Syed Yahiya Y
Springer Nature, Mairangi Bay, Private Bag 65901, Auckland, 0754 New Zealand.
Drugs Ther Perspect. 2022;38(9):373-381. doi: 10.1007/s40267-022-00937-3. Epub 2022 Sep 7.
RTS,S/AS01 (Mosquirix) is a vaccine against malaria caused by . In a phase 3 trial, RTS,S/AS01 showed vaccine efficacy against clinical malaria, severe malaria and malaria hospitalization, with an acceptable safety and tolerability profile, in children aged 6 weeks to 17 months; the vaccine efficacy was greater in children than in infants and waned over time. In another phase 3 trial, RTS,S/AS01 was noninferior to seasonal malaria chemoprevention in children. WHO recommends a 4-dose schedule of RTS,S/AS01 for the prevention of malaria in children from 5 months of age living in regions with moderate to high malaria transmission, with an optional 5-dose schedule for areas with highly seasonal malaria transmission. First results from large pilot implementation in Africa show that RTS,S/AS01 has a favourable safety profile, increases equity in access to malaria prevention, is highly cost effective, can be delivered through routine national immunization programmes and substantially reduces severe malaria burden.
The online version contains supplementary material available at 10.1007/s40267-022-00937-3.
RTS,S/AS01(Mosquirix)是一种针对由……引起的疟疾的疫苗。在一项3期试验中,RTS,S/AS01在6周龄至17个月龄的儿童中显示出对临床疟疾、重症疟疾和疟疾住院治疗的疫苗效力,且安全性和耐受性良好;该疫苗在儿童中的效力高于婴儿,且会随时间减弱。在另一项3期试验中,RTS,S/AS01在儿童中不劣于季节性疟疾化学预防。世界卫生组织建议对生活在疟疾传播程度为中度至高度地区的5月龄及以上儿童采用4剂次的RTS,S/AS01接种程序来预防疟疾,对于疟疾传播季节性很强的地区可选择5剂次接种程序。在非洲进行的大规模试点实施的初步结果表明,RTS,S/AS01具有良好的安全性,增加了疟疾预防的公平性,具有很高的成本效益,可通过国家常规免疫规划提供,并且能大幅减轻重症疟疾负担。
在线版本包含可在10.1007/s40267-022-00937-3获取的补充材料。