Evidence map›Paper›PMID 21628653›Full record

Trial reportThe Journal of infectious diseases2011

Effect of the pre-erythrocytic candidate malaria vaccine RTS,S/AS01E on blood stage immunity in young children.

Philip Bejon, Jackie Cook, Elke Bergmann-Leitner, Ally Olotu, John Lusingu, Jedidah Mwacharo, Johan Vekemans, Patricia Njuguna, Amanda Leach, Marc Lievens and 11 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
8.2field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 72 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 11 institutions in 9 countries.

Philip BejonKenya Medical Research Institute, Centre for Geographic Medicine Research, Kilifi, Kenya. pbejon@kilifi.kemri-wellcome.org
Jackie Cook
Elke Bergmann-Leitner
Ally Olotu
John Lusingu
Jedidah Mwacharo
Johan Vekemans
Patricia Njuguna
Amanda Leach
Marc Lievens
Sheetij Dutta
Lorenz von Seidlein
Barbara Savarese
Tonya Villafana
Martha M Lemnge
Joe Cohen
Kevin Marsh
Patrick H Corran
Evelina Angov
Eleanor M Riley
Chris J Drakeley
GlaxoSmithKline (Belgium) · BEKenya Medical Research Institute · KELondon School of Hygiene & Tropical Medicine · GBWalter Reed Army Institute of Research · USU.S. President's Malaria Initiative · USMenzies School of Health Research · AUNational Institute for Biological Standards and Control · GBNational Institute for Medical Research · TZNuffield Orthopaedic Centre · GBUniversity of Copenhagen · DKUniversity of Oxford · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundRTS,S/AS01(E) is the lead candidate malaria vaccine and confers pre-erythrocytic immunity. Vaccination may therefore impact acquired immunity to blood-stage malaria parasites after natural infection.

methodsWe measured, by enzyme-linked immunosorbent assay, antibodies to 4 Plasmodium falciparum merozoite antigens (AMA-1, MSP-1(42), EBA-175, and MSP-3) and by growth inhibitory activity (GIA) using 2 parasite clones (FV0 and 3D7) at 4 times on 860 children who were randomized to receive with RTS,S/AS01(E) or a control vaccine.

resultsAntibody concentrations to AMA-1, EBA-175, and MSP-1(42) decreased with age during the first year of life, then increased to 32 months of age. Anti-MSP-3 antibody concentrations gradually increased, and GIA gradually decreased up to 32 months. Vaccination with RTS,S/AS01(E) resulted in modest reductions in AMA-1, EBA-175, MSP-1(42), and MSP-3 antibody concentrations and no significant change in GIA. Increasing anti-merozoite antibody concentrations and GIA were prospectively associated with increased risk of clinical malaria.

conclusionsVaccination with RTS,S/AS01E reduces exposure to blood-stage parasites and, thus, reduces anti-merozoite antigen antibody concentrations. However, in this study, these antibodies were not correlates of clinical immunity to malaria. Instead, heterogeneous exposure led to confounded, positive associations between increasing antibody concentration and increasing risk of clinical malaria.

Indexed as

Antibodies, ProtozoanMalaria, FalciparumMalaria VaccinesPlasmodium falciparumChild, PreschoolCohort StudiesEnzyme-Linked Immunosorbent AssayHumansInfantLongitudinal StudiesProtozoan ProteinsRisk FactorsAntibodies, ProtozoanMalaria VaccinesProtozoan ProteinsRTS,S-AS01E vaccine

Identifiers

PMID21628653
PMCPMC3105039
OpenAlexW2155662187

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.