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
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.
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Exclusion Criteria:
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)
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)
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)
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)
4 different lots of the candidate malaria vaccine (257049) representative of either commercial (manufacturing) process or pilot plant process
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)
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)
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
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
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
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
| Milestone | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| Started | 81 | 79 | 80 | 80 |
| Completed | 79 | 76 | 78 | 79 |
| Not completed | 2 | 3 | 2 | 1 |
| Withdrew: Withdrawal by subject | 1 | 0 | 1 | 0 |
| Withdrew: Migrated/moved from study area | 1 | 2 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 1 | 1 | 1 |
Antibody titers are presented as geometric mean titers (GMTs) and are measured in titers.
| Titers | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pooled Group | GSK 257049-Pilot Group |
|---|---|---|---|---|---|
| Anti-Circumsporozoite (Anti-CS) Antibody Titers | 319.6 (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) |
Antibody concentrations are presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL).
| mIU/mL | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pooled Group | GSK 257049-Pilot Group |
|---|---|---|---|---|---|
| Anti-hepatitis B (Anti-HB) Antibody Concentrations | 54250.2 (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) |
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.
| Participants | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| Any Pain, Dose 1 | 16 | 14 | 15 | 13 |
| Grade 3 Pain, Dose 1 | 0 | 0 | 0 | 0 |
| Any Redness, Dose 1 | 4 | 1 | 1 | 4 |
| Grade 3 Redness, Dose 1 | 0 | 0 | 0 | 0 |
| Any Swelling, Dose 1 | 4 | 2 | 3 | 3 |
| Grade 3 Swelling, Dose 1 | 0 | 0 | 0 | 0 |
| Any Pain, Dose 2 | 7 | 4 | 4 | 8 |
| Grade 3 Pain, Dose 2 | 0 | 0 | 0 | 0 |
| Any Redness, Dose 2 | 1 | 1 | 1 | 3 |
| Grade 3 Redness, Dose 2 | 0 | 0 | 0 | 0 |
| Any Swelling, Dose 2 | 1 | 1 | 1 | 3 |
| Grade 3 Swelling, Dose 2 | 0 | 0 | 0 | 0 |
| Any Pain, Dose 3 | 4 | 2 | 4 | 3 |
| Grade 3 Pain, Dose 3 | 0 | 0 | 0 | 0 |
| Any Redness, Dose 3 | 3 | 2 | 2 | 1 |
| Grade 3 Redness, Dose 3 | 0 | 0 | 0 | 0 |
| Any Swelling, Dose 3 | 3 | 3 | 2 | 1 |
| Grade 3 Swelling, Dose 3 | 0 | 0 | 0 | 0 |
| Any Pain, Across Doses | 27 | 20 | 20 | 22 |
| Grade 3 Pain, Across Doses | 0 | 0 | 0 | 0 |
| Any Redness, Across Doses | 8 | 4 | 4 | 7 |
| Grade 3 Redness, Across Doses | 0 | 0 | 0 | 0 |
| Any Swelling, Across Doses | 8 | 6 | 6 | 6 |
| Grade 3 Swelling, Across Doses | 0 | 0 | 0 | 0 |
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.
| Participants | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| Any Drowsiness, Dose 1 | 1 | 0 | 0 | 0 |
| Related Drowsiness, Dose 1 | 0 | 0 | 0 | 0 |
| Grade 3 Drowsiness, Dose 1 | 0 | 0 | 0 | 0 |
| Any Irritability, Dose 1 | 3 | 0 | 3 | 0 |
| Related Irritability, Dose 1 | 0 | 0 | 0 | 0 |
| Grade 3 Irritability, Dose 1 | 0 | 0 | 0 | 0 |
| Any Loss of appetite, Dose 1 | 4 | 4 | 1 | 3 |
| Related Loss of appetite, Dose 1 | 0 | 0 | 1 | 0 |
| Grade 3 Loss of appetite, Dose 1 | 0 | 0 | 0 | 0 |
| Any Fever, Dose 1 | 25 | 23 | 27 | 24 |
| Related Fever, Dose 1 | 11 | 8 | 11 | 5 |
| Grade 3 Fever, Dose 1 | 0 | 0 | 1 | 0 |
| Any Drowsiness, Dose 2 | 2 | 1 | 1 | 3 |
| Related Drowsiness, Dose 2 | 1 | 0 | 0 | 0 |
| Grade 3 Drowsiness, Dose 2 | 0 | 0 | 0 | 0 |
| Any Irritability, Dose 2 | 4 | 1 | 4 | 7 |
| Related Irritability, Dose 2 | 2 | 0 | 2 | 3 |
| Grade 3 Irritability, Dose 2 | 0 | 0 | 0 | 0 |
| Any Loss of appetite, Dose 2 | 5 | 1 | 1 | 5 |
| Related Loss of appetite, Dose 2 | 1 | 0 | 0 | 0 |
| Grade 3 Loss of appetite, Dose 2 | 0 | 0 | 0 | 0 |
| Any Fever, Dose 2 | 28 | 17 | 24 | 20 |
| Related Fever, Dose 2 | 11 | 7 | 9 | 7 |
| Grade 3 Fever, Dose 2 | 0 | 0 | 2 | 0 |
| Any Drowsiness, Dose 3 | 3 | 2 | 2 | 1 |
| Related Drowsiness, Dose 3 | 0 | 0 | 0 | 0 |
| Grade 3 Drowsiness, Dose 3 | 0 | 0 | 0 | 0 |
| Any Irritability, Dose 3 | 6 | 3 | 4 | 3 |
| Related Irritability, Dose 3 | 3 | 1 | 2 | 2 |
| Grade 3 Irritability, Dose 3 | 0 | 0 | 0 | 0 |
| Any Loss of appetite, Dose 3 | 3 | 2 | 2 | 1 |
| Related Loss of appetite, Dose 3 | 0 | 0 | 0 | 0 |
| Grade 3 Loss of appetite, Dose 3 | 0 | 0 | 0 | 0 |
| Any Fever, Dose 3 | 23 | 10 | 21 | 19 |
| Related Fever, Dose 3 | 15 | 6 | 15 | 10 |
| Grade 3 Fever, Dose 3 | 1 | 0 | 1 | 0 |
| Any Drowsiness, Across doses | 6 | 3 | 3 | 3 |
| Related Drowsiness, Across doses | 1 | 0 | 0 | 0 |
| Grade 3 Drowsiness, Across doses | 0 | 0 | 0 | 0 |
| Any Irritability, Across doses | 12 | 4 | 10 | 9 |
| Related Irritability, Across doses | 5 | 1 | 4 | 5 |
| Grade 3 Irritability, Across doses | 0 | 0 | 0 | 0 |
| Any Loss of appetite, Across doses | 11 | 7 | 4 | 7 |
| Related Loss of appetite, Across doses | 1 | 0 | 1 | 0 |
| Grade 3 Loss of appetite, Across doses | 0 | 0 | 0 | 0 |
| Any Fever, Across doses | 49 | 41 | 47 | 41 |
| Related Fever, Across doses | 27 | 19 | 27 | 18 |
| Grade 3 Fever, Across doses | 1 | 0 | 3 | 0 |
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.
| Participants | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| Number of Subjects With Unsolicited Adverse Events | 63 | 60 | 70 | 58 |
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.
| Participants | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| Number of Subjects With Serious Adverse Events | 6 | 5 | 12 | 4 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| GSK 257049-Lot 1 Group | 0/81 (0%) | 6/81 (7.4%) | 77/81 (95.1%) |
| GSK 257049-Lot 2 Group | 0/79 (0%) | 5/79 (6.3%) | 71/79 (89.9%) |
| GSK 257049-Lot 3 Group | 0/80 (0%) | 12/80 (15%) | 71/80 (88.8%) |
| GSK 257049-Pilot Group | 0/80 (0%) | 4/80 (5%) | 67/80 (83.8%) |
| Event | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| BronchopneumoniaInfections and infestations | 4/81 | 2/79 | 6/80 | 1/80 |
| MalariaInfections and infestations | 4/81 | 4/79 | 4/80 | 1/80 |
| TonsillitisInfections and infestations | 0/81 | 3/79 | 3/80 | 0/80 |
| SepsisInfections and infestations | 2/81 | 1/79 | 0/80 | 2/80 |
| GastroenteritisInfections and infestations | 0/81 | 1/79 | 2/80 | 1/80 |
| Pneumonitis chemicalInjury, poisoning and procedural complications | 0/81 | 0/79 | 1/80 | 0/80 |
| MalnutritionMetabolism and nutrition disorders | 1/81 | 0/79 | 0/80 | 0/80 |
| Event | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group |
|---|---|---|---|---|
| Fever (axillary)General disorders | 49/81 | 41/79 | 47/80 | 41/80 |
| MalariaInfections and infestations | 36/81 | 35/79 | 41/80 | 33/80 |
| Respiratory tract infectionInfections and infestations | 27/81 | 23/79 | 27/80 | 23/80 |
| PainGeneral disorders | 27/81 | 20/79 | 20/80 | 22/80 |
| Upper respiratory tract infectionInfections and infestations | 18/81 | 19/79 | 23/80 | 16/80 |
| GastroenteritisInfections and infestations | 8/81 | 12/79 | 7/80 | 8/80 |
| IrritabilityGeneral disorders | 12/81 | 4/79 | 10/80 | 9/80 |
| Loss of appetiteGeneral disorders | 11/81 | 7/79 | 4/80 | 7/80 |
| DiarrhoeaGastrointestinal disorders | 9/81 | 3/79 | 2/80 | 7/80 |
| BronchopneumoniaInfections and infestations | 3/81 | 3/79 | 8/80 | 2/80 |
| Age, Continuous(Months) | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group | Total |
|---|---|---|---|---|---|
| Mean | 9.8 ± 3.35 | 10.2 ± 3.56 | 10.1 ± 3.24 | 10.2 ± 3.01 | 10.07 ± 3.28 |
| Sex: Female, Male(Participants) | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group | Total |
|---|---|---|---|---|---|
| Female | 44 | 40 | 33 | 30 | 147 |
| Male | 37 | 39 | 47 | 50 | 173 |
| Race/Ethnicity, Customized(Participants) | GSK 257049-Lot 1 Group | GSK 257049-Lot 2 Group | GSK 257049-Lot 3 Group | GSK 257049-Pilot Group | Total |
|---|---|---|---|---|---|
| African heritage/African American | 81 | 79 | 80 | 80 | 320 |
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.
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