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RecruitingNCT07036159Updated Sep 29, 2025

A Study to Assess the Safety and Immunogenicity of a Vaccine Against Malaria in Healthy Children Aged 5-60 Months

A Phase 2 interventional study of RTS,S/AS01E vaccine in Malaria, sponsored by GlaxoSmithKline. Recruiting at 2 sites in Rwanda. Open to participants aged 5 Months to 60 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-29.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
238
Allocation
Randomized
Ages
5 Months to 60 Months
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and immunogenicity of reduced antigen doses and alternative vaccination regimes for RTS,S/AS01E in healthy children aged 5-60 months in a malaria-endemic area.

02

Conditions studied

  • Malaria

Keywords

  • Parasitic disease
  • Plasmodium falciparum
  • Malaria
  • Safety
  • Immunogenicity
  • Healthy children
03

Who can participate

Ages eligible
5 Months to 60 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy male or female participants aged 5 to 60 months at the time of the first vaccination, who have previously completed the World Health Organization (WHO) Expanded Programme on Immunization (EPI) vaccinations or for younger infants have received all required vaccinations at point of recruitment according to the schedule for the country where the study is conducted.
  2. Participants' parent(s)/Legally Acceptable Representative(s) (LAR), in the opinion of the investigator, can and will comply with the requirements of the protocol (eg, completion of the diaries, returning for follow-up visits).
  3. Written or witnessed/thumb-printed informed consent obtained from the participant's parent(s)/LAR prior to performance of any study-specific procedure.
  4. Healthy, as established by medical history and clinical examination.
  5. Negative for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV).
  6. With hemoglobin levels >8 g/dL.
  7. Born after a gestation period of ≥37 weeks.

Exclusion criteria

Exclusion Criteria:

  1. Progressive, unstable, or uncontrolled clinical conditions.
  2. History (known or suspected) of any reaction or hypersensitivity likely to be exacerbated by any component of the study vaccine.
  3. Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  4. Clinical conditions representing a contraindication to IM vaccination or blood draws.
  5. Any behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the participant's ability to participate in the study.
  6. Recurrent history of or uncontrolled neurological disorders or seizures.
  7. Undernutrition, defined as WHO Z-score less than -2 standard deviation.
  8. Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant as a result of participation in the study, for example, any major congenital defects.
  9. Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by physical examination and medical history.
  10. Administration of long-acting immune-modifying drugs (eg, infliximab) during the study period starting 3 months before the first dose of study vaccine or planned administration during the study period.
  11. Prior receipt of a malaria vaccine (registered or experimental).
  12. Use of any investigational or non-registered product (drug, vaccine, or medical device)* other than the study vaccine during the period starting 30 days before the first dose of study vaccine (Day -30 to Day 1), or planned use during the study period.

    *Use of herbs and traditional treatments is not considered an exclusion criterion.

  13. Planned administration of a vaccine not foreseen by the study protocol or the country EPI in the period starting 14 days before each dose and ending 28 days after the last dose of study vaccine administration*, with the exception of flu vaccines and vaccines administered as part of a public health vaccination campaign*.

    *If emergency mass vaccination for an unforeseen public health threat (eg, a pandemic) is organized by public health authorities outside the routine immunization program, the time period described above can be reduced, provided the vaccination is used according to the local governmental recommendations and the Sponsor is notified.

    Under such circumstances, a participant may be considered eligible for study enrollment and/or study vaccine administration after the appropriate window for delay has passed, if the participant is confirmed to be eligible after inclusion/exclusion criteria have been re checked.

  14. Administration of immunoglobulins and/or any blood products or plasma derivatives, or bone marrow transplantation, during the period starting 3 months before the first dose of study vaccine or planned administration during the study period.
  15. Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the first vaccine dose or planned administration during the study period. For corticosteroids, this means prednisone ≥0.5 mg/kg/day or 20 mg/day, whichever is the maximum dose for pediatric participants. Inhaled and topical steroids are allowed.
  16. 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 investigational or a non-investigational intervention (drug or invasive medical device).
  17. Any study personnel's immediate dependents, family, or household members.
  18. Child in care.
04

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
238 participants (estimated)

Study arms

  • Experimental
    Groups 1 to 3

    Participants receive 3 doses of RTS,S/AS01E vaccine on Day 1, Month 1, and Month 2.

    Biological: RTS,S/AS01E vaccine

  • Experimental
    Groups 4 and 5

    Participants receive 3 doses of RTS,S/AS01E vaccine on Day 1, Month 1, and Month 7.

    Biological: RTS,S/AS01E vaccine

  • Experimental
    Groups 6 and 7

    Participants receive 3 doses of RTS,S/AS01E vaccine on Day 1, Month 2, and Month 7.

    Biological: RTS,S/AS01E vaccine

Interventions

  • BiologicalRTS,S/AS01E vaccine

    RTS,S/AS01E vaccine will be administered intramuscularly.

    Also known as: Mosquirix

05

What researchers measure

Primary outcomes

  1. Geometric Mean Concentrations (GMCs) of anti-NANP immunoglobulin G (IgG) antibodies

    Time frame: 12 months post-Dose 3 (Month 14 for Groups 1 to 3 and Month 19 for Groups 4 and 5 and Groups 6 and 7)

Secondary outcomes

  1. Area under the curve (AUC) of anti-NANP IgG antibodies

    Time frame: At Month 7 and 19

  2. GMC of anti-NANP IgG antibodies

    Time frame: At Month 0, 1, 2, 3, 7, 8, 14, and 19

  3. Number of participants with a greater than or equal to (>=) 2-fold and a (>=) 4-fold increase from pre-Dose 1 in IgG antibody concentration

    Time frame: At Month 0, 1, 2, 3, 7, 8, 14, and 19

  4. Number of participants with solicited administration site events

    Solicited administration site events include pain, redness, and swelling at administration site.

    Time frame: Up to 7 days after each vaccine administration (vaccine administered on Day 1, Month 1, Month 2, and Month 7)

  5. Number of participants with solicited systemic events

    Solicited systemic events include fever, irritability/fussiness, loss of appetite, sleepiness/drowsiness, and vomiting.

    Time frame: Up to 7 days after each vaccine administration (vaccine administered on Day 1, Month 1, Month 2, and Month 7)

  6. Number of participants with unsolicited adverse events (AEs)

    An unsolicited AE is an AE that is either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events.

    Time frame: Within 30 days after each study vaccine administration (vaccine administered on Day 1, Month 1, Month 2, and Month 7)

  7. Number of participants with serious adverse events (SAEs)

    An SAE is defined as any untoward medical occurrence that results in death, is life threatening, requires hospitalization or prolongs existing hospitalization, results in disability/incapacity, or other medically significant events.

    Time frame: From first study vaccine administration (Day 1) to the end of the study (Month 19)

  8. Number of participants with SAEs

    Time frame: From first study vaccine administration (Day 1) to 12 months after the last study vaccine administration (Month 14 for Groups 1 to 3 and Month 19 for Groups 4 and 5 and Groups 6 and 7)

  9. Number of participants with adverse events of special interest (AESIs)

    AESIs include febrile convulsion that are defined as seizures that occur in febrile children between the ages of 6 and 60 months who do not have an intracranial infection, metabolic disturbance, or history of afebrile seizures.

    Time frame: Up to 7 days after each vaccine administration (vaccine administered on Day 1, Month 1, Month 2, and Month 7)

  10. Number of participants with AEs/SAEs leading to withdrawal from the study and/or discontinuation of study vaccine

    Time frame: From first study vaccine administration (Day 1) to the end of the study (Month 19)

  11. GMC of anti-hepatitis B surface antigens (HBs) antibody concentrations (IgG)

    Time frame: At Month 0, 1, 2, 3, 7, 8, 14, and 19

  12. Number of participants achieving anti-HBs IgG levels above 6.2 International Units per liter (IU/L) and 10.0 IU/L

    Time frame: At Month 0, 1, 2, 3, 7, 8, 14, and 19

  13. Geometric mean fold increase over pre-Dose 1 for anti-HBs IgG

    Time frame: At Month 0, 1, 2, 3, 7, 8, 14, and 19

06

Study locations

2 of 2 sites recruiting
  • GSK Investigational Site
    Kigali, Rwanda
    Recruiting
  • GSK Investigational Site
    Kigali, Rwanda
    Recruiting
07

References and documents

Individual participant data

Plan to share: Yes — Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About\_GSK\_Patient\_Level\_Data\_Sharing\_Final\_13July2023.pdf

Supporting information: Study protocol, Sap, Icf, Csr

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07036159
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Jun 25, 2025
Start date
Aug 6, 2025
Primary completion
Apr 23, 2027 (estimated)
Completion
Apr 23, 2027 (estimated)
Last update
Sep 29, 2025

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466
Julien M Nyombayire, MD, MSc
principal investigator · Center for Family Health Research
Mossi Nzeyimana, MD
principal investigator · Rinda Ubuzima Gatenga Medicalized Health Center University of Rwanda

Oversight

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

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