A clinical trial of prime-boost immunisation with the candidate malaria vaccines RTS,S/AS02A and MVA-CS

被引:84
作者
Dunachie, SJ
Walther, M
Vuola, JM
Webster, DP
Keating, SM
Berthoud, T
Andrews, L
Bejon, P
Poulton, I
Butcher, G
Watkins, K
Sinden, RE
Leach, A
Moris, P
Tornieporth, N
Schneider, J
Dubovsky, F
Tierney, E
Williams, J
Heppner, DG
Gilbert, SC
Cohen, J
Hill, AVS
机构
[1] Univ Oxford, Ctr Clin Vaccinol & Trop Med, Nuffield Dept Med, Churchill Hosp, Oxford OX3 7LJ, England
[2] Imperial Coll London, London, England
[3] GlaxoSmithKline Biol, Rixensart, Belgium
[4] Oxxon Therapeut, Oxford, England
[5] PATH Malaria Vaccine Initiat, Bethesda, MD USA
[6] Walter Reed Army Inst Res, Malaria Vaccine Program, Silver Spring, MD USA
基金
英国医学研究理事会; 英国惠康基金;
关键词
T cells; malaria; clinical trial;
D O I
10.1016/j.vaccine.2005.12.041
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Heterologous prime-boost immunisation with RTS,S/AS02A and the poxvirus MVA-CS was evaluated in 18 healthy malaria-naive subjects in Oxford. Both priming with RTS,S and boosting MVA-CS, and the reverse, were found to be safe and well tolerated. T cell responses as measured by IFN-gamma ex vivo ELISPOT were induced, but the responses were low to moderate in both groups, with heterologous boosting yielding only small increments in T cell immunogenicity and no increased antibody response. Protection against 3D7 Plasmodium falciparum sporozoite challenge 4 weeks after the final vaccination was equal for both regimens at 33% (95% C.I. 4.3-77.7%), with one subject remaining fully protected on rechallenge at 5 months. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2850 / 2859
页数:10
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