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CompletedNCT01323972Updated Aug 17, 2018Results posted

Consistency of Immunogenicity and Non Inferiority of GSK Biologicals' Candidate Malaria Vaccine Lots in Children

A Phase 3 interventional study of GSK Biologicals' candidate Plasmodium falciparum malaria vaccine (257049) in Malaria, sponsored by GlaxoSmithKline. Completed at 2 sites in Nigeria. Open to participants aged 5 Months to 17 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-17.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
327
Allocation
Randomized
Ages
5 Months to 17 Months
Sex
All
01

Study summary

The purpose of this study is to show the consistency of different lots of a candidate vaccine (257049) against malaria developed by GlaxoSmithKline (GSK) Biologicals.

02

Conditions studied

  • Malaria

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Keywords

  • Malaria
  • Plasmodium falciparum
03

In context

Malaria

1,299 studies on the registry are indexed under Malaria; 86 are open to participants now.

This study's enrollment of 327 is above the median of 220 across 1,027 interventional studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
5 Months to 17 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative(s) (LAR) can and will comply with the requirements of the protocol.
  • A male or female child between, and including, 5 and 17 months of age at the time of the first vaccination.
  • Signed or thumb-printed informed consent obtained from the parent(s)/LAR(s) of the child. Where parent(s)/LAR(s) are illiterate, the consent form will be countersigned by a witness.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Subjects who have received three documented doses of hepatitis B vaccine.

Exclusion criteria

Exclusion Criteria:

  • Same sex twins.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Family history of congenital or hereditary immunodeficiency.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine.
  • Major congenital defects or serious chronic illness.
  • History of any neurological disorders or seizures.
  • Moderate or severe malnutrition at screening defined as weight for age Z-score less than 2.
  • Acute disease and/or fever at the time of enrolment
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or medical history.
  • Use of a drug or vaccine that is not approved for that indication other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs since birth.
  • Planned administration/administration of a licensed vaccine not foreseen by the study protocol within 7 days of the first dose of study vaccine.
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.
  • Administration of immunoglobulins and/or any blood products within 1 month preceding the first dose of study vaccine or planned administration during the study period.
  • Child in care.
  • Any other findings that the investigator feels would increase the risk of having an adverse outcome from participation in the trial.
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
327 participants (actual)

Study arms

  • Experimental
    GSK 257049-Lot 1 Group

    Healthy male or female children aged 5 to 17 months received 3 doses of the GSK 257049 vaccine from the commercial scale lot 1 (formulation 1 of the GSK 257049 vaccine) administered intramuscularly (IM) in the deltoid of the left arm, at Day 0, at Month 1 and at Month 2.

    Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine (257049)

  • Experimental
    GSK 257049-Lot 2 Group

    Healthy male or female children aged 5 to 17 months received 3 doses of the GSK 257049 vaccine, from the commercial scale lot 2 (formulation 2 of the GSK 257049 vaccine) administered intramuscularly (IM) in the deltoid of the left arm, at Day 0, at Month 1 and at Month 2.

    Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine (257049)

  • Experimental
    GSK 257049-Lot 3 Group

    Healthy male or female children aged 5 to 17 months received 3 doses of the GSK 257049 vaccine, from the commercial scale lot 3 (formulation 3 of the GSK 257049 vaccine) administered intramuscularly (IM) in the deltoid of the left arm, at Day 0, at Month 1 and at Month 2.

    Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine (257049)

  • Experimental
    GSK 257049-Pilot Group

    Healthy male or female children aged 5 to 17 received 3 doses of the GSK 257049 vaccine from the pilot scale (pilot formulation of the GSK 257049 vaccine) administered intramuscularly (IM) in the deltoid of the left arm, at Day 0, at Month 1 and at Month 2.

    Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine (257049)

Interventions

  • BiologicalGSK Biologicals' candidate Plasmodium falciparum malaria vaccine (257049)

    4 different lots of the candidate malaria vaccine (257049) representative of either commercial (manufacturing) process or pilot plant process

06

What researchers measure

Primary outcomes

  1. Anti-Circumsporozoite (Anti-CS) Antibody Titers

    Antibody titers are presented as geometric mean titers (GMTs) and are measured in titers.

    Time frame: One month post-dose 3 (Month 3)

Secondary outcomes

  1. Anti-hepatitis B (Anti-HB) Antibody Concentrations

    Antibody concentrations are presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL).

    Time frame: One month post-dose 3 (Month 3)

  2. Number of Subjects With Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.

    Time frame: Over a 7-day (Days 0-6)post-vaccination period after each dose and across doses

  3. Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were drowsiness, irritability, loss of appetite, fever \[defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade or relationship to vaccination. Grade 3 loss of appetite = not eating at all. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 fever = fever higher than (\>) 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: Over a 7-day (Days 0-6) post-vaccination period after each dose and across doses

  4. Number of Subjects With Unsolicited Adverse Events

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

    Time frame: Within the 30-day (Days 0-29) post-vaccination period

  5. Number of Subjects With Serious Adverse Events

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Time frame: Up to 8 months post-dose 1

07

Results

Posted Aug 7, 2017

Participant flow

Participant flow — Overall Study
MilestoneGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
Started81798080
Completed79767879
Not completed2321
Withdrew: Withdrawal by subject1010
Withdrew: Migrated/moved from study area1200
Withdrew: Lost to follow-up0111

Outcome measures

PrimaryAnti-Circumsporozoite (Anti-CS) Antibody Titers

Antibody titers are presented as geometric mean titers (GMTs) and are measured in titers.

Time frame:
One month post-dose 3 (Month 3)
Reported as:
Geometric mean · Titers
Anti-Circumsporozoite (Anti-CS) Antibody Titers
TitersGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pooled GroupGSK 257049-Pilot Group
Anti-Circumsporozoite (Anti-CS) Antibody Titers319.6 (268.9 to 379.8)241.4 (207.6 to 280.7)302.3 (259.4 to 352.3)285.8 (260.7 to 313.3)271.7 (228.5 to 323.1)
Statistical analysis
  • GSK 257049-Lot 1 Group vs GSK 257049-Lot 2 Group · Gmt ratio: 1.32 · 95% CI 1.06 to 1.65Consistency was demonstrated if one month post Dose 3, the 2-sided 95% confidence interval (CI) of the geometric mean titer (GMT) ratio between all pairs of lots were within \[0.5, 2\].
  • GSK 257049-Lot 1 Group vs GSK 257049-Lot 3 Group · Gmt ratio: 1.06 · 95% CI 0.85 to 1.32Consistency was demonstrated if one month post Dose 3, the 2-sided 95% confidence interval (CI) of the geometric mean titer (GMT) ratio between all pairs of lots were within \[0.5, 2\].
  • GSK 257049-Lot 2 Group vs GSK 257049-Lot 3 Group · Gmt ratio: 0.8 · 95% CI 0.64 to 1Consistency was demonstrated if one month post Dose 3, the 2-sided 95% confidence interval (CI) of the geometric mean titer (GMT) ratio between all pairs of lots were within \[0.5, 2\].
  • GSK 257049-Pooled Group vs GSK 257049-Pilot Group · Gmt ratio: 0.95 · 95% CI 0.79 to 1.15
SecondaryAnti-hepatitis B (Anti-HB) Antibody Concentrations

Antibody concentrations are presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL).

Time frame:
One month post-dose 3 (Month 3)
Reported as:
Geometric mean · mIU/mL
Anti-hepatitis B (Anti-HB) Antibody Concentrations
mIU/mLGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pooled GroupGSK 257049-Pilot Group
Anti-hepatitis B (Anti-HB) Antibody Concentrations54250.2 (43293.6 to 67979.7)46067.3 (33919.2 to 62566.2)67384.7 (52271.4 to 86867.7)55273.5 (47508.3 to 64308.0)74105.0 (58613.6 to 93690.7)
SecondaryNumber of Subjects With Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.

Time frame:
Over a 7-day (Days 0-6)post-vaccination period after each dose and across doses
Reported as:
Count of participants · Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
ParticipantsGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
Any Pain, Dose 116141513
Grade 3 Pain, Dose 10000
Any Redness, Dose 14114
Grade 3 Redness, Dose 10000
Any Swelling, Dose 14233
Grade 3 Swelling, Dose 10000
Any Pain, Dose 27448
Grade 3 Pain, Dose 20000
Any Redness, Dose 21113
Grade 3 Redness, Dose 20000
Any Swelling, Dose 21113
Grade 3 Swelling, Dose 20000
Any Pain, Dose 34243
Grade 3 Pain, Dose 30000
Any Redness, Dose 33221
Grade 3 Redness, Dose 30000
Any Swelling, Dose 33321
Grade 3 Swelling, Dose 30000
Any Pain, Across Doses27202022
Grade 3 Pain, Across Doses0000
Any Redness, Across Doses8447
Grade 3 Redness, Across Doses0000
Any Swelling, Across Doses8666
Grade 3 Swelling, Across Doses0000
SecondaryNumber of Subjects With Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were drowsiness, irritability, loss of appetite, fever \[defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade or relationship to vaccination. Grade 3 loss of appetite = not eating at all. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 fever = fever higher than (\>) 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
Over a 7-day (Days 0-6) post-vaccination period after each dose and across doses
Reported as:
Count of participants · Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
ParticipantsGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
Any Drowsiness, Dose 11000
Related Drowsiness, Dose 10000
Grade 3 Drowsiness, Dose 10000
Any Irritability, Dose 13030
Related Irritability, Dose 10000
Grade 3 Irritability, Dose 10000
Any Loss of appetite, Dose 14413
Related Loss of appetite, Dose 10010
Grade 3 Loss of appetite, Dose 10000
Any Fever, Dose 125232724
Related Fever, Dose 1118115
Grade 3 Fever, Dose 10010
Any Drowsiness, Dose 22113
Related Drowsiness, Dose 21000
Grade 3 Drowsiness, Dose 20000
Any Irritability, Dose 24147
Related Irritability, Dose 22023
Grade 3 Irritability, Dose 20000
Any Loss of appetite, Dose 25115
Related Loss of appetite, Dose 21000
Grade 3 Loss of appetite, Dose 20000
Any Fever, Dose 228172420
Related Fever, Dose 211797
Grade 3 Fever, Dose 20020
Any Drowsiness, Dose 33221
Related Drowsiness, Dose 30000
Grade 3 Drowsiness, Dose 30000
Any Irritability, Dose 36343
Related Irritability, Dose 33122
Grade 3 Irritability, Dose 30000
Any Loss of appetite, Dose 33221
Related Loss of appetite, Dose 30000
Grade 3 Loss of appetite, Dose 30000
Any Fever, Dose 323102119
Related Fever, Dose 31561510
Grade 3 Fever, Dose 31010
Any Drowsiness, Across doses6333
Related Drowsiness, Across doses1000
Grade 3 Drowsiness, Across doses0000
Any Irritability, Across doses124109
Related Irritability, Across doses5145
Grade 3 Irritability, Across doses0000
Any Loss of appetite, Across doses11747
Related Loss of appetite, Across doses1010
Grade 3 Loss of appetite, Across doses0000
Any Fever, Across doses49414741
Related Fever, Across doses27192718
Grade 3 Fever, Across doses1030
SecondaryNumber of Subjects With Unsolicited Adverse Events

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

Time frame:
Within the 30-day (Days 0-29) post-vaccination period
Reported as:
Count of participants · Participants
Number of Subjects With Unsolicited Adverse Events
ParticipantsGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
Number of Subjects With Unsolicited Adverse Events63607058
SecondaryNumber of Subjects With Serious Adverse Events

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Time frame:
Up to 8 months post-dose 1
Reported as:
Count of participants · Participants
Number of Subjects With Serious Adverse Events
ParticipantsGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
Number of Subjects With Serious Adverse Events65124

Adverse events

Collected over Solicited local/general symptoms: during the 7-day (Days 0-6) post-vaccination period. Unsolicited AEs: during the 30-day (Days 0-29) post-vaccination period. SAEs: during the entire study period (Day 0 - Month 8).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
GSK 257049-Lot 1 Group0/81 (0%)6/81 (7.4%)77/81 (95.1%)
GSK 257049-Lot 2 Group0/79 (0%)5/79 (6.3%)71/79 (89.9%)
GSK 257049-Lot 3 Group0/80 (0%)12/80 (15%)71/80 (88.8%)
GSK 257049-Pilot Group0/80 (0%)4/80 (5%)67/80 (83.8%)
Most frequent serious events
Most frequent serious events
EventGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
BronchopneumoniaInfections and infestations4/812/796/801/80
MalariaInfections and infestations4/814/794/801/80
TonsillitisInfections and infestations0/813/793/800/80
SepsisInfections and infestations2/811/790/802/80
GastroenteritisInfections and infestations0/811/792/801/80
Pneumonitis chemicalInjury, poisoning and procedural complications0/810/791/800/80
MalnutritionMetabolism and nutrition disorders1/810/790/800/80
Most frequent other events
Showing 10 of 16
Most frequent other events
EventGSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot Group
Fever (axillary)General disorders49/8141/7947/8041/80
MalariaInfections and infestations36/8135/7941/8033/80
Respiratory tract infectionInfections and infestations27/8123/7927/8023/80
PainGeneral disorders27/8120/7920/8022/80
Upper respiratory tract infectionInfections and infestations18/8119/7923/8016/80
GastroenteritisInfections and infestations8/8112/797/808/80
IrritabilityGeneral disorders12/814/7910/809/80
Loss of appetiteGeneral disorders11/817/794/807/80
DiarrhoeaGastrointestinal disorders9/813/792/807/80
BronchopneumoniaInfections and infestations3/813/798/802/80

Baseline characteristics

Age, Continuous
Age, Continuous(Months)GSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot GroupTotal
Mean9.8 ± 3.3510.2 ± 3.5610.1 ± 3.2410.2 ± 3.0110.07 ± 3.28
Sex: Female, Male
Sex: Female, Male(Participants)GSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot GroupTotal
Female44403330147
Male37394750173
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)GSK 257049-Lot 1 GroupGSK 257049-Lot 2 GroupGSK 257049-Lot 3 GroupGSK 257049-Pilot GroupTotal
African heritage/African American81798080320
08

Study locations

2 sites
  • GSK Investigational Site
    Enugu, Nigeria
  • GSK Investigational Site
    Jos, Nigeria
09

References and documents

Individual participant data

Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01323972
Lead sponsor
GlaxoSmithKline
Collaborators
The PATH Malaria Vaccine Initiative (MVI)
Responsible party
Sponsor
First posted
Mar 28, 2011
Start date
May 16, 2011
Primary completion
Nov 22, 2011
Completion
May 4, 2012
Results posted
Aug 7, 2017
Last update
Aug 17, 2018

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline
View the source record on ClinicalTrials.gov ↗

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