Evidence map›Paper›PMID 27760143›Full record

Trial reportPLoS neglected tropical diseases2016

Protective Efficacy of Plasmodium vivax Radiation-Attenuated Sporozoites in Colombian Volunteers: A Randomized Controlled Trial.

Myriam Arévalo-Herrera, Juan M Vásquez-Jiménez, Mary Lopez-Perez, Andrés F Vallejo, Andrés B Amado-Garavito, Nora Céspedes, Angélica Castellanos, Karen Molina, Johanna Trejos, José Oñate and 3 more

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

Trial report in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01082341 (Phase 1 and Phase 2a Clinical Trial), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT01082341 phase1 / phase2completednot on this map

Phase 1 and Phase 2a Clinical Trial:Immunization of Human Volunteers With P. Vivax Irradiated Sporozoites

TypeinterventionalSponsorMalaria Vaccine and Drug Development CenterRan2012 to 2017Enrolled27ConditionsMalariaArmsImmunization with P. vivax irradiated sporozoites
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. The challenges ofFrontiers in immunology · 2022
    Article
  15. Frontiers in immunology · 2022
    Review
  16. Review
  17. Frontiers in cellular and infection microbiology · 2022
    Review
  18. Article
  19. Progress towards the development of aExpert review of vaccines · 2021
    Review
  20. Review
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

13 authors at 3 institutions in 2 countries.

Myriam Arévalo-HerreraMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Juan M Vásquez-JiménezMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Mary Lopez-PerezMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Andrés F VallejoMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Andrés B Amado-GaravitoMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Nora CéspedesMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Angélica CastellanosMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Karen MolinaMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Johanna TrejosAsoclinic Inmunología LTDA, Cali, Colombia.
José OñateCentro Médico Imbanaco, Cali, Colombia.
Judith E EpsteinNaval Medical Research Center, Malaria Department, Silver Spring, Maryland, United States of America.
Thomas L RichieSanaria Inc, Rockville, Maryland, United States of America.
Sócrates HerreraMalaria Vaccine and Drug Development Center (MVDC), Cali, Colombia.
Caucaseco Scientific Research Center · CONaval Medical Research Command · USSanaria · US

Funding

Development of a P. vivax immunization and sporozoite challenge model for humanR01HL086488 · NHLBI · MALARIA VACCINE DEVELOPMENT CENTER · PI HERRERA, SOCRATES · 2008 to 2011
$1.2M
NHLBI NIH HHS R01 HL086488
6 · The paper itself

Abstract

backgroundImmunizing human volunteers by mosquito bite with radiation-attenuated Plasmodium falciparum sporozoites (RAS) results in high-level protection against infection. Only two volunteers have been similarly immunized with P. vivax (Pv) RAS, and both were protected. A phase 2 controlled clinical trial was conducted to assess the safety and protective efficacy of PvRAS immunization. METHODOLOGY/PRINCIPAL

findingsA randomized, single-blinded trial was conducted. Duffy positive (Fy+; Pv susceptible) individuals were enrolled: 14 received bites from irradiated (150 ± 10 cGy) Pv-infected Anopheles mosquitoes (RAS) and 7 from non-irradiated non-infected mosquitoes (Ctl). An additional group of seven Fy- (Pv refractory) volunteers was immunized with bites from non-irradiated Pv-infected mosquitoes. A total of seven immunizations were carried out at mean intervals of nine weeks. Eight weeks after last immunization, a controlled human malaria infection (CHMI) with non-irradiated Pv-infected mosquitoes was performed. Nineteen volunteers completed seven immunizations (12 RAS, 2 Ctl, and 5 Fy-) and received a CHMI. Five of 12 (42%) RAS volunteers were protected (receiving a median of 434 infective bites) compared with 0/2 Ctl. None of the Fy- volunteers developed infection by the seventh immunization or after CHMI. All non-protected volunteers developed symptoms 8-13 days after CHMI with a mean pre-patent period of 12.8 days. No serious adverse events related to the immunizations were observed. Specific IgG1 anti-PvCS response was associated with protection.

conclusionImmunization with PvRAS was safe, immunogenic, and induced sterile immunity in 42% of the Fy+ volunteers. Moreover, Fy- volunteers were refractory to Pv malaria.

trial registrationIdentifier: NCT01082341.

Indexed as

Insect Bites and StingsAdolescentAdultAnimalsAnophelesAntibodies, ProtozoanColombiaDuffy Blood-Group SystemFemaleHumansImmunizationImmunoglobulin GMalaria VaccinesMalaria, VivaxMaleMiddle AgedAntibodies, ProtozoanDuffy Blood-Group SystemImmunoglobulin GMalaria VaccinesVaccines, Attenuated

Identifiers

PMID27760143
PMCPMC5070852
OpenAlexW2534129459

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.