Evidence map›Paper›PMID 26148007›Full record

Trial reportPloS one2015

Ad35.CS.01-RTS,S/AS01 Heterologous Prime Boost Vaccine Efficacy against Sporozoite Challenge in Healthy Malaria-Naïve Adults.

Christian F Ockenhouse, Jason Regules, Donna Tosh, Jessica Cowden, April Kathcart, James Cummings, Kristopher Paolino, James Moon, Jack Komisar, Edwin Kamau and 24 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01366534 (Safety, Immunogenicity and Efficacy Against Malaria in the Sporozoite Challenge Model of One Dose of Ad35.CS.01 Malaria Vaccine Followed by Two Doses of Malaria 257049 Vaccine in Healthy Malaria-naïve Adults), which is not on this map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01366534 phase2completednot on this map

Safety, Immunogenicity and Efficacy Against Malaria in the Sporozoite Challenge Model of One Dose of Ad35.CS.01 Malaria Vaccine Followed by Two Doses of Malaria 257049 Vaccine in Healthy Malaria-naïve Adults

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2012Enrolled67ConditionsMalariaArmsCrucell's replication deficient adenovirus type 35 circumsporozoite malaria vaccine (Ad35.CS.01), GSK Biologicals' malaria vaccine 257049 (2 doses), GSK Biologicals' malaria vaccine 257049 (3 doses), Sporozoite challenge
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Systems analysis of protective immune responses to RTS,S malaria vaccination in humans.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Trial
  9. Trial
  10. Trial
  11. Developing the next-generation of adenoviral vector vaccines.Human vaccines & immunotherapeutics · 2025
    Review
  12. Article
  13. Article
  14. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review
  15. Malaria Vaccines: Progress to Date.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  16. Article
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  18. Review
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  20. Article
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

34 authors.

Christian F OckenhouseWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Jason RegulesWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Donna ToshWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Jessica CowdenWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
April KathcartWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
James CummingsWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Kristopher PaolinoWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
James MoonWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Jack KomisarWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Edwin KamauWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Thomas OliverWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Austin ChhoeuWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Jitta MurphyWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Kirsten LykeCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Matthew LaurensCenter for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Ashley BirkettPATH-MVI, Washington, DC, United States of America.
Cynthia LeePATH-MVI, Washington, DC, United States of America.
Rich WeltzinPATH-MVI, Washington, DC, United States of America.
Ulrike Wille-ReecePATH-MVI, Washington, DC, United States of America.
Martha SedegahNaval Medical Research Center, Silver Spring, MD, United States of America.
Jenny HendriksCrucell Holland BV, Leiden, Netherlands.
Isabella VersteegeCrucell Holland BV, Leiden, Netherlands.
Maria Grazia PauCrucell Holland BV, Leiden, Netherlands.
Jerold SadoffCrucell Holland BV, Leiden, Netherlands.
Yannick VanloubbeeckGSK Vaccines, Rixensart, Belgium.
Marc LievensGSK Vaccines, Rixensart, Belgium.
Dirk HeerweghGSK Vaccines, Rixensart, Belgium.
Philippe MorisGSK Vaccines, Rixensart, Belgium.
Yolanda Guerra MendozaGSK Vaccines, Rixensart, Belgium.
Erik JongertGSK Vaccines, Rixensart, Belgium.
Joe CohenGSK Vaccines, Rixensart, Belgium.
Gerald VossGSK Vaccines, Rixensart, Belgium.
W Ripley BallouGSK Vaccines, Rixensart, Belgium.
Johan VekemansGSK Vaccines, Rixensart, Belgium.

Funding

MALARIA VACCINE PRODUCTION &SUPPORT SERVICESN01AI005421 · NIAID · SCIENCE APPLICATIONS INTERNATIONAL CORP · PI BANCROFT, WILLIAM H. · 2000 to 2000
$6.1M
NIAID NIH HHS N01 AI005421NIAID NIH HHS N01-AI05421
6 · The paper itself

Abstract

methodsIn an observer blind, phase 2 trial, 55 adults were randomized to receive one dose of Ad35.CS.01 vaccine followed by two doses of RTS,S/AS01 (ARR-group) or three doses of RTS,S/AS01 (RRR-group) at months 0, 1, 2 followed by controlled human malaria infection.

resultsARR and RRR vaccine regimens were well tolerated. Efficacy of ARR and RRR groups after controlled human malaria infection was 44% (95% confidence interval 21%-60%) and 52% (25%-70%), respectively. The RRR-group had greater anti-CS specific IgG titers than did the ARR-group. There were higher numbers of CS-specific CD4 T-cells expressing > 2 cytokine/activation markers and more ex vivo IFN-γ enzyme-linked immunospots in the ARR-group than the RRR-group. Protected subjects had higher CS-specific IgG titers than non-protected subjects (geometric mean titer, 120.8 vs 51.8 EU/ml, respectively; P = .001).

conclusionsAn increase in vaccine efficacy of ARR-group over RRR-group was not achieved. Future strategies to improve upon RTS,S-induced protection may need to utilize alternative highly immunogenic prime-boost regimens and/or additional target antigens.

trial registrationClinicalTrials.gov NCT01366534.

Indexed as

Antibodies, ProtozoanAntibody FormationCD4-Positive T-LymphocytesDouble-Blind MethodHumansImmunization, SecondaryImmunoglobulin GImmunologic TestsInterferon-gammaMalariaMalaria VaccinesSporozoitesVaccinationAntibodies, ProtozoanImmunoglobulin GInterferon-gammaMalaria Vaccines

Identifiers

PMID26148007
PMCPMC4492580

What OpenQuestion holds

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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.