NCT02207816

Brief Summary

The purpose of this study is to conduct long-term surveillance for efficacy, safety and immunogenicity of the GSK Biologicals RTS,S/AS01E candidate Plasmodium falciparum malaria vaccine in infants and children in Africa following a primary vaccination series (NCT00866619). No new subjects will be enrolled in this extension study.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
3,084

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Sep 2014

Geographic Reach
3 countries

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 31, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 4, 2014

Completed
2 months until next milestone

Study Start

First participant enrolled

September 18, 2014

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 31, 2017

Completed
2.5 years until next milestone

Results Posted

Study results publicly available

August 15, 2019

Completed
Last Updated

November 25, 2019

Status Verified

November 1, 2019

Enrollment Period

2.4 years

First QC Date

July 31, 2014

Results QC Date

January 29, 2018

Last Update Submit

November 14, 2019

Conditions

Keywords

InfantsEfficacyChildrenMalariaPlasmodium falciparumSafetySurveillanceImmunogenicityRTS,S/AS01EAfrica

Outcome Measures

Primary Outcomes (2)

  • Incidence of Severe Malaria Meeting Case Definition 1

    Case definition 1 for severe malaria was defined as an episode of malaria with positive Plasmodium falciparum asexual parasitemia (within -1 to +3 days of admission) and with one or more marker of disease severity: Prostration, respiratory distress, Blantyre score equal to or less than (≤) 2, seizures 2 or more, hypoglycemia below (\<) 2.2 millimoles per liter (mmol/L), acidosis BE ≤ -10.0 mmol/L, lactate ≥ 5.0 mmol/L or anemia \< 5.0 grams per deciliter (g/dL). The incidence of severe malaria for case definition 1 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).

    From Year 0 to Year 3 (Starting January 2014 and ending December 2016)

  • Incidence of Severe Malaria Meeting Case Definition 2.

    Case definition 2 for severe malaria was defined as an episode of malaria with positive Plasmodium falciparum asexual parasitemia (within -1 to +3 days of admission) and with one or more marker of disease severity: Prostration, respiratory distress, Blantyre score equal to or less than (≤) 2, seizures 2 or more, hypoglycemia below (\<) 2.2 millimoles per liter (mmol/L), acidosis BE ≤ -10.0 mmol/L, lactate ≥ 5.0 mmol/L or anemia \< 5.0 grams per deciliter (g/dL) or SAE report including preferred terms (Malaria, Plasmodium falciparum infection or Cerebral malaria) within -1 to +3 days of admission. The incidence of severe malaria for case definition 2 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).

    From Year 0 to Year 3 (Starting January 2014 and ending December 2016)

Secondary Outcomes (21)

  • Incidence of Clinical Malaria Meeting Case Definition

    From Year 0 to Year 3 (Starting January 2014 and ending December 2016)

  • Number of Subjects With Malaria Hospitalization Meeting Case Definition 1.

    From Year 0 to Year 3 (Starting January 2014 and ending December 2016)

  • Number of Subjects With Malaria Hospitalization Meeting Case Definition 2.

    From Year 0 to Year 3 (Starting January 2014 and ending December 2016)

  • Number of Subjects With Prevalent Parasitemia

    At Years 1, 2 and 3

  • Number of Subjects With Prevalent Severe Anemia (Level of Hemoglobin <5g/dL)

    At Years 1, 2 and 3

  • +16 more secondary outcomes

Study Arms (3)

GSK257049 Group

EXPERIMENTAL

Male or female infants (between and including 6 to 12 weeks of age)/children (between and including 5 to 17 months of age) received 3 doses of GSK257049 malaria vaccine (co-administered with Polio Sabin and Tritanrix HepB/Hib vaccines, for the infants subgroup) on a 0-1-2-month schedule, and a booster dose of GSK257049 malaria vaccine (co-administered with Polio Sabin, for the infants subgroup) at Month 20 during the primary study MALARIA-055 PRI (NCT00866619). Vaccines were administered intramuscularly: in the anterolateral left thigh (GSK257049 vaccine); left deltoid (GSK257049 booster dose); anterolateral right thigh (Tritanrix HepB/Hib vaccine); orally: Polio Sabin vaccine. No vaccination was administered during this study.

Procedure: Blood samplingBiological: Malaria Vaccine 257049 (MALARIA-055 PRI)Biological: TritanrixHepB/Hib (MALARIA-055 PRI)Biological: Polio Sabin Oral Polio Vaccine (GSK) (MALARIA-055 PRI)

GSK257049 Comparator Group

ACTIVE COMPARATOR

Male or female infants (between and including 6 to 12 weeks of age)/children (between and including 5 to 17 months of age) received 3 doses of GSK257049 malaria vaccine (co-administered with Polio Sabin and Tritanrix HepB/Hib vaccines, for the infants subgroup) on 0-1-2-month schedule, and a booster dose of Menjugate vaccine (co-administered with Polio Sabin, for the infants subgroup) at Month 20 during the primary study MALARIA-055 PRI (NCT00866619). Vaccines were administered intramuscularly: in the anterolateral left thigh (GSK257049 vaccine); anterolateral right thigh (Tritanrix HepB/Hib vaccine); orally: Polio Sabin vaccine. No vaccination was administered during this study.

Procedure: Blood samplingBiological: Malaria Vaccine 257049 (MALARIA-055 PRI)Biological: Meningococcal C Conjugate Vaccine (MALARIA-055 PRI)Biological: TritanrixHepB/Hib (MALARIA-055 PRI)Biological: Polio Sabin Oral Polio Vaccine (GSK) (MALARIA-055 PRI)

VeroRab/Menjugate Comparator Group

ACTIVE COMPARATOR

Male or female infants (between and including 6 to 12 weeks of age)/children (between and including 5 to 17 months of age) received 3 doses of VeroRab vaccine (children subgroup) or Menjugate vaccine (co-administered with Polio Sabin and Tritanrix HepB/Hib vaccines, for the infants subgroup) on 0-1-2-month schedule, and a booster dose of Menjugate vaccine (co-administered with Polio Sabin, for the infants subgroup) at Month 20 during the primary study MALARIA-055 PRI (NCT00866619). Vaccines were administered intramuscularly: left deltoid (VeroRab vaccine and Menjugate vaccine); anterolateral right thigh (Tritanrix HepB/Hib vaccine); orally: Polio Sabin vaccine. No vaccination was administered during this study.

Procedure: Blood samplingBiological: Meningococcal C Conjugate Vaccine (MALARIA-055 PRI)Biological: Cell-culture rabies vaccine (MALARIA-055 PRI)Biological: TritanrixHepB/Hib (MALARIA-055 PRI)Biological: Polio Sabin Oral Polio Vaccine (GSK) (MALARIA-055 PRI)

Interventions

Annual blood sampling (Year 1, Year 2 and Year 3) during the present study.

GSK257049 Comparator GroupGSK257049 GroupVeroRab/Menjugate Comparator Group

Administered intramuscularly into the left deltoid, during the MALARIA-055 study (NCT00866619).

GSK257049 Comparator GroupGSK257049 Group

Administered intramuscularly into the left deltoid, during the MALARIA-055 study (NCT00866619).

Also known as: Menjugate
GSK257049 Comparator GroupVeroRab/Menjugate Comparator Group

Administered intramuscularly into the left deltoid, during the MALARIA-055 study (NCT00866619).

Also known as: VeroRab
VeroRab/Menjugate Comparator Group

Administered intramuscularly into the left deltoid, during the MALARIA-055 study (NCT00866619).

GSK257049 Comparator GroupGSK257049 GroupVeroRab/Menjugate Comparator Group

Administered orally, during the MALARIA-055 study (NCT00866619).

GSK257049 Comparator GroupGSK257049 GroupVeroRab/Menjugate Comparator Group

Eligibility Criteria

Age42 Months - 9 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Subjects' parent(s)/ Legally Acceptable Representative (LARs) who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  • Subjects who were enrolled and who received at least one vaccine dose in the primary study MALARIA-055 PRI NCT00866619 and who did not withdraw consent (except those who moved away from the area) during the primary study MALARIA-055 PRI NCT00866619.
  • Written informed consent obtained from the parent(s)/LAR(s) of the subject.

You may not qualify if:

  • Child in care.
  • Use of any investigational or non-registered product or planned use during the study period.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

GSK Investigational Site

Ouagadougou, Burkina Faso

Location

GSK Investigational Site

Kisumu, Kenya

Location

GSK Investigational Site

Tanga, Tanzania

Location

Related Publications (1)

  • Tinto H, Otieno W, Gesase S, Sorgho H, Otieno L, Liheluka E, Valea I, Sing'oei V, Malabeja A, Valia D, Wangwe A, Gvozdenovic E, Guerra Mendoza Y, Jongert E, Lievens M, Roman F, Schuerman L, Lusingu J. Long-term incidence of severe malaria following RTS,S/AS01 vaccination in children and infants in Africa: an open-label 3-year extension study of a phase 3 randomised controlled trial. Lancet Infect Dis. 2019 Aug;19(8):821-832. doi: 10.1016/S1473-3099(19)30300-7. Epub 2019 Jul 9.

    PMID: 31300331BACKGROUND

MeSH Terms

Conditions

MalariaMalaria, Falciparum

Interventions

Blood Specimen CollectionRTS malaria vaccineserogroup C meningococcal conjugate vaccinehalofantrine

Condition Hierarchy (Ancestors)

Protozoan InfectionsParasitic DiseasesInfectionsMosquito-Borne DiseasesVector Borne Diseases

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative Techniques

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 31, 2014

First Posted

August 4, 2014

Study Start

September 18, 2014

Primary Completion

January 31, 2017

Study Completion

January 31, 2017

Last Updated

November 25, 2019

Results First Posted

August 15, 2019

Record last verified: 2019-11

Data Sharing

IPD Sharing
Will share

IPD is available via the Clinical Study Data Request site (click on the link provided below)

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
IPD is available via the Clinical Study Data Request site (click on the link provided below)
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.
More information

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