ClinicalTrials.gg
CompletedNCT03276962Updated May 21, 2024Results posted

Efficacy, Safety and Immunogenicity Study of GSK Biologicals' Candidate Malaria Vaccine (SB257049) Evaluating Schedules With or Without Fractional Doses, Early Dose 4 and Yearly Doses, in Children 5-17 Months of Age

A Phase 2 interventional study of RTS,S/AS01E (Full dose) and RTS,S/AS01E (1/5th dose) in Malaria, sponsored by GlaxoSmithKline. Completed at 2 sites in 2 countries. Open to participants aged 5 Months to 17 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-21.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Prevention

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Phase
Phase 2
Study type
Interventional
Enrollment
1,500
Allocation
Randomized
Ages
5 Months to 17 Months
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 41 studies in Malaria by GlaxoSmithKline — 3 open to participants now, 3 under way, none of them phase 3. Malaria · GlaxoSmithKline.

Enrollment
8th of 38
1,500 · median 207
Started
2017
with 2 others
Phase 2
18 of 41
2 open now
Registered
35th of 41
by date

Among the 41 studies in Malaria by GlaxoSmithKline, this one is the 8th largest by enrollment of the 38 interventional ones that give a count, is one of 3 that started in 2017, is one of 18 in phase 2, and was the 35th registered.

Malaria

1,185 studies on the registry are indexed under Malaria; 80 are open to participants now.

Browse Malaria studies →

Open to participants now

3 of the 41 studies in Malaria by GlaxoSmithKline are open now, in 4 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 52 Malaria studies recruiting now, 15 (29%) set no upper age limit and 34 (65%) stop at 75 or younger; 38 take children under 18; 32 take healthy volunteers.

This study: 5 Months to 17 Months · all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 41 studies in Malaria by GlaxoSmithKline, or all of them as a file.
02

Study summary

The study intends to establish proof of concept for a fractional dose schedule under conditions of natural exposure in children 5-17 months old at first vaccination. The study also aims to establish the role of third dose spacing in a fractional dose schedule, describe the effect of an earlier full fourth dose at Month 14 and describe the effect of multiple fractional or full yearly doses.

Read the detailed description

The current study intends to establish proof of concept (POC) for a fractional dose schedule under conditions of natural exposure. The study will be conducted in children 5-17 months old at first vaccination living in areas of mid to high malaria transmission, in line with the age group recommended by the World Health Organization (WHO) for the implementation of the RTS,S/AS01E vaccine. Results from this study will be critical in informing future possibilities for the development of vaccine-based strategies which, in combination with other interventions, may contribute to the malaria elimination agenda.

03

Conditions studied

  • Malaria

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Keywords

  • falciparum, efficacy
  • RTS,S/AS01
  • malaria vaccine
  • safety
  • Malaria
  • immunogenicity
  • infants
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants' parent(s)/LAR(s) who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. return for follow-up visits).
  • Signed or thumb-printed and witnessed obtained from the parent(s)/LAR(s) of the participant prior to performance of any study specific procedure. Where parent(s)/LAR(s) are illiterate, the consent form will be countersigned by an independent witness.
  • A male or female between, and including, five and 17 months of age at the time of the first vaccination.
  • Healthy participants as established by medical history and clinical examination before entering into the study.
  • Previously received three documented doses of diphtheria, tetanus, pertussis, vaccine (DTPHepB), and at least three doses of oral polio vaccine.

Exclusion criteria

Exclusion Criteria:

  • Child in care.
  • Use of a drug or vaccine that is not approved for that indication (by one of the following regulatory authorities: Food and Drug Administration [FDA; USA] or European Union member state or WHO [with respect to prequalification]) other than the study vaccines during the period starting 30 days before the first dose of study vaccines (Day -29 to Day 0), or planned use during the study period.
  • Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.
  • Chronic administration (defined as more than 14 days in total) of or other immune-modifying drugs during the period starting six months prior to the first vaccine dose. For , this will mean prednisone (0.5 mg/kg/day (for pediatric participants) or equivalent. Inhaled and topical steroids are allowed.
  • Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting seven days before each dose and ending seven days after each dose of vaccine administration.
  • Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an or a non-investigational vaccine/product (pharmaceutical product or device).
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • Family history of congenital or hereditary immunodeficiency.
  • History of any reaction or likely to be exacerbated by any component of the vaccines.
  • History of anaphylaxis post-vaccination.
  • History of any, or documented, serious adverse reaction to rabies vaccination.
  • to rabies vaccination (Rabipur is contraindicated in participants with history of a severe hypersensitivity to any of the ingredients in the vaccine. Note that the vaccine contains polygeline and residues of chicken proteins, and may contain traces of neomycin, chlortetracycline and amphotericin B).
  • Major congenital defects.
  • Serious chronic illness.
  • Children with a past history of a neurological disorder or atypical febrile seizure (a febrile seizure is atypical if it meets one of the following criteria: not associated with fever; lasts > 5 minutes; focal (not generalized); followed by transient or persistent neurological abnormality; occurs in a child \< 6 months of age).
  • Acute disease and/or fever at the time of enrolment. Fever is defined as temperature ≥ 37.5°C/99.5°F for oral, axillary or tympanic route, or ≥ 38.0°C/100.4°F for rectal route.

Participants with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may, be enrolled at the discretion of the investigator.

  • Administration of immunoglobulins and/or any blood products during the period starting three months before the first dose of study vaccine or planned administration during the study period.
  • Moderate or severe malnutrition at screening defined as weight for age or weight for height Z-score \< -2.
  • concentration \< 8 g/dl at screening.
  • Same sex twins (to avoid misidentification).
  • Maternal death.
  • Prior receipt of an investigational malaria vaccine.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,500 participants (actual)

Study arms

  • Experimental
    R012-20 Group

    Participants will receive a full dose of RTS,S/AS01E at Month 0, Month 1, Month 2 and at Month 20.

    Biological: RTS,S/AS01E (Full dose)

  • Experimental
    R012-14-mD Group

    Participants will receive a full dose of RTS,S/AS01E at Month 0, Month 1, Month 2 and yearly full doses at Month 14, Month 26 and Month 38.

    Biological: RTS,S/AS01E (Full dose)

  • Experimental
    Fx012-14-mFxD Group

    Participants will receive a full dose of RTS,S/AS01E at Month 0 and Month 1, and RTS,S/AS01E 1/5th dose at Month 2 and yearly fractional doses at Month 14, Month 26 and Month 38.

    Biological: RTS,S/AS01E (Full dose) · Biological: RTS,S/AS01E (1/5th dose)

  • Experimental
    Fx017-mFxD Group

    Participants will receive a full dose of RTS,S/AS01E at Month 0 and Month 1, and RTS,S/AS01E 1/5th dose at Month 7 and yearly fractional doses at Month 20 and Month 32.

    Biological: RTS,S/AS01E (Full dose) · Biological: RTS,S/AS01E (1/5th dose)

  • Experimental
    Control Group

    Participants will receive rabies vaccine at Month 0, Month 1 and Month 2.

    Biological: Rabies vaccine

Interventions

  • BiologicalRTS,S/AS01E (Full dose)

    Participants will receive intramuscular injection of RTS,S/AS01E (full dose: 0.5 ml).

  • BiologicalRTS,S/AS01E (1/5th dose)

    Participants will receive intramuscular injection of RTS,S/AS01E (1/5th dose: 0.1 ml).

  • BiologicalRabies vaccine

    Participants will receive intramuscular injection of rabies vaccine (0.1 ml).

06

What researchers measure

Primary outcomes

  1. Incidence of Clinical Malaria Meeting the Primary Case Definition

    The primary case definition is: Plasmodium (P.) falciparum asexual parasitemia greater than (\>)5000 parasites/microliters (μl) and presence of fever (axillary temperature greater than or equal to \[≥\]37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence is expressed as a person year rate for each group (n/T), representing the number of events (n) reported over the risk period, which was counted in days and expressed as person years at risk (T). The objective of this endpoint was to demonstrate the superiority of a Fx012-14-mFxD Group compared to a standard schedule of RTS,S/AS01E with three full doses (R012-20+R012-14 Group) in terms of vaccine efficacy. This analysis was reported for the R012-20+R012-14 Group (Pooled group) because the interventional strategy (1st dose at Month 0, 2nd dose at Month 1, 3rd dose at Month 2) was the same for both the R012-20 group and the R012-14 group until Month 14.

    Time frame: From Month 2.5 to Month 14

Secondary outcomes

  1. Incidence of Clinical Malaria Meeting the Primary and Secondary Case Definitions of the Fx012-14-mFxD Group Versus the R012-20 Group

    The primary case definition is P. falciparum asexual parasitemia \> 5000 μl and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The secondary case definition is P. falciparum asexual parasitemia \> 0 and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation or history of fever within 24 hours of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence of clinical malaria for primary and secondary case definition is expressed as n/T, representing the n reported over the risk period, which was counted in days and expressed as T.

    Time frame: From Month 0 to Month 50

  2. Incidence of Clinical Malaria Meeting the Primary and Secondary Case Definitions of the Fx012-14-mFxD Group Versus the R012-14-mD Group

    The primary case definition is P. falciparum asexual parasitemia \> 5000 μl and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The secondary case definition is P. falciparum asexual parasitemia \> 0 and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation or history of fever within 24 hours of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence of clinical malaria for primary and secondary case definition is expressed as n/T, representing the n reported over the risk period, which was counted in days and expressed as T.

    Time frame: From Month 0 to Month 50

  3. The Prevalence of P. Falciparum Infections Defined by Positive Blood Slide at Each Cross-sectional Survey

    Prevalence of P. falciparum infections of each RTS,S/AS01E schedule at cross-sectional visits. As specified in the statistical analysis plan, a graphical presentation of the prevalence over time was analyzed for this outcome measure and only the percentage values were reported to depict the prevalence of P. falciparum infections.

    Time frame: Monthly from Month 0 to Month 20 and every 3 months thereafter until Study End (Month 50)

  4. Incidence of P. Falciparum Infections Defined by Positive Blood Slide

    The incidence of P. falciparum infections is expressed as n/T, representing the n reported over the risk period, which was counted in days and expressed as T. Assessment of vaccine efficacy (VE) against first or only episodes of incident P. falciparum infections defined by positive blood slide over the entire study period (Month 0 to Month 50) was not done after the Month 21 Interim analysis since it was assumed that almost all children would have already contracted malaria at least once.

    Time frame: Month 0 to Month 14

  5. Number of Seropositive Participants for Anti-circumsporozoite (Anti-CS) Antibodies

    A seropositive participant is defined as a participant with antibody concentrations ≥ 0.5 ELISA units per milliliter (EU/mL).

    Time frame: Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)

  6. Number of Seropositive Participants for Anti-hepatitis B (Anti-HB) Antibodies

    A seropositive participant is defined as a participant with antibody concentrations ≥ 10 milli-international units per milliliter (mIU/mL).

    Time frame: Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)

  7. Antibody Concentrations for Anti-CS

    The antibody concentrations were calculated as geometric mean concentrations (GMCs) and expressed as EU/mL.

    Time frame: Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)

  8. Antibody Concentrations for Anti-HB

    The antibody concentrations were calculated as GMCs and expressed as mlU/mL.

    Time frame: Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)

  9. Number of Participants With Any, Fatal and Related Serious Adverse Events (SAEs)

    SAEs assessed included any untoward medical occurrences that resulted in death, were life-threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related SAEs= Any SAE related to investigational vaccine or related to study participation or to a GSK concomitant medication/vaccine as assessed by the investigator. Fatal SAEs= Any SAEs leading to death.

    Time frame: From Day 0 to Month 50

  10. Number of Participants With Any Adverse Events (AEs) and SAEs Leading to Withdrawal From Further Vaccination

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. SAEs include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Time frame: From Day 0 to Month 50

  11. Number of Participants With Cerebral Malaria and Severe Malaria

    Cerebral malaria is defined as Severe P. falciparum malaria with coma (Blantyre coma score less than \[\<\] 3); and if malaria with seizure: coma persisting for \> 30 min after the seizure. Other treatable causes of coma should be excluded before diagnosing cerebral malaria (e.g. hypoglycaemia, bacterial meningitis). Severe malaria is defined as P. falciparum parasitemia \> 0 detected by microscopy and/or rapid diagnostic test (RDT) and one or more of the following, occurring in the absence of an identified alternative cause: Impaired consciousness, Prostration, Multiple convulsions, Acidosis, Hypoglycemia, Severe malarial anemia, Renal impairment, Jaundice, Pulmonary edema, Significant bleeding: including recurrent or prolonged bleeding from the nose, gums or venipuncture sites, hematemesis or melaena, Shock, Hyperparasitemia.

    Time frame: From Day 0 to Month 50

  12. Number of Participants With Potential Immune Mediated Diseases (pIMDs)

    Potential immune-mediated diseases (pIMDs) are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.

    Time frame: From Day 0 to Month 50

  13. Number of Participants With Meningitis

    Meningitis is an adverse event of specific interest (AESI). An AESI is defined as an AE including autoimmune diseases and other mediated inflammatory disorders.

    Time frame: From Day 0 to Month 50

  14. Number of Participants With Seizures

    Seizure is an adverse event of specific interest (AESI). An AESI is defined as an AE including autoimmune diseases and other mediated inflammatory disorders.

    Time frame: During the 30-day (Day 0 to Day 29) follow-up period after any dose of study vaccine

  15. Number of Participants With Generalized Convulsive Seizures

    Generalized convulsive seizure is an adverse event of specific interest (AESI). An AESI is defined as an AE including autoimmune diseases and other mediated inflammatory disorders.

    Time frame: During the 7-day (Day 0 to Day 6) follow-up period after any dose of study vaccine

  16. Number of Participants With Any Unsolicited AEs

    An unsolicited AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: During the 30-day (Day 0 to Day 29) follow-up period following the 1st 3 doses and post dose 4, 5 and 6 of study vaccine

  17. Number of Participants With Grade 4 Hematology and Biochemical Toxicities Before Dose 3

    The assessed parameters (alanine aminotransferase \[ALT\], creatinine, haemoglobin, white blood cells \[WBC\], platelets) were summarized according to DAIDS, 2004 (Division of AIDS). Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life-threatening or disabling. Data are presented for those participants who experienced Grade 4 toxicities. Grade 4 hematological toxicities included ALT: \> 10.0 x ULN (Upper limit of normal), creatine: \> 6.0 x ULN or requires dialysis, WBC: \< 1.0 x 103 per microliter, platelets: \< 25 x 103/μl and clinical signs of bleeding, and hemoglobin: \< 5.0 grams/deciliter and clinical signs of heart failure.

    Time frame: Before Dose 3 (at Month 2)

  18. Number of Participants With Grade 4 Hematology and Biochemical Toxicities at 7 Days Post-Dose 3

    The assessed parameters (ALT, creatinine, haemoglobin, WBC, platelets) were summarized according to DAIDS, 2004 (Division of AIDS). Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life-threatening or disabling. Data are presented for those participants who experienced Grade 4 toxicities. Grade 4 hematological toxicities included ALT: \> 10.0 x ULN, creatine: \> 6.0 x ULN or requires dialysis, WBC: \< 1.0 x 103 per microliter, platelets: \< 25 x 103/μl and clinical signs of bleeding, and hemoglobin: \< 5.0 grams/deciliter and clinical signs of heart failure.

    Time frame: At 7 days post-Dose 3

  19. Number of Participants With Grade 4 Hematology and Biochemical Toxicities at 30 Days Post-Dose 3

    The assessed parameters (ALT, creatinine, haemoglobin, WBC, platelets) were summarized according to DAIDS, 2004 (Division of AIDS). Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life-threatening or disabling. Data are presented for those participants who experienced Grade 4 toxicities. Grade 4 hematological toxicities included ALT: \> 10.0 x ULN, creatine: \> 6.0 x ULN or requires dialysis, WBC: \< 1.0 x 103 per microliter, platelets: \< 25 x 103/μl and clinical signs of bleeding, and hemoglobin: \< 5.0 grams/deciliter and clinical signs of heart failure.

    Time frame: At 30 days post-Dose 3

  20. Number of Participants With Any Solicited Local Symptoms

    Assessed solicited local AEs are: redness, pain and swelling. Any = occurrence of the adverse event regardless of intensity grade. Any redness and swelling = adverse event reported with a surface diameter \> 0 millimeters.

    Time frame: During the 4-day (Day 0 to Day 3) follow-up period after Dose 3, Dose 4, Dose 5 and Dose 6 of study vaccination

  21. Number of Participants With Any Solicited General Symptoms

    Assessed solicited general AEs are: drowsiness, irritability/fussiness and loss of appetite. Any = occurrence of the adverse event regardless of intensity grade or relation to study vaccination.

    Time frame: During the 4-day (Day 0 to Day 3) follow-up period after Dose 3, Dose 4, Dose 5 and Dose 6 of study vaccination

07

Results

Posted May 21, 2024

Participant flow

As pre-specified in statistical analysis plan, data reported in Participant Flow, Baseline Characteristics and Adverse Events were presented for individual groups (R012-20 Group, R012-14-mD Group, R012-14-mD Group, Fx017-mFxD Group and Control Group).

Participant flow — Overall Study
MilestoneR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Started298294304311293
Completed229232242247237
Not completed6962626456
Withdrew: Serious adverse event and/or pimd21041
Withdrew: Protocol deviation20121
Withdrew: Consent withdrawal, not due to an adverse event/a serious adverse event2921132116
Withdrew: Migrated / moved from the study area2628442927
Withdrew: Lost to follow-up10104610
Withdrew: Other02021

Outcome measures

PrimaryIncidence of Clinical Malaria Meeting the Primary Case Definition

The primary case definition is: Plasmodium (P.) falciparum asexual parasitemia greater than (\>)5000 parasites/microliters (μl) and presence of fever (axillary temperature greater than or equal to \[≥\]37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence is expressed as a person year rate for each group (n/T), representing the number of events (n) reported over the risk period, which was counted in days and expressed as person years at risk (T). The objective of this endpoint was to demonstrate the superiority of a Fx012-14-mFxD Group compared to a standard schedule of RTS,S/AS01E with three full doses (R012-20+R012-14 Group) in terms of vaccine efficacy. This analysis was reported for the R012-20+R012-14 Group (Pooled group) because the interventional strategy (1st dose at Month 0, 2nd dose at Month 1, 3rd dose at Month 2) was the same for both the R012-20 group and the R012-14 group until Month 14.

Time frame:
From Month 2.5 to Month 14
Reported as:
Number · events per person-year
Incidence of Clinical Malaria Meeting the Primary Case Definition
events per person-yearFx012-14-mFxD GroupR012-20 + R012-14 Group
Incidence of Clinical Malaria Meeting the Primary Case Definition0.450.36
Statistical analysis
  • Fx012-14-mFxD Group vs R012-20 + R012-14 Group · Regression, Cox · p = 0.154 · Incremental vaccine efficacy: -21 · 95% CI -57 to 7The 95% Confidence Interval of the incremental vaccine efficacy estimates was calculated from Cox regression model.
SecondaryIncidence of Clinical Malaria Meeting the Primary and Secondary Case Definitions of the Fx012-14-mFxD Group Versus the R012-20 Group

The primary case definition is P. falciparum asexual parasitemia \> 5000 μl and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The secondary case definition is P. falciparum asexual parasitemia \> 0 and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation or history of fever within 24 hours of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence of clinical malaria for primary and secondary case definition is expressed as n/T, representing the n reported over the risk period, which was counted in days and expressed as T.

Time frame:
From Month 0 to Month 50
Reported as:
Number · events per person-year
Incidence of Clinical Malaria Meeting the Primary and Secondary Case Definitions of the Fx012-14-mFxD Group Versus the R012-20 Group
events per person-yearFx012-14-mFxD GroupR012-20 Group
Primary case definition0.690.86
Secondary case definition1.181.62
SecondaryIncidence of Clinical Malaria Meeting the Primary and Secondary Case Definitions of the Fx012-14-mFxD Group Versus the R012-14-mD Group

The primary case definition is P. falciparum asexual parasitemia \> 5000 μl and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The secondary case definition is P. falciparum asexual parasitemia \> 0 and presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation or history of fever within 24 hours of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence of clinical malaria for primary and secondary case definition is expressed as n/T, representing the n reported over the risk period, which was counted in days and expressed as T.

Time frame:
From Month 0 to Month 50
Reported as:
Number · events per person-year
Incidence of Clinical Malaria Meeting the Primary and Secondary Case Definitions of the Fx012-14-mFxD Group Versus the R012-14-mD Group
events per person-yearFx012-14-mFxD GroupR012-14-mD Group
Primary case definition0.690.67
Secondary case definition1.181.22
SecondaryThe Prevalence of P. Falciparum Infections Defined by Positive Blood Slide at Each Cross-sectional Survey

Prevalence of P. falciparum infections of each RTS,S/AS01E schedule at cross-sectional visits. As specified in the statistical analysis plan, a graphical presentation of the prevalence over time was analyzed for this outcome measure and only the percentage values were reported to depict the prevalence of P. falciparum infections.

Time frame:
Monthly from Month 0 to Month 20 and every 3 months thereafter until Study End (Month 50)
Reported as:
Number · Percentage of participants
The Prevalence of P. Falciparum Infections Defined by Positive Blood Slide at Each Cross-sectional Survey
Percentage of participantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Month 010.16.14.65.17.2
Month 13.85.93.15.75.7
Month 24.34.62.85.53.9
Month 33.04.13.26.55.4
Month 43.94.72.34.95.6
Month 53.93.61.94.78.5
Month 64.84.43.06.27.2
Month 76.07.76.55.34.8
Month 84.07.25.04.49.4
Month 96.76.66.87.19.7
Month 106.05.37.46.712.7
Month 118.45.76.97.812.5
Month 129.76.56.96.613.1
Month 137.36.97.79.713.5
Month 1412.62.05.37.112.9
Month 158.33.75.16.49.0
Month 167.96.76.85.76.7
Month 1710.89.87.05.711.7
Month 189.39.97.16.512.2
Month 196.87.98.89.710.1
Month 207.08.38.13.47.5
Month 2311.37.311.27.510.7
Month 2612.22.86.09.510.9
Month 2910.66.99.28.713.4
Month 3210.57.97.95.810.6
Month 3510.911.010.110.413.7
Month 3811.56.57.38.417.0
Month 415.87.56.86.511.0
Month 4412.310.29.88.711.9
Month 4713.85.78.98.316.2
Month 5013.110.813.612.613.5
SecondaryIncidence of P. Falciparum Infections Defined by Positive Blood Slide

The incidence of P. falciparum infections is expressed as n/T, representing the n reported over the risk period, which was counted in days and expressed as T. Assessment of vaccine efficacy (VE) against first or only episodes of incident P. falciparum infections defined by positive blood slide over the entire study period (Month 0 to Month 50) was not done after the Month 21 Interim analysis since it was assumed that almost all children would have already contracted malaria at least once.

Time frame:
Month 0 to Month 14
Reported as:
Number · events per person-year
Incidence of P. Falciparum Infections Defined by Positive Blood Slide
events per person-yearR012-20 + R012-14 GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Incidence of P. Falciparum Infections Defined by Positive Blood Slide0.500.600.590.80
SecondaryNumber of Seropositive Participants for Anti-circumsporozoite (Anti-CS) Antibodies

A seropositive participant is defined as a participant with antibody concentrations ≥ 0.5 ELISA units per milliliter (EU/mL).

Time frame:
Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)
Reported as:
Count of participants · Participants
Number of Seropositive Participants for Anti-circumsporozoite (Anti-CS) Antibodies
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Before Dose 1, Pre-Vaccination (Day 1)21022
Post Dose 2 (Month 2)434842474
Post Dose 3 (Month 3)364440—2
Pre-Dose 3 (Month 7)———44—
Post Dose 3 (Month 8)———43—
Pre-Dose 4 (Month 14)—4140——
Post Dose 4 (Month 15)—3738——
Pre-Dose 4 (Month 20)37——422
Post Dose 4 (Month 21)35——39—
Pre-Dose 5 (Month 26)—3734——
Post Dose 5 (Month 27)—3026——
Pre-Dose 5 (Month 32)———37—
Post Dose 5 (Month 33)———32—
Pre-Dose 6 (Month 38)—3431——
Post Dose 6 (Month 39)—3328——
End of Study (Month 50)303429252
SecondaryNumber of Seropositive Participants for Anti-hepatitis B (Anti-HB) Antibodies

A seropositive participant is defined as a participant with antibody concentrations ≥ 10 milli-international units per milliliter (mIU/mL).

Time frame:
Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)
Reported as:
Count of participants · Participants
Number of Seropositive Participants for Anti-hepatitis B (Anti-HB) Antibodies
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Before Dose 1, Pre-Vaccination (Day 1)4248394043
Post Dose 2 (Month 2)4348414842
Post Dose 3 (Month 3)354440—39
Pre-Dose 3 (Month 7)———44—
Post Dose 3 (Month 8)———43—
Pre-Dose 4 (Month 14)—4140——
Post Dose 4 (Month 15)—3737——
Pre-Dose 4 (Month 20)37——4230
Post Dose 4 (Month 21)33——38—
Pre-Dose 5 (Month 26)—3834——
Post Dose 5 (Month 27)—3026——
Pre-Dose 5 (Month 32)———37—
Post Dose 5 (Month 33)———32—
Pre-Dose 6 (Month 38)—3431——
Post Dose 6 (Month 39)—3328——
End of Study (Month 50)3034282522
SecondaryAntibody Concentrations for Anti-CS

The antibody concentrations were calculated as geometric mean concentrations (GMCs) and expressed as EU/mL.

Time frame:
Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)
Reported as:
Geometric mean · EU/mL
Antibody Concentrations for Anti-CS
EU/mLR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Before Dose 1, Pre-Vaccination (Day 1)1.0 (0.9 to 1.0)1.0 (0.9 to 1.0)1.0 (1.0 to 1.0)1.0 (0.9 to 1.0)1.0 (0.9 to 1.0)
Post Dose 2 (Month 2)359.9 (284.3 to 455.5)320.0 (248.2 to 412.6)378.8 (279.3 to 513.9)253.6 (182.2 to 353.0)1.3 (0.9 to 1.9)
Post Dose 3 (Month 3)472.6 (371.0 to 602.0)342.5 (275.6 to 425.6)251.1 (170.6 to 369.6)—1.0 (0.9 to 1.1)
Pre-Dose 3 (Month 7)———25.3 (19.1 to 33.5)—
Post Dose 3 (Month 8)———142.3 (113.9 to 177.8)—
Pre-Dose 4 (Month 14)—26.9 (19.2 to 37.7)22.6 (17.9 to 28.5)——
Post Dose 4 (Month 15)—234.8 (184.2 to 299.5)196.4 (150.4 to 256.7)——
Pre-Dose 4 (Month 20)26.6 (19.1 to 37.0)——33.3 (23.5 to 47.3)1.0 (0.9 to 1.2)
Post Dose 4 (Month 21)288.1 (227.7 to 364.4)——187.1 (139.9 to 250.1)—
Pre-Dose 5 (Month 26)—37.3 (26.7 to 52.3)38.0 (27.7 to 52.1)——
Post Dose 5 (Month 27)—185.2 (140.4 to 244.3)145.6 (106.6 to 198.9)——
Pre-Dose 5 (Month 32)———38.9 (27.6 to 54.9)—
Post Dose 5 (Month 33)———133.9 (103.4 to 173.4)—
Pre-Dose 6 (Month 38)—45.7 (33.5 to 62.2)40.5 (31.0 to 52.9)——
Post Dose 6 (Month 39)—181.8 (137.2 to 241.0)115.2 (86.4 to 153.6)——
End of Study (Month 50)25.1 (18.8 to 33.6)49.7 (37.0 to 66.6)35.5 (27.2 to 46.5)30.9 (19.9 to 47.9)1.0 (0.9 to 1.2)
SecondaryAntibody Concentrations for Anti-HB

The antibody concentrations were calculated as GMCs and expressed as mlU/mL.

Time frame:
Before Dose 1, one month post-Dose 2, before and one month post-Dose 3, before and one month after Dose 4, before and one month after each yearly dose and at Study End (Month 50)
Reported as:
Geometric mean · mlU/mL
Antibody Concentrations for Anti-HB
mlU/mLR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Before Dose 1, Pre-Vaccination (Day 1)162.8 (98.7 to 268.5)224.7 (142.3 to 354.7)124.6 (72.0 to 215.5)98.4 (55.7 to 173.8)152.5 (93.4 to 249.0)
Post Dose 2 (Month 2)39990.7 (23198.3 to 68938.5)39336.5 (26109.5 to 59264.5)34301.2 (19896.6 to 59134.2)29015.8 (17445.6 to 48259.4)159.1 (83.8 to 302.2)
Post Dose 3 (Month 3)45665.7 (26775.1 to 77884.4)37592.9 (27463.3 to 51458.8)21641.4 (12408.6 to 37743.9)—100.4 (57.3 to 175.7)
Pre-Dose 3 (Month 7)———6296.7 (3817.3 to 10386.7)—
Post Dose 3 (Month 8)———53700.6 (38222.8 to 75446.0)—
Pre-Dose 4 (Month 14)—5700.6 (4033.4 to 8057.1)4856.5 (3129.3 to 7537.0)——
Post Dose 4 (Month 15)—137582.9 (108671.7 to 174185.8)81612.1 (60532.7 to 110032.1)——
Pre-Dose 4 (Month 20)5189.6 (3061.3 to 8797.4)——9700.1 (6732.0 to 13977.0)45.6 (26.6 to 78.3)
Post Dose 4 (Month 21)210277.6 (160964.7 to 274697.9)——74185.9 (55296.5 to 99528.0)—
Pre-Dose 5 (Month 26)—18767.8 (14581.3 to 24156.3)14130.8 (9985.9 to 19996.1)——
Post Dose 5 (Month 27)—126992.7 (101650.7 to 158652.5)63683.7 (42424.1 to 95596.9)——
Pre-Dose 5 (Month 32)———13212.6 (9396.3 to 18579.0)—
Post Dose 5 (Month 33)———57655.7 (44884.3 to 74060.9)—
Pre-Dose 6 (Month 38)—24027.2 (18417.3 to 31345.9)16776.6 (11990.4 to 23473.1)——
Post Dose 6 (Month 39)—114277.1 (88950.0 to 146815.7)60669.1 (42343.5 to 86925.7)——
End of Study (Month 50)10714.9 (7199.2 to 15947.3)24353.9 (18411.6 to 32214.0)13240.2 (9550.0 to 18356.2)10013.0 (6511.4 to 15397.7)18.5 (10.4 to 32.8)
SecondaryNumber of Participants With Any, Fatal and Related Serious Adverse Events (SAEs)

SAEs assessed included any untoward medical occurrences that resulted in death, were life-threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Related SAEs= Any SAE related to investigational vaccine or related to study participation or to a GSK concomitant medication/vaccine as assessed by the investigator. Fatal SAEs= Any SAEs leading to death.

Time frame:
From Day 0 to Month 50
Reported as:
Count of participants · Participants
Number of Participants With Any, Fatal and Related Serious Adverse Events (SAEs)
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Any SAE7365648492
Fatal SAE21041
Related SAE30020
SecondaryNumber of Participants With Any Adverse Events (AEs) and SAEs Leading to Withdrawal From Further Vaccination

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. SAEs include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Time frame:
From Day 0 to Month 50
Reported as:
Count of participants · Participants
Number of Participants With Any Adverse Events (AEs) and SAEs Leading to Withdrawal From Further Vaccination
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Number of Participants With Any Adverse Events (AEs) and SAEs Leading to Withdrawal From Further Vaccination21041
SecondaryNumber of Participants With Cerebral Malaria and Severe Malaria

Cerebral malaria is defined as Severe P. falciparum malaria with coma (Blantyre coma score less than \[\<\] 3); and if malaria with seizure: coma persisting for \> 30 min after the seizure. Other treatable causes of coma should be excluded before diagnosing cerebral malaria (e.g. hypoglycaemia, bacterial meningitis). Severe malaria is defined as P. falciparum parasitemia \> 0 detected by microscopy and/or rapid diagnostic test (RDT) and one or more of the following, occurring in the absence of an identified alternative cause: Impaired consciousness, Prostration, Multiple convulsions, Acidosis, Hypoglycemia, Severe malarial anemia, Renal impairment, Jaundice, Pulmonary edema, Significant bleeding: including recurrent or prolonged bleeding from the nose, gums or venipuncture sites, hematemesis or melaena, Shock, Hyperparasitemia.

Time frame:
From Day 0 to Month 50
Reported as:
Count of participants · Participants
Number of Participants With Cerebral Malaria and Severe Malaria
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Cerebral malaria00001
Severe malaria2922253151
SecondaryNumber of Participants With Potential Immune Mediated Diseases (pIMDs)

Potential immune-mediated diseases (pIMDs) are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.

Time frame:
From Day 0 to Month 50
Reported as:
Count of participants · Participants
Number of Participants With Potential Immune Mediated Diseases (pIMDs)
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Number of Participants With Potential Immune Mediated Diseases (pIMDs)02100
SecondaryNumber of Participants With Meningitis

Meningitis is an adverse event of specific interest (AESI). An AESI is defined as an AE including autoimmune diseases and other mediated inflammatory disorders.

Time frame:
From Day 0 to Month 50
Reported as:
Count of participants · Participants
Number of Participants With Meningitis
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Number of Participants With Meningitis11133
SecondaryNumber of Participants With Seizures

Seizure is an adverse event of specific interest (AESI). An AESI is defined as an AE including autoimmune diseases and other mediated inflammatory disorders.

Time frame:
During the 30-day (Day 0 to Day 29) follow-up period after any dose of study vaccine
Reported as:
Count of participants · Participants
Number of Participants With Seizures
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Number of Participants With Seizures51044
SecondaryNumber of Participants With Generalized Convulsive Seizures

Generalized convulsive seizure is an adverse event of specific interest (AESI). An AESI is defined as an AE including autoimmune diseases and other mediated inflammatory disorders.

Time frame:
During the 7-day (Day 0 to Day 6) follow-up period after any dose of study vaccine
Reported as:
Count of participants · Participants
Number of Participants With Generalized Convulsive Seizures
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Number of Participants With Generalized Convulsive Seizures41042
SecondaryNumber of Participants With Any Unsolicited AEs

An unsolicited AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product.

Time frame:
During the 30-day (Day 0 to Day 29) follow-up period following the 1st 3 doses and post dose 4, 5 and 6 of study vaccine
Reported as:
Count of participants · Participants
Number of Participants With Any Unsolicited AEs
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Post 1st 3 doses223221240242238
Post Dose 4749410179—
Post Dose 5—676588—
Post Dose 6—6476——
SecondaryNumber of Participants With Grade 4 Hematology and Biochemical Toxicities Before Dose 3

The assessed parameters (alanine aminotransferase \[ALT\], creatinine, haemoglobin, white blood cells \[WBC\], platelets) were summarized according to DAIDS, 2004 (Division of AIDS). Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life-threatening or disabling. Data are presented for those participants who experienced Grade 4 toxicities. Grade 4 hematological toxicities included ALT: \> 10.0 x ULN (Upper limit of normal), creatine: \> 6.0 x ULN or requires dialysis, WBC: \< 1.0 x 103 per microliter, platelets: \< 25 x 103/μl and clinical signs of bleeding, and hemoglobin: \< 5.0 grams/deciliter and clinical signs of heart failure.

Time frame:
Before Dose 3 (at Month 2)
Reported as:
Count of participants · Participants
Number of Participants With Grade 4 Hematology and Biochemical Toxicities Before Dose 3
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Haemoglobin00000
Platelets00000
WBC00000
ALT00000
Creatine00000
SecondaryNumber of Participants With Grade 4 Hematology and Biochemical Toxicities at 7 Days Post-Dose 3

The assessed parameters (ALT, creatinine, haemoglobin, WBC, platelets) were summarized according to DAIDS, 2004 (Division of AIDS). Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life-threatening or disabling. Data are presented for those participants who experienced Grade 4 toxicities. Grade 4 hematological toxicities included ALT: \> 10.0 x ULN, creatine: \> 6.0 x ULN or requires dialysis, WBC: \< 1.0 x 103 per microliter, platelets: \< 25 x 103/μl and clinical signs of bleeding, and hemoglobin: \< 5.0 grams/deciliter and clinical signs of heart failure.

Time frame:
At 7 days post-Dose 3
Reported as:
Count of participants · Participants
Number of Participants With Grade 4 Hematology and Biochemical Toxicities at 7 Days Post-Dose 3
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Haemoglobin00000
Platelets00000
WBC00000
ALT00000
Creatine00000
SecondaryNumber of Participants With Grade 4 Hematology and Biochemical Toxicities at 30 Days Post-Dose 3

The assessed parameters (ALT, creatinine, haemoglobin, WBC, platelets) were summarized according to DAIDS, 2004 (Division of AIDS). Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, life-threatening or disabling. Data are presented for those participants who experienced Grade 4 toxicities. Grade 4 hematological toxicities included ALT: \> 10.0 x ULN, creatine: \> 6.0 x ULN or requires dialysis, WBC: \< 1.0 x 103 per microliter, platelets: \< 25 x 103/μl and clinical signs of bleeding, and hemoglobin: \< 5.0 grams/deciliter and clinical signs of heart failure.

Time frame:
At 30 days post-Dose 3
Reported as:
Count of participants · Participants
Number of Participants With Grade 4 Hematology and Biochemical Toxicities at 30 Days Post-Dose 3
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Haemoglobin00000
Platelets00000
WBC00000
ALT00000
Creatine00000
SecondaryNumber of Participants With Any Solicited Local Symptoms

Assessed solicited local AEs are: redness, pain and swelling. Any = occurrence of the adverse event regardless of intensity grade. Any redness and swelling = adverse event reported with a surface diameter \> 0 millimeters.

Time frame:
During the 4-day (Day 0 to Day 3) follow-up period after Dose 3, Dose 4, Dose 5 and Dose 6 of study vaccination
Reported as:
Count of participants · Participants
Number of Participants With Any Solicited Local Symptoms
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Any Erythema, after Dose 301000
Any Erythema, after Dose 40000—
Any Erythema, after Dose 5—000—
Any Erythema, after Dose 6—00——
Any Pain, after Dose 311000
Any Pain, after Dose 41104—
Any Pain, after Dose 5—410—
Any Pain, after Dose 6—30——
Any Swelling, after Dose 301010
Any Swelling, after Dose 41001—
Any Swelling, after Dose 5—011—
Any Swelling, after Dose 6—00——
SecondaryNumber of Participants With Any Solicited General Symptoms

Assessed solicited general AEs are: drowsiness, irritability/fussiness and loss of appetite. Any = occurrence of the adverse event regardless of intensity grade or relation to study vaccination.

Time frame:
During the 4-day (Day 0 to Day 3) follow-up period after Dose 3, Dose 4, Dose 5 and Dose 6 of study vaccination
Reported as:
Count of participants · Participants
Number of Participants With Any Solicited General Symptoms
ParticipantsR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Any Drowsiness, after Dose 320120
Any Drowsiness, after Dose 40210—
Any Drowsiness, after Dose 5—010—
Any Drowsiness, after Dose 6—00——
Any Irritability/Fussiness, after Dose 301030
Any Irritability/Fussiness, after Dose 40601—
Any Irritability/Fussiness, after Dose 5—000—
Any Irritability/Fussiness, after Dose 6—00——
Any Loss of appetite, after Dose 301010
Any Loss of appetite, after Dose 42520—
Any Loss of appetite, after Dose 5—010—
Any Loss of appetite, after Dose 6—00——

Adverse events

Collected over Serious Adverse Events: From Month 0 to Month 50. All-Cause Mortality: From Month 0 to Month 50. Other Adverse Events: Solicited Adverse Events were collected during the 4-day follow-up period after vaccination and Unsolicited Adverse Events during the 30-day follow-up period after vaccination. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
R012-20 Group2/298 (0.7%)73/298 (24.5%)230/298 (77.2%)
R012-14-mD Group1/294 (0.3%)65/294 (22.1%)243/294 (82.7%)
Fx012-14-mFxD Group0/304 (0%)64/304 (21.1%)253/304 (83.2%)
Fx017-mFxD Group4/311 (1.3%)84/311 (27%)253/311 (81.4%)
Control Group1/293 (0.3%)92/293 (31.4%)234/293 (79.9%)
Most frequent serious events
Showing 10 of 112
Most frequent serious events
EventR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Plasmodium falciparum infectionInfections and infestations28/29822/29429/30432/31148/293
PneumoniaInfections and infestations15/29815/29412/30410/31121/293
GastroenteritisInfections and infestations12/2989/2949/30415/31113/293
MalariaInfections and infestations8/2987/2946/30410/31112/293
Febrile convulsionNervous system disorders10/2984/2946/30412/31111/293
AnaemiaBlood and lymphatic system disorders5/2984/2944/3044/31111/293
Otitis mediaInfections and infestations4/2983/2944/3044/3115/293
Urinary tract infectionInfections and infestations3/2981/2942/3043/3115/293
Thermal burnInjury, poisoning and procedural complications1/2983/2941/3042/3115/293
Meningitis viralInfections and infestations1/2981/2941/3042/3113/293
Most frequent other events
Showing 10 of 142
Most frequent other events
EventR012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl Group
Upper respiratory tract infectionInfections and infestations161/298187/294198/304194/311164/293
MalariaInfections and infestations76/29886/29498/30494/31163/293
GastroenteritisInfections and infestations56/29887/29476/30470/31168/293
PyrexiaGeneral disorders35/29869/29436/30443/31113/293
PneumoniaInfections and infestations19/29841/29438/30426/31133/293
DiarrhoeaGastrointestinal disorders30/29825/29440/30426/31135/293
ConjunctivitisInfections and infestations24/29832/29435/30422/31127/293
Otitis mediaInfections and infestations23/29825/29433/30421/31133/293
Rash papularSkin and subcutaneous tissue disorders26/29830/29427/30422/31124/293
Skin bacterial infectionInfections and infestations18/29825/29429/30416/31116/293

Baseline characteristics

Age, Continuous
Age, Continuous(Months)R012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl GroupTotal
Mean10.2 ± 3.910.3 ± 3.810.5 ± 4.010.2 ± 3.810.5 ± 3.910.3 ± 3.9
Sex: Female, Male
Sex: Female, Male(Participants)R012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl GroupTotal
Female119155172163152761
Male179139132148141739
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)R012-20 GroupR012-14-mD GroupFx012-14-mFxD GroupFx017-mFxD GroupControl GroupTotal
Black Or African American2982943043112931500
08

Study locations

2 sites
  • GSK Investigational Site
    Kumasi, Ghana
  • GSK Investigational Site
    Kisumu, 40100, Kenya
09

References and documents

Publications

  • Westercamp N, Osei-Tutu L, Schuerman L, Kariuki SK, Bollaerts A, Lee CK, Samuels AM, Ockenhouse C, Bii DK, Adjei S, Oneko M, Lievens M, Attobrah Sarfo MA, Atieno C, Bakari A, Sang T, Kotoh-Mortty MF, Otieno K, Roman F, Buabeng PBY, Ntiamoah Y, Ansong D, Agbenyega T, Ofori-Anyinam O. Could Less Be More? Accounting for Fractional-Dose Regimens and Different Number of Vaccine Doses When Measuring the Impact of the RTS,S/AS01E Malaria Vaccine. J Infect Dis. 2024 Aug 16;230(2):e486-e495. doi: 10.1093/infdis/jiae075. PubMed 38438123 ↗
  • Samuels AM, Ansong D, Kariuki SK, Adjei S, Bollaerts A, Ockenhouse C, Westercamp N, Lee CK, Schuerman L, Bii DK, Osei-Tutu L, Oneko M, Lievens M, Attobrah Sarfo MA, Atieno C, Morelle D, Bakari A, Sang T, Jongert E, Kotoh-Mortty MF, Otieno K, Roman F, Buabeng PBY, Ntiamoah Y, Ofori-Anyinam O, Agbenyega T; RTS,S study group. Efficacy of RTS,S/AS01E malaria vaccine administered according to different full, fractional, and delayed third or early fourth dose regimens in children aged 5-17 months in Ghana and Kenya: an open-label, phase 2b, randomised controlled trial. Lancet Infect Dis. 2022 Sep;22(9):1329-1342. doi: 10.1016/S1473-3099(22)00273-0. Epub 2022 Jun 23. Erratum In: Lancet Infect Dis. 2022 Nov;22(11):e310. doi: 10.1016/S1473-3099(22)00610-7. PubMed 35753316 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study

Access criteria: Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Data sharing details ↗ · clinicalstudydatarequest.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Nov 2019, 25 months.

Results were first posted in May 2024, 4 years 6 months after primary completion.

Of 39 phase 2 interventional studies under Malaria, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 27. This study's 25 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 7, 2017
First posted
Sep 8, 2017
StartActual
Sep 28, 2017
Primary completionActual
Nov 4, 2019
CompletionActual
Nov 14, 2022
Results first posted
May 21, 2024
Last update
May 21, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03276962
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Sep 8, 2017
Start date
Sep 28, 2017
Primary completion
Nov 4, 2019
Completion
Nov 14, 2022
Results posted
May 21, 2024
Last update
May 21, 2024

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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