Evidence map›Paper›PMID 39753962›Full record

Trial reportNature medicine2025

Single immunization with genetically attenuated Pf∆mei2 (GA2) parasites by mosquito bite in controlled human malaria infection: a placebo-controlled randomized trial.

Geert V T Roozen, Roos van Schuijlenburg, Annefleur D O Hensen, Jan Pieter R Koopman, Olivia A C Lamers, Fiona J A Geurten, Jeroen C Sijtsma, Els Baalbergen, Jacqueline J Janse, Séverine Chevalley-Maurel and 16 more

Abstract readAdaptive Clinical TrialClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

15 citing papers in PubMed.

  1. Trial
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  14. Early Activation of Lung CD8Pathogens & immunity · 2025
    Article
  15. 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

26 authors.

Geert V T RoozenLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-3979-4616
Roos van SchuijlenburgLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-4413-5604
Annefleur D O HensenLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0009-0000-0987-8301
Jan Pieter R KoopmanLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-1335-9402
Olivia A C LamersLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Fiona J A GeurtenLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Jeroen C SijtsmaLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0009-0006-4683-1995
Els BaalbergenLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Jacqueline J JanseLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Séverine Chevalley-MaurelLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-2048-540X
Chanel M NaarLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-3054-7472
Sascha BezemerLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Hans KroezeLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Huybert J F van de StadtMedical Technology and Prototyping, Leiden University Medical Center, Leiden, The Netherlands.
Bram de VisserMedical Technology and Prototyping, Leiden University Medical Center, Leiden, The Netherlands.
Pauline MeijCenter for Cell and Gene Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-3370-9932
Mara S TihayaCenter for Cell and Gene Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-0608-6023
Emil ColstrupLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-3942-712X
Eva IliopoulouLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Helena M de Bes-RoeleveldLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Els WesselsLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-6707-2311
M Y Eileen C van der StoepCenter for Cell and Gene Therapy, Leiden University Medical Center, Leiden, The Netherlands.
Chris J JanseLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Rajagopal MuruganLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-0336-7268
Blandine M D Franke-FayardLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Meta RoestenbergLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands. m.roestenberg@lumc.nl.ORCID 0000-0002-5052-2830

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 Marie Skłodowska-Curie Actions (H2020 Excellent Science - Marie Skłodowska-Curie Actions) 101109084ZonMw (Netherlands Organisation for Health Research and Development) 09150172010035
6 · The paper itself

Abstract

Malaria vaccines consisting of metabolically active Plasmodium falciparum (Pf) sporozoites can offer improved protection compared with currently deployed subunit vaccines. In a previous study, we demonstrated the superior protective efficacy of a three-dose regimen of late-arresting genetically attenuated parasites administered by mosquito bite (GA2-MB) compared with early-arresting counterparts (GA1-MB) against a homologous controlled human malaria infection. Encouraged by these results, we explored the potency of a single GA2-MB immunization in a placebo-controlled randomized trial. Primary outcomes were safety and tolerability, time-to-parasitemia and protective efficacy. Humoral and cellular immunological results were considered secondary outcomes. Here we report the safe administration of GA2-MB with no breakthrough malaria and sterile protection in nine of ten participants at 6 weeks after a single immunization with 50 GA2-infected mosquitoes, compared with none of five mock-immunized participants, against a homologous controlled human malaria infection. Immunization increased circulating Pf-specific polyfunctional effector memory CD4

Indexed as

Insect Bites and StingsMalaria, FalciparumMalaria VaccinesPlasmodium falciparumAdolescentAdultAnimalsCD4-Positive T-LymphocytesCulicidaeFemaleHumansImmunizationMaleMiddle AgedSporozoitesVaccines, AttenuatedMalaria VaccinesVaccines, Attenuated

Identifiers

PMID39753962
PMCPMC11750698

What OpenQuestion holds

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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.