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三期 RTS, S/AS01 疟疾疫苗试验的疗效:需要替代的研发计划。

Efficacy of phase 3 trial of RTS, S/AS01 malaria vaccine: The need for an alternative development plan.

机构信息

a Pediatric Infectious Disease Research Center , Tehran University of Medical Science , Tehran , Iran.

b Center for Research of Endemic Parasites of Iran (CREPI) , Tehran University of Medical Sciences , Tehran , Iran.

出版信息

Hum Vaccin Immunother. 2017 Sep 2;13(9):2098-2101. doi: 10.1080/21645515.2017.1295906. Epub 2017 Mar 8.

Abstract

Although vaccines would be the ideal tool for control, prevention, elimination, and eradication of many infectious diseases, developing of parasites vaccines such as malaria vaccine is very complex. The most advanced malaria vaccine candidate RTS,S, a pre-erythrocytic vaccine, has been recommended for licensure by EMEA. The results of this phase III trial suggest that this candidate malaria vaccine has relatively little efficacy, and the vaccine apparently will not meet the goal of malaria eradication by itself. Since there are many vaccine candidates in the pipeline that are being evaluated in vaccine trials, further study on using of alternative parasite targets and vaccination strategies are highly recommended.

摘要

尽管疫苗是控制、预防、消除和消灭许多传染病的理想工具,但寄生虫疫苗(如疟疾疫苗)的开发非常复杂。最先进的疟疾疫苗候选物 RTS,S,一种红细胞前期疫苗,已被 EMEA 推荐用于许可。这项 III 期试验的结果表明,这种候选疟疾疫苗的疗效相对较低,而且该疫苗显然无法独自实现消除疟疾的目标。由于有许多候选疫苗正在疫苗试验中进行评估,因此强烈建议进一步研究替代寄生虫靶标和疫苗接种策略的使用。

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