Evidence map›Paper›PMID 18698359›Full record

Trial reportPloS one2008

Phase 1 trial of AMA1-C1/Alhydrogel plus CPG 7909: an asexual blood-stage vaccine for Plasmodium falciparum malaria.

Gregory E D Mullen, Ruth D Ellis, Kazutoyo Miura, Elissa Malkin, Caroline Nolan, Mhorag Hay, Michael P Fay, Allan Saul, Daming Zhu, Kelly Rausch and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00344539 (Phase I Study of the Safety and Immunogenicity of AMA1-C1/Alhydrogel® + CPG 7909, an Asexual Blood Stage Vaccine for Plasmodium Falciparum Malaria), which is not on this map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
13.3field-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.

NCT00344539 phase1completednot on this map

Phase I Study of the Safety and Immunogenicity of AMA1-C1/Alhydrogel® + CPG 7909, an Asexual Blood Stage Vaccine for Plasmodium Falciparum Malaria

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2007Enrolled75ConditionsPlasmodium Falciparum MalariaArmsAMA1-C1/Alhydrogel®, CPG 7909 Oligodeoxynucleotide (VaxImmune®)
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Use of Anthrax Vaccine in the United States: Recommendations of the Advisory Committee on Immunization Practices, 2019.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2019
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  20. Vaccines · 2021
    Review

4 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

15 authors at 5 institutions in 2 countries.

Gregory E D MullenMalaria Vaccine Development Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland, United States of America. greg.mullen@kcl.ac.uk
Ruth D Ellis
Kazutoyo Miura
Elissa Malkin
Caroline Nolan
Mhorag Hay
Michael P Fay
Allan Saul
Daming Zhu
Kelly Rausch
Samuel Moretz
Hong Zhou
Carole A Long
Louis H Miller
John Treanor
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USUniversity of Rochester · USNovartis (Italy) · ITU.S. President's Malaria Initiative · US

Funding

Mali International Center for Excellence in Research: Malaria Clinical ResearchZIAAI001056 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DUFFY, PATRICK · 2009 to 2024
$43.1M
Malaria Parasite Receptors And Host Cell LigandsZIAAI000241 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MILLER, LOUIS · 2009 to 2025
$15.3M
Host Immune Responses to Antigens of Malaria ParasitesZIAAI001020 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LONG, CAROLE · 2009 to 2025
$13.6M
Malaria Vaccine: AMA1-C1ZIAAI001001 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DUFFY, PATRICK · 2009 to 2012
$5.1M
Malaria Vaccines: AMA1-C1/ALHYDROGEL + CPG 7909Z01AI001001 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI MILLER, LOUIS · 2007 to 2008
$4.4M
Mali International Center for Excellence in Research: Malaria Clinical ResearchZ01AI001056 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI ELLIS, RUTH · 2008 to 2008
$2.0M
Host Immune Responses to Antigens of Malaria ParasitesZ01AI001020 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI LONG, CAROLE · 2007 to 2008
$1.2M
RECEPTORS FOR INVASION OF HOST CELLS AND ADHESION TO ENDOTHELIUMZ01AI000241 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI MILLER, LOUIS · 1985 to 2008
$1.0M
Intramural NIH HHS
6 · The paper itself

Abstract

backgroundApical Membrane Antigen 1 (AMA1), a polymorphic merozoite surface protein, is a leading blood-stage malaria vaccine candidate. This is the first reported use in humans of an investigational vaccine, AMA1-C1/Alhydrogel, with the novel adjuvant CPG 7909.

methodsA phase 1 trial was conducted at the University of Rochester with 75 malaria-naive volunteers to assess the safety and immunogenicity of the AMA1-C1/Alhydrogel+CPG 7909 malaria vaccine. Participants were sequentially enrolled and randomized within dose escalating cohorts to receive three vaccinations on days 0, 28 and 56 of either 20 microg of AMA1-C1/Alhydrogel+564 microg CPG 7909 (n = 15), 80 microg of AMA1-C1/Alhydrogel (n = 30), or 80 microg of AMA1-C1/Alhydrogel+564 microg CPG 7909 (n = 30).

resultsLocal and systemic adverse events were significantly more likely to be of higher severity with the addition of CPG 7909. Anti-AMA1 immunoglobulin G (IgG) were detected by enzyme-linked immunosorbent assay (ELISA), and the immune sera of volunteers that received 20 microg or 80 microg of AMA1-C1/Alhydrogel+CPG 7909 had up to 14 fold significant increases in anti-AMA1 antibody concentration compared to 80 microg of AMA1-C1/Alhydrogel alone. The addition of CPG 7909 to the AMA1-C1/Alhydrogel vaccine in humans also elicited AMA1 specific immune IgG that significantly and dramatically increased the in vitro growth inhibition of homologous parasites to levels as high as 96% inhibition. CONCLUSION/SIGNIFICANCE: The safety profile of the AMA1-C1/Alhydrogel+CPG 7909 malaria vaccine is acceptable, given the significant increase in immunogenicity observed. Further clinical development is ongoing.

trial registrationClinicalTrials.gov NCT00344539.

Indexed as

AdolescentAdultAluminum HydroxideAnimalsAntigens, ProtozoanHumansMalaria, FalciparumMalaria VaccinesMembrane ProteinsMiddle AgedOligodeoxyribonucleotidesPlasmodium falciparumProtozoan ProteinsSafetyAluminum HydroxideAntigens, Protozoanapical membrane antigen I, PlasmodiumMalaria VaccinesMembrane ProteinsOligodeoxyribonucleotidesProMuneProtozoan Proteins

Identifiers

PMID18698359
PMCPMC2491586
OpenAlexW1973488341

What OpenQuestion holds

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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.