews, R F Andersen, P Bejon, N Goonetilleke, I Poulton and 11 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Infection and immunity, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02925403 (A Phase Ib Randomised, Controlled, Single-blind Study to Assess the Safety, Immunogenicity of the Malaria Vaccine Candidate R21 With Matrix-M1 Adjuvant in West African Adult Volunteers), which is not on this map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
15.8field-weighted citation impact, top 1% of its field
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.

NCT02925403 phase1 / phase2completednot on this mapstarted 2016, after this paper: background citation

A Phase Ib Randomised, Controlled, Single-blind Study to Assess the Safety, Immunogenicity of the Malaria Vaccine Candidate R21 With Matrix-M1 Adjuvant in West African Adult Volunteers

TypeinterventionalSponsorUniversity of OxfordRan2016 to 2017Enrolled13ConditionsMalariaArmsR21/Matrix-M1, Saline
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 165 citations in OpenAlex.

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  20. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review

25 more citing papers are in PubMed but not listed here.

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

21 authors at 6 institutions in 2 countries.

S J DunachieUniversity of Oxford, Nuffield Department of Clinical Medicine, Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Old Rd., Headington, Oxford OX3 7LJ, United Kingdom. susie.dunachie@ndm.ox.ac.uk
M Walther
J E Epstein
S Keating
T Berthoud
L Andrews
R F Andersen
P Bejon
N Goonetilleke
I Poulton
D P Webster
G Butcher
K Watkins
R E Sinden
G L Levine
T L Richie
J Schneider
D Kaslow
S C Gilbert
D J Carucci
A V S Hill
Churchill Hospital · GBUniversity of Oxford · GBNaval Medical Research Command · USImperial College London · GBPsiOxus Therapeutics (United Kingdom) · GBVical (United States) · US

Funding

Medical Research Council G84/6323Wellcome Trust
6 · The paper itself

Abstract

The safety, immunogenicity, and efficacy of DNA and modified vaccinia virus Ankara (MVA) prime-boost regimes were assessed by using either thrombospondin-related adhesion protein (TRAP) with a multiple-epitope string ME (ME-TRAP) or the circumsporozoite protein (CS) of Plasmodium falciparum. Sixteen healthy subjects who never had malaria (malaria-naive subjects) received two priming vaccinations with DNA, followed by one boosting immunization with MVA, with either ME-TRAP or CS as the antigen. Immunogenicity was assessed by ex vivo gamma interferon (IFN-gamma) enzyme-linked immunospot assay (ELISPOT) and antibody assay. Two weeks after the final vaccination, the subjects underwent P. falciparum sporozoite challenge, with six unvaccinated controls. The vaccines were well tolerated and immunogenic, with the DDM-ME TRAP regimen producing stronger ex vivo IFN-gamma ELISPOT responses than DDM-CS. One of eight subjects receiving the DDM-ME TRAP regimen was completely protected against malaria challenge, with this group as a whole showing significant delay to parasitemia compared to controls (P = 0.045). The peak ex vivo IFN-gamma ELISPOT response in this group correlated strongly with the number of days to parasitemia (P = 0.033). No protection was observed in the DDM-CS group. Prime-boost vaccination with DNA and MVA encoding ME-TRAP but not CS resulted in partial protection against P. falciparum sporozoite challenge in the present study.

Indexed as

Plasmodium falciparumAdolescentAdultAnimalsAntibodies, ProtozoanFemaleHumansImmunization, SecondaryInterferon-gammaMalaria, FalciparumMalaria VaccinesMaleMiddle AgedProtozoan ProteinsVaccines, DNAVaccinia virusAntibodies, Protozoancircumsporozoite protein, ProtozoanInterferon-gammaMalaria VaccinesProtozoan Proteinsthrombospondin-related adhesive protein, protozoanVaccines, DNAViral Proteins

Identifiers

PMID16988273
PMCPMC1594937
OpenAlexW2126344726

What OpenQuestion holds

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Read underepoch 390

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.