Evidence map›Paper›PMID 30323956›Full record

ArticleNPJ vaccines2018

Safety and efficacy of novel malaria vaccine regimens of RTS,S/AS01B alone, or with concomitant ChAd63-MVA-vectored vaccines expressing ME-TRAP.

Tommy Rampling, Katie J Ewer, Georgina Bowyer, Nick J Edwards, Danny Wright, Saranya Sridhar, Ruth Payne, Jonathan Powlson, Carly Bliss, Navin Venkatraman and 25 more

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.6field-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

32 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review
  6. Malaria Vaccines: Progress to Date.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Monoclonal antibodies for malaria prevention.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Infection and immunity · 2021
    Article
  17. Vaccines · 2021
    Review
  18. Article
  19. Article
  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

35 authors at 7 institutions in 3 countries.

Tommy Rampling *1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.ORCID 0000-0001-9111-2486
Katie J Ewer *1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.ORCID 0000-0001-9827-9836
Georgina Bowyer1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.ORCID 0000-0002-2058-4045
Nick J Edwards1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Danny Wright1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Saranya Sridhar1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Ruth Payne1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Jonathan Powlson1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Carly Bliss1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Navin Venkatraman1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Ian D Poulton1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Hans de Graaf2NIHR Wellcome Trust Clinical Research Facility, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Diane Gbesemete2NIHR Wellcome Trust Clinical Research Facility, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Amy Grobbelaar1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Huw Davies3Department of Medicine, Division of Infectious Diseases, University of California, Irvine, CA 92697 USA.
Rachel Roberts1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Brian Angus1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Karen IvinsonPATH Malaria Vaccine Initiative, Washington, DC USA.
Rich WeltzinPATH Malaria Vaccine Initiative, Washington, DC USA.
Bebi-Yassin RajkumarPATH Malaria Vaccine Initiative, Washington, DC USA.
Ulrike Wille-ReecePATH Malaria Vaccine Initiative, Washington, DC USA.
Cynthia LeePATH Malaria Vaccine Initiative, Washington, DC USA.
Chris OckenhousePATH Malaria Vaccine Initiative, Washington, DC USA.
Robert E Sinden5Department of Life Sciences, Imperial College London, London, UK.
Stephen C Gerry6Centre for Statistics in Medicine, University of Oxford, Oxford, UK.
Alison M Lawrie1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Johan VekemansGSK Vaccines, Rixensart, Belgium.
Danielle MorelleGSK Vaccines, Rixensart, Belgium.
Marc LievensGSK Vaccines, Rixensart, Belgium.
Ripley W BallouGSK Vaccines, Rixensart, Belgium.
David J M Lewis8Clinical Research Centre, University of Surrey, Guildford, GU2 7XP UK.
Graham S Cooke9Infectious Diseases Section, Faculty of Medicine, Department of Medicine, Imperial College London, London, UK.
Saul N Faust2NIHR Wellcome Trust Clinical Research Facility, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.ORCID 0000-0003-3410-7642
Sarah Gilbert1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.
Adrian V S Hill1The Jenner Institute, University of Oxford, Oxford, OX3 7DQ UK.ORCID 0000-0003-0900-9629
University of Oxford · GBU.S. President's Malaria Initiative · USGlaxoSmithKline (Belgium) · BEUniversity Hospital Southampton NHS Foundation Trust · GBImperial College London · GBUniversity of California, Irvine · USUniversity of Surrey · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

We assessed a combination multi-stage malaria vaccine schedule in which RTS,S/AS01B was given concomitantly with viral vectors expressing multiple-epitope thrombospondin-related adhesion protein (ME-TRAP) in a 0-month, 1-month, and 2-month schedule. RTS,S/AS01B was given as either three full doses or with a fractional (1/5th) third dose. Efficacy was assessed by controlled human malaria infection (CHMI). Safety and immunogenicity of the vaccine regimen was also assessed. Forty-one malaria-naive adults received RTS,S/AS01B at 0, 4 and 8 weeks, either alone (Groups 1 and 2) or with ChAd63 ME-TRAP at week 0, and modified vaccinia Ankara (MVA) ME-TRAP at weeks 4 and 8 (Groups 3 and 4). Groups 2 and 4 received a fractional (1/5th) dose of RTS,S/AS01B at week 8. CHMI was delivered by mosquito bite 11 weeks after first vaccination. Vaccine efficacy was 6/8 (75%), 8/9 (88.9%), 6/10 (60%), and 5/9 (55.6%) of subjects in Groups 1, 2, 3, and 4, respectively. Immunological analysis indicated significant reductions in anti-circumsporozoite protein antibodies and TRAP-specific T cells at CHMI in the combination vaccine groups. This reduced immunogenicity was only observed after concomitant administration of the third dose of RTS,S/AS01B with the second dose of MVA ME-TRAP. The second dose of the MVA vector with a four-week interval caused significantly higher anti-vector immunity than the first and may have been the cause of immunological interference. Co-administration of ChAd63/MVA ME-TRAP with RTS,S/AS01B led to reduced immunogenicity and efficacy, indicating the need for evaluation of alternative schedules or immunization sites in attempts to generate optimal efficacy.

Identifiers

PMID30323956
PMCPMC6177476
OpenAlexW2893049758

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Registered trials

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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.