A Phase 2 interventional study of RTS, S/AS01B and RTS, S/AS02A in Plasmodium Falciparum, sponsored by U.S. Army Medical Research and Development Command. Completed at 1 site in Kenya. Open to participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-12.
Sponsored by U.S. Army Medical Research and Development Command · Phase 2, Interventional, and Prevention
The candidate malaria vaccine RTS,S/AS02A developed by GSK Biologicals demonstrated 30% efficacy against clinical episodes of malaria and approximately 58% efficacy against severe malaria disease. As a potential improvement to RTS,S/AS02A, another candidate vaccine RTS,S/AS01B is being developed in parallel in collaboration with the Walter Reed Army Institute of Research (WRAIR). This study will be the first administration of the RTS,S/AS01B vaccine to the African adults to establish safety and immunogenicity in this population. Preliminary indication of vaccine efficacy with this adjuvant will be established by monitoring the time to the first infection with Plasmodium falciparum.
The study comprises of 3 groups and the participating subjects will be randomly allocated to one of the three groups. The first group will receive RTS,S/AS01B, the second group will receive RTS,S/AS02A and the third group will receive rabies vaccine. Immunization will be given by IM injection on 0, 1, 2 month schedule. Infants will be followed up daily for 7 days for solicited symptoms and 30 days for unsolicited symptoms after each vaccine dose. Serious adverse events will be recorded throughout the study period. A week prior to Dose 3, subjects will be treated with a licenced anti-malarial drug. Starting from two weeks after Dose 3, the subjects will be monitored for a 14-week duration for detection of malaria infection.
1,299 studies on the registry are indexed under Malaria; 86 are open to participants now.
This study's enrollment of 255 is above the median of 220 across 1,027 interventional studies indexed under Malaria.
Browse Malaria studies →U.S. Army Medical Research and Development Command is the lead sponsor of 151 studies on the registry; 8 are open to participants now.
Of its 23 completed or terminated interventional studies of FDA-regulated products, 16 (70%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion criteria:
RTS, S/AS01B: 0.5mL dose; 50ug RTS, S antigen, 50ug QS21 and liposomes in phosphate-buffered saline administered intramuscular deltoid of non-dominant arm at 0, 1 and 2 months.
Biological: RTS, S/AS01B
RTS, S/AS02A: 0.5mL dose; 50ug RTS, S antigen, 50ug QS21 and proprietary oil-water emulsion in phosphate-buffered saline administered intramuscular deltoid of non-dominant arm at 0, 1 and 2 months.
Biological: RTS, S/AS02A
Rabipur (Rabies) Vaccine: 1.0mL dose administered intramuscular deltoid of non-dominant arm at 0, 1 and 2 months.
Biological: Rabipur (Rabies) Vaccine
0.5mL dose; 50ug RTS, S antigen, 50ug QS21 and liposomes in phosphate-buffered saline administered intramuscular deltoid of non-dominant arm at 0, 1 and 2 months.
0.5mL dose; 50ug RTS, S antigen, 50ug QS21 and proprietary oil-water emulsion in phosphate-buffered saline administered intramuscular deltoid of non-dominant arm at 0, 1 and 2 months.
1.0mL dose administered intramuscular deltoid of non-dominant arm at 0, 1 and 2 months
Safety: Proportion of Subjects With Grade 3 Solicited and Unsolicited General Reactions After Vaccination of RTS, S/AS02A and RTS, S/AS01B
Proportion of subjects with grade 3 solicited and unsolicited general reactions after vaccination of RTS, S/AS02A and RTS, S/AS01B during a 7 day follow-up period (day of vaccination + 6 days).
Time frame: 7 day follow-up (day of vaccination + 6 days)
Safety: Number of Administered Doses Eliciting Grade 3 Unsolicited Symptoms
Grade 3 unsolicited symptoms reported following any number of administered doses
Time frame: 6.5 months
Safety: Number of Doses Eliciting Solicited Local Symptoms Reported Over 7 Day Follow-up Period
Incidence overall solicited general and local reactions over 7 day follow-up period after dose 1, 2 and 3 (Total Cohort)
Time frame: 7 day follow-up period (day of vaccination + 6 days)
Safety: Occurrence of SAEs
Percentage of subjects experiencing SAEs classified by MedRA System Organ Class and Preferred Term (Month 6.5-12)
Time frame: months 6.5 thru 12
Safety: Occurrence of SAEs
Percentage of subjects reporting SAEs classified by MedDRA System Organ Class and Preferred Term (Month 0-12)
Time frame: months 0 thru 12
Occurrence of Hematology Parameters Below Normal Range
Occurrence of hematology parameters below normal range (Total Cohort)
Time frame: Days 0, 6, 66, and 90; Months 6 and 12
Occurrence of Biochemistry Parameters Above Normal Ranges
Occurrence of parameters of biochemical monitoring above normal ranges (Total Cohort)
Time frame: Days 0, 6, and 90
Seropositivity Rates for Anti-HBs Antibodies by Infection Status PRE
Seropositivity rates and GMTs for Anti-HBs antibodies by infection status (Total Cohort) Seropositive \>3.3 mlU/mL; Seroprotected \>10 mIU/mL Infection defined as P. falciparum asexual parasitemia \>0 PRE= Prevaccination
Time frame: Prevaccination
Seropositivity Rates for Anti-HBs Antibodies by Infection Status PIII(D90)
Seropositivity rates and GMTs for Anti-HBs antibodies by infection status (Total Cohort) Seropositive \>3.3 mlU/mL; Seroprotected: \>10 mlU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
Time frame: Day 90
Seropositivity Rates for Anti-HBs Antibodies by Infection Status PIII(M12)
Seropositivity rates and GMTs for Anti-HBs antibodies by infection status (Total Cohort) Seropositive \>3.3 mlU/mL; Seroprotected: \>10 mlU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(M12)= post dose 3 (month 12)
Time frame: Month 12
Seropositivity Rates for Anti-HBs Antibodies by Vaccine Group PRE
Seropositivity rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seropositive \>3.3 mlU/ML PRE=Prevaccination
Time frame: Prevaccination
Seropositivity Rates for Anti-HBs Antibodies by Vaccine Group PIII(D90)
Seropositivity rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seropositive \>3.3 mlU/ML PIII(D90)= post dose 3 (Day 90)
Time frame: Day 90
Seropositivity Rates for Anti-HBs Antibodies by Vaccine Group PIII(M12)
Seropositivity rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seropositive \>3.3 mlU/ML PIII(M12)= post dose 3 (Month 12)
Time frame: Month 12
Seroprotection Rates for Anti-HBs Antibodies by Vaccine Group PRE
Seroprotection rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seroprotected \>10 mlU/mL PRE=Prevaccination
Time frame: Prevaccination
Seroprotection Rates for Anti-HBs Antibodies by Vaccine Group PIII (D90)
Seroprotection rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seroprotected \>10 mlU/mL PIII(D90)= post dose 3 (Day 90)
Time frame: Day 90
Seroprotection Rates for Anti-HBs Antibodies by Vaccine Group PIII (M12)
Seroprotection rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seroprotected \>10 mlU/mL PIII(M12)= post dose 3 (Month 12)
Time frame: Month 12
Geometric Mean Antibody Titers (GMTs) for Anti-HBs Antibodies by Vaccine Group PRE
Geometric mean antibody titers (GMTs) for Anti-HBs antibodies by vaccine group (According to protocol (ATP) Cohort for Immunogenicity) PRE=Prevaccination
Time frame: Prevaccination
Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Vaccine Group PIII (D90)
Geometric mean titers (GMTs) for Anti-HBs antibodies by vaccine group (According to protocol (ATP) Cohort for Immunogenicity) PIII(D90)= post dose 3 (Day 90)
Time frame: Day 90
Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Vaccine Group PIII (M12)
Geometric mean titers (GMTs) for Anti-HBs antibodies by vaccine group (According to protocol (ATP) Cohort for Immunogenicity) PIII(M12)= post dose 3 (Month 12)
Time frame: Month 12
Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Infection Status PRE
Geometric mean titers (GMTs) for Anti-HBs antibodies by infection status (Total Cohort) Infection defined as P. falciparum asexual parasitemia \>0 PRE= Prevaccination
Time frame: Prevaccination
Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Infection Status PIII (D90)
Geometric mean titers (GMTs) for Anti-HBs antibodies by infection status (Total Cohort) Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
Time frame: Day 90
Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Infection Status PIII (M12)
Geometric mean titers (GMTs) for Anti-HBs antibodies by infection status (Total Cohort) Infection defined as P. falciparum asexual parasitemia \>0 PIII(M12)= post dose 3 (month 12)
Time frame: Month 12
Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PRE
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PRE= prevaccination
Time frame: Prevaccination
Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PII (D60)
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PII(D60)= post dose 2 (day 60)
Time frame: 1 month post dose 2
Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PIII (D90)
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(D90)= post dose 3 (day 90)
Time frame: 1 month post dose 3
Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PIII (M6.5)
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M6.5)= post dose 3 (month 6.5)
Time frame: 4 months post dose 3
Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PIII (M12)
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M12)= post dose 3 (month 12)
Time frame: 10 months post dose 3
Geometric Mean Antibody Titers (GMTs) for Anti-CS Antibodies by Infection Status PRE
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PRE= Pre-vaccination
Time frame: PRE
Geometric Mean Antibody Titers (GMTs) for Anti-CS Antibodies by Infection Status PII (D60)
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PII(D60)= post dose 2 (day 60)
Time frame: post dose 2 (day 60)
Geometric Mean Antibody Titers (GMTs) for Anti-CS Antibodies by Infection Status PIII (D90)
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
Time frame: post dose 3 (day 90)
Geometric Mean Antibody Titers (GMTs) for Anti-CS Antibodies by Infection Status PIII (M6.5)
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PIII(M6.5)= post dose 3 (month 6.5)
Time frame: post dose 3 (month 6.5)
Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PRE
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PRE= prevaccination
Time frame: Prevaccination
Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PII (D60)
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3. PII(D60)= post dose 2 (day 60)
Time frame: 1 month post dose 2
Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PIII (D90)
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(D90)= post dose 3 (day 90)
Time frame: 1 month post dose 3
Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PIII (M6.5)
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M6.5)= post dose 3 (month 6.5)
Time frame: 4 months post dose 3
Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PIII (M12)
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M12)= post dose 3 (month 12)
Time frame: 10 months post dose 3
Seropositivity Rates for Anti-CS Antibodies by Infection Status PRE
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PRE= Pre-vaccination
Time frame: Prevaccination
Seropositivity Rates for Anti-CS Antibodies by Infection Status PII (D60)
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PII(D60)= post dose 2 (day 60)
Time frame: post dose 2 (day 60)
Seropositivity Rates for Anti-CS Antibodies by Infection Status PIII (D90)
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
Time frame: post dose 3 (day 90)
Seropositivity Rates for Anti-CS Antibodies by Infection Status PIII (M6.5)
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(M6.5)= post dose 3 (month 6.5)
Time frame: post dose 3 (month 6.5)
Efficacy: Vaccine Efficacy Against P. Falciparum Infection
Number of subjects with an episode of parasitemia (first recording of infection of asexual stage falciparum parasites \>0 detected by active detection of infection (ADI) or passive case detection)
Time frame: 14 days after dose 3 and extending for 14 weeks
Percentage of Participants With Positive and Negative Parasite Density
Percentage of participants with positive and negative parasite density at month 6.5
Time frame: at month 6.5
Geometric Mean Antibody Titers (GMTs) of Asexual P. Falciparum Parasitemia
Geometric Mean Antibody Titers (GMTs) of Asexual P. falciparum parasitemia at Month 6.5
Time frame: Month 6.5
255 subjects were enrolled and randomized 1:1:1 into each arm at Kombewa Clinic, US Army Medical Research Unit, Kisumu Kenya.
| Milestone | RTS, S/AS02A | RTS, S/AS01B | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Started | 85 | 85 | 85 |
| Completed | 68 | 64 | 73 |
| Not completed | 17 | 21 | 12 |
| Withdrew: Withdrawal by subject | 9 | 3 | 3 |
| Withdrew: Moved from area | 7 | 14 | 9 |
| Withdrew: Lost to follow-up | 1 | 4 | 0 |
Proportion of subjects with grade 3 solicited and unsolicited general reactions after vaccination of RTS, S/AS02A and RTS, S/AS01B during a 7 day follow-up period (day of vaccination + 6 days).
| participants | RTS, S/AS02A | RTS, S/AS01B |
|---|---|---|
| Safety: Proportion of Subjects With Grade 3 Solicited and Unsolicited General Reactions After Vaccination of RTS, S/AS02A and RTS, S/AS01B | 0 (0.0 to 4.2) | 1 (0.0 to 6.4) |
Grade 3 unsolicited symptoms reported following any number of administered doses
| administered doses | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| At least one symptom | 3 (0.3 to 3.6) | 0 (0.0 to 1.5) | 1 (0.0 to 2.2) |
| Sinusitis | 1 (0.0 to 2.3) | 0 (0.0 to 1.5) | 0 (0.0 to 1.5) |
| Headache | 1 (0.0 to 2.3) | 0 (0.0 to 1.5) | 1 (0.0 to 2.2) |
| Cough | 1 (0.0 to 2.3) | 0 (0.0 to 1.5) | 0 (0.0 to 1.5) |
Incidence overall solicited general and local reactions over 7 day follow-up period after dose 1, 2 and 3 (Total Cohort)
| Doses | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Pain | 132 | 166 | 68 |
| Swelling | 12 | 22 | 2 |
| Fatigue | 43 | 33 | 35 |
| Fever (Axillary) | 21 | 14 | 12 |
| Gastrointestinal | 48 | 42 | 44 |
| Headache | 84 | 95 | 67 |
| Joint pain at other location | 27 | 22 | 22 |
| Muscle aches | 27 | 23 | 29 |
Percentage of subjects experiencing SAEs classified by MedRA System Organ Class and Preferred Term (Month 6.5-12)
| % of subjects | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Anaemia | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Cardiac Failure | 0.0 (0.0 to 4.9) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| Pericardial Effusion | 0.0 (0.0 to 4.9) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| Cataract | 0.0 (0.0 to 4.9) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| Wound Necrosis | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Abscess Limb | 0.0 (0.0 to 4.9) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| HIV Infection | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| Lobar Pneumonia | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Malaria | 0.0 (0.0 to 4.9) | 1.3 (0.0 to 7.1) | 0.0 (0.0 to 4.7) |
| Meningitis | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| Pneumonia | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Pulmonary Tuberculosis | 0.0 (0.0 to 4.9) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
| Trichomoniasis | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Abortion | 1.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Haemoptysis | 2.4 (0.0 to 7.3) | 0.0 (0.0 to 4.7) | 0.0 (0.0 to 4.7) |
| Pleural Effusion | 0.0 (0.0 to 4.9) | 0.0 (0.0 to 4.7) | 1.3 (0.0 to 7.1) |
Percentage of subjects reporting SAEs classified by MedDRA System Organ Class and Preferred Term (Month 0-12)
| % of subjects reporting symptom | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Anaemia | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Cardiac Failure | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Pericardial Effusion | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Cataract | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Peptic Ulcer Haemorrhage | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Wound Necrosis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Abscess Limb | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Disseminated Tuberculosis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| HIV Infection | 2.4 (0.3 to 8.2) | 0.0 (0.0 to 4.2) | 3.5 (0.7 to 10.0) |
| Lobar Pneumonia | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Malaria | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) |
| Meningitis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Meningitis Cryptococcal | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Pneumocystis Jiroveci Pheumonia | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Pneumonia | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Pulmonary Tuberculosis | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
| Trichomoniasis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Osteoarthritis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Encephalitis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Abortion | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Haemoptysis | 1.2 (0.0 to 6.4) | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) |
| Pleural Effusion | 0.0 (0.0 to 4.2) | 0.0 (0.0 to 4.2) | 1.2 (0.0 to 6.4) |
Occurrence of hematology parameters below normal range (Total Cohort)
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Hemoglobin: Day 0 | 0 | 0 | 0 |
| Hemoglobin: Day 6 | 4 | 1 | 1 |
| Hemoglobin: Day 66 | 2 | 1 | 2 |
| Hemoglobin: Day 90 | 2 | 0 | 2 |
| hemoglobin: Month 6 | 2 | 1 | 1 |
| Hemoglobin: Month 12 | 4 | 2 | 0 |
| WBC: Day 0 | 0 | 0 | 0 |
| WBC: Day 6 | 0 | 0 | 1 |
| WBC: Day 66 | 0 | 0 | 1 |
| WBC: Day 90 | 3 | 0 | 0 |
| WBC: Month 6 | 2 | 0 | 1 |
| WBC: Month 12 | 2 | 0 | 0 |
| Lymphocytes: Day 0 | 0 | 0 | 0 |
| Lymphocytes: Day 6 | 0 | 0 | 1 |
| Lymphocytes: Day 66 | 0 | 0 | 0 |
| Lymphocytes: Day 90 | 1 | 0 | 0 |
| Lymphocytes: Month 6 | 1 | 0 | 0 |
| Lymphocytes: Month 12 | 1 | 0 | 0 |
Occurrence of parameters of biochemical monitoring above normal ranges (Total Cohort)
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Bilirubin: Day 0 | 10 | 9 | 11 |
| Bilirubin: Day 6 | 6 | 4 | 7 |
| Bilirubin: Day 90 | 3 | 3 | 6 |
| ALT: Day 0 | 0 | 0 | 0 |
| ALT: Day 6 | 1 | 6 | 0 |
| ALT: Day 90 | 0 | 1 | 3 |
Seropositivity rates and GMTs for Anti-HBs antibodies by infection status (Total Cohort) Seropositive \>3.3 mlU/mL; Seroprotected \>10 mIU/mL Infection defined as P. falciparum asexual parasitemia \>0 PRE= Prevaccination
| percentage of participants | >=3.3 MIU/ML | >=10 MIU/ML |
|---|---|---|
| % of Non-infected | 38.8 (27.1 to 51.5) | 37.3 (25.8 to 50.0) |
| % of Infected | 50.0 (39.6 to 60.4) | 44.8 (34.6 to 55.3) |
Seropositivity rates and GMTs for Anti-HBs antibodies by infection status (Total Cohort) Seropositive \>3.3 mlU/mL; Seroprotected: \>10 mlU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
| percentage of participants | >=3.3 MIU/ML | >=10 MIU/ML |
|---|---|---|
| % of Non-infected: PIII(D90) | 96.5 (87.9 to 99.6) | 93.0 (83.0 to 98.1) |
| % of Infected: PIII(D90) | 93.7 (86.8 to 97.6) | 91.6 (84.1 to 96.3) |
Seropositivity rates and GMTs for Anti-HBs antibodies by infection status (Total Cohort) Seropositive \>3.3 mlU/mL; Seroprotected: \>10 mlU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(M12)= post dose 3 (month 12)
| percentage of participants | >=3.3 MIU/ML | >=10 MIU/ML |
|---|---|---|
| % of Non-infected: PIII(M12) | 97.9 (88.7 to 99.9) | 91.5 (79.6 to 97.6) |
| % of Infected: PIII(M12) | 92.9 (85.3 to 97.4) | 90.6 (82.3 to 95.8) |
Seropositivity rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seropositive \>3.3 mlU/ML PRE=Prevaccination
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-HBs Antibodies by Vaccine Group PRE | 31 | 38 | 35 |
Seropositivity rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seropositive \>3.3 mlU/ML PIII(D90)= post dose 3 (Day 90)
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-HBs Antibodies by Vaccine Group PIII(D90) | 68 | 68 | 37 |
Seropositivity rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seropositive \>3.3 mlU/ML PIII(M12)= post dose 3 (Month 12)
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-HBs Antibodies by Vaccine Group PIII(M12) | 57 | 59 | 40 |
Seroprotection rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seroprotected \>10 mlU/mL PRE=Prevaccination
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seroprotection Rates for Anti-HBs Antibodies by Vaccine Group PRE | 29 | 34 | 33 |
Seroprotection rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seroprotected \>10 mlU/mL PIII(D90)= post dose 3 (Day 90)
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seroprotection Rates for Anti-HBs Antibodies by Vaccine Group PIII (D90) | 65 | 67 | 33 |
Seroprotection rates for Anti-HBs antibodies by vaccine group (ATP Cohort for Immunogenicity). Seroprotected \>10 mlU/mL PIII(M12)= post dose 3 (Month 12)
| Participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seroprotection Rates for Anti-HBs Antibodies by Vaccine Group PIII (M12) | 55 | 57 | 33 |
Geometric mean antibody titers (GMTs) for Anti-HBs antibodies by vaccine group (According to protocol (ATP) Cohort for Immunogenicity) PRE=Prevaccination
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Antibody Titers (GMTs) for Anti-HBs Antibodies by Vaccine Group PRE | 11.1 (6.0 to 20.4) | 18.3 (9.4 to 35.3) | 23.6 (11.3 to 49.0) |
Geometric mean titers (GMTs) for Anti-HBs antibodies by vaccine group (According to protocol (ATP) Cohort for Immunogenicity) PIII(D90)= post dose 3 (Day 90)
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Vaccine Group PIII (D90) | 1434.9 (743.0 to 2770.9) | 1714.3 (836.1 to 3515.0) | 31.7 (14.6 to 68.9) |
Geometric mean titers (GMTs) for Anti-HBs antibodies by vaccine group (According to protocol (ATP) Cohort for Immunogenicity) PIII(M12)= post dose 3 (Month 12)
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-HBs Antibodies by Vaccine Group PIII (M12) | 593.7 (317.0 to 1111.9) | 635.8 (341.9 to 1182.5) | 28.6 (13.8 to 59.1) |
Geometric mean titers (GMTs) for Anti-HBs antibodies by infection status (Total Cohort) Infection defined as P. falciparum asexual parasitemia \>0 PRE= Prevaccination
| titer | Geometric Mean Antibody |
|---|---|
| Non-infected: PRE | 11.1 (5.7 to 21.6) |
| Infected: PRE | 13.5 (7.9 to 22.9) |
Geometric mean titers (GMTs) for Anti-HBs antibodies by infection status (Total Cohort) Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
| titer | Geometric Mean Antibody |
|---|---|
| Non-infected: PIII(D90) | 1558.3 (744.7 to 3260.7) |
| Infected: PIII(D90) | 1532.6 (844.2 to 2782.4) |
Geometric mean titers (GMTs) for Anti-HBs antibodies by infection status (Total Cohort) Infection defined as P. falciparum asexual parasitemia \>0 PIII(M12)= post dose 3 (month 12)
| titer | Geometric Mean Antibody |
|---|---|
| Non-infected: PIII(M12) | 765.8 (384.8 to 1524.3) |
| Infected: PIII(M12) | 499.0 (293.1 to 849.5) |
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PRE= prevaccination
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PRE | 2.2 (1.6 to 2.9) | 1.2 (0.9 to 1.6) | 1.9 (1.4 to 2.5) |
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PII(D60)= post dose 2 (day 60)
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PII (D60) | 31.6 (23.9 to 41.6) | 16.7 (12.9 to 21.7) | 1.8 (1.4 to 2.3) |
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(D90)= post dose 3 (day 90)
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PIII (D90) | 41.4 (31.7 to 54.2) | 21.4 (16.0 to 28.7) | 1.1 (1.1 to 2.0) |
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M6.5)= post dose 3 (month 6.5)
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PIII (M6.5) | 23.1 (17.1 to 31.1) | 13.1 (9.7 to 17.7) | 1.5 (1.1 to 2.0) |
Geometric mean titers (GMTs) for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M12)= post dose 3 (month 12)
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Titers (GMTs) for Anti-CS Antibodies up to Month 12 by Vaccine Group PIII (M12) | 14.2 (10.7 to 18.9) | 7.3 (5.2 to 10.2) | 1.7 (1.3 to 2.3) |
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PRE= Pre-vaccination
| titers | Geometric Mean Antibody Titer |
|---|---|
| Infected: PRE | 1.2 (0.9 to 1.7) |
| Non-infected: PRE | 2.0 (1.6 to 2.6) |
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PII(D60)= post dose 2 (day 60)
| titers | Geometric Mean Antibody Titer |
|---|---|
| Infected: PII(D60) | 11.9 (8.4 to 17.0) |
| Non-infected: PII(D60) | 33.9 (28.1 to 40.9) |
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
| titers | Geometric Mean Antibody Titer |
|---|---|
| Infected: PIII(D90) | 18.3 (12.7 to 26.5) |
| Non-infected: PIII(D90) | 40.1 (32.6 to 49.2) |
Geometric mean antibody titers (GMTs) for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Infection defined as P. falciparum asexual parasitemia \>0 PIII(M6.5)= post dose 3 (month 6.5)
| titers | Geometric Mean Antibody Titer |
|---|---|
| Infected: PIII(M6.5) | 9.9 (6.7 to 14.6) |
| Non-infected: PIII(M6.5) | 25.1 (20.3 to 31.0) |
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PRE= prevaccination
| percentage of participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PRE | 86.7 (76.8 to 93.4) | 75.7 (64.3 to 84.9) | 84.9 (74.6 to 92.2) |
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3. PII(D60)= post dose 2 (day 60)
| percentage of participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PII (D60) | 98.7 (92.8 to 100) | 100 (95.1 to 100) | 84.9 (74.6 to 92.2) |
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(D90)= post dose 3 (day 90)
| percentage of participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PIII (D90) | 98.6 (92.5 to 100) | 100 (95.0 to 100) | 82.6 (71.6 to 90.7) |
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M6.5)= post dose 3 (month 6.5)
| percentage of participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PIII (M6.5) | 98.6 (92.2 to 100) | 98.6 (92.2 to 100) | 79.7 (68.3 to 88.4) |
Seropositivity rates for Anti-CS antibodies accessed prevaccination, 1 month post dose 2, 1 month post dose 3, 4 months post dose 3 and 10 months post dose 3 PIII(M12)= post dose 3 (month 12)
| percentage of participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Seropositivity Rates for Anti-CS Antibodies by Vaccine Group PIII (M12) | 100 (94.1 to 100) | 95.2 (86.5 to 99.0) | 80.3 (68.7 to 89.1) |
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PRE= Pre-vaccination
| percentage of participants | Seropositive |
|---|---|
| % of Infected: PRE | 76.8 (63.6 to 87.0) |
| % of Non-infected: PRE | 83.5 (74.6 to 90.3) |
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PII(D60)= post dose 2 (day 60)
| percentage of participants | Seropositive |
|---|---|
| % of Infected: PII(D60) | 98.2 (90.4 to 100) |
| % of Non-infected: PII(D60) | 100 (96.3 to 100) |
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(D90)= post dose 3 (day 90)
| percentage of participants | Seropositive |
|---|---|
| % of Infected: PIII(D90) | 98.2 (90.4 to 100) |
| % of Non-infected: PIII(D90) | 100 (96.2 to 100) |
Seropositivity rates for Anti-CS antibodies by infection status on RTS,S/AS01B and RTS,S/AS02A recipients only Seropositive: \>0.5EU/mL Infection defined as P. falciparum asexual parasitemia \>0 PIII(M6.5)= post dose 3 (month 6.5)
| percentage of participants | Seropositive |
|---|---|
| % of Infected: PIII(M6.5) | 98.1 (90.1 to 100) |
| % of Non-infected: PIII(M6.5) | 98.9 (93.9 to 100) |
Number of subjects with an episode of parasitemia (first recording of infection of asexual stage falciparum parasites \>0 detected by active detection of infection (ADI) or passive case detection)
| participants | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Efficacy: Vaccine Efficacy Against P. Falciparum Infection | 28 | 28 | 37 |
Percentage of participants with positive and negative parasite density at month 6.5
| % of subjects | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Parasite Density: % of Negative Subjects | 91.4 | 93.2 | 95.8 |
| Parasite Density: % of Positive Subjects | 8.6 | 6.8 | 4.2 |
Geometric Mean Antibody Titers (GMTs) of Asexual P. falciparum parasitemia at Month 6.5
| titers | RTS, S/AS01B | RTS, S/AS02A | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| Geometric Mean Antibody Titers (GMTs) of Asexual P. Falciparum Parasitemia | 1122 (-525.0 to 2769.0) | 342 (-115.4 to 799.8) | 711 (-846.8 to 2268.8) |
Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| (RTS, S/AS01B) | 0/85 (0%) | 5/85 (5.9%) | 81/85 (95.3%) |
| (RTS, S/AS02A) | 0/85 (0%) | 1/85 (1.2%) | 82/85 (96.5%) |
| Rabipur (Rabies) Vaccine | 0/85 (0%) | 5/85 (5.9%) | 82/85 (96.5%) |
| Event | (RTS, S/AS01B) | (RTS, S/AS02A) | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| HIV infectionInfections and infestations | 2/85 | 0/85 | 3/85 |
| AnaemiaBlood and lymphatic system disorders | 1/85 | 0/85 | 0/85 |
| Cardiac failureCardiac disorders | 0/85 | 0/85 | 1/85 |
| Pericardial effusionCardiac disorders | 0/85 | 0/85 | 1/85 |
| CataractEye disorders | 0/85 | 0/85 | 1/85 |
| Wound necrosisGeneral disorders | 1/85 | 0/85 | 0/85 |
| Abscess limbInfections and infestations | 0/85 | 0/85 | 1/85 |
| Lobar pneumoniaInfections and infestations | 1/85 | 0/85 | 0/85 |
| MalariaInfections and infestations | 0/85 | 1/85 | 0/85 |
| MeningitisInfections and infestations | 1/85 | 0/85 | 1/85 |
| Event | (RTS, S/AS01B) | (RTS, S/AS02A) | Rabipur (Rabies) Vaccine |
|---|---|---|---|
| HeadacheNervous system disorders | 54/85 | 57/85 | 45/85 |
| Upper respiratory tract infectionInfections and infestations | 50/85 | 54/85 | 48/85 |
| GastrointestinalGastrointestinal disorders | 37/85 | 33/85 | 33/85 |
| HeadacheNervous system disorders | 24/85 | 32/85 | 37/85 |
| FatigueGeneral disorders | 35/85 | 28/85 | 26/85 |
| Decreased appetiteMetabolism and nutrition disorders | 25/85 | 15/85 | 19/85 |
| Muscle achesMusculoskeletal and connective tissue disorders | 21/85 | 21/85 | 24/85 |
| Joint pain at other locationMusculoskeletal and connective tissue disorders | 23/85 | 19/85 | 17/85 |
| MalariaInfections and infestations | 19/85 | 14/85 | 21/85 |
| Soft tissue injuryInjury, poisoning and procedural complications | 14/85 | 18/85 | 20/85 |
| Age, Continuous(years) | RTS, S/AS02A | RTS, S/AS01B | Rabipur (Rabies) Vaccine | Total |
|---|---|---|---|---|
| Mean | 25.2 ± 5.16 | 24.9 ± 5.50 | 26.1 ± 5.10 | 25.4 ± 5.26 |
| Sex: Female, Male(Participants) | RTS, S/AS02A | RTS, S/AS01B | Rabipur (Rabies) Vaccine | Total |
|---|---|---|---|---|
| Female | 19 | 21 | 12 | 52 |
| Male | 66 | 64 | 73 | 203 |
| Region of Enrollment(participants) | RTS, S/AS02A | RTS, S/AS01B | Rabipur (Rabies) Vaccine | Total |
|---|---|---|---|---|
| Kenya | 85 | 85 | 85 | 255 |
Plan to share: Yes — GSK and WRAIR
Supporting information: Study protocol, Sap, Icf, Csr, Analytic code
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U.S. Army Medical Research and Development Command