Evidence map›Paper›PMID 25336730›Full record

Trial reportThe Journal of infectious diseases2015

Evaluation of the efficacy of ChAd63-MVA vectored vaccines expressing circumsporozoite protein and ME-TRAP against controlled human malaria infection in malaria-naive individuals.

Susanne H Hodgson, Katie J Ewer, Carly M Bliss, Nick J Edwards, Thomas Rampling, Nicholas A Anagnostou, Eoghan de Barra, Tom Havelock, Georgina Bowyer, Ian D Poulton and 19 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01623557 (A Phase I/IIa Sporozoite Challenge Study to Assess the Protective Efficacy of Two Prime-Boost Malaria Vaccine Candidates), which is not on this map. Cited by 88 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 1 pooled it
18.3field-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.

NCT01623557 phase1 / phase2completednot on this map

A Phase I/IIa Sporozoite Challenge Study to Assess the Protective Efficacy of Two Prime-Boost Malaria Vaccine Candidates: ChAd63 and MVA Encoding ME-TRAP and the Same Viral Vectors Encoding CS

TypeinterventionalSponsorUniversity of OxfordRan2012 to 2012Enrolled30ConditionsPlasmodium Falciparum MalariaArmsChAd63-MVA CS, ChAd63-MVA ME-TRAP, Controlled Human Malaria Infection Administered by Mosquito Bite
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

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  19. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review
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28 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

29 authors at 7 institutions in 4 countries.

Susanne H HodgsonJenner Institute.
Katie J EwerJenner Institute.
Carly M BlissJenner Institute.
Nick J EdwardsJenner Institute.
Thomas RamplingJenner Institute.
Nicholas A AnagnostouJenner Institute.
Eoghan de BarraJenner Institute Royal College of Surgeons in Ireland, Dublin, Ireland.
Tom HavelockNIHR Wellcome Trust Clinical Research Facility, University of Southampton and University Hospital Southampton NHS Foundation Trust.
Georgina BowyerJenner Institute.
Ian D PoultonJenner Institute.
Simone de CassanJenner Institute.
Rhea LongleyJenner Institute.
Joseph J IllingworthJenner Institute.
Alexander D DouglasJenner Institute.
Pooja B MangeJenner Institute.
Katharine A CollinsJenner Institute.
Rachel RobertsJenner Institute.
Stephen GerryCentre for Statistics in Medicine.
Eleanor BerrieClinical Biomanufacturing Facility, University of Oxford.
Sarah MoyleClinical Biomanufacturing Facility, University of Oxford.
Stefano CollocaOkairos, Rome.
Riccardo CorteseOkairos, Basel, Switzerland.
Robert E SindenJenner Institute Division of Cell and Molecular Biology, Imperial College London, United Kingdom.
Sarah C GilbertJenner Institute.
Philip BejonCentre for Geographical Medical Research (Coast), Kenya Medical Research Institute-Wellcome Trust, Kilifi.
Alison M LawrieJenner Institute.
Alfredo NicosiaOkairos, Rome CEINGE Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Italy.
Saul N FaustNIHR Wellcome Trust Clinical Research Facility, University of Southampton and University Hospital Southampton NHS Foundation Trust.
Adrian V S HillJenner Institute.
Jenner Institute · GBUniversity of Oxford · GBImperial College London · GBKenya Medical Research Institute · KEUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Naples Federico II · ITWellcome Trust · GB

Funding

Wellcome Trust 084113/Z/07/ZWellcome Trust 092654Wellcome Trust 097940/Z/11/ZWellcome Trust 45488/Z/05
6 · The paper itself

Abstract

backgroundCircumsporozoite protein (CS) is the antigenic target for RTS,S, the most advanced malaria vaccine to date. Heterologous prime-boost with the viral vectors simian adenovirus 63 (ChAd63)-modified vaccinia virus Ankara (MVA) is the most potent inducer of T-cells in humans, demonstrating significant efficacy when expressing the preerythrocytic antigen insert multiple epitope-thrombospondin-related adhesion protein (ME-TRAP). We hypothesized that ChAd63-MVA containing CS may result in a significant clinical protective efficacy.

methodsWe conducted an open-label, 2-site, partially randomized Plasmodium falciparum sporozoite controlled human malaria infection (CHMI) study to compare the clinical efficacy of ChAd63-MVA CS with ChAd63-MVA ME-TRAP.

resultsOne of 15 vaccinees (7%) receiving ChAd63-MVA CS and 2 of 15 (13%) receiving ChAd63-MVA ME-TRAP achieved sterile protection after CHMI. Three of 15 vaccinees (20%) receiving ChAd63-MVA CS and 5 of 15 (33%) receiving ChAd63-MVA ME-TRAP demonstrated a delay in time to treatment, compared with unvaccinated controls. In quantitative polymerase chain reaction analyses, ChAd63-MVA CS was estimated to reduce the liver parasite burden by 69%-79%, compared with 79%-84% for ChAd63-MVA ME-TRAP.

conclusionsChAd63-MVA CS does reduce the liver parasite burden, but ChAd63-MVA ME-TRAP remains the most promising antigenic insert for a vectored liver-stage vaccine. Detailed analyses of parasite kinetics may allow detection of smaller but biologically important differences in vaccine efficacy that can influence future vaccine development. CLINICAL TRIALS REGISTRATION: NCT01623557.

Indexed as

Adenoviruses, SimianAdolescentAdultAntibodies, ProtozoanEpitopesFemaleGenetic VectorsHumansInterferon-gammaLiverMalaria, FalciparumMalaria VaccinesMaleMiddle AgedPlasmodium falciparumProtozoan ProteinsAntibodies, Protozoancircumsporozoite protein, ProtozoanEpitopesInterferon-gammaMalaria VaccinesProtozoan Proteinsthrombospondin-related adhesive protein, protozoanChAd63CHMICSmalariaME-TRAPMVAP. falciparumvaccine

Identifiers

PMID25336730
PMCPMC4354983
OpenAlexW2051842777

What OpenQuestion holds

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LicenceCC BY
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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.