Evidence map›Paper›PMID 23089736›Full record

Trial reportMolecular therapy : the journal of the American Society of Gene Therapy2012

ChAd63-MVA-vectored blood-stage malaria vaccines targeting MSP1 and AMA1: assessment of efficacy against mosquito bite challenge in humans.

Susanne H Sheehy, Christopher J A Duncan, Sean C Elias, Prateek Choudhary, Sumi Biswas, Fenella D Halstead, Katharine A Collins, Nick J Edwards, Alexander D Douglas, Nicholas A Anagnostou and 22 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Molecular therapy : the journal of the American Society of Gene Therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02485912 (A Phase Ib Safety and Immunogenicity Clinical Trial of Heterologous Prime-boost Immunisation With ChAd3-EBO Z and MVA-EBO Z in Healthy Senegalese Adult Volunteers Aged 18-50 Years.), which is not on this map. Cited by 144 papers.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed
24.5field-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.

NCT02485912 phase1completednot on this mapstarted 2015, after this paper: background citation

A Phase Ib Safety and Immunogenicity Clinical Trial of Heterologous Prime-boost Immunisation With ChAd3-EBO Z and MVA-EBO Z in Healthy Senegalese Adult Volunteers Aged 18-50 Years.

TypeinterventionalSponsorUniversity of OxfordRan2015 to 2016Enrolled40ConditionsEbola Virus DiseaseArmsChAd3-EBO Z, MVA-EBO Z
3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 224 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 10 institutions in 3 countries.

Susanne H SheehyCentre for Clinical Vaccinology and Tropical Medicine, The Jenner Institute, University of Oxford, Churchill Hospital, Oxford, UK. susanne.sheehy@ndm.ox.ac.uk
Christopher J A Duncan
Sean C Elias
Prateek Choudhary
Sumi Biswas
Fenella D Halstead
Katharine A Collins
Nick J Edwards
Alexander D Douglas
Nicholas A Anagnostou
Katie J Ewer
Tom Havelock
Tabitha Mahungu
Carly M Bliss
Kazutoyo Miura
Ian D Poulton
Patrick J Lillie
Richard D Antrobus
Eleanor Berrie
Sarah Moyle
Katherine Gantlett
Stefano Colloca
Riccardo Cortese
Carole A Long
Robert E Sinden
Sarah C Gilbert
Alison M Lawrie
Tom Doherty
Saul N Faust
Alfredo Nicosia
Adrian V S Hill
Simon J Draper
University of Oxford · GBJenner Institute · GBChurchill Hospital · GBCeinge Biotecnologie Avanzate (Italy) · ITUniversity College Hospital · GBVector Oncology (United States) · USImperial College London · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Naples Federico II · ITUniversity of Southampton · GB

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
Medical Research Council G0700735Medical Research Council G0700735(82115)Medical Research Council G1000527Medical Research Council G1000527(95710)Wellcome Trust 084113/Z/07/ZWellcome Trust 090532Wellcome Trust 094449/Z/10/ZWellcome Trust 095540Wellcome Trust 45488/Z/05
6 · The paper itself

Abstract

The induction of cellular immunity, in conjunction with antibodies, may be essential for vaccines to protect against blood-stage infection with the human malaria parasite Plasmodium falciparum. We have shown that prime-boost delivery of P. falciparum blood-stage antigens by chimpanzee adenovirus 63 (ChAd63) followed by the attenuated orthopoxvirus MVA is safe and immunogenic in healthy adults. Here, we report on vaccine efficacy against controlled human malaria infection delivered by mosquito bites. The blood-stage malaria vaccines were administered alone, or together (MSP1+AMA1), or with a pre-erythrocytic malaria vaccine candidate (MSP1+ME-TRAP). In this first human use of coadministered ChAd63-MVA regimes, we demonstrate immune interference whereby responses against merozoite surface protein 1 (MSP1) are dominant over apical membrane antigen 1 (AMA1) and ME-TRAP. We also show that induction of strong cellular immunity against MSP1 and AMA1 is safe, but does not impact on parasite growth rates in the blood. In a subset of vaccinated volunteers, a delay in time to diagnosis was observed and sterilizing protection was observed in one volunteer coimmunized with MSP1+AMA1-results consistent with vaccine-induced pre-erythrocytic, rather than blood-stage, immunity. These data call into question the utility of T cell-inducing blood-stage malaria vaccines and suggest that the focus should remain on high-titer antibody induction against susceptible antigen targets.

Indexed as

Adenoviruses, SimianAnimalsAntigens, ProtozoanCulicidaeFlow CytometryHumansMalaria, FalciparumMalaria VaccinesMerozoite Surface Protein 1OrthopoxvirusPan troglodytesAntigens, ProtozoanMalaria VaccinesMerozoite Surface Protein 1

Identifiers

PMID23089736
PMCPMC3519995
OpenAlexW1969689914

What OpenQuestion holds

Textmetadata
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.