Evidence map›Paper›PMID 32687161›Full record

Trial reportThe Journal of infectious diseases2020

A Phase IIa Controlled Human Malaria Infection and Immunogenicity Study of RTS,S/AS01E and RTS,S/AS01B Delayed Fractional Dose Regimens in Malaria-Naive Adults.

James E Moon, Christian Ockenhouse, Jason A Regules, Johan Vekemans, Cynthia Lee, Ilin Chuang, Magali Traskine, Erik Jongert, Karen Ivinson, Danielle Morelle and 9 more

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

Trial report in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03162614 (Efficacy, Immunogenicity and Safety Study of GSK Biologicals' Candidate Malaria Vaccine), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.0field-weighted citation impact, top 4% 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.

NCT03162614 phase2completednot on this map

Efficacy, Immunogenicity and Safety Study of GSK Biologicals' Candidate Malaria Vaccine (SB257049) Evaluating Various Dose Schedules in a Sporozoite Challenge Model in Healthy Malaria-naïve Adults

TypeinterventionalSponsorGlaxoSmithKlineRan2017 to 2018Enrolled154ConditionsMalariaArmsRTS,S/AS01E, RTS,S/AS01B, Sporozoite-infected mosquitoes challenge.
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
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  6. The Anti-Circumsporozoite Antibody Response of Children to Seasonal Vaccination With the RTS,S/AS01E Malaria Vaccine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Trial
  7. Efficacy of RTS,S/AS01The Lancet. Infectious diseases · 2022
    Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Controlled Human Malaria Infection Studies in Africa-Past, Present, and Future.Current topics in microbiology and immunology · 2024
    Review
  14. Malaria Vaccines: Progress to Date.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

James E MoonWalter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Christian OckenhousePATH-Malaria Vaccine Initiative, Washington, DC, USA.
Jason A RegulesWalter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Johan VekemansGSK Biologicals, Rixensart, Belgium.
Cynthia LeePATH-Malaria Vaccine Initiative, Washington, DC, USA.
Ilin ChuangNaval Medical Research Center, Silver Spring, Maryland, USA.
Magali TraskineGSK Biologicals, Rixensart, Belgium.
Erik JongertGSK Biologicals, Rixensart, Belgium.
Karen IvinsonPATH-Malaria Vaccine Initiative, Washington, DC, USA.
Danielle MorelleGSK Biologicals, Rixensart, Belgium.
Jack L KomisarNaval Medical Research Center, Silver Spring, Maryland, USA.
Marc LievensGSK Biologicals, Rixensart, Belgium.
Martha SedegahNaval Medical Research Center, Silver Spring, Maryland, USA.
Lindsey S GarverWalter Reed Army Institute of Research, Silver Spring, Maryland, USA.
April K SikaffyWalter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Norman C WatersWalter Reed Army Institute of Research, Silver Spring, Maryland, USA.
William Ripley BallouGSK Biologicals, Rixensart, Belgium.
Opokua Ofori-AnyinamGSK Biologicals, Rixensart, Belgium.
RTS,S Malaria Vaccine Working Group
U.S. President's Malaria Initiative · USWalter Reed Army Institute of Research · USNaval Medical Research Command · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA previous RTS,S/AS01B vaccine challenge trial demonstrated that a 3-dose (0-1-7-month) regimen with a fractional third dose can produce high vaccine efficacy (VE) in adults challenged 3 weeks after vaccination. This study explored the VE of different delayed fractional dose regimens of adult and pediatric RTS,S/AS01 formulations.

methodsA total of 130 participants were randomized into 5 groups. Four groups received 3 doses of RTS,S/AS01B or RTS,S/AS01E on a 0-1-7-month schedule, with the final 1 or 2 doses being fractional (one-fifth dose volume). One group received 1 full (month 0) and 1 fractional (month 7) dose of RTS,S/AS01E. Immunized and unvaccinated control participants underwent Plasmodium falciparum-infected mosquito challenge (controlled human malaria infection) 3 months after immunization, a timing chosen to potentially discriminate VEs between groups.

resultsThe VE of 3-dose formulations ranged from 55% (95% confidence interval, 27%-72%) to 76% (48%-89%). Groups administered equivalent formulations of RTS,S/AS01E and RTS,S/AS01B demonstrated comparable VE. The 2-dose group demonstrated lower VE (29% [95% confidence interval, 6%-46%]). All regimens were well tolerated and immunogenic, with trends toward higher anti-circumsporozoite antibody titers in participants protected against infection.

conclusionsRTS,S/AS01E can provide VE comparable to an equivalent RTS,S/AS01B regimen in adults, suggesting a universal formulation may be considered. Results also suggest that the 2-dose regimen is inferior to the 3-dose regimens evaluated. CLINICAL

trial registrationNCT03162614.

Indexed as

AdolescentAdultFemaleHumansImmunization ScheduleInfection ControlMalariaMalaria, FalciparumMalaria VaccinesMaleMiddle AgedPlasmodium falciparumVaccinationYoung AdultMalaria Vaccines3-month challengecontrolled human malaria infectiondelayed fractional doseefficacyimmunogenicitymalariaPlasmodium falciparumRTSsafetyS/AS01

Identifiers

PMID32687161
PMCPMC7552430
OpenAlexW3044633595

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.