Evidence map›Paper›PMID 37571809›Full record

ReviewExpert review of vaccines

Sporozoite immunization: innovative translational science to support the fight against malaria.

Thomas L Richie, L W Preston Church, Tooba Murshedkar, Peter F Billingsley, Eric R James, Mei-Chun Chen, Yonas Abebe, Natasha K C, Sumana Chakravarty, David Dolberg and 36 more

Open access · diamondAbstract readReview
In one paragraph

Review in Expert review of vaccines. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
7.4field-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

35 citing papers in PubMed, 45 citations in OpenAlex.

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  15. Protection from malaria infection using liver-targeted siRNA.Molecular therapy. Methods & clinical development · 2025
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  16. Cells · 2025
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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

46 authors at 15 institutions in 12 countries.

Thomas L RichieSanaria Inc, Rockville, MD, USA.ORCID 0000-0002-2946-5456
L W Preston ChurchSanaria Inc, Rockville, MD, USA.ORCID 0000-0001-8045-3920
Tooba MurshedkarSanaria Inc, Rockville, MD, USA.
Peter F BillingsleySanaria Inc, Rockville, MD, USA.ORCID 0000-0003-1142-4813
Eric R JamesSanaria Inc, Rockville, MD, USA.ORCID 0000-0002-2184-745X
Mei-Chun ChenSanaria Inc, Rockville, MD, USA.
Yonas AbebeSanaria Inc, Rockville, MD, USA.
Natasha K CSanaria Inc, Rockville, MD, USA.
Sumana ChakravartySanaria Inc, Rockville, MD, USA.
David DolbergSanaria Inc, Rockville, MD, USA.
Sara A HealyLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0003-3078-6094
Halimatou DiawaraMalaria Research and Training Center, Mali-NIAID ICER, University of Science, Techniques and Technologies of Bamako, Bamako, Mali.
Mahamadou S SissokoMalaria Research and Training Center, Mali-NIAID ICER, University of Science, Techniques and Technologies of Bamako, Bamako, Mali.ORCID 0000-0003-2024-577X
Issaka SagaraMalaria Research and Training Center, Mali-NIAID ICER, University of Science, Techniques and Technologies of Bamako, Bamako, Mali.ORCID 0000-0002-8555-9983
David M CookLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID 0009-0002-9965-2799
Judith E EpsteinLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0001-9381-7607
Benjamin MordmüllerDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-9101-2768
Melissa KapuluBiosciences Department, Kenya Medical Research Institute KEMRI-Wellcome Research Programme, Kilifi, Kenya.ORCID 0000-0003-0321-7128
Andrea KreidenweissInstitut für Tropenmedizin, Universitätsklinikum Tübingen, Tübingen, Germany.ORCID 0000-0002-5025-7221
Blandine Franke-FayardDepartment of Parasitology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-6041-4182
Selidji T AgnandjiDepartment of Parasitology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-4693-4207
María-Silvia A López MikueMinistry of Health and Social Welfare, Government of Equatorial Guinea, Malabo, Equatorial Guinea.
Matthew B B McCallDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-5738-1401
Laura SteinhardtMalaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0003-0540-9940
Martina OnekoKenya Medical Research Institute, Centre for Global Health Research, Kisumu, Kenya.ORCID 0000-0003-0021-3324
Ally OlotuBagamoyo Research and Training Center, Ifakara Health Institute, Bagamoyo, Tanzania.ORCID 0000-0001-6696-1937
Ashley M VaughanCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0001-5815-756X
James G KublinDepartment of Global Health, University of Washington, Seattle, WA, USA.ORCID 0000-0003-1279-3741
Sean C MurphyDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-2048-0131
Said JongoBagamoyo Research and Training Center, Ifakara Health Institute, Bagamoyo, Tanzania.
Marcel TannerMedical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland.ORCID 0000-0002-1205-6971
Sodiomon B SirimaGroupe de Recherche Action en Santé (GRAS), Ouagadougou, Burkina Faso.ORCID 0000-0002-0972-4211
Matthew B LaurensCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-3874-581X
Claudia DaubenbergerMedical Parasitology and Infection Biology, Swiss Tropical and Public Health Institute, Basel, Switzerland.ORCID 0000-0001-7136-0642
Joana C SilvaInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-6502-7026
Kirsten E LykeCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-4966-0830
Chris J JanseDepartment of Parasitology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-6410-6205
Meta RoestenbergDepartment of Parasitology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-5052-2830
Robert W SauerweinDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-3163-7202
Salim AbdullaBagamoyo Research and Training Center, Ifakara Health Institute, Bagamoyo, Tanzania.
Alassane DickoMalaria Research and Training Center, Mali-NIAID ICER, University of Science, Techniques and Technologies of Bamako, Bamako, Mali.ORCID 0000-0003-2153-8427
Stefan H I KappeCenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0003-1540-1731
B Kim Lee SimSanaria Inc, Rockville, MD, USA.ORCID 0000-0002-8598-8905
Patrick E DuffyLaboratory of Malaria Immunology and Vaccinology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-4483-5005
Peter G KremsnerInstitut für Tropenmedizin, Universitätsklinikum Tübingen, Tübingen, Germany.ORCID 0000-0002-3926-4113
Stephen L HoffmanSanaria Inc, Rockville, MD, USA.ORCID 0000-0002-0700-9505
Sanaria · USLeiden University Medical Center · NLNational Institutes of Health · USUniversité des Sciences, des Techniques et des Technologies de Bamako · MLIfakara Health Institute · TZRadboud University Nijmegen · NLUniversity of Maryland, Baltimore · USInfectious Disease Research Institute · USKenya Medical Research Institute · KESwiss Tropical and Public Health Institute · CHUniversitätsklinikum Tübingen · DEUniversity of Washington · USCenters for Disease Control and Prevention · USGovernment of Equatorial Guinea · GQGroupe de Recherche et d’Action sur le Foncier · BF

Funding

Pre-erythrocytic malaria vaccines: Discovery and Clinical DevelopmentZIAAI001135 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DUFFY, PATRICK · 2010 to 2025
$6.4M
Assessment of whole organism vaccinations in Malian AdultsZIAAI001170 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DUFFY, PATRICK · 2012 to 2024
$4.8M
Genome-wide sieve analysis and immunological validation to identify targets of protective efficacy in field trials of a whole-organism malaria vaccineR01AI141900 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI CARNEIRO DA SILVA, JOANA · 2019 to 2023
$3.9M
The Role of T Cell Regulatory Mechanisms in Protection from Severe MalariaZIAAI001147 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DUFFY, PATRICK · 2011 to 2025
$2.3M
Intramural CDC HHS CC999999Intramural NIH HHS ZIA AI001170NIAID NIH HHS R01 AI141900Wellcome Trust
6 · The paper itself

Abstract

introductionMalaria, a devastating febrile illness caused by protozoan parasites, sickened 247,000,000 people in 2021 and killed 619,000, mostly children and pregnant women in sub-Saharan Africa. A highly effective vaccine is urgently needed, especially for AREAS COVERED: Sporozoites (SPZ), the parasite stage transmitted by EXPERT OPINION: First generation (radiation-attenuated) PfSPZ vaccines are safe, well tolerated, 80-100% efficacious against homologous controlled human malaria infection (CHMI) and provide 18-19 months protection without boosting in Africa. Second generation chemo-attenuated PfSPZ are more potent, 100% efficacious against stringent heterologous (variant strain) CHMI, but require a co-administered drug, raising safety concerns. Third generation, late liver stage-arresting, replication competent (LARC), genetically-attenuated PfSPZ are expected to be both safe and highly efficacious. Overall, PfSPZ vaccines meet safety, tolerability, and efficacy requirements for protecting pregnant women and travelers exposed to Pf in Africa, with licensure for these populations possible within 5 years. Protecting children and mass vaccination programs to block transmission and eliminate malaria are long-term objectives. Introduction Malaria, a devastating febrile illness caused by protozoan parasites, sickened 247,000,000 people in 2021 and killed 619,000, mostly children and pregnant women in sub-Saharan Africa. A highly effective vaccine is urgently needed, especially for Plasmodium falciparum (Pf), the deadliest human malaria parasite. Areas covered Sporozoites (SPZ), the parasite stage transmitted by Anopheles mosquitoes to humans, are the only vaccine immunogen achieving >90% efficacy against Pf infection. This review describes >30 clinical trials of PfSPZ vaccines in the U.S.A., Europe, Africa, and Asia, based on first-hand knowledge of the trials and PubMed searches of ‘sporozoites,’ ‘malaria,’ and ‘vaccines.’ Expert opinion First generation (radiation-attenuated) PfSPZ vaccines are safe, well tolerated, 80–100% efficacious against homologous controlled human malaria infection (CHMI) and provide 18–19 months protection without boosting in Africa. Second generation chemo-attenuated PfSPZ are more potent, 100% efficacious against stringent heterologous (variant strain) CHMI, but require a co-administered drug, raising safety concerns. Third generation, late liver stage-arresting, replication competent (LARC), genetically-attenuated PfSPZ are expected to be both safe and highly efficacious. Overall, PfSPZ vaccines meet safety, tolerability, and efficacy requirements for protecting pregnant women and travelers exposed to Pf in Africa, with licensure for these populations possible within 5 years. Protecting children and mass vaccination programs to block transmission and eliminate malaria are long-term objectives.

Indexed as

MalariaMalaria, FalciparumMalaria VaccinesAnimalsChildFemaleHumansImmunizationPlasmodium falciparumPregnancySporozoitesTranslational Science, BiomedicalVaccines, AttenuatedMalaria VaccinesVaccines, Attenuatedmalaria vaccinesPfSPZ-CVacPfSPZ-LARC2 VaccinePfSPZ VaccinePlasmodium falciparumreviewSporozoitesvaccines

Identifiers

PMID37571809
PMCPMC10949369
OpenAlexW4385778756

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.