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
Trial overview
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)
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
- 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.
- 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.
- Written informed consent was provided by either the parent(s) or LAR of the study participant.
- The study participant lived in the Health and Demographic Surveillance System (HDSS) area or an equivalent surveillance system area.
- For enrollment in active surveillance: children were aged <18 months, had received at least one dose of DTP/HepB/Hib vaccine, and were identified either during DTP/HepB/Hib vaccination visits, at hospitalization before the third dose of DTP/HepB/Hib vaccine, or at the time of the first RTS,S/AS01E dose administration. This group included children from both exposed and unexposed clusters. OR
- For enrollment in enhanced hospitalization surveillance: children were aged >=6 weeks and <5 years at the time of hospitalization at any point during the study. This group included children from both exposed and unexposed clusters. Exclusion Criteria
- Children in care were excluded. A child in care was defined as a child who had been placed under the control or protection of an agency, organization, institution, or entity by the courts, government, or a government body, acting in accordance with powers conferred by law or regulation. This definition included children cared for by foster parents or living in a care home or institution when the arrangement met the above definition. It did not include children who were adopted or had an appointed legal guardian.
Trial location(s)
Study documents
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Results overview
No study documents available
Plain language summaries
Not applicable. GSK’s transparency policy provides for Plain Language Summaries for Interventional studies.