A Study to Evaluate the Efficacy, Immunogenicity and Safety in a Sporozoite Challenge Model of a Fractional Booster Dose of GSK Biologicals' Candidate Malaria Vaccine Administered to Previously Vaccinated Healthy Malaria-naïve Adults
CompletedPhase 2Results postedLast updated 14 August 2020
What this trial tests
Phase 2 trial testing RTS,S/AS01E (SB257049) in Malaria in 61 participants. Completed in 26 September 2019.
Adults 18 to 55, any sex, with Malaria. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Subjects Reporting Plasmodium Falciparum (P. Falciparum) Parasitemia (Defined by a Positive Blood Slide) Following Sporozoite Challenge (in All Study Groups Versus Infectivity Controls)Primary· During the sporozoite challenge dose follow-up period (from Day 22 up to Day 50)
Occurrence of P. falciparum parasitemia (defined by a positive blood slide) following sporozoite challenge. Post-challenge, parasitemia was determined by microscopy of Giemsa-stained thick blood films (smear). Microscopy was performed on thick smears using a validated standard operation procedure. P. falciparum infection was defined as asexual blood stage P. falciparum parasite density greater than (\>) 0 detected by blood slide reading. For the analysis of proportion affected (relative risk), all subjects included in the analysis were considered at risk of infection and no censoring or elimin
Group
Value
95% CI
P-Fx Group
12
NP-Fx Group
11
Infectivity Control Group
11
Time to Onset of P. Falciparum Parasitemia (Defined by a Positive Blood Slide) Following Sporozoite ChallengeSecondary· During the sporozoite challenge period starting at Day 22 (after the vaccine dose administered at Day 1), up to Day 50
For the analyses of time to onset of parasitemia (Kaplan-Meyer and log-rank), time at risk started on first day of challenge. Time at risk was censored on Day 50 (28 days post challenge), drop-out date, start date of anti-malarial treatment or date meeting an endpoint, whichever occured first. Time-at-risk was calculated as: censor date - date challenge + 1.
Group
Value
95% CI
P-Fx Group
14.6
± 1.9
NP-Fx Group
14.1
± 1.6
Infectivity Control Group
11.6
± 0.9
Anti- Circumsporozoite (CS) Repeat Region Antibody ConcentrationsSecondary· At Day 1, prior to challenge (Day 22), 28 days post-challenge (Day 50) and at study end (Day 190)
Anti-CS antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in Enzyme-linked immunosorbent assay Unit per milliliter (EU/mL). The cut-off for the assay was equal to 1.9 EU/mL. GMC calculations are performed by taking the inverse logarithm of the mean of the log concentration transformations. Antibody concentrations below the cut-off of the assay will be given an arbitrary value of half the cut-off of the assay for the purpose of GMC calculation.
Day 1
Group
Value
95% CI
P-Fx Group
32.8
24.5 – 44.1
NP-Fx Group
7.2
3.9 – 13.4
Day 22
Group
Value
95% CI
P-Fx Group
87.3
67.0 – 113.9
NP-Fx Group
37.3
23.4 – 59.5
Day 50
Group
Value
95% CI
P-Fx Group
77.8
59.5 – 101.8
NP-Fx Group
25.7
15.3 – 43.2
Day 190
Group
Value
95% CI
P-Fx Group
49.7
37.7 – 65.7
NP-Fx Group
12.7
6.9 – 23.4
Anti-Hepatitis B (HBs) Immunoglobulin G (IgG) Antibody ConcentrationsSecondary· At Day 1, prior to challenge (Day 22), 28 days post-challenge (Day 50) and at study end (Day 190)
Anti-HBs IgG antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in milli-International Unit per milliliter (mIU/mL). The cut-off for the assay was equal to 6.2 mIU/mL. GMC calculations are performed by taking the inverse logarithm of the mean of the log concentration transformations. Antibody concentrations below the cut-off of the assay will be given an arbitrary value of half the cut-off of the assay for the purpose of GMC calculation.
Day 1
Group
Value
95% CI
P-Fx Group
7788
4822.8 – 12576.4
NP-Fx Group
6608.1
3147.2 – 13874.8
Day 22
Group
Value
95% CI
P-Fx Group
25344.5
16377.3 – 39221.5
NP-Fx Group
29271.3
18417.1 – 46522.4
Day 50
Group
Value
95% CI
P-Fx Group
21203.1
14058.2 – 31979.2
NP-Fx Group
19894.8
11569.4 – 34211.1
Day 190
Group
Value
95% CI
P-Fx Group
11593.9
7446.0 – 18052.6
NP-Fx Group
9092.5
4652.8 – 17768.4
Number of Subjects With Any Solicited Local Adverse Events (AEs) in the Booster Vaccination GroupsSecondary· Within 7 days after vaccination (day of vaccination and 6 subsequent days) in the booster vaccination groups
Solicited local AEs assessed are erythema, pain and swelling. Any occurrence of AE regardless of intensity grade are reported. Any Erythema or any Swelling symptom = any symptom recorded with a surface diameter greater than 0 millimeter.
Erythema
Group
Value
95% CI
P-Fx Group
8
NP-Fx Group
4
Pain
Group
Value
95% CI
P-Fx Group
11
NP-Fx Group
10
Swelling
Group
Value
95% CI
P-Fx Group
4
NP-Fx Group
4
Number of Subjects With Any Solicited General AEs in the Booster Vaccination GroupsSecondary· Within 7 days after vaccination (day of vaccination and 6 subsequent days) in the booster vaccination groups
Solicited general AEs assessed are fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhea and/or abdominal pain), headache and fever. Any occurrence of symptom regardless of intensity grade and relationship to the vaccination. Fever was defined as temperature equal or greater than 37.5 °C (preferably oral route measure).
Fatigue
Group
Value
95% CI
P-Fx Group
7
NP-Fx Group
4
Gastrointestinal symptoms
Group
Value
95% CI
P-Fx Group
2
NP-Fx Group
0
Headache
Group
Value
95% CI
P-Fx Group
6
NP-Fx Group
5
Fever
Group
Value
95% CI
P-Fx Group
3
NP-Fx Group
0
Number of Subjects With Any Unsolicited AEs After Vaccination, in the Booster Vaccination GroupsSecondary· Up to 21 days after booster vaccination period (day of vaccination and 20 subsequent days), after booster vaccination
An unsolicited adverse event is any untoward medical occurrence in a clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. An unsolicited adverse event is any event 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.
Group
Value
95% CI
P-Fx Group
5
NP-Fx Group
1
Number of Subjects With Any Unsolicited AEs After Challenge, in All Study GroupsSecondary· Within 29 days after challenge (day of challenge and 28 subsequent days)
An adverse event is any untoward medical occurrence in a clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product.
Group
Value
95% CI
P-Fx Group
19
NP-Fx Group
19
Infectivity Control Group
12
Number of Subjects With AEs of Specific Interest (Potential Immune-mediated Diseases [pIMDs] and Meningitis), in All Study GroupsSecondary· From Day 1 up to study conclusion (Day 190)
AEs of specific interest are potential immune-mediated diseases (pIMDs) and meningitis. 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.
Group
Value
95% CI
P-Fx Group
0
NP-Fx Group
0
Infectivity Control Group
0
Number of Subjects With Serious Adverse Events (SAEs) (Any, Fatal or Related to Investigational Vaccine) During the Whole Study Period, in All Study GroupsSecondary· From Day 1 up to study conclusion (Day 190)
An SAE is any untoward medical occurrence that results in death, is life threatening, requires hospitalization or prolongation of hospitalization, results in disability/incapacity or is a congenital anomaly/birth defect in the offspring of a study subject.
Any SAEs
Group
Value
95% CI
P-Fx Group
2
NP-Fx Group
0
Infectivity Control Group
0
Related SAEs
Group
Value
95% CI
P-Fx Group
0
NP-Fx Group
0
Infectivity Control Group
0
Fatal SAEs
Group
Value
95% CI
P-Fx Group
0
NP-Fx Group
0
Infectivity Control Group
0
Number of Subjects With Abnormal Laboratory ValuesSecondary· At screening, Day(D)1, D8, D22 (day of first parasitemia) and D50 (28 days post-challenge) for the booster vaccination groups; and at screening, D22 (day of first parasitemia) and D50 (28 days post-challenge) for the infectivity control subjects
Biochemistry (Alanine Aminotransferase \[ALT\], Aspartate Aminotransferase \[AST\] and Creatinine) and hematological (Hemoglobin, Platelets, White Blood Cells \[WBC\] decrease and WBC increase) laboratory values were presented according to toxicity grading scales and tabulated by group. Grading scale adapted from FDA guidance for industry: toxicity grading scale for healthy adult and adolescent volunteers enrolled in preventive vaccine clinical trials (September 2007).
ALT, Screening, Grade 0
Group
Value
95% CI
P-Fx Group
24
NP-Fx Group
23
Infectivity Control Group
11
ALT, Screening, Grade 1
Group
Value
95% CI
P-Fx Group
1
NP-Fx Group
1
Infectivity Control Group
1
ALT, Day 1, Grade 0
Group
Value
95% CI
P-Fx Group
25
NP-Fx Group
23
ALT, Day 1, Grade 1
Group
Value
95% CI
P-Fx Group
0
NP-Fx Group
1
ALT, Day 8, Grade 0
Group
Value
95% CI
P-Fx Group
24
NP-Fx Group
24
ALT, Day 8, Grade 1
Group
Value
95% CI
P-Fx Group
1
NP-Fx Group
0
ALT, Day 22, Grade 0
Group
Value
95% CI
P-Fx Group
23
NP-Fx Group
23
Infectivity Control Group
12
ALT, Day 22, Grade 1
Group
Value
95% CI
P-Fx Group
2
NP-Fx Group
1
Infectivity Control Group
0
Adverse events — posted to ClinicalTrials.gov
Time frame: Solicited AEs were collected within the 7-day post-booster period. Unsolicited AEs were collected within the 21-day post-booster or within the 29-day post-challenge period. SAEs were collected from Day 1 up to study conclusion (Day 190)..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
MALARIA-092 (NCT03162614) study was designed to evaluate the efficacy, immunogenicity and safety of various dose schedules and formulations of GSK Biologicals' candidate malaria vaccine (RTS,S/AS01E) in healthy malaria-naïve subjects aged 18-55 years.
The purpose of this study (follow-up to MALARIA-092 \[NCT03162614\] study) is to evaluate if protection can be extended with an additional Fx booster dose and if unprotected subjects can be protected following a Fx booster dose.
In this booster study, subjects from MALARIA-092 (NCT03162614) study who completed vaccination and challenge will receive a Fx booster dose of RTS,S/AS01E and undergo a second controlled human malaria infection (CHMI) three to four weeks after vaccination. Additionally, subjects will be newly enrolled and will only undergo the sporozoite challenge as infectivity controls.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
NCT07358910 — Risk Assessment of Community Spread of Multiple Endemic Infectious Diseases in a One Health Perspective
· recruiting
NCT07036159 — A Study to Assess the Safety and Immunogenicity of a Vaccine Against Malaria in Healthy Children Aged 5-60 Months
· Phase 2
· recruiting
NCT06735209 — First-in-Human PfSPZ-LARC2 Vaccination/CHMI
· Phase 1
· active not recruiting
NCT06854042 — A Study of Oral E1018 in Healthy Adult Participants
· Phase 1
· recruiting
NCT06607003 — Induced Blood-Stage Malaria in Healthy Malaria-Naive Adults to Assess the Safety and Infectivity of Plasmodium Vivax Cha
· Phase 1
· recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
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Sponsor: as reported to ClinicalTrials.gov by GlaxoSmithKline
Last refreshed: 14 August 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03824236.