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在未感染过疟疾的成年人中进行的一项I/IIa期安全性、免疫原性和疗效桥接随机研究,该研究针对候选疟疾疫苗RTS,S/AS02A的液体和冻干制剂的两剂方案。

A phase I/IIa safety, immunogenicity, and efficacy bridging randomized study of a two-dose regimen of liquid and lyophilized formulations of the candidate malaria vaccine RTS,S/AS02A in malaria-naïve adults.

作者信息

Kester Kent E, McKinney Denise A, Tornieporth Nadia, Ockenhouse Christian F, Heppner D Gray, Hall Ted, Wellde Bruce T, White Kate, Sun Peifang, Schwenk Robert, Krzych Urszula, Delchambre Martine, Voss Gerald, Dubois Marie-Claude, Gasser Robert A, Dowler Megan G, O'Brien Megan, Wittes Janet, Wirtz Robert, Cohen Joe, Ballou W Ripley

机构信息

Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, USA.

出版信息

Vaccine. 2007 Jul 20;25(29):5359-66. doi: 10.1016/j.vaccine.2007.05.005. Epub 2007 May 30.

Abstract

We conducted an open-label safety and immunogenicity bridging study that compared liquid and lyophilized formulations of the candidate malaria vaccine RTS,S formulated in AS02A in 34 healthy, malaria-naïve adults at WRAIR. Volunteers received two doses of either formulation on a 0, 1-month schedule. Both vaccines were well tolerated and similarly immunogenic. Nineteen of 25 subjects who received the lyophilized formulation and six infectivity controls underwent sporozoite challenge to assess vaccine efficacy. All six controls had parasitemia detectable by thick blood smear by day 13 (mean pre-patent period 12.3 days; range 11-13). In the vaccine group, 8 of 19 vaccinees did not develop malaria and were completely protected (i.e., 42%). Among the 11 vaccinees who did become infected, the mean pre-patent period was delayed (14.4 days; range 13-18). The two formulations of RTS,S were equally safe and immunogenic, and the lyophilized formulation showed similar levels of efficacy against sporozoite challenge to that conferred by the liquid formulation in previous studies.

摘要

我们开展了一项开放标签的安全性和免疫原性桥接研究,在沃尔特里德陆军研究所对34名健康、未感染过疟疾的成年人比较了以AS02A配制的候选疟疾疫苗RTS,S的液体和冻干剂型。志愿者按照0、1个月的接种程序接受两剂任一剂型。两种疫苗耐受性均良好且免疫原性相似。25名接受冻干剂型的受试者中的19名以及6名感染性对照者接受了子孢子攻击以评估疫苗效力。所有6名对照者在第13天通过厚血涂片可检测到寄生虫血症(平均潜伏期12.3天;范围11 - 13天)。在疫苗组中,19名接种疫苗者中有8名未感染疟疾并得到完全保护(即42%)。在11名被感染的接种疫苗者中,平均潜伏期有所延迟(14.4天;范围13 - 18天)。RTS,S的两种剂型安全性和免疫原性相同,并且冻干剂型在子孢子攻击试验中显示出与先前研究中液体剂型相似的效力水平。

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