Assessing Vaccine Effectiveness of R21/Matrix-M Across Malaria Transmission Settings (AVERT)
AVERT
Real-World Effectiveness of the R21/Matrix-M Malaria Vaccine in Children in Burkina Faso and Uganda
AVERT
Real-World Effectiveness of the R21/Matrix-M Malaria Vaccine in Children in Burkina Faso and Uganda
Sponsor study identifier
Secondary identifiers
OTHER_GRANT · Gates Foundation
OTHER_GRANT · Givewell
observational
20,000
2 countries
21
Study Start
July 14, 2026
Actual (reported)Primary Completion
June 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
August 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The AVERT study is a prospective observational test-negative case control study evaluating the real-world effectiveness of the R21/Matrix-M malaria vaccine among children younger than 5 years in Burkina Faso and Uganda. Children who seek outpatient care with suspected malaria and are eligible for the national R21/Matrix-M vaccination program will be enrolled. Malaria infection will be determined by blood smear microscopy. Children with a positive microscopy result will be classified as cases and children with a negative result as controls. Vaccination history, including the number and timing of doses, will be obtained primarily from vaccination cards or other written records. Vaccine effectiveness will be estimated by comparing the odds of vaccination among cases and controls.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
August 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
July 14, 2026
Actual (reported)August 3, 2026
Actual (reported)August 6, 2026
Actual (reported)June 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
August 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Dose-specific effectiveness of R21/Matrix-M against microscopy-confirmed clinical malaria
Adjusted vaccine effectiveness will be calculated as (1 - adjusted odds ratio) x 100%. The odds ratio will compare the odds of each documented R21/Matrix-M dose category among microscopy-positive malaria cases with the odds among microscopy-negative controls, using children with 0 doses as the primary reference group. Prespecified grouped dose categories will be used if individual dose categories do not have adequate statistical power.
At the enrollment illness episode, during the approximately 7- to 8-month study recruitment period
Effectiveness of R21/Matrix-M by time since vaccination
At the enrollment illness episode, during the approximately 7- to 8-month recruitment period
Eligible children with suspected malaria whose enrollment blood smear microscopy result is positive for P. falciparum infection
Eligible children with suspected malaria whose enrollment blood smear microscopy result is negative for P. falciparum infection
R21/Matrix-M vaccination received through routine national immunization programs. The study will record the number and dates of doses received. Children will be classified as having received 0, 1, 2, 3, or 4 eligible doses, with prespecified grouped classifications used if individual dose categories are underpowered. Doses given fewer than 14 days before malaria testing will not count toward the primary exposure classification.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Children younger than 5 years who reside in the catchment areas of selected health facilities in R21/Matrix-M implementation districts in Burkina Faso or Uganda, are age-eligible for vaccination under the relevant national schedule, and present for outpatient care with suspected malaria. Participants are recruited from health facilities in moderate- to high-transmission settings.
Boromo urbain 1
Boromo, Boucle Mouhoun, Burkina Faso
Ouahabou
Boromo, Boucle Mouhoun, Burkina Faso
Finger-prick dried blood spots, blood smears, and used positive malaria rapid diagnostic tests will be collected. Blood smears will confirm case or control status, and specimens may undergo serology. Malaria-positive specimens may undergo parasite genotyping. Samples may be stored for future ethically approved research where separate consent and local approvals permit.
Isabel Rodriguez-Barraquer, MD, PhD
University of California, San Francisco
Halidou Tinto, PhD
Institut de Recherche en Sciences de la Santé (Burkina Faso)
Joaniter Nankabirwa, MD, PhD
Infectious Diseases Research Collaboration, Kampala, Uganda
First Submitted
August 3, 2026
First Posted
August 6, 2026
Study Start
July 14, 2026
Actual (reported)Primary Completion
June 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Proactive Community Case Management for Malaria in Zambia
Safety and Immunogenicity Study of the Malaria Vaccines FP9 PP and MVA PP
Effect modification of vaccine effectiveness by malaria transmission intensity
At the enrollment illness episode, during the approximately 7- to 8-month recruitment period
Effect modification of vaccine effectiveness by sex
At the enrollment illness episode, during the approximately 7- to 8-month recruitment period
Effect modification by other malaria prevention interventions
At the enrollment illness episode, during the approximately 7- to 8-month recruitment period
Effectiveness according to vaccine dose timing
At the enrollment illness episode, during the approximately 7- to 8-month recruitment period
Contact the study team to confirm eligibility.
Béréba
Houndé, Hauts-Bassins Region, Burkina Faso
Dohoun
Houndé, Hauts-Bassins Region, Burkina Faso
Kari
Houndé, Hauts-Bassins Region, Burkina Faso
Déguélin
Karangasso-Vigué, Hauts-Bassins Region, Burkina Faso
Karangasso-Vigué
Karangasso-Vigué, Hauts-Bassins Region, Burkina Faso
Sourmousso
Karangasso-Vigué, Hauts-Bassins Region, Burkina Faso
Wara
Karangasso-Vigué, Hauts-Bassins Region, Burkina Faso
Mankarga T
Zorgo, Oubri, Burkina Faso
Mankarga V3
Zorgo, Oubri, Burkina Faso
Mankarga V6
Zorgo, Oubri, Burkina Faso
Kitgum-Matidi HCIII
Kitgum, Acholi, Uganda
Namokora HCIV
Kitgum, Acholi, Uganda
Lalogi HCIV
Omoro, Acholi, Uganda
Rwenyawawa HCIII
Kikube, Bunyoro, Uganda
Nawaikoke HCIII
Kaliro, Busoga, Uganda
Kigandalo HCIV
Mayuge, Busoga, Uganda
Nadunget HCIII
Moroto, Karamoja, Uganda
Orum HCIV
Otuke, Lango, Uganda
Otwal HCIII
Oyam, Lango, Uganda
Study Completion
August 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
August 6, 2026
Record last verified: 2026-08
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Source: ClinicalTrials.gov.
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