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Long-Term Follow-up of Children for a 2-Year Period to Confirm the Safety and Immunogenicity of GSK 257049 Vaccine

GlaxoSmithKline (GSK) logo

GlaxoSmithKline (GSK)

Status and phase

Completed
Phase 2

Conditions

Malaria

Treatments

Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine 257049
Drug: sulfadoxine-pyrimethamine
Biological: Prevnar™
Biological: Engerix™-B
Biological: Hiberix®
Drug: amodiaquine

Study type

Interventional

Funder types

Industry

Identifiers

Details and patient eligibility

About

The RTS,S/AS02A vaccine (or GSK 257049 vaccine), GSK Biologicals' candidate Plasmodium falciparum (P. falciparum) malaria vaccine is being developed for the routine immunization of infants and children living in malaria endemic areas. The vaccine would offer protection against malaria disease due to the parasite P. falciparum. The vaccine would also provide protection against infection with hepatitis B virus (HBV).

This phase IIb trial is being carried out following the demonstration of efficacy of the candidate malaria vaccine in children in Mozambique: there, the vaccine demonstrated approximately 30% efficacy against clinical episodes of malaria and approximately 58% efficacy against severe malaria disease.

In this study, the children from Mozambique (NCT= NCT00197041) are followed-up to assess the safety, immunogenicity and efficacy of the candidate malaria vaccine for a two year period commencing 21 months after Dose 1.

This protocol posting deals with objectives & outcome measures of the extension phase at year 2. During this extension study, no new subjects will be recruited and no vaccine will be administered.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Enrollment

1,737 patients

Sex

All

Ages

33 to 69 months old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Completion of Visit 7, Month 21 of 104297 (NCT= NCT00197041).
  • Written informed consent obtained from the parent(s) or guardian(s) of the subject

Exclusion criteria

  • Planned use of any investigational or non-registered drug or vaccine during the study period.
  • Simultaneous participation in any other clinical trial

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

1,737 participants in 8 patient groups

Cohort 1-RTS,S/AS02A <24M Group
Experimental group
Description:
Subjects, male and female, aged 12 to 24 months at first vaccination, were administered 3 doses of RTS,S/AS02A (GSK 257049) vaccine at Months 0, 1 and 2 in the NCT00197041 Study. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study. Subjects in this group are part of the Cohort 1 of the study, which was followed for analysis of malaria infection.
Treatment:
Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine 257049
Cohort 1-RTS,S/AS02A ≥24M Group
Experimental group
Description:
Subjects, male and female, aged between 24 and 48 months at first vaccination, were administered 3 doses of RTS,S/AS02A (GSK 257049) vaccine at Months 0, 1 and 2 in the NCT00197041 Study. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study. Subjects in this group are part of the Cohort 1 of the study, which was followed for analysis of malaria infection.
Treatment:
Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine 257049
Cohort 2-RTS,S/AS02A <24M Group
Experimental group
Description:
Subjects, male and female, aged 12 to 24 months at first vaccination, were administered 3 doses of RTS,S/AS02A (GSK 257049) vaccine at Months 0, 1 and 2 in the NCT00197041 Study. Subjects in this group are part of the Cohort 2 of the study, which was followed for analysis of malaria disease. As Cohort 2 subjects, subjects in this group also received as part of the Primary NCT00197041 Study one dose of sulfadoxine-pyrimethamine and amodiaquine per day for 3 days 4 weeks prior to onset of surveillance, so as to clear any parasitemia. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study.
Treatment:
Drug: sulfadoxine-pyrimethamine
Drug: amodiaquine
Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine 257049
Cohort 2-RTS,S/AS02A ≥24M Group
Experimental group
Description:
Subjects, male and female, aged between 24 and 48 months at first vaccination, were administered 3 doses of RTS,S/AS02A (GSK 257049) vaccine at Months 0, 1 and 2 of the NCT00197041 Study. Subjects in this group are part of the Cohort 2 of the study, which was followed for analysis of malaria disease. As Cohort 2 subjects, subjects in this group also received as part of the Primary NCT00197041 Study one dose of sulfadoxine-pyrimethamine and amodiaquine per day for 3 days 4 weeks prior to onset of surveillance, so as to clear any parasitemia. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study.
Treatment:
Drug: sulfadoxine-pyrimethamine
Drug: amodiaquine
Biological: GSK Biologicals' candidate Plasmodium falciparum malaria vaccine 257049
Cohort 1-Prevnar-Hiberix <24M Group
Active Comparator group
Description:
Subjects, male and female, aged 12 to 24 months at first vaccination, were administered 2 doses of Prevnar™ vaccine at Months 0 and 2 and 1 dose of Hiberix® vaccine at Month 1 in the Primary NCT00197041 Study. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study. Subjects in this group are part of the Cohort 1 of the study, which was followed for analysis of malaria infection.
Treatment:
Biological: Hiberix®
Biological: Prevnar™
Cohort 1-Engerix-B ≥24M Group
Active Comparator group
Description:
Subjects, male and female, aged between 24 and 48 months at first vaccination, were administered 3 doses of Engerix®-B vaccine at Months 0, 1 and 2 in the Primary NCT00197041 Study. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study. Subjects in this group are part of the Cohort 1 of the study, which was followed for analysis of malaria infection.
Treatment:
Biological: Engerix™-B
Cohort 2-Prevnar- Hiberix <24M Group
Active Comparator group
Description:
Subjects, male and female, aged 12 to 24 months at first vaccination, were administered 2 doses of Prevnar™ vaccine at Months 0 and 2 and 1 dose of Hiberix® vaccine at Month 1 in the Primary NCT00197041 Study. Subjects in this group are part of the Cohort 2 of the study, which was followed for analysis of malaria disease. As Cohort 2 subjects, subjects in this group also received as part of the Primary NCT00197041 Study one dose of sulfadoxine-pyrimethamine and amodiaquine per day for 3 days 4 weeks prior to onset of surveillance, so as to clear any parasitemia. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study.
Treatment:
Biological: Hiberix®
Drug: sulfadoxine-pyrimethamine
Biological: Prevnar™
Drug: amodiaquine
Cohort 2-Engerix-B ≥24M Group
Active Comparator group
Description:
Subjects, male and female, aged between 24 and 48 months at first vaccination, were administered 3 doses of Engerix®-B vaccine at Months 0, 1 and 2 in the Primary NCT00197041 Study. Subjects in this group are part of the Cohort 2 of the study, which was followed for analysis of malaria disease. As Cohort 2 subjects, subjects in this group also received as part of the Primary NCT00197041 Study one dose of sulfadoxine-pyrimethamine and amodiaquine per day for 3 days 4 weeks prior to onset of surveillance, so as to clear any parasitemia. No additional dose of vaccine or drug was administered during this open follow-up NCT00323622 study.
Treatment:
Drug: sulfadoxine-pyrimethamine
Biological: Engerix™-B
Drug: amodiaquine

Trial contacts and locations

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Data sourced from clinicaltrials.gov

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