Last updated: 08/07/2026 07:30:43

A study assessing the safety, efficacy, and impact of GlaxoSmithKline Biologicals' RTS, S/AS01E malaria vaccine in young children across sub-Saharan AfricaEPI-MAL-003

GSK study ID
115056
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Finalized
Finalized
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A prospective study to evaluate the safety, effectiveness and impact of the RTS, S/AS01E vaccine in young children in sub-Saharan Africa
Trial description: The RTS,S/AS01E vaccine was developed to protect children in sub-Saharan Africa from malaria as part of routine immunization programs. This study evaluated the vaccine's safety following its introduction into routine use. In addition to assessing safety, the study also evaluated the vaccine's effectiveness and its overall impact on children's health.
Primary purpose:
Not applicable
Trial design:
Not applicable
Masking:
Not applicable
Allocation:
Not applicable
Primary outcomes:

Number of participants with adverse events of special interest (AESI) among children vaccinated with RTS,S/AS01E

Timeframe: From Day 0 (vaccination) up to the end of the protocol-defined AESI at-risk period

Number of participants with aetiology-confirmed meningitis among children vaccinated with RTS,S/AS01E

Timeframe: From Day 0 up to Month 12 (end of aetiology-confirmed meningitis at-risk period)

Active Surveillance: Incident rate of aetiology-confirmed meningitis among children vaccinated or unvaccinated with RTS,S/AS01E

Timeframe: From Day 0 up to Month 12 (end of aetiology-confirmed meningitis at-risk period)

EHS: Number of participants with aetiology-confirmed meningitis among children vaccinated or unvaccinated with RTS,S/AS01E

Timeframe: From Day 0 up to Month 12 (end of aetiology-confirmed meningitis at-risk period)

Secondary outcomes:

Active Surveillance: Incident rate of probable meningitis

Timeframe: From Day 0 up to Month 12 (end of probable meningitis at-risk period)

EHS: Number of participants with probable meningitis

Timeframe: From Day 0 up to Month 12 (end of probable meningitis at-risk period)

Active surveillance: Incident rate of clinically suspected meningitis

Timeframe: From Day 0 up to Month 12 (end of clinically suspected meningitis at risk period)

EHS: Number of participants with clinically suspected meningitis

Timeframe: From Day 0 up to Month 12 (end of clinically suspected meningitis at risk period)

Active surveillance: Incident rate of cerebral malaria

Timeframe: From Day 0 up to Month 12 (end of cerebral malaria at-risk period)

EHS: Number of participants with cerebral malaria

Timeframe: From Day 0 up to Month 12 (end of cerebral malaria at-risk period)

Active Surveillance: Incident rate of deaths (all-cause)

Timeframe: From Day 0 up to Month 44 (Study End)

EHS: Number of participants with deaths (all-cause)

Timeframe: From Day 0 up to Month 44 (Study End)

Active surveillance: Incident rate of deaths related to AESIs, AEs, meningitis and malaria

Timeframe: From Day 0 up to Month 44 (Study End)

EHS: Number of participants with deaths related to AESIs, AEs, meningitis and malaria

Timeframe: From Day 0 up to Month 44 (Study End)

Number of episodes of any malaria, severe malaria, and cerebral malaria diagnosed by rapid diagnostic test (RDT) and/or microscopy

Timeframe: From Day 0 up to Month 44 (Study End)

Active Surveillance: Number of participants hospitalized with anemia

Timeframe: From Day 0 up to Month 44 (Study End)

Active Surveillance: Number of hospitalization cases (for malaria and P. falciparum)

Timeframe: From Day 0 up to Month 44 (Study End)

Incident rate of any malaria, severe malaria and cerebral malaria, and estimation of direct effect of vaccination on the incidence of malaria

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any malaria, severe malaria and cerebral malaria, and estimation of overall effect of vaccination on the incidence of malaria

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any malaria, severe malaria and cerebral malaria, and estimation of total effect of vaccination on the incidence of malaria

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any malaria, severe malaria and cerebral malaria, and estimation of indirect effect of vaccination on the incidence of malaria

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any anemia and severe anemia among hospitalised children, and estimation of direct effect of vaccination on the incidence of anemia

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any anemia and severe anemia among hospitalised children, and estimation of overall effect of vaccination on the incidence of anemia

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any anemia and severe anemia among hospitalised children, and estimation of total effect of vaccination on the incidence of anemia

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of any anemia and severe anemia among hospitalised children, and estimation of indirect effect of vaccination on the incidence of anemia

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of hospitalisations attributed to malaria and estimation of direct effect of vaccination on the incidence of hospitalisations

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of hospitalisations attributed to malaria and estimation of overall effect of vaccination on the incidence of hospitalisations

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of hospitalisations attributed to malaria and estimation of total effect of vaccination on the incidence of hospitalisations

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of hospitalisations attributed to malaria and estimation of indirect effect of vaccination on the incidence of hospitalisations

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of deaths (all-cause mortality and deaths attributed to malaria) and estimation of direct effect of vaccination on the incidence of deaths

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of deaths (all-cause mortality and deaths attributed to malaria) and estimation of overall effect of vaccination on the incidence of deaths

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of deaths (all-cause mortality and deaths attributed to malaria) and estimation of total effect of vaccination on the incidence of deaths

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Incident rate of deaths (all-cause mortality and deaths attributed to malaria) and estimation of indirect effect of vaccination on the incidence of deaths

Timeframe: One year after Dose 4 of RTS,S/AS01E, evaluated from Dose 3, in children who received Dose 3 before 12 months of age and Dose 4 before 30 months of age

Interventions:
Not applicable
Enrollment:
77953
Observational study model:
Cohort
Primary completion date:
2025-06-08
Time perspective:
Prospective
Clinical publications:
Not applicable
Medical condition
Malaria
Product
SB257049
Collaborators
Not applicable
Study date(s)
March 2019 to August 2025
Type
Observational
Phase
4

Participation criteria

Sex
Female & Male
Age
Not applicable - 5 Years
Accepts healthy volunteers
Yes
  • Inclusion Criteria
  • The study participant’s parent(s)/legally acceptable representative(s) (LARs) were, in the opinion of the investigator, able and willing to comply with the requirements of the protocol.

Trial location(s)

Location
Status
Contact us
Contact us
Location
GSK Investigational Site
Navrongo, Ghana, N/A
Status
Study Complete
Location
GSK Investigational Site
Mangochi, Malawi, N/A
Status
Study Complete
Location
GSK Investigational Site
Kintampo, Ghana, N/A
Status
Study Complete
Location
GSK Investigational Site
Chikwawa, Malawi, N/A
Status
Study Complete
Location
GSK Investigational Site
Kisumu, Kenya, 4 0100
Status
Study Complete

Study documents

Protocol
Available language(s): English
Statistical analysis plan
Available language(s): English

If you wish to request for full study report, please contact - [email protected]

Results overview

No study documents available

Recruitment status
Finalized
Actual primary completion date
2025-06-08
Actual study completion date
2025-06-08

Plain language summaries

Not applicable. GSK’s transparency policy provides for Plain Language Summaries for Interventional studies.

Additional information about the trial

Not applicable
Participate in clinical trial
Access to clinical trial data by researchers
Visit website