Evidence map›Paper›PMID 39377226›Full record

Trial reportJCI insight2024

Identification of RTS,S/AS01 vaccine-induced humoral biomarkers predictive of protection against controlled human malaria infection.

Rachel L Spreng, Kelly E Seaton, Lin Lin, Sir'Tauria Hilliard, Gillian Q Horn, Milite Abraha, Aaron W Deal, Kan Li, Alexander J Carnacchi, Elizabeth Feeney and 13 more

4 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT01366534 phase2completednot on this map

Safety, Immunogenicity and Efficacy Against Malaria in the Sporozoite Challenge Model of One Dose of Ad35.CS.01 Malaria Vaccine Followed by Two Doses of Malaria 257049 Vaccine in Healthy Malaria-naïve Adults

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2012Enrolled67ConditionsMalariaArmsCrucell's replication deficient adenovirus type 35 circumsporozoite malaria vaccine (Ad35.CS.01), GSK Biologicals' malaria vaccine 257049 (2 doses), GSK Biologicals' malaria vaccine 257049 (3 doses), Sporozoite challenge
NCT01857869 phase2completednot on this map

Efficacy, Safety and Immunogenicity Study of GSK Biologicals' Candidate Malaria Vaccine 257049 in the Sporozoite Challenge Model in Healthy Malaria-naïve Adults

TypeinterventionalSponsorGlaxoSmithKlineRan2013 to 2014Enrolled64ConditionsMalariaArmsGSK257049 Dosage 1, GSK257049 Dosage 2, Sporozoite-infected mosquitoes challenge
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.
NCT03824236 phase2completednot on this map

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

TypeinterventionalSponsorGlaxoSmithKlineRan2019 to 2019Enrolled61ConditionsMalariaArmsRTS,S/AS01E (SB257049)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. mRNA-LNP vaccine encoding theMolecular therapy. Nucleic acids · 2025
    Article
  3. Article
  4. Article
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

23 authors.

Rachel L SprengDuke Human Vaccine Institute.
Kelly E SeatonCenter for Human Systems Immunology.
Lin LinCenter for Human Systems Immunology.
Sir'Tauria HilliardCenter for Human Systems Immunology.
Gillian Q HornCenter for Human Systems Immunology.
Milite AbrahaCenter for Human Systems Immunology.
Aaron W DealCenter for Human Systems Immunology.
Kan LiCenter for Human Systems Immunology.
Alexander J CarnacchiCenter for Human Systems Immunology.
Elizabeth FeeneyCenter for Human Systems Immunology.
Siam ShabbirCenter for Human Systems Immunology.
Lu ZhangCenter for Human Systems Immunology.
Valerie BekkerCenter for Human Systems Immunology.
Sarah V MudrakCenter for Human Systems Immunology.
Sheetij DuttaWalter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Laina D MercerCenter for Vaccine Innovation and Access, PATH, Seattle, Washington, USA.
Scott GregoryCenter for Vaccine Innovation and Access, PATH, Washington, DC, USA.
C Richter KingCenter for Vaccine Innovation and Access, PATH, Washington, DC, USA.
Ulrike Wille-ReeceCenter for Vaccine Innovation and Access, PATH, Washington, DC, USA.
Erik JongertGSK, Rixensart, Belgium.
Neville K KisaluCenter for Vaccine Innovation and Access, PATH, Washington, DC, USA.
Georgia D TomarasDuke Human Vaccine Institute.
S Moses DennisonCenter for Human Systems Immunology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDThe mechanism(s) responsible for the efficacy of WHO-recommended malaria vaccine RTS,S/AS01 are not completely understood. We previously identified RTS,S vaccine-induced Plasmodium falciparum circumsporozoite protein-specific (PfCSP-specific) antibody measures associated with protection from controlled human malaria infection (CHMI). Here, we tested the protection-predicting capability of these measures in independent CHMI studies.METHODSVaccine-induced total serum antibody (immunoglobulins, Igs) and subclass antibody (IgG1 and IgG3) responses were measured by biolayer interferometry and the binding antibody multiplex assay, respectively. Immune responses were compared between protected and nonprotected vaccinees using univariate and multivariate logistic regression.RESULTSBlinded prediction analysis showed that 5 antibody binding measures, including magnitude-avidity composite of serum Ig specific for PfCSP, major NANP repeats and N-terminal junction, and PfCSP- and NANP-specific IgG1 subclass magnitude, had good prediction accuracy (area under the receiver operating characteristic curves [ROC AUC] > 0.7) in at least 1 trial. Furthermore, univariate analysis showed a significant association between these antibody measures and protection (odds ratios 2.6-3.1). Multivariate modeling of combined data from 3 RTS,S CHMI trials identified the combination of IgG1 NANP binding magnitude plus serum NANP and N-junction Ig binding magnitude-avidity composite as the best predictor of protection (95% confidence interval for ROC AUC 0.693-0.834).CONCLUSIONThese results reinforce our previous findings and provide a tool for predicting protection in future trials.TRIAL REGISTRATIONClinicalTrials.gov NCT03162614, NCT03824236, NCT01366534, and NCT01857869.FUNDINGThis study was supported by Bill & Melinda Gates Foundation's Global Health-Discovery Collaboratory grants (INV-008612 and INV-043419) to GDT.

Indexed as

Antibodies, ProtozoanBiomarkersImmunoglobulin GMalaria, FalciparumMalaria VaccinesPlasmodium falciparumChild, PreschoolFemaleHumansInfantMaleProtozoan ProteinsVaccines, SyntheticAntibodies, ProtozoanBiomarkersImmunoglobulin GMalaria VaccinesProtozoan ProteinsRTS,S-AS01 vaccineVaccines, SyntheticImmunologyMalariaVaccines

Identifiers

PMID39377226
PMCPMC11466194

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.