Evidence map›Paper›PMID 21949716›Full record

ArticlePloS one2011

A phase 1 trial of MSP2-C1, a blood-stage malaria vaccine containing 2 isoforms of MSP2 formulated with Montanide® ISA 720.

James S McCarthy, Joanne Marjason, Suzanne Elliott, Paul Fahey, Gilles Bang, Elissa Malkin, Eveline Tierney, Hayley Aked-Hurditch, Christopher Adda, Nadia Cross and 7 more

Open access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
6.3field-weighted citation impact, top 4% 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

61 citing papers in PubMed, 96 citations in OpenAlex.

  1. Trial
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  6. Infection and immunity · 2025
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  8. Cells · 2025
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  9. Development of high affinity antibodies toFrontiers in immunology · 2025
    Article
  10. Allelic frequency ofMalariaWorld journal · 2025
    Article
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  14. Review
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1 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

17 authors at 7 institutions in 3 countries.

James S McCarthyQueensland Institute of Medical Research, University of Queensland, Brisbane, Australia. J.McCarthy@uq.edu.au
Joanne Marjason
Suzanne Elliott
Paul Fahey
Gilles Bang
Elissa Malkin
Eveline Tierney
Hayley Aked-Hurditch
Christopher Adda
Nadia Cross
Jack S Richards
Freya J I Fowkes
Michelle J Boyle
Carole Long
Pierre Druilhe
James G Beeson
Robin F Anders
Walter and Eliza Hall Institute of Medical Research · AUQ-Pharm · AUU.S. President's Malaria Initiative · USInstitut Pasteur · FRLa Trobe University · AUNational Institute of Allergy and Infectious Diseases · USUniversity of Queensland · AU

Funding

Host Immune Responses to Antigens of Malaria ParasitesZIAAI001020 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LONG, CAROLE · 2009 to 2025
$13.6M
Intramural NIH HHS
6 · The paper itself

Abstract

backgroundIn a previous Phase 1/2b malaria vaccine trial testing the 3D7 isoform of the malaria vaccine candidate Merozoite surface protein 2 (MSP2), parasite densities in children were reduced by 62%. However, breakthrough parasitemias were disproportionately of the alternate dimorphic form of MSP2, the FC27 genotype. We therefore undertook a dose-escalating, double-blinded, placebo-controlled Phase 1 trial in healthy, malaria-naïve adults of MSP2-C1, a vaccine containing recombinant forms of the two families of msp2 alleles, 3D7 and FC27 (EcMSP2-3D7 and EcMSP2-FC27), formulated in equal amounts with Montanide® ISA 720 as a water-in-oil emulsion. METHODOLOGY/PRINCIPAL

findingsThe trial was designed to include three dose cohorts (10, 40, and 80 µg), each with twelve subjects receiving the vaccine and three control subjects receiving Montanide® ISA 720 adjuvant emulsion alone, in a schedule of three doses at 12-week intervals. Due to unexpected local reactogenicity and concern regarding vaccine stability, the trial was terminated after the second immunisation of the cohort receiving the 40 µg dose; no subjects received the 80 µg dose. Immunization induced significant IgG responses to both isoforms of MSP2 in the 10 µg and 40 µg dose cohorts, with antibody levels by ELISA higher in the 40 µg cohort. Vaccine-induced antibodies recognised native protein by Western blots of parasite protein extracts and by immunofluorescence microscopy. Although the induced anti-MSP2 antibodies did not directly inhibit parasite growth in vitro, IgG from the majority of individuals tested caused significant antibody-dependent cellular inhibition (ADCI) of parasite growth. CONCLUSIONS/SIGNIFICANCE: As the majority of subjects vaccinated with MSP2-C1 developed an antibody responses to both forms of MSP2, and that these antibodies mediated ADCI provide further support for MSP2 as a malaria vaccine candidate. However, in view of the reactogenicity of this formulation, further clinical development of MSP2-C1 will require formulation of MSP2 in an alternative adjuvant.

trial registrationAustralian New Zealand Clinical Trials Registry 12607000552482.

Indexed as

AdolescentAdultAnimalsAntibodiesAntigens, ProtozoanChemistry, PharmaceuticalCohort StudiesDose-Response Relationship, ImmunologicHumansImmunity, CellularImmunity, HumoralLife Cycle StagesMalaria VaccinesMannitolOleic AcidsPlasmodium falciparumAntibodiesAntigens, ProtozoanMalaria Vaccinesmannide monooleateMannitolmerozoite surface protein 2, PlasmodiumOleic AcidsProtein IsoformsProtozoan Proteins

Identifiers

PMID21949716
PMCPMC3176224
OpenAlexW1970400152

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.