Double-blind, Randomized, Controlled Study of Safety, Immunogenicity and Efficacy of a Candidate Malaria Vaccine

Sponsor
U.S. Army Medical Research and Development Command (U.S. Fed)
Overall Status
Completed
CT.gov ID
NCT00223990
Collaborator
The PATH Malaria Vaccine Initiative (MVI) (Other), United States Agency for International Development (USAID) (U.S. Fed), GlaxoSmithKline (Industry), Kenya Medical Research Institute (Other), Walter Reed Army Institute of Research (WRAIR) (U.S. Fed)
400
1
2
25.8
15.5

Study Details

Study Description

Brief Summary

This trial is currently evaluating one candidate malaria vaccine, FMP1/AS02A. This candidate malaria vaccine is being developed for the routine immunization of infants and children living in malaria-endemic areas. This vaccine would offer protection against malaria disease due to the parasite Plasmodium falciparum.

Prior to the start of this study, FMP1/AS02A had been given to approximately 60 malaria-naïve adults and 40 adults and 90 children living in malaria-endemic regions.

This study will investigate whether the candidate vaccine prevents malaria disease for 6 months post-vaccination.

One half of the enrolled subjects will receive FMP1/AS02A and the other half rabies vaccine (RabAvert).

Condition or Disease Intervention/Treatment Phase
  • Biological: FMP1/AS02A
  • Biological: RabAvert
Phase 2

Detailed Description

Field trial of a candidate antigen/adjuvant conducted at one study center with 12 outlying (satellite) field stations. Subjects were screened no more than 45 days prior to the first inoculation and were randomized on the first day of vaccination 1:1 between two arms (FMP1/AS02A and rabies vaccine). The planned immunization schedule was 0, 1, and 2 months for both study arms; however, the 4-week intervals between doses could be extended for up to 2 additional weeks if temporary suspension was deemed advisable due to serious adverse events (SAEs) or other concerns. Vaccinations were administered intramuscularly (IM) in the left anterolateral thigh muscle unless a compelling reason for using an alternate injection site was evident. Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). Follow-up of SAEs continued for study duration. Active case detection occurred during the Efficacy Follow-up Period (169 days, starting 14 days after the third vaccination (Day 71)), active case detection commenced with visits approximately every 28 days to the Walter Reed Project Kombewa clinic and terminated after 6 months (approximately Day 240). The primary study analysis for all endpoints was completed on the cleaned Efficacy Follow-up Period database after a data-lock-point. The Addendum Efficacy Follow-up Period (125 days) started with the end of the Efficacy Follow-up Period (approximately Day 240) and active case detection commenced with visits approximately every 28 days to the Walter Reed Project Kombewa Clinic and terminated after 10 months (approximately Day 364). The study addendum analysis for all endpoints was completed after the Addendum Efficacy Follow-up Period database after a data-lock-point.

Malaria cases were detected actively and passively. Active case detection was handled through scheduled (1) facilitated participant visits to the Kombewa Clinic and (2) field worker visits to participant homes. Passive case detection was handled through unscheduled, self-presentation of participants to the Kombewa Clinic. At scheduled clinic visits, blood samples were taken from all subjects to determine parasite density and hemoglobin levels. At home visits, subjects with fever or other illness within the 24 hours were transported to the clinic for collection of blood samples.

Study Design

Study Type:
Interventional
Actual Enrollment :
400 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Subjects were screened no more than 45 days prior to the first inoculation and were randomized on the first day of vaccination 1:1 between two arms (FMP1/AS02A and rabies vaccine (RabAvert)).Subjects were screened no more than 45 days prior to the first inoculation and were randomized on the first day of vaccination 1:1 between two arms (FMP1/AS02A and rabies vaccine (RabAvert)).
Masking:
Double (Participant, Investigator)
Masking Description:
Both study participants and those investigators responsible for evaluation of the endpoints will be blinded as to who receives the test article versus the comparator. On vaccination days, the comparator vaccine will be in the same package as received from the manufacturer. After agitation it will appear clear and pink. The FMP1 antigen and the AS02A adjuvant will be packaged separately. The reconstituted FMPI antigen in the AS02A adjuvant/diluent will have a milky white appearance. Because the vaccines will have a markedly different appearance, contents of the syringe will be concealed as described later in this section. The two vaccine preparation teams, consisting of the study pharmacist, pharmacy assistants, and drug manager (an experienced nurse, clinician, or pharmacist), will be responsible for vaccine preparation. They will also verify that the proper vaccine and vaccine dose is prepared and delivered to each subject.
Primary Purpose:
Prevention
Official Title:
A Dbl-blind,Randomized,Controlled,Phase IIb Field Trial in 12-47 Month-old Children in Western Kenya to Eval the Efficacy,Safety and Immunogenicity of the FMP1/AS02A Malaria Vaccine vs Rabies Vaccine
Actual Study Start Date :
Apr 8, 2005
Actual Primary Completion Date :
Apr 26, 2006
Actual Study Completion Date :
Jun 1, 2007

Arms and Interventions

Arm Intervention/Treatment
Experimental: FMP1/AS02A

FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months

Biological: FMP1/AS02A
FMP1/AS02A candidate malaria vaccine

Active Comparator: RabAvert (rabies vaccine)

RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months

Biological: RabAvert
RabAvert rabies vaccine

Outcome Measures

Primary Outcome Measures

  1. Subjects Time to First Clinical Episode of P Falciparum Malaria During the Efficacy Follow-up Period Adjusted for Time at Risk - Intent to Treat (ITT) Population [starting 14 days after the 3rd vaccination (day 71), every 28 days and ending on day 240]

    Days to first clinical episode of P falciparum malaria during the efficacy f/u period for ITT population Time at Risk adjusted for: SA= study absence MT= malaria treatment SA MT= study absence and malaria treatment Case Definitions: Primary = >37.5°C with presence of a density of asexual stage P. falciparum >50K parasites/µL blood Secondary (200) = >37.5°C with presence of a density of asexual stage P. falciparum >200K parasites/µL blood Secondary (100) = >37.5°C with presence of a density of asexual stage P. falciparum >100K parasites/µL blood Secondary (10) = >37.5°C with presence of a density of asexual stage P. falciparum >10K parasites/µL blood Secondary (0) = >37.5°C with presence of a density of asexual stage P. falciparum >0 parasites/µL blood Secondary (0*) = >37.5°C OR history of fever in the last 24 hrs with presence of a density of asexual stage P. falciparum >0 parasites/µL blood

Secondary Outcome Measures

  1. Time to First Clinical Episode of P Falciparum Malaria During the Efficacy Follow-up Period Adjusted for Time at Risk - According to Protocol (ATP) Population [starting 14 days after the 3rd vaccination (day 71), every 28 days and ending on day 240]

    Days to first clinical episode of P falciparum malaria during the efficacy f/u period for ATP population Time at Risk adjusted for: SA= study absence MT= malaria treatment SA MT= study absence and malaria treatment Case Definitions: Primary = >37.5°C with presence of a density of asexual stage P. falciparum >50K parasites/µL blood Secondary (200) = >37.5°C with presence of a density of asexual stage P. falciparum >200K parasites/µL blood Secondary (100) = >37.5°C with presence of a density of asexual stage P. falciparum >100K parasites/µL blood Secondary (10) = >37.5°C with presence of a density of asexual stage P. falciparum >10K parasites/µL blood Secondary (0) = >37.5°C with presence of a density of asexual stage P. falciparum >0 parasites/µL blood Secondary (0*) = >37.5°C OR history of fever in the last 24 hrs with presence of a density of asexual stage P. falciparum >0 parasites/µL blood

  2. Vaccine-Related Solicited Symptoms During 7-day Follow-up Period by Immunization - Intent to Treat (ITT) Population [vaccination day plus post-vaccination days 1, 2, 3, and 6]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3

  3. Vaccine-Related Solicited Symptoms During 7-day Follow-up Period by Immunization - According to Protocol (ATP) Population [vaccination day plus post-vaccination days 1, 2, 3, and 6]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3

  4. Vaccine-Related Unsolicited Adverse Events by Immunization - Intent to Treat (ITT) Population [vaccination day and 29 subsequent days]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3

  5. Vaccine-Related Unsolicited Adverse Events by Immunization - According to Protocol (ATP) Population [vaccination day and 29 subsequent days]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3

  6. Number of Patients Who Showed Symptoms, Unsolicited Adverse Events, and Serious Adverse Events by Immunization [vaccination day plus post-vaccine days 1, 2, 3, and 6; 30 day follow-up for unsolicited events and follow-up for SAEs to continue for duration of study (364 days)]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). Follow-up of SAEs continued for study duration (364 days)

  7. Vaccine-Related Local and Systemic Solicited Adverse Events by Immunization - According to Protocol (ATP) [vaccination day plus 29 subsequent days]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3

  8. Vaccine-Related Local and Systemic Solicited Adverse Events by Immunization - Intent to Treat (ITT) [vaccination day plus 29 subsequent days]

    Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3

Eligibility Criteria

Criteria

Ages Eligible for Study:
12 Months to 47 Months
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
All subjects must satisfy the following criteria at study entry:
  • A healthy male or female child, 12 to 47 months of age on the day of screening

  • Written informed consent obtained from at least one parent/guardian before study start

  • Available to participate for the study duration (about 14 months)

Exclusion Criteria:
  • Acute disease at the time of entry into the study that in the opinion of the investigator may pose a threat to the subject

  • Prior receipt of a rabies vaccine or any investigational vaccine

  • Use of any investigational drug or vaccine other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use up to 30 days after the third dose

  • Administration of chronic (defined as more than 14 days) immunosuppressants or other immune-modifying drugs within six months of vaccination. (For corticosteroids, this will mean prednisone, or equivalent, greater than or equal to 0.5 mg/kg/day. Inhaled and topical steroids are allowed)

  • Administration or anticipated administration of a vaccine not foreseen by the study protocol within 30 days of the first dose of vaccine(s) with the exception of tetanus toxoid

  • Previous vaccination with a vaccine containing MPL or QS21 (e.g., RTS,S/AS02A)

  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection. (No HIV test will be performed as part of this study.)

  • History of allergic reactions or anaphylaxis to immunizations or to any vaccine components, such as eggs

  • History of surgical splenectomy

  • Administration of immunoglobulins, blood transfusions, or any other blood products within the six months preceding the first dose of study vaccine or planned administration during the study period

  • Simultaneous participation in any other clinical trial

  • Acute or chronic cardiovascular, pulmonary, hepatic, or renal condition that in the opinion of the PI, may increase the risk to the subject from participating in the study

  • Any other condition or circumstance that in the opinion of the investigator may pose a threat to the subject

Contacts and Locations

Locations

Site City State Country Postal Code
1 Walter Reed Project, Kombewa Clinic Kisumu Nyanza Province Kenya

Sponsors and Collaborators

  • U.S. Army Medical Research and Development Command
  • The PATH Malaria Vaccine Initiative (MVI)
  • United States Agency for International Development (USAID)
  • GlaxoSmithKline
  • Kenya Medical Research Institute
  • Walter Reed Army Institute of Research (WRAIR)

Investigators

  • Principal Investigator: Bernhards Ogutu, M.D., Kenya Medical Research Institute

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
U.S. Army Medical Research and Development Command
ClinicalTrials.gov Identifier:
NCT00223990
Other Study ID Numbers:
  • A-13228
  • IND 9202
  • 1123
First Posted:
Sep 22, 2005
Last Update Posted:
Feb 12, 2021
Last Verified:
Feb 1, 2021
Keywords provided by U.S. Army Medical Research and Development Command
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Subjects were screened no more than 45 days prior to the first inoculation and were randomized on the first day of vaccination 1:1 between two arms (FMP1/AS02A and rabies vaccine) at the Walter Reed Project Kombewa Clinic in Kombewa Division, Kisumu District, Nyanze Province, Western Kenya (and 12 small field stations within Kombewa Division).
Pre-assignment Detail
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Period Title: Overall Study
STARTED 200 200
COMPLETED 193 191
NOT COMPLETED 7 9

Baseline Characteristics

Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine) Total
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine Total of all reporting groups
Overall Participants 200 200 400
Age (Months) [Mean (Standard Deviation) ]
Walter Reed Project Field Station
28.6
(10.6)
29.2
(10.9)
28.9
(10.7)
Abol Field Station
34.3
(9.7)
28.9
(10.0)
31.6
(10.0)
Bar-Korwa Field Station
22.0
(6.2)
32.8
(5.9)
26.6
(8.0)
Got-Aglu Field Station
29.1
(11.8)
25.0
(8.6)
26.8
(10.2)
Kitare Field Station
30.2
(10.7)
29.9
(10.0)
30.1
(10.2)
Kuoyo-Kowe Field Station
31.1
(9.3)
31.7
(9.4)
31.4
(9.2)
Manyanda Field Station
30.6
(6.4)
31.1
(8.2)
30.9
(7.0)
Mirieri Field Station
30.3
(10.0)
26.5
(10.1)
28.8
(10.0)
Nduru Field Station
26.1
(10.2)
34.6
(10.2)
30.9
(10.9)
Oruga Field Station
30.5
(9.5)
33.1
(9.6)
31.8
(9.5)
Osewre Field Station
31.1
(11.3)
30.7
(8.4)
30.9
(9.8)
Ranen Field Station
26.2
(10.9)
32.2
(11.2)
29.5
(11.2)
Reru Field Station
26.9
(11.0)
30.3
(10.8)
28.9
(10.7)
Sex: Female, Male (Count of Participants)
Female
16
8%
17
8.5%
33
8.3%
Male
25
12.5%
24
12%
49
12.3%
Female
7
3.5%
4
2%
11
2.8%
Male
7
3.5%
8
4%
15
3.8%
Female
3
1.5%
3
1.5%
6
1.5%
Male
4
2%
2
1%
6
1.5%
Female
6
3%
6
3%
12
3%
Male
8
4%
11
5.5%
19
4.8%
Female
10
5%
5
2.5%
15
3.8%
Male
9
4.5%
12
6%
21
5.3%
Female
8
4%
7
3.5%
15
3.8%
Male
9
4.5%
11
5.5%
20
5%
Female
5
2.5%
5
2.5%
10
2.5%
Male
3
1.5%
2
1%
5
1.3%
Female
13
6.5%
3
1.5%
16
4%
Male
5
2.5%
8
4%
13
3.3%
Female
8
4%
5
2.5%
13
3.3%
Male
2
1%
8
4%
10
2.5%
Female
7
3.5%
7
3.5%
14
3.5%
Male
12
6%
11
5.5%
23
5.8%
Female
3
1.5%
6
3%
9
2.3%
Male
8
4%
3
1.5%
11
2.8%
Female
6
3%
5
2.5%
11
2.8%
Male
4
2%
7
3.5%
11
2.8%
Female
5
2.5%
5
2.5%
10
2.5%
Male
2
1%
5
2.5%
7
1.8%
Race and Ethnicity Not Collected (Count of Participants)
Count of Participants [Participants]
0
0%
Region of Enrollment (Count of Participants)
Kenya
200
100%
200
100%
400
100%
Malaria Prevention - WRAIR Field Station (Count of Participants)
Always sleep under mosquito net
34
17%
31
15.5%
65
16.3%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
6
3%
7
3.5%
13
3.3%
Other
0
0%
0
0%
0
0%
Hemoglobin, g/dL - WRAIR Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
1.16
(1.377)
10.53
(1.18)
10.40
(1.29)
Sickle Cell Status - WRAIR Field Station (Count of Participants)
AA
37
18.5%
36
18%
73
18.3%
AS
3
1.5%
5
2.5%
8
2%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
1
0.5%
0
0%
1
0.3%
G6PD deficient
4
2%
6
3%
10
2.5%
Alpha-Thalassemia - WRAIR Field Station (Count of Participants)
Hetero
17
8.5%
20
10%
37
9.3%
Normal
21
10.5%
20
10%
41
10.3%
Homo
3
1.5%
1
0.5%
4
1%
Parasite Density (par/µL blood) - WRAIR Field Station (par/µL blood) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL blood]
5045.3
(13280.0)
5716.3
(24832.9)
5380.8
(19792.3)
Malaria Prevention - Abol Field Station (Count of Participants)
Always sleep under mosquito net
11
5.5%
11
5.5%
22
5.5%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
1
0.5%
1
0.5%
2
0.5%
Other
0
0%
0
0%
0
0%
Hemoglobin, g/dL - Abol Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.69
(0.70)
9.99
(1.13)
10.37
(0.98)
Sickle Cell Status - Abol Field Station (Count of Participants)
AA
12
6%
7
3.5%
19
4.8%
AS
2
1%
4
2%
6
1.5%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
1
0.5%
1
0.3%
G6PD deficient
0
0%
1
0.5%
1
0.3%
Baseline Alpha-Thalassemia - Abol Field Station (Count of Participants)
Hetero
6
3%
3
1.5%
9
2.3%
Normal
7
3.5%
8
4%
15
3.8%
Homo
1
0.5%
1
0.5%
2
0.5%
Baseline Density (par-µL blood)- Abol Field Station (par/µL blood) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL blood]
1509.6
(2816.8)
303.5
(754.7)
963.0
(2180.0)
Baseline Malaria Prevention - Bar-Korwa Field Station (Count of Participants)
Always sleep under mosquito net
7
3.5%
5
2.5%
12
3%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use moquito coils or sprays
0
0%
1
0.5%
1
0.3%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Bar-Korwa Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.24
(0.91)
10.28
(0.84)
10.26
(0.84)
Baseline Sickle Cell Status - Bar-Korwa Field Station (Count of Participants)
AA
3
1.5%
4
2%
7
1.8%
AS
4
2%
1
0.5%
5
1.3%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
0
0%
1
0.5%
1
0.3%
Baseline Alpha-Thalassemia- Bar-Korwa Field Station (Count of Participants)
Hetero
0
0%
2
1%
2
0.5%
Normal
6
3%
3
1.5%
9
2.3%
Homo
1
0.5%
0
0%
1
0.3%
Baseline Parasite Density (par/µL blood) - Bar-Korwa Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
1481.1
(3918.5)
1679.0
(2907.7)
1563.5
(3385.3)
Baseline Malaria Prevention - Got-Aglu Field Station (Count of Participants)
Always sleep under mosquito net
8
4%
8
4%
16
4%
Use topical mosquito repellents
1
0.5%
0
0%
1
0.3%
Use mosquito coils or sprays
4
2%
7
3.5%
11
2.8%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Got-Aglu Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.42
(1.36)
10.30
(1.38)
10.35
(1.35)
Baseline Sickle Cell Status - Got-Aglu Field Station (Count of Participants)
AA
8
4%
14
7%
22
5.5%
AS
5
2.5%
3
1.5%
8
2%
AD
1
0.5%
0
0%
1
0.3%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
2
1%
3
1.5%
5
1.3%
Baseline Alpha-Thalassemia - Got-Aglu Field Station (Count of Participants)
Hetero
9
4.5%
10
5%
19
4.8%
Normal
4
2%
6
3%
10
2.5%
Homo
1
0.5%
1
0.5%
2
0.5%
Baseline Parasite Density (par/µL blood) - Got-Aglu Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
2427.1
(6899.7)
3932.5
(7509.3)
3252.7
(7161.3)
Baseline Malarie Prevention - Kitare Field Station (Count of Participants)
Always sleep under mosquito net
17
8.5%
16
8%
33
8.3%
Use topical mosquito repellents
1
0.5%
0
0%
1
0.3%
Use mosquito coils or sprays
0
0%
1
0.5%
1
0.3%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Kitare Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.42
(1.10)
9.96
(0.94)
10.20
(1.04)
Baseline Sickle Cell Status - Kitare Field Station (Count of Participants)
AA
14
7%
10
5%
24
6%
AS
5
2.5%
7
3.5%
12
3%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
1
0.5%
2
1%
3
0.8%
Baseline Alpha-Thalassemia - Kitare Field Station (Count of Participants)
Hetero
9
4.5%
10
5%
19
4.8%
Normal
7
3.5%
6
3%
13
3.3%
Homo
3
1.5%
1
0.5%
4
1%
Baseline Parasite Density (par/µL blood) - Kitare Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
1645.5
(4375.6)
550.1
(1416.7)
1144.8
(3355.7)
Baseline Malaria Prevention - Kuoyo-Kowe Field Station (Count of Participants)
Always sleep under mosquito net
9
4.5%
12
6%
21
5.3%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
3
1.5%
4
2%
7
1.8%
Other
1
0.5%
0
0%
1
0.3%
Baseline Hemoglobin (g/dL) - Kuoyo-Kowe Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.75
(1.20)
10.19
(1.28)
10.46
(1.25)
Baseline Sickle Cell Status - Kuoyo-Kowe Field Station (Count of Participants)
AA
13
6.5%
16
8%
29
7.3%
AS
4
2%
2
1%
6
1.5%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
5
2.5%
2
1%
7
1.8%
Baseline Alpha-Thalassemia - Kuoyo-Kowe Field Station (Count of Participants)
Hetero
3
1.5%
8
4%
11
2.8%
Normal
13
6.5%
7
3.5%
20
5%
Homo
1
0.5%
3
1.5%
4
1%
Baseline Parasite Density (par/µL blood) - Kuoyo-Kowe Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
1073.0
(2664.)
1185.0
(4230.4)
1130.6
(3502.5)
Baseline Malaria Prevention - Manyanda Field Station (Count of Participants)
Always sleep under mosquito net
7
3.5%
6
3%
13
3.3%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
2
1%
1
0.5%
3
0.8%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Manyanda Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.34
(1.29)
10.46
(7.67)
10.39
(1.42)
Baseline Sick Cell Status - Manyanda Field Station (Count of Participants)
AA
6
3%
4
2%
10
2.5%
AS
2
1%
3
1.5%
5
1.3%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
0
0%
0
0%
0
0%
Baseline Alpha-Thalassemia - Manyanda Field Station (Count of Participants)
Hetero
3
1.5%
1
0.5%
4
1%
Normal
5
2.5%
6
3%
11
2.8%
Homo
0
0%
0
0%
0
0%
Baseline Parasite Density (par/µL blood) - Manyanda Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
148.9
(330.1)
2441.0
(4236.4)
1218.5
(3024.4)
Baseline Malaria Prevention - Mirieri Field Station (Count of Participants)
Always sleep under mosquito net
10
5%
6
3%
16
4%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
1
0.5%
3
1.5%
4
1%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Mirieri Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
11.10
(0.97)
10.48
(1.38)
10.87
(1.16)
Baseline Sickle Cell Status - Mirieri Field Station (Count of Participants)
AA
16
8%
8
4%
24
6%
AS
2
1%
3
1.5%
5
1.3%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
3
1.5%
0
0%
3
0.8%
Baseline Alpha-Thalassemia - Mirieri Field Station (Count of Participants)
Hetero
8
4%
6
3%
14
3.5%
Normal
8
4%
4
2%
12
3%
Homo
2
1%
1
0.5%
3
0.8%
Baseline Parasite Density (par/µL blood) - Mirieri Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
1669.4
(3848.2)
15775
(51756.8)
7019.6
(31662.4)
Baseline Malaria Prevention - Nduru Kadero Field Station (Count of Participants)
Always sleep under mosquito net
5
2.5%
8
4%
13
3.3%
Use topical mosquito repellents
1
0.5%
0
0%
1
0.3%
Use mosquito coils or sprays
5
2.5%
2
1%
7
1.8%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Nduru Kadero Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.48
(1.18)
10.78
(1.28)
10.66
(1.21)
Baseline Sickle Cell Status - Nduru Kadero Field Station (Count of Participants)
AA
9
4.5%
11
5.5%
20
5%
AS
1
0.5%
2
1%
3
0.8%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
0
0%
1
0.5%
1
0.3%
Baseline Alpha-Thalassemia - Nduru Kadero Field Station (Count of Participants)
Hetero
5
2.5%
10
5%
15
3.8%
Normal
4
2%
2
1%
6
1.5%
Homo
1
0.5%
1
0.5%
2
0.5%
Baseline Parasite Density (par/µL blood) - Nduru Kadero Field Station (par/µL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL]
1676.5
(5123.2)
6749.7
(20674.1)
4543.9
(15826.8)
Baseline Malaria Prevention - Oruga Field Station (Count of Participants)
Alwasy sleep under mosquito net
15
7.5%
12
6%
27
6.8%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
1
0.5%
3
1.5%
4
1%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Oruga Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.57
(1.00)
9.96
(1.23)
10.27
(1.15)
Baseline Sickle Cell Status - Oruga Field Station (Count of Participants)
AA
15
7.5%
16
8%
31
7.8%
AS
3
1.5%
2
1%
5
1.3%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
1
0.5%
0
0%
1
0.3%
G6PD deficient
2
1%
2
1%
4
1%
Baseline Alpha-Thalassemia - Oruga Field Station (Count of Participants)
Hetero
4
2%
7
3.5%
11
2.8%
Normal
10
5%
9
4.5%
19
4.8%
Homo
5
2.5%
2
1%
7
1.8%
Baseline Parasite Density (par/µL blood) - Oruga Field Station (par/µL blood) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL blood]
1481.6
(3068.2)
3034.9
(5151.7)
2237.3
(4226.0)
Baseline Malaria Prevention - Osewre Field Station (Count of Participants)
Always sleep under mosquito net
8
4%
6
3%
14
3.5%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
2
1%
1
0.5%
3
0.8%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Osewre Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.06
(1.62)
10.18
(1.08)
10.12
(1.37)
Baseline Sickle Cell Status - Osewre Field Station (Count of Participants)
AA
11
5.5%
9
4.5%
20
5%
AS
0
0%
0
0%
0
0%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
0
0%
2
1%
2
0.5%
Baseline Alpha-Thalassemia - Osewre Field Station (Count of Participants)
Hetero
3
1.5%
5
2.5%
8
2%
Normal
8
4%
3
1.5%
11
2.8%
Homo
0
0%
1
0.5%
1
0.3%
Baseline Parasite Density (par/µL blood) - Osewre Field Station (par/µL blood) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL blood]
5288.3
(10961.1)
1129.7
(2548.3)
3416.9
(8394.9)
Baseline Malaria Prevention - Ranen Field Station (Count of Participants)
Always sleep under mosquito net
5
2.5%
12
6%
17
4.3%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
3
1.5%
0
0%
3
0.8%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Ranen Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.01
(1.03)
10.34
(1.24)
10.19
(1.14)
Baseline Sickle Cell Status - Ranen Field Station (Count of Participants)
AA
9
4.5%
9
4.5%
18
4.5%
AS
1
0.5%
3
1.5%
4
1%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
1
0.5%
1
0.5%
2
0.5%
Baseline Alpha-Thalassemia - Ranen Field Station (Count of Participants)
Hetero
6
3%
5
2.5%
11
2.8%
Normal
2
1%
6
3%
8
2%
Homo
2
1%
1
0.5%
3
0.8%
Baseline Parasite Density (par/µL blood) - Ranen Field Station (par/µL blood) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL blood]
3734.0
(11675.1)
5906.4
(14161.9)
4871.9
(12761.4)
Baseline Malaria Prevention - Reru Field Station (Count of Participants)
Always sleep under mosquito net
3
1.5%
7
3.5%
10
2.5%
Use topical mosquito repellents
0
0%
0
0%
0
0%
Use mosquito coils or sprays
3
1.5%
5
2.5%
8
2%
Other
0
0%
0
0%
0
0%
Baseline Hemoglobin (g/dL) - Reru Field Station (g/dL) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [g/dL]
10.44
(1.57)
10.14
(1.03)
10.26
(1.24)
Baseline Sickle Cell Status - Reru Field Station (Count of Participants)
AA
5
2.5%
8
4%
13
3.3%
AS
2
1%
2
1%
4
1%
AD
0
0%
0
0%
0
0%
A+ Hb Kenya
0
0%
0
0%
0
0%
G6PD deficient
2
1%
2
1%
4
1%
Baseline Alpha-Thalassemia - Reru Field Station (Count of Participants)
Hetero
4
2%
5
2.5%
9
2.3%
Normal
2
1%
4
2%
6
1.5%
Homo
1
0.5%
1
0.5%
2
0.5%
Baseline Parasite Density (par/µL blood) - Reru Field Station (par/µL blood) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [par/µL blood]
823.5
(1490.1)
5377.5
(13315.9)
3502.3
(10291.2)

Outcome Measures

1. Primary Outcome
Title Subjects Time to First Clinical Episode of P Falciparum Malaria During the Efficacy Follow-up Period Adjusted for Time at Risk - Intent to Treat (ITT) Population
Description Days to first clinical episode of P falciparum malaria during the efficacy f/u period for ITT population Time at Risk adjusted for: SA= study absence MT= malaria treatment SA MT= study absence and malaria treatment Case Definitions: Primary = >37.5°C with presence of a density of asexual stage P. falciparum >50K parasites/µL blood Secondary (200) = >37.5°C with presence of a density of asexual stage P. falciparum >200K parasites/µL blood Secondary (100) = >37.5°C with presence of a density of asexual stage P. falciparum >100K parasites/µL blood Secondary (10) = >37.5°C with presence of a density of asexual stage P. falciparum >10K parasites/µL blood Secondary (0) = >37.5°C with presence of a density of asexual stage P. falciparum >0 parasites/µL blood Secondary (0*) = >37.5°C OR history of fever in the last 24 hrs with presence of a density of asexual stage P. falciparum >0 parasites/µL blood
Time Frame starting 14 days after the 3rd vaccination (day 71), every 28 days and ending on day 240

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 200 200
SA: Primary
107
121
SA: Secondary (200)
25
29
SA: Secondary (100)
68
80
SA: Secondary (10)
130
143
SA: Secondary (0)
158
165
SA: Secondary (0*)
185
182
MT: Primary
105
116
MT: Secondary (200)
23
27
MT: Secondary (100)
64
76
MT: Secondary (10)
130
138
MT: Secondary (0)
156
161
MT: Secondary (0*)
186
182
SA MT: Primary
101
113
SA MT: Secondary (200)
22
27
SA MT: Secondary (100)
60
76
SA MT: Secondary (10)
125
138
SA MT: Secondary (0)
151
160
SA MT: Secondary (0*)
183
182
2. Secondary Outcome
Title Time to First Clinical Episode of P Falciparum Malaria During the Efficacy Follow-up Period Adjusted for Time at Risk - According to Protocol (ATP) Population
Description Days to first clinical episode of P falciparum malaria during the efficacy f/u period for ATP population Time at Risk adjusted for: SA= study absence MT= malaria treatment SA MT= study absence and malaria treatment Case Definitions: Primary = >37.5°C with presence of a density of asexual stage P. falciparum >50K parasites/µL blood Secondary (200) = >37.5°C with presence of a density of asexual stage P. falciparum >200K parasites/µL blood Secondary (100) = >37.5°C with presence of a density of asexual stage P. falciparum >100K parasites/µL blood Secondary (10) = >37.5°C with presence of a density of asexual stage P. falciparum >10K parasites/µL blood Secondary (0) = >37.5°C with presence of a density of asexual stage P. falciparum >0 parasites/µL blood Secondary (0*) = >37.5°C OR history of fever in the last 24 hrs with presence of a density of asexual stage P. falciparum >0 parasites/µL blood
Time Frame starting 14 days after the 3rd vaccination (day 71), every 28 days and ending on day 240

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 200 200
SA: Primary
85
86
SA: Secondary (200)
17
13
SA: Secondary (100)
49
50
SA: Secondary (10)
103
107
SA: Secondary (0)
130
138
SA: Secondary (0*)
171
168
MT: Primary
80
79
MT: Secondary (200)
16
12
MT: Secondary (100)
46
47
MT: Secondary (10)
100
101
MT: Secondary (0)
127
131
MT: Secondary (0*)
173
168
SA MT: Primary
78
76
SA MT: Secondary (200)
15
12
SA MT: Secondary (100)
44
47
SA MT: Secondary (10)
96
100
SA MT: Secondary (0)
122
131
SA MT: Secondary (0*)
168
168
3. Secondary Outcome
Title Vaccine-Related Solicited Symptoms During 7-day Follow-up Period by Immunization - Intent to Treat (ITT) Population
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3
Time Frame vaccination day plus post-vaccination days 1, 2, 3, and 6

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 200 200
I1 - Pain
140
70%
9
4.5%
I1 - Swelling
51
25.5%
1
0.5%
I1 - Fever
61
30.5%
11
5.5%
I1 - Drowsiness
1
0.5%
0
0%
I1 - Loss of appetite
27
13.5%
6
3%
I1 - Irritability/fussiness
14
7%
1
0.5%
I2 - Pain
113
56.5%
6
3%
I2 - Swelling
28
14%
0
0%
I2 - Fever
46
23%
3
1.5%
I2 - Drowsiness
1
0.5%
0
0%
I2 - Loss of appetite
21
10.5%
4
2%
I2 - Irritability/fussiness
7
3.5%
0
0%
I3 - Pain
66
33%
1
0.5%
I3 - Swelling
16
8%
1
0.5%
I3 - Fever
17
8.5%
6
3%
I3 - Drowsiness
0
0%
0
0%
I3 - Loss of appetite
5
2.5%
3
1.5%
I3 - Irritability/fussiness
3
1.5%
0
0%
4. Secondary Outcome
Title Vaccine-Related Solicited Symptoms During 7-day Follow-up Period by Immunization - According to Protocol (ATP) Population
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3
Time Frame vaccination day plus post-vaccination days 1, 2, 3, and 6

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 195 190
I1 - Pain
137
68.5%
8
4%
I1 - Swelling
50
25%
1
0.5%
I1 - Fever
61
30.5%
10
5%
I1 - Drowsiness
1
0.5%
0
0%
I1 - Loss of appetite
27
13.5%
6
3%
I1 - Irritability/fussiness
13
6.5%
1
0.5%
I2 - Pain
113
56.5%
5
2.5%
I2 - Swelling
28
14%
0
0%
I2 - Fever
46
23%
3
1.5%
I2 - Drowsiness
1
0.5%
0
0%
I2 - Loss of appetite
21
10.5%
3
1.5%
I2 - Irritability/fussiness
7
3.5%
0
0%
I3 - Pain
66
33%
1
0.5%
I3 - Swelling
15
7.5%
1
0.5%
I3 - Fever
17
8.5%
6
3%
I3 - Drowsiness
0
0%
0
0%
I3 - Loss of appetite
5
2.5%
3
1.5%
I3 - Irritability/fussiness
3
1.5%
0
0%
5. Secondary Outcome
Title Vaccine-Related Unsolicited Adverse Events by Immunization - Intent to Treat (ITT) Population
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3
Time Frame vaccination day and 29 subsequent days

Outcome Measure Data

Analysis Population Description
withdrawals
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 200 200
I1 - Body as a whole general
14
7
I2 - Body as a whole general
7
3
I3 - Body as a whole general
4
0
I1 - History of fever
13
7
I2 - History of fever
7
3
I3 - History of fever
4
0
I1 - Fever
1
0
I2 - Fever
0
0
I3 - Fever
0
0
I1 - Rash maculo-papular
0
0
I2 - Rash maculo-papular
0
0
I3 - Rash maculo-papular
1
0
I1 - Gastroenteritis
0
1
I2 - Gastroenteritis
0
0
I3 - Gastroenteritis
0
0
I1 - Headache
0
0
I2 - Headache
0
0
I3 - Headache
1
0
I1 - Injection site inflammation
0
0
I2 - Injection site inflammation
0
0
I3 - Injection site inflammation
0
1
6. Secondary Outcome
Title Vaccine-Related Unsolicited Adverse Events by Immunization - According to Protocol (ATP) Population
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3
Time Frame vaccination day and 29 subsequent days

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 195 190
I1 - Body as a whole general
13
6
I2 - Body as a whole general
7
2
I3 - Body as a whole general
4
0
I1 - History of Fever
12
6
I2 - History of Fever
7
2
I3 - History ofFever
4
0
I1 - Fever
1
0
I2 - Fever
0
0
I3 - Fever
0
0
I1 - Rash maculo-papular
0
0
I2 - Rash maculo-papular
0
0
I3 - Rash maculo-papular
1
0
I1 - Gastroenteritis
0
1
I2 - Gastroenteritis
0
0
I3 - Gastroenteritis
0
0
I1 - Headache
0
0
I2 - Headache
0
0
I3 - Headache
1
0
I1 - Injection site inflammation
0
0
I2 - Injection site inflammation
0
0
I3 - Injection site inflammation
0
1
7. Secondary Outcome
Title Number of Patients Who Showed Symptoms, Unsolicited Adverse Events, and Serious Adverse Events by Immunization
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). Follow-up of SAEs continued for study duration (364 days)
Time Frame vaccination day plus post-vaccine days 1, 2, 3, and 6; 30 day follow-up for unsolicited events and follow-up for SAEs to continue for duration of study (364 days)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 200 200
Any solicited symptom
195
97.5%
85
42.5%
Any unsolicited AE
197
98.5%
197
98.5%
Any serious adverse event
16
8%
8
4%
Red blood cell
176
88%
167
83.5%
Resistance mechanism
167
83.5%
160
80%
Body as a whole general
174
87%
115
57.5%
Skin and appendages
132
66%
132
66%
Gastroentestinal
128
64%
116
58%
Application site
176
88%
15
7.5%
Respiratory
61
30.5%
69
34.5%
Vision
36
18%
35
17.5%
Psychiatric
30
15%
3
1.5%
Liver and biliary
10
5%
12
6%
Central and peripheral nervous system
12
6%
9
4.5%
White cell and reticuloendothelial
6
3%
10
5%
Urinary
6
3%
4
2%
Platelet bleeding and clotting
1
0.5%
4
2%
Musculoskeletal
1
0.5%
3
1.5%
Hearing and vestibular
1
0.5%
2
1%
Endocrine
0
0%
2
1%
Reproductive
2
1%
0
0%
8. Secondary Outcome
Title Vaccine-Related Local and Systemic Solicited Adverse Events by Immunization - According to Protocol (ATP)
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3
Time Frame vaccination day plus 29 subsequent days

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 195 190
I1 - Any symptom
157
22
I1 - Local
139
9
I1 - Systemic
82
16
I2 - Any symptom
131
10
I2 - Local
113
5
I2 - Systemic
62
6
I3 - Any symptom
76
10
I3 - Local
66
1
I3 - Systemic
21
9
9. Secondary Outcome
Title Vaccine-Related Local and Systemic Solicited Adverse Events by Immunization - Intent to Treat (ITT)
Description Each subject participated in the study approximately 14 months with 7-day follow-up for solicited adverse events (five visits: vaccination day plus post-vaccination days 1, 2, 3, and 6) and 30-day follow-up for unsolicited events (vaccination day plus 29 subsequent days). I1 = Immunization 1 I2 = Immunization 2 I3 = Immunization 3
Time Frame vaccination day plus 29 subsequent days

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
Measure Participants 200 200
I1 - Any symptom
160
24
I1 - Local
142
10
I1 - Systemic
83
17
I2 - Any symptom
131
11
I2 - Local
113
5
I2 - Systemic
62
7
I3 - Any symptom
76
10
I3 - Local
66
1
I3 - Systemic
21
9

Adverse Events

Time Frame 14 months to include follow-up for unsolicited adverse events 30 days post dose-3
Adverse Event Reporting Description
Arm/Group Title FMP1/AS02A RabAvert (Rabies Vaccine)
Arm/Group Description FMP1/AS02A candidate malaria vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months FMP1/AS02A: FMP1/AS02A candidate malaria vaccine RabAvert vaccine was administered IM in the left anterolateral thigh muscle at 0, 1, and 2 months RabAvert: RabAvert rabies vaccine
All Cause Mortality
FMP1/AS02A RabAvert (Rabies Vaccine)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/200 (0.5%) 0/200 (0%)
Serious Adverse Events
FMP1/AS02A RabAvert (Rabies Vaccine)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 15/200 (7.5%) 8/200 (4%)
Blood and lymphatic system disorders
Malaria 0/200 (0%) 0 1/200 (0.5%) 1
Gastrointestinal disorders
Gastroenteritis 1/200 (0.5%) 1 0/200 (0%) 0
Immune system disorders
Allergic reaction 0/200 (0%) 0 1/200 (0.5%) 1
Infections and infestations
Cellulitis 2/200 (1%) 2 0/200 (0%) 0
Cerebral malaria; severe anemia 1/200 (0.5%) 1 1/200 (0.5%) 1
Pneumonia 2/200 (1%) 2 0/200 (0%) 0
Injury, poisoning and procedural complications
Foreign body in ear 0/200 (0%) 0 1/200 (0.5%) 1
Foreign body in nostril 1/200 (0.5%) 1 0/200 (0%) 0
Investigations
Parasitemia >20% 9/200 (4.5%) 9 4/200 (2%) 4
Nervous system disorders
Convulsions 1/200 (0.5%) 1 1/200 (0.5%) 1
Respiratory, thoracic and mediastinal disorders
Hyper-responsive airway disease 1/200 (0.5%) 1 0/200 (0%) 0
Other (Not Including Serious) Adverse Events
FMP1/AS02A RabAvert (Rabies Vaccine)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 197/200 (98.5%) 197/200 (98.5%)
Blood and lymphatic system disorders
Malaria 172/200 (86%) 172 166/200 (83%) 166
Anemia 4/200 (2%) 4 7/200 (3.5%) 7
Severe malaria 3/200 (1.5%) 3 2/200 (1%) 2
Severe anemia 0/200 (0%) 0 1/200 (0.5%) 1
Hemoglobinuria 0/200 (0%) 0 1/200 (0.5%) 1
Anemai nemolytic 0/200 (0%) 0 1/200 (0.5%) 1
Lymphocytopenia 2/200 (1%) 2 6/200 (3%) 6
Lymphadenopathy 2/200 (1%) 2 4/200 (2%) 4
Leukocytosis 2/200 (1%) 2 0/200 (0%) 0
Splenomegaly 0/200 (0%) 0 1/200 (0.5%) 1
Lymphocytosis 1/200 (0.5%) 1 0/200 (0%) 0
Thrombocytopenia 1/200 (0.5%) 1 4/200 (2%) 4
Ear and labyrinth disorders
Earache 1/200 (0.5%) 1 0/200 (0%) 0
Cerumen 0/200 (0%) 0 1/200 (0.5%) 1
Endocrine disorders
Sialoadenitis 0/200 (0%) 0 2/200 (1%) 2
Gastrointestinal disorders
Diarrhea 39/200 (19.5%) 39 43/200 (21.5%) 43
Loss of appetite (anorexia) 39/200 (19.5%) 39 41/200 (20.5%) 41
Parasitic infection 21/200 (10.5%) 21 20/200 (10%) 20
Gastroenteritis 14/200 (7%) 14 21/200 (10.5%) 21
Abdominal pain 13/200 (6.5%) 13 13/200 (6.5%) 13
Vomiting 13/200 (6.5%) 13 12/200 (6%) 12
Stomatitis ulcerative 6/200 (3%) 6 6/200 (3%) 6
Glossitis 6/200 (3%) 6 1/200 (0.5%) 1
Diarrhea bloody 0/200 (0%) 0 1/200 (0.5%) 1
Constipation 3/200 (1.5%) 3 1/200 (0.5%) 1
Tooth ache 1/200 (0.5%) 1 1/200 (0.5%) 1
Stomatitis 1/200 (0.5%) 1 1/200 (0.5%) 1
Rectal disorder 1/200 (0.5%) 1 1/200 (0.5%) 1
Gingivitis 2/200 (1%) 2 0/200 (0%) 0
Abdominal distention 1/200 (0.5%) 1 1/200 (0.5%) 1
Tooth caries 0/200 (0%) 0 1/200 (0.5%) 1
Melena 1/200 (0.5%) 1 0/200 (0%) 0
Loose tooth 0/200 (0%) 0 1/200 (0.5%) 1
Abdominal rumbling 1/200 (0.5%) 1 0/200 (0%) 0
General disorders
History of fever 70/200 (35%) 70 61/200 (30.5%) 61
Injury 24/200 (12%) 24 28/200 (14%) 28
Fever 33/200 (16.5%) 33 16/200 (8%) 16
Cellulitis 3/200 (1.5%) 3 7/200 (3.5%) 7
Edema 3/200 (1.5%) 3 1/200 (0.5%) 1
Pain 2/200 (1%) 2 0/200 (0%) 0
Abdomen enlarged 0/200 (0%) 0 2/200 (1%) 2
Varicella 1/200 (0.5%) 1 0/200 (0%) 0
Rigors 1/200 (0.5%) 1 0/200 (0%) 0
Malnutrion 0/200 (0%) 0 1/200 (0.5%) 1
Malaise 1/200 (0.5%) 1 0/200 (0%) 0
Injury (foreign body) 1/200 (0.5%) 1 0/200 (0%) 0
Halitosis 1/200 (0.5%) 1 0/200 (0%) 0
Face edema 0/200 (0%) 0 1/200 (0.5%) 1
Astnenia 1/200 (0.5%) 1 0/200 (0%) 0
Hepatobiliary disorders
Hepatic function abnormal 10/200 (5%) 10 12/200 (6%) 12
Hepatomegaly 0/200 (0%) 0 1/200 (0.5%) 1
Immune system disorders
Blepharitis 1/200 (0.5%) 1 3/200 (1.5%) 3
Infections and infestations
Infection 2/200 (1%) 2 3/200 (1.5%) 3
Moniliasis 4/200 (2%) 4 0/200 (0%) 0
Herpes simplex 2/200 (1%) 2 1/200 (0.5%) 1
Abscess 1/200 (0.5%) 1 2/200 (1%) 2
Mastoiditis 1/200 (0.5%) 1 0/200 (0%) 0
Conjunctivitis 36/200 (18%) 36 33/200 (16.5%) 33
Injury, poisoning and procedural complications
Injection site inflammation 1/200 (0.5%) 1 1/200 (0.5%) 1
Metabolism and nutrition disorders
Weight decrease 0/200 (0%) 0 1/200 (0.5%) 1
Dehydration 0/200 (0%) 0 1/200 (0.5%) 1
Musculoskeletal and connective tissue disorders
Myalgia 0/200 (0%) 0 2/200 (1%) 2
Arthritis 0/200 (0%) 0 1/200 (0.5%) 1
Arthralgia 1/200 (0.5%) 1 0/200 (0%) 0
Nervous system disorders
Headache 6/200 (3%) 6 4/200 (2%) 4
Convulsions 4/200 (2%) 4 3/200 (1.5%) 3
Hypokinesia 2/200 (1%) 2 1/200 (0.5%) 1
Dizziness 0/200 (0%) 0 1/200 (0.5%) 1
Psychiatric disorders
Irritability/fussiness 0/200 (0%) 0 1/200 (0.5%) 1
Hellucination 1/200 (0.5%) 1 0/200 (0%) 0
Drowsiness 1/200 (0.5%) 1 0/200 (0%) 0
Renal and urinary disorders
Urinary tract infection 6/200 (3%) 6 4/200 (2%) 4
Urine abnormal 1/200 (0.5%) 1 0/200 (0%) 0
Dysuria 1/200 (0.5%) 1 0/200 (0%) 0
Reproductive system and breast disorders
Penis disorder 2/200 (1%) 2 0/200 (0%) 0
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection 167/200 (83.5%) 167 159/200 (79.5%) 159
Rhinitis 33/200 (16.5%) 33 39/200 (19.5%) 39
Coughing 20/200 (10%) 20 30/200 (15%) 30
Pneumonia 4/200 (2%) 4 6/200 (3%) 6
Pharyngitis 6/200 (3%) 6 2/200 (1%) 2
Epistaxis 2/200 (1%) 2 1/200 (0.5%) 1
Rhonchi 1/200 (0.5%) 1 0/200 (0%) 0
Asthma 1/200 (0.5%) 1 0/200 (0%) 0
Skin and subcutaneous tissue disorders
Rash pustular 66/200 (33%) 66 71/200 (35.5%) 71
Eczema 54/200 (27%) 54 46/200 (23%) 46
Dermatitis fungal 33/200 (16.5%) 33 27/200 (13.5%) 27
Otitis media 8/200 (4%) 8 8/200 (4%) 8
Folliculitis 6/200 (3%) 6 6/200 (3%) 6
Otitis externa 1/200 (0.5%) 1 9/200 (4.5%) 9
Rash 6/200 (3%) 6 2/200 (1%) 2
Rash maculo-papular 6/200 (3%) 6 1/200 (0.5%) 1
Urticaria 1/200 (0.5%) 1 5/200 (2.5%) 5
Pruritus 1/200 (0.5%) 1 3/200 (1.5%) 3
Arthropod infestation 2/200 (1%) 2 2/200 (1%) 2
Skin ulceration 1/200 (0.5%) 1 1/200 (0.5%) 1
Pruritus genital 1/200 (0.5%) 1 1/200 (0.5%) 1
Furunculosis 1/200 (0.5%) 1 1/200 (0.5%) 1
Skin discoloration 1/200 (0.5%) 1 0/200 (0%) 0
Rash erythematous 0/200 (0%) 0 1/200 (0.5%) 1
Papule 0/200 (0%) 0 1/200 (0.5%) 1
Billous eruption 0/200 (0%) 0 1/200 (0.5%) 1

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Bernhards R. Ogutu, PhD
Organization Kenya Medical Research Institute
Phone 254-57-22942
Email bogutu@kisian.mimcom.net
Responsible Party:
U.S. Army Medical Research and Development Command
ClinicalTrials.gov Identifier:
NCT00223990
Other Study ID Numbers:
  • A-13228
  • IND 9202
  • 1123
First Posted:
Sep 22, 2005
Last Update Posted:
Feb 12, 2021
Last Verified:
Feb 1, 2021