Evidence map›Paper›PMID 31708182›Full record

Trial reportVaccine2020

Safety and immunogenicity of the RTS,S/AS01 malaria vaccine in infants and children identified as HIV-infected during a randomized trial in sub-Saharan Africa.

Lucas Otieno, Yolanda Guerra Mendoza, Samuel Adjei, Tsiri Agbenyega, Selidji Todagbe Agnandji, Pedro Aide, Pauline Akoo, Daniel Ansong, Kwaku Poku Asante, James A Berkley and 27 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00866619 (Efficacy of GSK Biologicals' Candidate Malaria Vaccine), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 29% 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.

NCT00866619 phase3completednot on this map

Efficacy of GSK Biologicals' Candidate Malaria Vaccine (257049) Against Malaria Disease Caused by P. Falciparum Infection in Infants and Children in Africa

TypeinterventionalSponsorGlaxoSmithKlineRan2009 to 2014Enrolled15,459ConditionsMalariaArmsMalaria Vaccine 257049, Meningococcal C Conjugate Vaccine, Cell-culture rabies vaccine, TritanrixHepB/Hib, Polio Sabin Oral Polio Vaccine (GSK)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  9. Review
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  11. Review
  12. RTS,S/AS01 malaria vaccine (MosquirixDrugs & therapy perspectives : for rational drug selection and use · 2022
    Review
  13. Article
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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

37 authors at 13 institutions in 12 countries.

Lucas OtienoKEMRI-Walter Reed Project, Kombewa, Kenya. Electronic address: Lucas.Tina@usamru-k.org.
Yolanda Guerra MendozaGSK, Wavre, Belgium. Electronic address: Yolanda.x.guerra@gsk.com.
Samuel AdjeiKwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: kwakusam@yahoo.com.
Tsiri AgbenyegaKwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: tsiri@ghana.com.
Selidji Todagbe AgnandjiCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon and Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany. Electronic address: agnandjis@lambarene.org.
Pedro AideCentro de Investigação em Saúde de Manhiça, Manhiça, Mozambique; National Institute of Health, Ministry of Health, Maputo, Mozambique. Electronic address: pedro.aide@manhica.net.
Pauline AkooKenya Medical Research Institute-Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya. Electronic address: byancamy@gmail.com.
Daniel AnsongKwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: ansongd@yahoo.com.
Kwaku Poku AsanteKintampo Health Research Center, Kintampo, Ghana. Electronic address: kwakupoku.asante@kintampo-hrc.org.
James A BerkleyKenya Medical Research Institute-Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya; Centre for Tropical Medicine & Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom. Electronic address: JBerkley@kemri-wellcome.org.
Samwel GesaseNational Institute for Medical Research, Korogwe, Tanzania. Electronic address: sgesase@yahoo.com.
Mary J HamelMalaria Branch Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: hamelm@who.int.
Irving HoffmanDepartment of Medicine, University of North Carolina, Chapel Hill, NC, USA. Electronic address: hoffmani@med.unc.edu.
Seyram KaaliKintampo Health Research Center, Kintampo, Ghana. Electronic address: kaali.seyram@kintampo-hrc.org.
Portia KamthunziDepartment of Medicine, University of North Carolina, Chapel Hill, NC, USA. Electronic address: pkamthunzi@unclilongwe.org.
Simon KariukiKenya Medical Research Institute, Centre for Global Health Research, Kisumu, Kenya. Electronic address: SKariuki@kemricdc.org.
Peter KremsnerCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon and Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany. Electronic address: peter.kremsner@uni-tuebingen.de.
Miguel LanaspaCentro de Investigação em Saúde de Manhiça, Manhiça, Mozambique; Barcelona Institute for Global Health (ISGlobal), Hospital Clínic-Universitat de Barcelona, Spain. Electronic address: mlanaspa@sjdhospitalbarcelona.org.
Bertrand LellCentre de Recherches Médicales de Lambaréné, Lambaréné, Gabon and Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany. Electronic address: bertrand.lell@lambarene.org.
Marc LievensGSK, Wavre, Belgium. Electronic address: marc.lievens@gsk.com.
John LusinguNational Institute for Medical Research, Korogwe, Tanzania. Electronic address: jpalusingu@yahoo.co.uk.
Anangisye MalabejaNational Institute for Medical Research, Korogwe, Tanzania. Electronic address: malabeja1@yahoo.com.
Nahya Salim MasoudMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania; Ifakara Health Institute, Bagamoyo, Tanzania. Electronic address: nsalim@ihi.or.tz.
Ali Takadir MtoroIfakara Health Institute, Bagamoyo, Tanzania. Electronic address: amtoro@ihi.or.tz.
Patricia NjugunaKenya Medical Research Institute-Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya; Pwani University, Kilifi, Kenya. Electronic address: njugunap@who.int.
Opokua Ofori-AnyinamGSK, Wavre, Belgium. Electronic address: opokua.ofori-anyinam@gsk.com.
Godfrey Allan OtienoKEMRI-Walter Reed Project, Kombewa, Kenya. Electronic address: Allan.Otieno@usamru-k.org.
Walter OtienoKEMRI-Walter Reed Project, Kombewa, Kenya. Electronic address: Walter.otieno@usamru-k.org.
Seth Owusu-AgyeiKintampo Health Research Center, Kintampo, Ghana; Diseases Control Department, London School of Hygiene and Tropical Medicine, London, UK. Electronic address: seth.owusu-agyei@kintampo-hrc.org.
Lode SchuermanGSK, Wavre, Belgium. Electronic address: lode.schuerman@gsk.com.
Hermann SorghoInstitut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso. Electronic address: hsorgho@hotmail.com.
Marcel TannerMuhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania; Ifakara Health Institute, Bagamoyo, Tanzania; Swiss Tropical and Public Health Institute, Basel, Switzerland and University of Basel, Basel, Switzerland. Electronic address: marcel.tanner@unibas.ch.
Halidou TintoInstitut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso. Electronic address: halidoutinto@gmail.com.
Innocent ValeaInstitut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso. Electronic address: innocentvalea@yahoo.fr.
Pascale VandoolaegheGSK, Wavre, Belgium. Electronic address: pascale.vandoolaeghe@gsk.com.
Jahit SacarlalCentro de Investigação em Saúde de Manhiça, Manhiça, Mozambique; Faculdade de Medicina, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique. Electronic address: jahityash2002@gmail.com.
Martina OnekoKenya Medical Research Institute, Centre for Global Health Research, Kisumu, Kenya. Electronic address: tinaoneko@gmail.com.
GlaxoSmithKline (Belgium) · BEKenya Medical Research Institute · KEIfakara Health Institute · TZCentre de Recherche Médicales de Lambaréné · GAKwame Nkrumah University of Science and Technology · GHReed Medical (United Kingdom) · GBKintampo Health Research Centre · GHManhiça Health Research Centre · MZMuhimbili University of Health and Allied Sciences · TZUniversity of North Carolina at Chapel Hill · USCenters for Disease Control and Prevention · USEduardo Mondlane University · MZNational Institute for Medical Research · TZ

Funding

Wellcome Trust 203077
6 · The paper itself

Abstract

backgroundWe assessed the safety and immunogenicity of the RTS,S/AS01 malaria vaccine in a subset of children identified as HIV-infected during a large phase III randomized controlled trial conducted in seven sub-Saharan African countries.

methodsInfants 6-12 weeks and children 5-17 months old were randomized to receive 4 RTS,S/AS01 doses (R3R group), 3 RTS,S/AS01 doses plus 1 comparator vaccine dose (R3C group), or 4 comparator vaccine doses (C3C group) at study months 0, 1, 2 and 20. Infants and children with WHO stage III/IV HIV disease were excluded but HIV testing was not routinely performed on all participants; our analyses included children identified as HIV-infected based on medical history or clinical suspicion and confirmed by polymerase chain reaction or antibody testing. Serious adverse events (SAEs) and anti-circumsporozoite (CS) antibodies were assessed.

resultsOf 15459 children enrolled in the trial, at least 1953 were tested for HIV and 153 were confirmed as HIV-infected (R3R: 51; R3C: 54; C3C: 48). Among these children, SAEs were reported for 92.2% (95% CI: 81.1-97.8) in the R3R, 85.2% (72.9-93.4) in the R3C and 87.5% (74.8-95.3) in the C3C group over a median follow-up of 39.3, 39.4 and 38.3 months, respectively. Fifteen HIV-infected participants in each group (R3R: 29.4%, R3C: 27.8%, C3C: 31.3%) died during the study. No deaths were considered vaccination-related. In a matched case-control analysis, 1 month post dose 3 anti-CS geometric mean antibody concentrations were 193.3 EU/mL in RTS,S/AS01-vaccinated HIV-infected children and 491.5 EU/mL in RTS,S/AS01-vaccinated immunogenicity controls with unknown or negative HIV status (p = 0.0001).

conclusionsThe safety profile of RTS,S/AS01 in HIV-infected children was comparable to that of the comparator (meningococcal or rabies) vaccines. RTS,S/AS01 was immunogenic in HIV-infected children but antibody concentrations were lower than in children with an unknown or negative HIV status. CLINICAL

trial registrationClinicalTrials.gov: NCT00866619.

Indexed as

VaccinationAfrica South of the SaharaCase-Control StudiesDouble-Blind MethodFemaleHIV InfectionsHumansImmunogenicity, VaccineInfantMalaria, FalciparumMalaria VaccinesMaleVaccines, SyntheticMalaria VaccinesRTS,S-AS01 vaccineVaccines, SyntheticChildrenHIVImmunogenicityMalariaRTSSafetyS/AS01 vaccine

Identifiers

PMID31708182
PMCPMC7613311
OpenAlexW2987234101

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.