Evidence map›Paper›PMID 23204168›Full record

Trial reportThe Journal of infectious diseases2013

Molecular basis of allele-specific efficacy of a blood-stage malaria vaccine: vaccine development implications.

Amed Ouattara, Shannon Takala-Harrison, Mahamadou A Thera, Drissa Coulibaly, Amadou Niangaly, Renion Saye, Youssouf Tolo, Sheetij Dutta, D Gray Heppner, Lorraine Soisson and 8 more

Open access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2013. 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
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

61 citing papers in PubMed, 88 citations in OpenAlex.

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  18. Frontiers in cellular and infection microbiology · 2024
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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

18 authors at 7 institutions in 3 countries.

Amed OuattaraMalaria Research and Training Center, University of Sciences, Techniques and Technology, Bamako, Mali.
Shannon Takala-Harrison
Mahamadou A Thera
Drissa Coulibaly
Amadou Niangaly
Renion Saye
Youssouf Tolo
Sheetij Dutta
D Gray Heppner
Lorraine Soisson
Carter L Diggs
Johan Vekemans
Joe Cohen
William C Blackwelder
Tina Dube
Matthew B Laurens
Ogobara K Doumbo
Christopher V Plowe
University of Bamako · MLUniversity of Maryland, Baltimore · USGlaxoSmithKline (Belgium) · BEUnited States Agency for International Development · USWalter Reed Army Institute of Research · USEmmes (United States) · USHoward Hughes Medical Institute · US

Funding

Clinical Research Career Development (RMI)K12RR023250 · NCRR · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2005 to 2009
$13.3M
Safety, Immunogenicity and Efficacy of VaccineU19AI065683 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI PLOWE, CHRISTOPHER V. · 2005 to 2009
$4.7M
MALARIA RESEARCH TRAINING IN MALID43TW001589 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI PLOWE, CHRISTOPHER V. · 2000 to 2015
$2.8M
Malaria:Clinical Research and Trial Preparation Sites-26685346N01AI085346 · NIAID · Univ Maryland · 1998 to 2004
$2.8M
FIC NIH HHS D43 TW001589FIC NIH HHS D43TW001589Howard Hughes Medical InstituteNCRR NIH HHS K12 RR023250NCRR NIH HHS K12RR023250NIAID NIH HHS N01 AI085346NIAID NIH HHS U19 AI065683NIAID NIH HHS U19AI065683
6 · The paper itself

Abstract

The disappointing efficacy of blood-stage malaria vaccines may be explained in part by allele-specific immune responses that are directed against polymorphic epitopes on blood-stage antigens. FMP2.1/AS02(A), a blood-stage candidate vaccine based on apical membrane antigen 1 (AMA1) from the 3D7 strain of Plasmodium falciparum, had allele-specific efficacy against clinical malaria in a phase II trial in Malian children. We assessed the cross-protective efficacy of the malaria vaccine and inferred which polymorphic amino acid positions in AMA1 were the targets of protective allele-specific immune responses. FMP2.1/AS02(A) had the highest efficacy against AMA1 alleles that were identical to the 3D7 vaccine-type allele at 8 highly polymorphic amino acid positions in the cluster 1 loop (c1L) but differed from 3D7 elsewhere in the molecule. Comparison of the incidence of vaccine-type alleles before and after vaccination in the malaria vaccine and control groups and examination of the patterns of allele change at polymorphic positions in consecutive malaria episodes suggest that the highly polymorphic amino acid position 197 in c1L was the most critical determinant of allele-specific efficacy. These results indicate that a multivalent AMA1 vaccine with broad efficacy could include only a limited set of key alleles of this extremely polymorphic antigen.

Indexed as

AllelesMalaria VaccinesAmino Acid SequenceAntigens, ProtozoanChildChild, PreschoolCross ReactionsEpitope MappingEpitopesHaplotypesHumansInfantMalaria, FalciparumMembrane ProteinsModels, MolecularPlasmodium falciparumAntigens, Protozoanapical membrane antigen I, PlasmodiumEpitopesMalaria VaccinesMembrane ProteinsProtozoan Proteins

Identifiers

PMID23204168
PMCPMC3537449
OpenAlexW2172162021

What OpenQuestion holds

Textmetadata
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.