Page last updated: 2024-10-17

lactic acid and Malaria

lactic acid has been researched along with Malaria in 30 studies

Lactic Acid: A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed)
2-hydroxypropanoic acid : A 2-hydroxy monocarboxylic acid that is propanoic acid in which one of the alpha-hydrogens is replaced by a hydroxy group.

Malaria: A protozoan disease caused in humans by four species of the PLASMODIUM genus: PLASMODIUM FALCIPARUM; PLASMODIUM VIVAX; PLASMODIUM OVALE; and PLASMODIUM MALARIAE; and transmitted by the bite of an infected female mosquito of the genus ANOPHELES. Malaria is endemic in parts of Asia, Africa, Central and South America, Oceania, and certain Caribbean islands. It is characterized by extreme exhaustion associated with paroxysms of high FEVER; SWEATING; shaking CHILLS; and ANEMIA. Malaria in ANIMALS is caused by other species of plasmodia.

Research Excerpts

ExcerptRelevanceReference
" Up to 40% of children with severe malarial anaemia have associated lactic acidosis."9.17The effect of blood storage age on treatment of lactic acidosis by transfusion in children with severe malarial anaemia: a pilot, randomized, controlled trial. ( Cserti-Gazdewich, CM; Dhabangi, A; Dzik, WH; Lubega, IR; Maganda, A; Mworozi, E, 2013)
"Thirty adult males with severe, quinine-treated malaria received either 300 mg/kg of NAC or placebo, over 20 h."9.10A pilot study of N-acetylcysteine as adjunctive therapy for severe malaria. ( Jongsakul, K; Ruangvirayuth, R; Watt, G, 2002)
"Lactic acidosis frequently complicates severe malaria in African children, and is a strong independent predictor of mortality."9.08Pharmacokinetics and pharmacodynamics of dichloroacetate in children with lactic acidosis due to severe malaria. ( Agbenyega, T; Angus, BJ; Bedu-Addo, G; Henderson, G; Krishna, S; O'Brien, R; Ofori-Amanfo, G; Stacpoole, PW; Szwandt, IS, 1995)
" The objective of this study was to evaluate the effect of L-lactic acid (Abate) to divert malaria mosquito, Anopheles gambiae from feeding on human host."7.96A zooprophylaxis strategy using L-lactic acid (Abate) to divert host-seeking malaria vectors from human host to treated non-host animals. ( Dekker, T; Kemibala, EE; Mafra-Neto, A; Mboera, LEG; Nghabi, K; Philbert, A; Saroli, J; Silva, R, 2020)
" We hypothesized that the lactic acidosis which identifies those at the greatest risk of death often represents an oxygen debt incurred as a result of inadequate tissue perfusion."7.69Lactic acidosis and oxygen debt in African children with severe anaemia. ( English, M; Marsh, K; Mithwani, S; Muambi, B, 1997)
" Up to 40% of children with severe malarial anaemia have associated lactic acidosis."5.17The effect of blood storage age on treatment of lactic acidosis by transfusion in children with severe malarial anaemia: a pilot, randomized, controlled trial. ( Cserti-Gazdewich, CM; Dhabangi, A; Dzik, WH; Lubega, IR; Maganda, A; Mworozi, E, 2013)
"Thirty adult males with severe, quinine-treated malaria received either 300 mg/kg of NAC or placebo, over 20 h."5.10A pilot study of N-acetylcysteine as adjunctive therapy for severe malaria. ( Jongsakul, K; Ruangvirayuth, R; Watt, G, 2002)
"Lactic acidosis frequently complicates severe malaria in African children, and is a strong independent predictor of mortality."5.08Pharmacokinetics and pharmacodynamics of dichloroacetate in children with lactic acidosis due to severe malaria. ( Agbenyega, T; Angus, BJ; Bedu-Addo, G; Henderson, G; Krishna, S; O'Brien, R; Ofori-Amanfo, G; Stacpoole, PW; Szwandt, IS, 1995)
" For further characterization of the prepared system, formulations with different proportions of starch and GMS, loaded with the antimalarial agents artesunate or artemether were prepared."4.12Controlled release starch-lipid implant for the therapy of severe malaria. ( Esfahani, G; Häusler, O; Mäder, K, 2022)
" The objective of this study was to evaluate the effect of L-lactic acid (Abate) to divert malaria mosquito, Anopheles gambiae from feeding on human host."3.96A zooprophylaxis strategy using L-lactic acid (Abate) to divert host-seeking malaria vectors from human host to treated non-host animals. ( Dekker, T; Kemibala, EE; Mafra-Neto, A; Mboera, LEG; Nghabi, K; Philbert, A; Saroli, J; Silva, R, 2020)
" We apply this approach to a dataset of lactic acid values from a screening dataset in childhood malaria."3.88Quantile planes without crossing via nonlinear programming. ( Hutson, AD, 2018)
"We evaluated plasma creatinine, urea, bilirubin, lactic acid, and nitric oxide values in children with malaria to identify indices of disease severity and predictors of fatal outcomes."3.75Physiopathologic factors resulting in poor outcome in childhood severe malaria in Cameroon. ( Amvam Z, PH; Combes, V; Fotso K, H; Gouado, I; Grau, GE; Nguélé, S; Pankoui M, JB; Zambou, O, 2009)
"05) protected from lactic acidosis, glutamate buildup, and diminished HCO(3)(-) levels."3.71CD8(+)-T-cell depletion ameliorates circulatory shock in Plasmodium berghei-infected mice. ( Chang, WL; Granger, DN; Huang, J; Jones, SP; Lefer, DJ; Sun, G; Suzuki, H; van der Heyde, HC; Welbourne, T; Yin, L, 2001)
" We hypothesized that the lactic acidosis which identifies those at the greatest risk of death often represents an oxygen debt incurred as a result of inadequate tissue perfusion."3.69Lactic acidosis and oxygen debt in African children with severe anaemia. ( English, M; Marsh, K; Mithwani, S; Muambi, B, 1997)
"Severe malaria is frequently managed without access to laboratory testing."1.40Performance of point-of-care diagnostics for glucose, lactate, and hemoglobin in the management of severe malaria in a resource-constrained hospital in Uganda. ( Conroy, AL; Hawkes, M; John, CC; Kain, KC; Liles, WC; Namasopo, S; Opoka, RO, 2014)
"Pyrimethamine (oral) treatment (10 mg/kg body weight) to infected mice (5-10%) for four days brought back the altered levels of the above cellular constituents in different tissues to normal, a week after cessation of drug treatment."1.30Status of ammonia, glutamate, lactate and pyruvate during Plasmodium yoelii infection and pyrimethamine treatment in mice. ( Agarwal, A; Pandey, VC; Tripathi, LM, 1997)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19906 (20.00)18.7374
1990's5 (16.67)18.2507
2000's8 (26.67)29.6817
2010's9 (30.00)24.3611
2020's2 (6.67)2.80

Authors

AuthorsStudies
Esfahani, G1
Häusler, O1
Mäder, K1
Kemibala, EE1
Mafra-Neto, A1
Dekker, T1
Saroli, J1
Silva, R1
Philbert, A1
Nghabi, K1
Mboera, LEG1
Alfred, MG1
Nkazimulo, MB1
Vuyisile, MM1
Tagumirwa, MC1
Hutson, AD1
Aramburo, A1
Todd, J1
George, EC1
Kiguli, S1
Olupot-Olupot, P1
Opoka, RO2
Engoru, C1
Akech, SO1
Nyeko, R1
Mtove, G1
Gibb, DM1
Babiker, AG1
Maitland, K1
Stanczyk, NM1
Brugman, VA1
Austin, V1
Sanchez-Roman Teran, F1
Gezan, SA1
Emery, M1
Visser, TM1
Dessens, JT1
Stevens, W1
Smallegange, RC1
Takken, W2
Hurd, H1
Caulfield, J1
Birkett, M1
Pickett, J1
Logan, JG1
Hawkes, M1
Conroy, AL1
Namasopo, S1
Liles, WC1
John, CC1
Kain, KC1
Salvador, A1
Igartua, M1
Hernández, RM1
Pedraz, JL1
Rudd, KE1
Tutaryebwa, LK1
West, TE1
Duranton, C1
Tanneur, V1
Lang, C1
Brand, VB1
Koka, S1
Kasinathan, RS1
Dorsch, M1
Hedrich, HJ1
Baumeister, S1
Lingelbach, K1
Lang, F1
Huber, SM1
Gouado, I1
Pankoui M, JB1
Fotso K, H1
Zambou, O1
Nguélé, S1
Combes, V1
Grau, GE1
Amvam Z, PH1
Swysen, C1
Vekemans, J1
Bruls, M1
Oyakhirome, S1
Drakeley, C1
Kremsner, P1
Greenwood, B1
Ofori-Anyinam, O1
Okech, B1
Villafana, T1
Carter, T1
Savarese, B1
Duse, A1
Reijman, A1
Ingram, C1
Frean, J1
Ogutu, B1
Dhabangi, A1
Mworozi, E1
Lubega, IR1
Cserti-Gazdewich, CM1
Maganda, A1
Dzik, WH1
Planche, T2
Agbenyega, T2
Bedu-Addo, G2
Ansong, D1
Owusu-Ofori, A1
Micah, F1
Anakwa, C1
Asafo-Agyei, E1
Hutson, A1
Stacpoole, PW2
Krishna, S5
NAIR, CP1
BASU, PC1
RAY, AP1
Hernandez-Valladares, M1
Naessens, J1
Musoke, AJ1
Sekikawa, K1
Rihet, P1
Ole-Moiyoi, OK1
Busher, P1
Iraqi, FA1
White, NJ2
Warrell, DA1
Chanthavanich, P1
Looareesuwan, S1
Warrell, MJ1
Williamson, DH1
Turner, RC1
Shoubridge, EA1
Weatherall, DJ1
Radda, GK1
Angus, BJ1
Ofori-Amanfo, G1
Henderson, G1
Szwandt, IS1
O'Brien, R1
English, M1
Muambi, B1
Mithwani, S1
Marsh, K1
Clark, IA3
Jacobson, LS2
Rockett, KA1
al Yaman, FM1
Agarwal, A1
Tripathi, LM1
Pandey, VC1
Chang, WL1
Jones, SP1
Lefer, DJ1
Welbourne, T1
Sun, G1
Yin, L1
Suzuki, H1
Huang, J1
Granger, DN1
van der Heyde, HC1
Kombila, M1
Engel, K1
Faucher, JF1
Ngou-Milama, E1
Kremsner, PG1
Watt, G1
Jongsakul, K1
Ruangvirayuth, R1
Cowden, WB1
Butcher, GA1
Hunt, NH1
Geoffrion, Y1
Butler, K1
Pass, M1
Smith, IC1
Deslauriers, R1
Diribe, CO1
Warhurst, DC1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of GSK Biologicals' Candidate Malaria Vaccine (257049) Against Malaria Disease Caused by P. Falciparum Infection in Infants and Children in Africa[NCT00866619]Phase 315,459 participants (Actual)Interventional2009-03-27Completed
A Phase IIIB Comparative Trial of Seasonal Vaccination With the Malaria Vaccine RTS,S/AS01, Seasonal Malaria Chemoprevention and of the Two Interventions Combined[NCT03143218]Phase 35,920 participants (Actual)Interventional2017-04-17Completed
Effect of Blood Storage Age on the Resolution of Lactic Acidosis in Children With Severe Malarial Anemia at Mulago Hospital[NCT01580111]74 participants (Actual)Interventional2010-12-31Completed
Prospective Assessment of Relapse Characteristics of Plasmodium Ovale and Antimalarial Treatment Efficacy of Artemether-lumefantrine for Mixed Species and Non-falciparum Malaria in Gabon[NCT02528279]50 participants (Anticipated)Interventional2014-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Low-weight (LW) Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was > -3 and ≤ -2. (NCT00866619)
Timeframe: From Booster (Month 20) up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group32
GSK257049 - Menjugate [5-17M] Group40
VeroRab Comparator [5-17M] Group38
GSK257049 -GSK257049 [6-12W] Group34
GSK257049 - Menjugate [6-12W] Group21
Menjugate Comparator [6-12W] Group24

Number of Low-weight (LW) Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was > -3 and ≤ -2. (NCT00866619)
Timeframe: From Month 0 up to Month 20

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group174
GSK257049 [6-12W] Group63
VeroRab Comparator [5-17M] Group89
Menjugate Comparator [6-12W] Group38

Number of Subjects Reporting Any Meningitis and Encephalitis SAEs

Meningitis and encephalitis SAEs included: meningitis/encephalitis; meningitis haemophilus; meningitis meningococcal; meningitis tuberculous; encephalomyelitis. (NCT00866619)
Timeframe: From Booster up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group4
GSK257049 - Menjugate [5-17M] Group4
VeroRab Comparator [5-17M] Group0
GSK257049 -GSK257049 [6-12W] Group0
GSK257049 - Menjugate [6-12W] Group2
Menjugate Comparator [6-12W] Group3

Number of Subjects Reporting Any Meningitis and Encephalitis Serious Adverse Events (SAEs)

Meningitis and encephalitis SAEs included: meningitis/encephalitis; meningitis/encephalitis viral; meningism; meningitis haemophilus; meningitis meningococcal; meningitis pneumococcal; meningitis tuberculous; encephalomyelitis. (NCT00866619)
Timeframe: At Month 0 until study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group15
GSK257049 - Menjugate [5-17M] Group12
VeroRab Comparator [5-17M] Group5
GSK257049 -GSK257049 [6-12W] Group7
GSK257049 - Menjugate [6-12W] Group8
Menjugate Comparator [6-12W] Group7

Number of Subjects Reporting Any Potential Immune-mediated Disorders (pIMDs)

Potential immune-mediated diseases (pIMDs) are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology. (NCT00866619)
Timeframe: From Month 0 up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group5
GSK257049 - Menjugate [5-17M] Group1
VeroRab Comparator [5-17M] Group4
GSK257049 -GSK257049 [6-12W] Group3
GSK257049 - Menjugate [6-12W] Group1
Menjugate Comparator [6-12W] Group2

Number of Subjects Reporting Mucocutaneous Changes (All Levels)

Levels of mucocutaneous changes reported were: cutaneous and mucosal change; cutaneous only change; mucosal only change; cutaneous change focused on the nappy/diaper area. Mucocutaneous changes results calculated based on the first 200 subjects in the 6-12 weeks age category in each study center were enrolled, and with available data (i.e. who received a booster dose). (NCT00866619)
Timeframe: During the 30-day (Days 0-29) post-booster vaccination

InterventionParticipants (Count of Participants)
GSK257049 -GSK257049 [6-12W] Group64
GSK257049 - Menjugate [6-12W] Group47
Menjugate Comparator [6-12W] Group59

Number of Subjects With Any Unsolicited Adverse Events (AEs)

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Unsolicited AEs were calculated based on the first 200 subjects enrolled in each study center. (NCT00866619)
Timeframe: Within the 30-day (Days 0-29) post-primary vaccination period

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group1273
GSK257049 [6-12W] Group1161
VeroRab Comparator [5-17M] Group626
Menjugate Comparator [6-12W] Group600

Number of Subjects With Any Unsolicited AEs

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Unsolicited AEs were calculated based on the first 200 subjects enrolled in each study center. (NCT00866619)
Timeframe: Within the 30-day (days 0-29) post-booster vaccination period

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group232
GSK257049 - Menjugate [5-17M] Group205
VeroRab Comparator [5-17M] Group215
GSK257049 -GSK257049 [6-12W] Group231
GSK257049 - Menjugate [6-12W] Group239
Menjugate Comparator [6-12W] Group240

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: During the 30-day (Days 0-29) post-primary vaccination period

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group312
GSK257049 [6-12W] Group192
VeroRab Comparator [5-17M] Group181
Menjugate Comparator [6-12W] Group96

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: From Booster (at Month 20) up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group276
GSK257049 - Menjugate [5-17M] Group316
VeroRab Comparator [5-17M] Group287
GSK257049 -GSK257049 [6-12W] Group180
GSK257049 - Menjugate [6-12W] Group193
Menjugate Comparator [6-12W] Group201

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: From Month 0 up to Month 14

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group1040
GSK257049 [6-12W] Group782
VeroRab Comparator [5-17M] Group634
Menjugate Comparator [6-12W] Group419

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: From Month 0 up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group720
GSK257049 - Menjugate [5-17M] Group752
VeroRab Comparator [5-17M] Group846
GSK257049 -GSK257049 [6-12W] Group580
GSK257049 - Menjugate [6-12W] Group602
Menjugate Comparator [6-12W] Group619

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: Within the 30-day (Days 0-29) post-booster vaccination period

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group34
GSK257049 - Menjugate [5-17M] Group22
VeroRab Comparator [5-17M] Group27
GSK257049 -GSK257049 [6-12W] Group19
GSK257049 - Menjugate [6-12W] Group19
Menjugate Comparator [6-12W] Group20

Number of Subjects With Serious Adversee Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: From Month 0 up to Month 20

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group1108
GSK257049 [6-12W] Group959
VeroRab Comparator [5-17M] Group676
Menjugate Comparator [6-12W] Group503

Number of Subjects With Unsolicited AEs Related to or Leading to Vaccination Withdrawal

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Related = AE assessed by the investigator as related to the vaccination. Unsolicited AEs were calculated based on the first 200 subjects enrolled in each study center. (NCT00866619)
Timeframe: Within the 30-day (Days 0-29) post-primary vaccination period

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group399
GSK257049 [6-12W] Group578
VeroRab Comparator [5-17M] Group72
Menjugate Comparator [6-12W] Group231

Number of Very Low-weight (VLW) Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Very low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was ≤ -3. (NCT00866619)
Timeframe: From Month 0 up to Month 20

InterventionParticipants (Count of Participants)
GSK257049 [5-17M] Group55
GSK257049 [6-12W] Group48
VeroRab Comparator [5-17M] Group28
Menjugate Comparator [6-12W] Group17

Number of Very Low-weight Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. Very low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was ≤ -3. (NCT00866619)
Timeframe: From Booster (Month 20) up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)]

InterventionParticipants (Count of Participants)
GSK257049 - GSK257049 [5-17M] Group5
GSK257049 - Menjugate [5-17M] Group8
VeroRab Comparator [5-17M] Group11
GSK257049 -GSK257049 [6-12W] Group6
GSK257049 - Menjugate [6-12W] Group9
Menjugate Comparator [6-12W] Group15

Percentage of Subjects With Blood Transfusion, as Per Case Definition Assessed

Blood transfusion case definition assessed was the case definition 1 (CD1). Blood transfusion of CD1 was defined as a child with inpatient admission with documented blood transfusion. (NCT00866619)
Timeframe: From Month 2.5 up to study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

InterventionPercentage of subjects (Number)
GSK257049 - GSK257049 [5-17M] Group0.03
GSK257049 - Menjugate [5-17M] Group0.03
VeroRab Comparator [5-17M] Group0.04
GSK257049 -GSK257049 [6-12W] Group0.03
GSK257049 - Menjugate [6-12W] Group0.03
Menjugate Comparator [6-12W] Group0.04

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Secondary Case Definition 1 (SCD1)

CPFMI of SCD1 = malaria episode with PFAP > 0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. Time to all episodes of CPFMI is expressed as a rate of all CPFMI (RaCPFMI), that is, person-year rate in each group (n/T). (NCT00866619)
Timeframe: From Month 2.5 to Month 32

Interventionevents per person-year (Number)
GSK257049 - GSK257049 [5-17M] Group1.1
GSK257049 - Menjugate [5-17M] Group1.24
VeroRab Comparator [5-17M] Group1.78
GSK257049 -GSK257049 [6-12W] Group1.19
GSK257049 - Menjugate [6-12W] Group1.33
Menjugate Comparator [6-12W] Group1.54

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Secondary Case Definition 1 (SCD1), Across Centers

CPFMI of SCD1 = malaria episode with PFAP >0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented across centers. (NCT00866619)
Timeframe: From Month 2.5 up to study end (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

Interventionevents per person-year (Number)
GSK257049 - GSK257049 [5-17M] Group1.26
GSK257049 - Menjugate [5-17M] Group1.41
VeroRab Comparator [5-17M] Group1.81
GSK257049 -GSK257049 [6-12W] Group1.29
GSK257049 - Menjugate [6-12W] Group1.43
Menjugate Comparator [6-12W] Group1.61

Rate of First or Only Clinical Episode of P. Falciparum Malaria Infection (CPFMI), or Clinical Malaria Episode of Primary Case Definition (CPFMI-PCD)

A CPFMI-PCD was defined as an episode of malaria for which P. falciparum asexual parasitemia > 5000 parasites/µL was accompanied by the presence of fever (axillary temperature ≥ 37.5°C) at the time of presentation AND occurring in a child who is unwell and brought for treatment to a healthcare facility OR a case of malaria meeting the primary case definition of severe malaria disease. The time to first or only CPFMI-PCD is expressed in terms of rate of first or only CPFMI (RfoCPFMI), that is, person-year rate in each group (n/T). Analysis for this outcome was solely performed on subjects in the 6-12 weeks (6-12W) age category. (NCT00866619)
Timeframe: From Month 2.5 to Month 14

Interventionevents per person-year (Number)
GSK257049 [6-12W] Group0.367
Menjugate Comparator [6-12W] Group0.484

Rate of First or Only Clinical Episode of Plasmodium Falciparum (P. Falciparum) Malaria Infection (CPFMI), or Clinical Malaria Episode of Primary Case Definition (CPFMI-PCD)

A CPFMI-PCD was defined as an episode of malaria for which P. falciparum asexual parasitemia was greater than (>) 5000 parasites per microliter (µL) accompanied by the presence of fever [axillary temperature greater than or equal to (≥) 37.5°C] at the time of presentation AND occurring in a child who is unwell and brought for treatment to a healthcare facility OR a case of malaria meeting the primary case definition of severe malaria disease. The time to first or only CPFMI-PCD is expressed in terms of rate of first or only CPFMI (RfoCPFMI), that is person-year rate in each group (n/T). Analysis for this outcome was solely performed on subjects in the 5-17 months age category. (NCT00866619)
Timeframe: From Month 2.5 to Month 14

Interventionevents per person-year (Number)
GSK257049 [5-17M] Group0.435
VeroRab Comparator [5-17M] Group0.833

Antibody Concentrations Against Hepatitis B Surface Antigen

Antibody concentrations as assessed by ELISA, were presented as geometric mean concentrations (GMCs), and expressed in mIU/mL. The seropositivity and seroprotection cut-offs were ≥ 10 and 100 mIU/mL, respectively. Results were assessed for the first 200 HIV-infected subjects enrolled in each study center. HIV infection was confirmed if present at screening or identified by morbidity surveillance, not infection confirmed by antibody testing after 18 months of age or by PCR, by the time of the analysis of results up to the Month 14 time point for the respective 5-17 months and 6-12 weeks age categories. (NCT00866619)
Timeframe: At Day 0 and at Month 3

,,,
InterventionmIU/mL (Geometric Mean)
Anti-HBs, Day 0Anti-HBs, Month 3
GSK257049 [5-17M] Group98.637476.5
GSK257049 [6-12W] Group7.51996.2
Menjugate Comparator [6-12W] Group5197.2
VeroRab Comparator [5-17M] Group63.637.1

Antibody Concentrations Against Hepatitis B Surface Antigen (Anti-HBs)

Antibody concentrations as assessed by ELISA, were presented as geometric mean concentrations (GMCs), and expressed in mIU/mL. The seropositivity and seroprotection cut-offs were ≥ 6.2 and 100 mIU/mL, respectively. Results were assessed for the first 200 subjects in each center. (NCT00866619)
Timeframe: At Months 20 and 21

,
InterventionmIU/mL (Geometric Mean)
Anti-HBs, Month 20Anti-HBs, Month 21
GSK257049 - GSK257049 [5-17M] Group5068.595206.4
GSK257049 -GSK257049 [6-12W] Group1532.5116458.1

Antibody Concentrations Against Hepatitis B Surface Antigen (Anti-HBs)

Antibody concentrations assessed by ELISA, were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The seropositivity and seroprotection cut-offs were ≥ 10 and 100 mIU/mL, respectively. Results were assessed for the first 200 subjects in each center. (NCT00866619)
Timeframe: At Day 0 and at Month 3

,,,
InterventionmIU/mL (Geometric Mean)
Anti-HBs, Day 0Anti-HBs, Month 3
Menjugate Comparator [6-12W] Group8.5728.8
VeroRab Comparator [5-17M] Group168.6127.5
GSK257049 [5-17M] Group166.381567.7
GSK257049 [6-12W] Group8.613674.3

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS)

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. (NCT00866619)
Timeframe: At Months 20, 21 and 32

,,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Agogo - Month 20Anti-CS, Agogo - Month 21Anti-CS, Agogo - Month 32Anti-CS, Bagamoyo - Month 20Anti-CS, Bagamoyo - Month 21Anti-CS, Bagamoyo - Month 32Anti-CS, Kilifi - Month 20Anti-CS, Kilifi - Month 21Anti-CS, Kilifi - Month 32Anti-CS, Kintampo - Month 20Anti-CS, Kintampo - Month 21Anti-CS, Kintampo - Month 32Anti-CS, Kombewa - Month 20Anti-CS, Kombewa - Month 21Anti-CS, Kombewa - Month 32Anti-CS, Korogwe - Month 20Anti-CS, Korogwe - Month 21Anti-CS, Korogwe - Month 32Anti-CS, Lambarene - Month 20Anti-CS, Lambarene - Month 21Anti-CS, Lambarene - Month 32Anti-CS, Lilongwe - Month 20Anti-CS, Lilongwe - Month 21Anti-CS, Lilongwe - Month 32Anti-CS, Nanoro - Month 20Anti-CS, Nanoro - Month 21Anti-CS, Nanoro - Month 32Anti-CS, Siaya - Month 20Anti-CS, Siaya - Month 21Anti-CS, Siaya - Month 32Anti-CS, Overall sites - Month 20Anti-CS, Overall sites - Month 21Anti-CS, Overall sites - Month 32
GSK257049 - GSK257049 [5-17M] Group34.1265.046.326.6306.644.634.3308.459.450.8266.870.939.8308.553.829.4305.647.48.2203.623.045.9285.045.657.2520.569.228.4398.155.834.4318.252.4
GSK257049 - Menjugate [5-17M] Group52.148.328.823.131.816.933.124.314.936.641.220.246.637.119.828.227.116.811.110.65.922.217.012.761.871.135.032.836.421.735.434.219.3
VeroRab Comparator [5-17M] Group0.30.30.30.30.60.30.30.30.30.40.30.40.30.40.30.30.30.30.30.30.30.40.30.30.30.30.30.30.30.40.30.30.3

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS)

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. (NCT00866619)
Timeframe: At Months 20, 21 and 32

,,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Agogo - Month 20Anti-CS, Agogo - Month 21Anti-CS, Agogo - Month 32Anti-CS, Bagamoyo - Month 20Anti-CS, Bagamoyo - Month 21Anti-CS, Bagamoyo - Month 32Anti-CS, Kilifi - Month 20Anti-CS, Kilifi - Month 21Anti-CS, Kilifi - Month 32Anti-CS, Kintampo - Month 20Anti-CS, Kintampo - Month 21Anti-CS, Kintampo - Month 32Anti-CS, Kombewa - Month 20Anti-CS, Kombewa - Month 21Anti-CS, Kombewa - Month 32Anti-CS, Korogwe - Month 20Anti-CS, Korogwe - Month 21Anti-CS, Korogwe - Month 32Anti-CS, Lambarene - Month 20Anti-CS, Lambarene - Month 21Anti-CS, Lambarene - Month 32Anti-CS, Lilongwe - Month 20Anti-CS, Lilongwe - Month 21Anti-CS, Lilongwe - Month 32Anti-CS, Nanoro - Month 20Anti-CS, Nanoro - Month 21Anti-CS, Nanoro - Month 32Anti-CS, Siaya - Month 20Anti-CS, Siaya - Month 21Anti-CS, Siaya - Month 32Anti-CS, Manhica - Month 20Anti-CS, Manhica - Month 21Anti-CS, Manhica - Month 32Anti-CS, Overall sites - Month 20Anti-CS, Overall sites - Month 21Anti-CS, Overall sites - Month 32
GSK257049 - Menjugate [6-12W] Group5.65.32.97.67.23.76.15.32.83.73.22.28.79.24.38.17.64.98.37.44.17.48.04.53.23.12.88.98.45.514.712.36.86.66.23.7
GSK257049 -GSK257049 [6-12W] Group5.1137.614.86.9169.914.46.6229.319.83.8128.813.35.5146.38.37.9178.319.67.7251.321.05.1126.115.42.7163.211.97.0171.523.612.3260.225.45.9169.915.9
Menjugate Comparator [6-12W] Group0.30.30.30.30.30.30.30.30.30.30.30.30.40.40.40.30.30.30.30.30.30.30.30.30.30.30.50.40.40.50.30.30.30.30.30.3

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS)

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. Results for this endpoint were assessed for Agogo, Lilongwe and Siaya sites. (NCT00866619)
Timeframe: At Month 44 and at study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

,,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Agogo - Study endAnti-CS, Lilongwe - Study endAnti-CS, Siaya - Study endAnti-CS, Overall - Study end
GSK257049 - Menjugate [6-12W] Group2.12.83.32.6
GSK257049 -GSK257049 [6-12W] Group6.110.910.48.9
Menjugate Comparator [6-12W] Group0.30.30.40.3

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS)

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. Results for this endpoint were assessed for Agogo, Lilongwe and Siaya sites. (NCT00866619)
Timeframe: At Month 44 and at study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

,,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Agogo - Month 44Anti-CS, Agogo - Study endAnti-CS, Lilongwe - Month 44Anti-CS, Lilongwe - Study endAnti-CS, Siaya - Month 44Anti-CS, Siaya - Study endAnti-CS, Overall - Month 44Anti-CS, Overall - Study end
GSK257049 - GSK257049 [5-17M] Group27.723.230.526.941.427.433.025.4
GSK257049 - Menjugate [5-17M] Group17.917.28.57.221.215.816.814.4
VeroRab Comparator [5-17M] Group0.30.30.30.30.50.40.30.3

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS)

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. Results were assessed for the first 200 HIV-infected subjects enrolled in each study center. HIV infection was confirmed if present at screening or identified by morbidity surveillance, not infection confirmed by antibody testing after 18 months of age or by PCR, by the time of the analysis of results up to the Month 14 time point for the respective 5-17 months and 6-12 weeks age categories. (NCT00866619)
Timeframe: At Day 0 and at Month 3

,,,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Day 0Anti-CS, Month 3
GSK257049 [6-12W] Group0.3125.3
Menjugate Comparator [6-12W] Group0.30.3
VeroRab Comparator [5-17M] Group0.40.5
GSK257049 [5-17M] Group0.3264.7

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS), by Tertile

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. Results were presented by tertiles of anti-CS responses in the first 200 participants per site, based on subjects assessed for vaccine efficacy results. (NCT00866619)
Timeframe: At Month 21

,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Tertile 1Anti-CS, Tertile 2Anti-CS, Tertile 3Anti-CS, Across Tertiles
GSK257049 - GSK257049 [5-17M] Group138.15311.35675.24307.93
GSK257049 -GSK257049 [6-12W] Group47.99194.85479.44165.31

Antibody Concentrations Against P. Falciparum Circumsporozoite (Anti-CS), by Tertile

Anti-CS antibody concentrations were determined by ELISA and presented as geometric mean concentrations (GMCs), expressed in EL.U/mL. The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. Results were presented by tertiles of anti-CS responses in the first 200 participants per site, based on subjects assessed for vaccine efficacy results. (NCT00866619)
Timeframe: At Month 3

,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Tertile 1Anti-CS, Tertile 2Anti-CS, Tertile 3Anti-CS, Across Tertiles
GSK257049 - Menjugate [5-17M] Group264.15613.791351.41603.77
GSK257049 - Menjugate [6-12W] Group78.45230.68592.65220.9

Antibody Concentrations Against Plasmodium Falciparum Circumsporozoite (Anti-CS)

Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off for the endpoint was a GMC value ≥ 0.5 EL.U/mL. Results were assessed for the first 200 subjects enrolled in each study center. (NCT00866619)
Timeframe: At Day 0 and at Month 3

,,,
InterventionEL.U/mL (Geometric Mean)
Anti-CS, Day 0Anti-CS, Month 3
GSK257049 [5-17M] Group0.3621
GSK257049 [6-12W] Group0.4210.5
Menjugate Comparator [6-12W] Group0.40.3
VeroRab Comparator [5-17M] Group0.30.3

Antibody Titers Against Poliomyelitis (Anti-polio) Type 1, 2 and 3

Anti-Polio 1, 2 and 3 antibody titers were presented as geometric mean titers (GMTs). The seroprotection cut-off for the assay was an antibody titer ≥ 1:8. (NCT00866619)
Timeframe: At Day 0 and at Month 3

,
InterventionTiter (Geometric Mean)
Anti-Polio 1, Day 0Anti-Polio 1, Month 3Anti-Polio 2, Day 0Anti-Polio 2, Month 3Anti-Polio 3, Day 0Anti-Polio 3, Month 3
GSK257049 [6-12W] Group47.4334.938.6372.19.480.0
Menjugate Comparator [6-12W] Group43.3417.640.3450.89.195.9

Height, Weight and Mid Upper Arm Circumference for Age Z-score (HAZ, WAZ and MUACZ)

Anthropometry consisted of length/height for age z-score [HAZ] (children < 2 years length measure and children ≥ 2 years standing height measure), weight for age z-score [WAZ] and mid-upper arm circumference for age z-score [MUACZ] measurements, where a HAZ < -1,5 z-score, indicates growth deficit, while a HAZ between -1,0 and ± 1,0 z-score, indicates normal height. A WAZ ≤ -3 z-score indicates a very low weight for age, a WAZ > -3 and ≤ -2 z-score indicates a low weight for age, a WAZ > - 2 z-score indicates normal weight. A MUACZ < -2 z-score indicates children that are wasted, a MUACZ < - 3 z-score indicates severely wasted children. (NCT00866619)
Timeframe: At Month 20 (Booster)

,,,
Interventionz-score (Mean)
HAZWAZMUACZ
GSK257049 [5-17M] Group-1.6-1-0.3
GSK257049 [6-12W] Group-1.7-0.9-0.1
Menjugate Comparator [6-12W] Group-1.7-0.9-0.1
VeroRab Comparator [5-17M] Group-1.6-1-0.3

Height, Weight and Mid Upper Arm Circumference for Age Z-score (HAZ, WAZ and MUACZ)

Anthropometry consisted of length/height for age z-score [HAZ] (children < 2 years length measure and children ≥ 2 years standing height measure), weight for age z-score [WAZ] and mid-upper arm circumference for age z-score [MUACZ] measurements, where a HAZ < -1,5 z-score, indicates growth deficit, while a HAZ between -1,0 and ± 1,0 z-score, indicates normal height. A WAZ ≤ -3 z-score indicates a very low weight for age, a WAZ > -3 and ≤ -2 z-score indicates a low weight for age, a WAZ > - 2 z-score indicates normal weight. A MUACZ < -2 z-score indicates children that are wasted, a MUACZ < - 3 z-score indicates severely wasted children. Note: The early study end refers to children whose last visit in the primary study phase (Month 32) was after 30 June 2012 and who by protocol had one cross-sectional study end and to late study end refers to children whose last visit in the primary study phase (Month 32) was after 30 June 2012 and who by protocol had one cross-sectional study end. (NCT00866619)
Timeframe: At Months 32, 44, at study end (early and late) (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

,,
Interventionz-score (Mean)
HAZ, Month 32WAZ, Month 32MUACZ, Month 32HAZ, Month 44WAZ, Month 44MUACZ, Month 44HAZ, Study end EarlyWAZ, Study end EarlyMUACZ, Study end EarlyHAZ, Study end LateWAZ, Study end LateMUACZ, Study end Late
GSK257049 - GSK257049 [5-17M] Group-1.3-0.9-0.4-1.1-0.9-0.7-1.3-1.0-0.8-1.0-0.9-0.7
GSK257049 - Menjugate [5-17M] Group-1.4-1.0-0.4-1.2-1.0-0.7-1.3-1.0-0.8-1.1-1.0-0.8
VeroRab Comparator [5-17M] Group-1.4-1.0-0.4-1.2-0.9-0.6-1.3-1.0-0.8-1.1-1.0-0.7

Height, Weight and Mid Upper Arm Circumference for Age Z-score (HAZ, WAZ and MUACZ)

Anthropometry consisted of length/height for age z-score [HAZ] (children < 2 years length measure and children ≥ 2 years standing height measure), weight for age z-score [WAZ] and mid-upper arm circumference for age z-score [MUACZ] measurements, where a HAZ < -1,5 z-score, indicates growth deficit, while a HAZ between -1,0 and ± 1,0 z-score, indicates normal height. A WAZ ≤ -3 z-score indicates a very low weight for age, a WAZ > -3 and ≤ -2 z-score indicates a low weight for age, a WAZ > - 2 z-score indicates normal weight. A MUACZ < -2 z-score indicates children that are wasted, a MUACZ < - 3 z-score indicates severely wasted children. Note: The early study end refers to children whose last visit in the primary study phase (Month 32) was after 30 June 2012 and who by protocol had one cross-sectional study end and to late study end refers to children whose last visit in the primary study phase (Month 32) was after 30 June 2012 and who by protocol had one cross-sectional study end. (NCT00866619)
Timeframe: At Months 32, 44, at study end (early and late) (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

,,
Interventionz-score (Mean)
HAZ, Month 32WAZ, Month 32MUACZ, Month 32HAZ, Study end EarlyWAZ, Study end EarlyMUACZ, Study end Early
GSK257049 - Menjugate [6-12W] Group-1.4-0.9-0.3-1.4-0.9-0.4
GSK257049 -GSK257049 [6-12W] Group-1.5-0.9-0.4-1.4-0.9-0.5
Menjugate Comparator [6-12W] Group-1.5-0.9-0.4-1.4-0.9-0.5

Number of Doses With Seizures by Diagnostic Certainty Level

Diagnostic certainty levels included: Level 1- Witnessed sudden loss of consciousness and generalized, tonic, clonic, tonic-clonic, or atonic motor manifestations; Level 2- History of unconsciousness and generalized, tonic, clonic, tonic-clonic, or atonic motor manifestations; Level 3- History of unconsciousness and other generalized motor manifestations; Level 4- Reported generalized convulsive seizure with insufficient evidence to meet the case definition; Level 5- Not a case of generalized convulsive seizure. (NCT00866619)
Timeframe: During the 7-day (Days 0-6) post-booster vaccination period, at Month 20 + 7 Day (Days 0-6)

,,,,,
InterventionDoses (Number)
Level 1Level 2Level 3Level 4Level 5
GSK257049 - GSK257049 [5-17M] Group15011
GSK257049 - Menjugate [5-17M] Group12001
GSK257049 - Menjugate [6-12W] Group00000
GSK257049 -GSK257049 [6-12W] Group13000
Menjugate Comparator [6-12W] Group01000
VeroRab Comparator [5-17M] Group01000

Number of Subjects With Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms included pain, redness and swelling. Any = the incidence of a particular symptom, regardless of intensity grade. Grade 3 pain = cried when limb was moved, spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site. (NCT00866619)
Timeframe: During the 7-day (Days 0-6) post-booster vaccination period

,,,,,
InterventionParticipants (Count of Participants)
Any PainGrade 3 PainAny RednessGrade 3 RednessAny SwellingGrade 3 Swelling
GSK257049 - GSK257049 [5-17M] Group1090153429
GSK257049 - Menjugate [5-17M] Group450130351
GSK257049 - Menjugate [6-12W] Group290120280
GSK257049 -GSK257049 [6-12W] Group59091455
Menjugate Comparator [6-12W] Group25090432
VeroRab Comparator [5-17M] Group41080300

Number of Subjects With Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms included pain, redness and swelling. Any = the incidence of a particular symptom, regardless of intensity grade. Grade 3 pain = cried when limb was moved, spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site. (NCT00866619)
Timeframe: During the 7-day (Days 0-6) post-primary vaccination period following each dose and across doses

,,,
InterventionParticipants (Count of Participants)
Any Pain, Dose 1Grade 3 Pain, Dose 1Any Redness, Dose 1Grade 3 Redness, Dose 1Any Swelling, Dose 1Grade 3 Swelling, Dose 1Any Pain, Dose 2Grade 3 Pain, Dose 2Any Redness, Dose 2Grade 3 Redness, Dose 2Any Swelling, Dose 2Grade 3 Swelling, Dose 2Any Pain, Dose 3Grade 3 Pain, Dose 3Any Redness, Dose 3Grade 3 Redness, Dose 3Any Swelling, Dose 3Grade 3 Swelling, Dose 3Any Pain, Across dosesGrade 3 Pain, Across dosesAny Redness, Across dosesGrade 3 Redness, Across dosesAny Swelling, Across dosesGrade 3 Swelling, Across doses
GSK257049 [5-17M] Group24706621406179326314015108042213494013122630325
GSK257049 [6-12W] Group43510176322727383512432282934581131185970523292742759
Menjugate Comparator [6-12W] Group21578931252917839011281715326311111234212163524853
VeroRab Comparator [5-17M] Group61026077041018050022013035010504901190

Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were drowsiness, irritability, loss of appetite, fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)]. Any = occurrence of the symptom regardless of intensity grade or relationship to vaccination. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination. (NCT00866619)
Timeframe: During the 7-day (Days 0-6) post-booster vaccination period

,,,,,
InterventionParticipants (Count of Participants)
Any DrowsinessGrade 3 DrowsinessRelated DrowsinessAny IrritabilityGrade 3 IrritabilityRelated IrritabilityAny Loss of appetiteGrade 3 Loss of appetiteRelated Loss of appetiteAny FeverGrade 3 FeverRelated Fever
GSK257049 - GSK257049 [5-17M] Group55134631406613923334151
GSK257049 - Menjugate [5-17M] Group22010250122701470629
GSK257049 - Menjugate [6-12W] Group190623010270852715
GSK257049 -GSK257049 [6-12W] Group330194602745026152980
Menjugate Comparator [6-12W] Group150523061806581018
VeroRab Comparator [5-17M] Group2101318082101345516

Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were drowsiness, irritability, loss of appetite, fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)]. Any = occurrence of the symptom regardless of intensity grade or relationship to vaccination. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination. (NCT00866619)
Timeframe: During the 7-day (Days 0-6) post-primary vaccination period following each dose and across doses

,,,
InterventionParticipants (Count of Participants)
Any Drowsiness, Dose 1Grade 3 Drowsiness, Dose 1Related Drowsiness, Dose 1Any Irritability, Dose 1Grade 3 Irritability, Dose 1Related Irritability, Dose 1Any Loss of appetite, Dose 1Grade 3 Loss of appetite, Dose 1Related Loss of appetite, Dose 1Any Fever, Dose 1Grade 3 Fever, Dose 1Related Fever, Dose 1Any Drowsiness, Dose 2Grade 3 Drowsiness, Dose 2Related Drowsiness, Dose 2Any Irritability, Dose 2Grade 3 Irritability, Dose 2Related Irritability, Dose 2Any Loss of appetite, Dose 2Grade 3 Loss of appetite, Dose 2Related Loss of appetite, Dose 2Any Fever, Dose 2Grade 3 Fever, Dose 2Related Fever, Dose 2Any Drowsiness, Dose 3Grade 3 Drowsiness, Dose 3Related Drowsiness, Dose 3Any Irritability, Dose 3Grade 3 Irritability, Dose 3Related Irritability, Dose 3Any Loss of appetite, Dose 3Grade 3 Loss of appetite, Dose 3Related Loss of appetite, Dose 3Any Fever, Dose 3Grade 3 Fever, Dose 3Related Fever, Dose 3Any Drowsiness, Across dosesGrade 3 Drowsiness, Across dosesRelated Drowsiness, Across dosesAny Irritability, Across dosesGrade 3 Irritability, Across dosesRelated Irritability, Across dosesAny Loss of appetite, Across dosesGrade 3 Loss of appetite, Across dosesRelated Loss of appetite, Across dosesAny Fever, Across dosesGrade 3 Fever, Across dosesRelated Fever, Across doses
GSK257049 [5-17M] Group9133316506420237138529200991611922114151089503422679715213817613827645739262230512136932073985206897105547
GSK257049 [6-12W] Group16418837010226124267459532613507428971751050604119278124149287314410604442913280285214457417363243212883926598
Menjugate Comparator [6-12W] Group651261573845202419221275501512305743081546894411910425445120111357121251244513910414133111209
VeroRab Comparator [5-17M] Group27084101671024108752370264502847024100104229016270154001877732780449605413206123524110

Number of Subjects With Fatal Outcomes, by Gender

Mortality was presented as overall mortality (up to Month 20 and up to study end), mortality due to severe malaria as per secondary case definition(SCD), cerebral malaria as per secondary case definition (SCD), meningitis, fatal all-cause traumas and fatal malaria. SCD= Plasmodium falciparum malaria > 5000 parasites/mcL and 1 or more markers of severe malaria (prostration, respiratory distress, Blantyre score ≤ 2, seizures 2 or more, hypoglycemia < 2.2 mmol/L, acidosis BE ≤ -10.0 mmol/L,lactate ≥ 5.0 mmol/L, anemia < 5.0 g/dL. (NCT00866619)
Timeframe: From Month 0 up to study end (SE - median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category)

,,,,,
InterventionParticipants (Count of Participants)
Overall Mortality (M0-M20), FemalesOverall Mortality (M0-SE), FemalesOverall Mortality (M0-M20), MalesOverall Mortality (M0-SE), MalesSevere Malaria SCD, All, FemalesSevere Malaria SCD, All, MalesSevere Malaria SCD, Fatal, FemalesSevere Malaria SCD, Fatal, MalesCerebral Malaria SCD, All, FemalesCerebral Malaria SCD, All, MalesCerebral Malaria SCD, Fatal, FemalesCerebral Malaria SCD, Fatal, MalesMeningitis, All, FemalesMeningitis, All, MalesMeningitis, Fatal, FemalesMeningitis, Fatal, MalesFatal All-Cause Traumas, FemalesFatal All-Cause Traumas, MalesFatal Malaria, FemalesFatal Malaria, Males
GSK257049 - GSK257049 [5-17M] Group2735192675874316103256223494
GSK257049 - Menjugate [5-17M] Group20328191071154414144155304189
GSK257049 - Menjugate [6-12W] Group24292026498002570125011248
GSK257049 -GSK257049 [6-12W] Group20272024577822191123011153
Menjugate Comparator [6-12W] Group13162126757902730033122033
VeroRab Comparator [5-17M] Group1417192910013422792012011348

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. (NCT00866619)
Timeframe: From Month 0 up to Booster (Month 20), from Month 0 up to study end and from Month 20 up to study end

,,
InterventionParticipants (Count of Participants)
Any SAE(s), Month 0 - Month 20Any SAE(s), Month 0 - Study endAny SAE(s), Month 20 - Study end
Comparator Group364216
GSK257049 - Menjugate Group394619
GSK257049 -GSK257049 Group434719

Number of Subjects With Unsolicited AEs Related to or Leading to Vaccination Withdrawal

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Related = AE assessed by the investigator as related to the vaccination. Unsolicited AEs were calculated based on the subgroup of the first 200 subjects enrolled in each study center, who were reported with HIV infected status ((HIV status either as per general medical history taken at screening or as identified by morbidity surveillance). (NCT00866619)
Timeframe: Within the 30-day (Days 0-29) post-primary and post-booster vaccination period in HIV-infected children

,,,
InterventionParticipants (Count of Participants)
Any AE(s), post-primary vaccinationAny AE(s), post-booster vaccination
Comparator Group30
GSK257049 - Menjugate Group00
GSK257049 -GSK257049 Group02
GSK257049 Group130

Number of Subjects With Unsolicited AEs Related to or Leading to Vaccination Withdrawal in the Low-weight (LW) and Very Low-weight (VLW) Category

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Related = AE assessed by the investigator as related to the vaccination. Unsolicited AEs were calculated based on the subgroup of the first 200 subjects enrolled in each study center, who were reported with HIV infected status ((HIV status either as per general medical history taken at screening or as identified by morbidity surveillance). Low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was > -3 and ≤ -2. Very low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was ≤ -3. (NCT00866619)
Timeframe: Within the 30-day (Days 0-29) post-primary vaccination period in HIV-infected children

,,,
InterventionParticipants (Count of Participants)
Any AE(s), in LWAny AE(s), in VLW
GSK257049 [5-17M] Group6827
GSK257049 [6-12W] Group3824
Menjugate Comparator [6-12W] Group1710
VeroRab Comparator [5-17M] Group216

Number of Subjects With Unsolicited AEs Related to Vaccination in the Low-weight (LW) and Very Low-weight (VLW) Category

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Related = AE assessed by the investigator as related to the vaccination. Unsolicited AEs were calculated based on the subgroup of the first 200 subjects enrolled in each study center. Low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was > -3 and ≤ -2. Very low-weight subjects were defined as subjects whose weight for age z-score (WAZ) was ≤ -3. (NCT00866619)
Timeframe: Within the 30-day (Days 0-29) post-booster vaccination period

,,,,,
InterventionParticipants (Count of Participants)
Any AE(s) in LWAny AE(s) in VLW
GSK257049 - GSK257049 [5-17M] Group45
GSK257049 - Menjugate [5-17M] Group10
GSK257049 - Menjugate [6-12W] Group00
GSK257049 -GSK257049 [6-12W] Group22
Menjugate Comparator [6-12W] Group01
VeroRab Comparator [5-17M] Group01

Percentage of Subjects With Fatal Malaria (FM) and All-cause Mortality (ACM) as Per Case Definitions Assessed

Fatal malaria case definitions assessed were PCD and SCD1. Fatal malaria of PCD was defined as a case of severe malaria meeting the primary case definition of severe malaria disease (defined in a previous outcome measure) with a fatal outcome. Fatal malaria of SCD1 was defined as a case of severe malaria meeting the secondary case definition 1 severe malaria disease (defined previously) with a fatal outcome. All-cause mortality case definitions assessed were the case definitions (CD) 1 and 2. All-cause mortality of CD1 was defined as a fatality (of any cause) (including mortality in the community and in hospital). All-cause mortality of CD2 was defined as a fatality (medical cause) (including mortality in the community and in hospital), at the exclusion of trauma which may be diagnosed by verbal autopsy. Results presented are uncorrected for double enrollment of one subject in 5-17 months age category receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 to Month 20

,,,
InterventionPercentage of subjects (Number)
Fatal Malaria PCDFatal Malaria SCD1All-cause mortality CD1All-cause mortality CD2
GSK257049 [5-17M] Group000.010.01
GSK257049 [6-12W] Group000.010.01
Menjugate Comparator [6-12W] Group000.010.01
VeroRab Comparator [5-17M] Group000.010.01

Percentage of Subjects With Incident Severe Anaemia (ISA) and Malaria Hospitalization (MH) for Case Definitions (CD) Considered

CD considered were CD1 for ISA and CD1 and CD2 for MH. ISA of CD1 was defined as a documented hemoglobin < 5.0 g/dL identified at clinical presentation to morbidity surveillance system in association with a P. falciparum parasitemia > 5000 parasites/μL. MH of CD1 was defined as a medical hospitalization with confirmed P. falciparum > 5000 parasites/μL. MH of CD2 was defined as a hospitalization which, in the judgment of the principal investigator, P. falciparum infection was the sole or a major contributing factor to the presentation. Results presented are uncorrected for double enrollment of one subject in 5-17 months age category receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 to Month 20

,,,
InterventionPercentage of subjects (Number)
ISA CD1MH CD1MH CD2
GSK257049 [5-17M] Group0.010.050.06
GSK257049 [6-12W] Group0.010.040.05
Menjugate Comparator [6-12W] Group0.010.050.06
VeroRab Comparator [5-17M] Group0.010.090.1

Percentage of Subjects With Incident Severe Anaemia (ISA), Malaria Hospitalization (MH) and Fatal Malaria (FM) for Case Definitions (CD) Considered

ISA CD considered were CD1, CD2 and CD3 (definitions mentioned in the previous outcome measure). MH CD considered were CD1 and CD2 (definitions mentioned in the previous outcome measure).FM CD considered were primary CD (PCD) and sedondary CDs 1 and 4 (SCD1 and SCD4). FM of PCD was defined as a case of severe malaria meeting the primary case definition of severe malaria disease with a fatal outcome. FM of SCD1 was defined as a case of severe malaria meeting the secondary case definition 1 severe malaria disease with a fatal outcome. FM of SCD4 was defined as a fatal case associated with International Classification Disease (ICD10) codes B50, B53 and/or B54. Code B50 corresponds to P. falciparum malaria including mixed infections of P. falciparum with any other Plasmodium species; Code B53 corresponds to other parasitologically confirmed malaria; Code B54 corresponds to unspecified malaria including clinically diagnosed malaria without parasitological confirmation. (NCT00866619)
Timeframe: From Month 2.5 to Month 32

,,,,,
InterventionPercentage of subjects (Number)
ISA CD1ISA CD2ISA CD3MH CD1MH CD2FM PCDFM SCD1FM SCD4
GSK257049 - GSK257049 [5-17M] Group0.010.010.010.060.08000
GSK257049 - Menjugate [5-17M] Group0.010.010.020.090.1000
GSK257049 - Menjugate [6-12W] Group0.010.010.020.060.08000
GSK257049 -GSK257049 [6-12W] Group0.10.010.020.050.07000
Menjugate Comparator [6-12W] Group0.010.010.020.070.09000
VeroRab Comparator [5-17M] Group0.010.020.020.110.12000

Percentage of Subjects With Incident Severe Anaemia (ISA), Malaria Hospitalization (MH) and Fatal Malaria (FM) for Case Definitions (CD) Considered

ISA CD considered were CD1, CD2 and CD3 (definitions mentioned in the previous outcome measure). MH CD considered were CD1 and CD2 (definitions mentioned in the previous outcome measure).FM CD considered were primary CD (PCD) and sedondary CDs 1 and 4 (SCD1 and SCD4). FM of PCD was defined as a case of severe malaria meeting the primary case definition of severe malaria disease with a fatal outcome. FM of SCD1 was defined as a case of severe malaria meeting the secondary case definition 1 severe malaria disease with a fatal outcome. FM of SCD4 was defined as a fatal case associated with International Classification Disease (ICD10) codes B50, B53 and/or B54. Code B50 corresponds to P. falciparum malaria including mixed infections of P. falciparum with any other Plasmodium species; Code B53 corresponds to other parasitologically confirmed malaria; Code B54 corresponds to unspecified malaria including clinically diagnosed malaria without parasitological confirmation. (NCT00866619)
Timeframe: From Month 2.5 to up to study end (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

,,,,,
InterventionPercentage of subjects (Number)
ISA CD1ISA CD2ISA CD3MH CD1MH CD2FM PCDFM SCD1FM SCD4
GSK257049 - GSK257049 [5-17M] Group0.010.010.020.070.09000
GSK257049 - Menjugate [5-17M] Group0.010.020.020.10.11000
GSK257049 - Menjugate [6-12W] Group0.010.020.030.070.09000.01
GSK257049 -GSK257049 [6-12W] Group0.010.010.020.060.08000
Menjugate Comparator [6-12W] Group0.020.020.030.080.1000
VeroRab Comparator [5-17M] Group0.020.020.020.120.13000

Percentage of Subjects With Pneumonia, All-cause Hospitalization and Sepsis, as Per Case Definitions Assessed

Pneumonia case definitions assessed are PCD and SCD 1, 2 and 3. Pneumonia of PCD was defined as cough or difficulty breathing AND tachypnea (≥ 50 breaths per minute < 1 year, ≥ 40 breaths per minute ≥ 1year) AND lower chest wall indrawing. Pneumonia of SCD1 was defined as pneumonia of PCD accompanied by chest X-ray (CXR) consolidation or pleural effusion on x-ray taken within 72 h of admission. Pneumonia of SCD2 was defined as pneumonia of PCD accompanied by consolidation or pleural effusion or other infiltrates on a chest x-ray taken within 72 h of admission. Pneumonia of SCD3 was defined as pneumonia of PCD accompanied by an oxygen saturation < 90%. All-cause hospitalization of PCD was defined as a medical hospitalization of any cause (excludes planned admissions for medical investigation/care or elective surgery and trauma). Sepsis cases were defined as a child with positive blood culture (CD1) or salmonella blood culture (CD2). (NCT00866619)
Timeframe: From Month 2.5 to Month 20

,,,
InterventionPercentage of subjects (Number)
Pneumonia PCDPneumonia SCD1Pneumonia SCD2Pneumonia SCD3All-Cause Hospitalization PCDSepsis CD1Sepsis CD2
GSK257049 [5-17M] Group0.030.010.0200.150.020.01
GSK257049 [6-12W] Group0.040.010.030.010.180.020.01
Menjugate Comparator [6-12W] Group0.040.010.030.010.190.010.01
VeroRab Comparator [5-17M] Group0.0300.020.010.190.020.01

Percentage of Subjects With Pneumonia, All-cause Hospitalization/Mortality and Sepsis, as Per Case Definitions Assessed

Pneumonia of PCD was defined as cough or difficulty breathing (on history) AND tachypnea (>= 50 breaths per minute < 1 year, >= 40 breaths per minute >= 1year) AND lower chest wall indrawing,SCD1 was defined as pneumonia of PCD accompanied by chest X-ray (CXR) consolidation or pleural effusion on x-ray taken within 72 h of admission,SCD2 was defined as pneumonia of PCD accompanied by consolidation or pleural effusion or other infiltrates on a chest x-ray taken within 72 h of admission,SCD3 was defined as pneumonia of PCD accompanied by an oxygen saturation less than 90%.All-cause hospitalization of PCD was defined as a medical hospitalization of any cause (excluding planned admissions for medical investigation/care or elective surgery and trauma).All-cause mortality of CD1 was defined as a fatality (of any cause),of CD2 defined as a fatality (medical cause).Sepsis of CD1 was defined as a child with positive blood culture;CD2 defined as a child with positive salmonella blood culture. (NCT00866619)
Timeframe: From Month 2.5 up to study end (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

,,,,,
InterventionPercentage of subjects (Number)
All-Cause Hospitalization PCDSepsis CD1Sepsis CD2Pneumonia PCDPneumonia SCD1Pneumonia SCD2Pneumonia SCD3All-Cause Mortality CD1All-Cause Mortality CD2
GSK257049 - GSK257049 [5-17M] Group0.210.020.010.040.010.0300.010.01
GSK257049 - Menjugate [5-17M] Group0.220.020.010.030.010.0200.010.01
GSK257049 - Menjugate [6-12W] Group0.230.020.020.050.010.030.010.020.02
GSK257049 -GSK257049 [6-12W] Group0.230.020.010.050.010.030.010.020.02
Menjugate Comparator [6-12W] Group0.240.020.010.050.010.030.010.010.01
VeroRab Comparator [5-17M] Group0.240.030.020.030.010.020.010.010.01

Percentage of Subjects With Prevalent Parasitemia and Prevalent Severe and Moderate Anemia

Prevalent parasitemia (PP) was defined as a documented P. falciparum asexual parasite density > 0 identified at timing of assessment. Prevalent severe anemia (PSA) was defined as a documented hemoglobin < 5.0 g/dL identified at timing of assessment. Prevalent moderate anemia (PMA) was defined as a documented hemoglobin < 8.0 g/dL identified at timing of assessment. Analysis was performed on subjects aged 5-17 months at enrollment. Study End (Early) corresponds to children whose Month 32 visit took place after 30 June 2012 and who had one cross-sectional visit at study end. These children's last study visit was relatively earlier, with a median follow-up time of 14 months post Month 32. Study End (Late) corresponds to children whose Month 32 visit took place before (and including) 30 June 2012, and who had 2 cross-sectional visits after Month 32. These children's last study visit was relatively later, with a median follow-up time of 17 months post Month 32). (NCT00866619)
Timeframe: At Months 32, 44, at study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category) (early and late)

,,
InterventionPercentage of subjects (Number)
PP, Month 32PSA, Month 32PMA, Month 32PP, Month 44PSA, Month 44PMA, Month 44PP, SE (Early)PSA, SE (Early)PMA, SE (Early)PP, SE (Late)PSA, SE (Late)PMA, SE (Late)
GSK257049 - GSK257049 [5-17M] Group0.0900.020.1600.010.0900.010.1800.03
GSK257049 - Menjugate [5-17M] Group0.100.020.1700.020.100.020.1800.03
VeroRab Comparator [5-17M] Group0.1400.020.200.010.1400.030.2100.02

Percentage of Subjects With Prevalent Parasitemia and Prevalent Severe and Moderate Anemia

Prevalent parasitemia (PP) was defined as a documented P. falciparum asexual parasite density > 0 identified at timing of assessment. Prevalent severe anemia (PSA) was defined as a documented hemoglobin < 5.0 g/dL identified at timing of assessment. Prevalent moderate anemia (PMA) was defined as a documented hemoglobin < 8.0 g/dL identified at timing of assessment. Analysis was performed on subjects aged 5-17 months at enrollment. Study End (Early) corresponds to children whose Month 32 visit took place after 30 June 2012 and who had one cross-sectional visit at study end. These children's last study visit was relatively earlier, with a median follow-up time of 14 months post Month 32. Study End (Late) corresponds to children whose Month 32 visit took place before (and including) 30 June 2012, and who had 2 cross-sectional visits after Month 32. These children's last study visit was relatively later, with a median follow-up time of 17 months post Month 32). (NCT00866619)
Timeframe: At Months 32, 44, at study end (median follow-up time of 48 months post-Dose 1 for 5-17 months age category and of 38 months post-Dose 1 for 6-12 weeks age category) (early and late)

,,
InterventionPercentage of subjects (Number)
PP, Month 32PSA, Month 32PMA, Month 32PP, SE (Early)PSA, SE (Early)PMA, SE (Early)
GSK257049 -GSK257049 [6-12W] Group0.0900.020.1100.03
Menjugate Comparator [6-12W] Group0.100.030.1300.03
GSK257049 - Menjugate [6-12W] Group0.1100.040.1400.03

Percentage of Subjects With Prevalent Parasitemia, Prevalent Gametocytemia and Prevalent Severe and Moderate Anemia

Prevalent parasitemia (PP) was defined as a documented P. falciparum asexual parasite density > 0 identified at timing of assessment. Prevalent gametocytemia (PG) was defined as a documented P. falciparum gametocyte density > 0 identified at a cross sectional survey. Prevalent severe anemia (PSA) was defined as a documented hemoglobin < 5.0 g/dL identified at timing of assessment. Prevalent moderate anemia (PMA) was defined as a documented hemoglobin < 8.0 g/dL identified at at timing of assessment. Results presented are uncorrected for the double enrollment of one subject receiving RTS,S/AS01. (NCT00866619)
Timeframe: At Month 20 (Booster)

,
InterventionPercentage of subjects (Number)
PPPSAPMA
GSK257049 [6-12W] Group0.0700.04
Menjugate Comparator [6-12W] Group0.0800.04

Percentage of Subjects With Prevalent Parasitemia, Prevalent Gametocytemia and Prevalent Severe and Moderate Anemia

Prevalent parasitemia (PP) was defined as a documented P. falciparum asexual parasite density > 0 identified at timing of assessment. Prevalent gametocytemia (PG) was defined as a documented P. falciparum gametocyte density > 0 identified at a cross sectional survey. Prevalent severe anemia (PSA) was defined as a documented hemoglobin < 5.0 g/dL identified at timing of assessment. Prevalent moderate anemia (PMA) was defined as a documented hemoglobin < 8.0 g/dL identified at at timing of assessment. Results presented are uncorrected for the double enrollment of one subject receiving RTS,S/AS01. (NCT00866619)
Timeframe: At Month 20 (Booster)

,
InterventionPercentage of subjects (Number)
PPPSAPMAPG
GSK257049 [5-17M] Group0.0700.030.03
VeroRab Comparator [5-17M] Group0.1100.030.04

Percentage of Subjects With Severe PFMI (SPFMI) of PCD and SCD1

SPFMI of PCD = PFMI >5000 parasites/μL, at least one severity marker and no co-morbidity diagnosis. SPFMI of SCD1 = PFMI >5000 parasites/μL and with one or more severity marker. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24 h prior to admission, emergency room and hospitalisation; hypoglycaemia<2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l ≥ 5.0 mmol/L; anaemia<5.0 g/dL. Comorbidities = radiographically proven pneumonia; meningitis; positive blood culture on a blood culture taken within 72 h of admission; gastroenteritis with dehydration. SPFMI of SCD1 = PFMI >5000 parasites/μL and with one or more severity marker. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24 h prior to admission, emergency room and hospitalisation; hypoglycaemia<2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l ≥ 5.0 mmol/L; anaemia<5.0 g/dL. (NCT00866619)
Timeframe: From Month 2.5, from Month 20(booster), from Month 33 up to study end (median follow-up time of 48 months post-Dose 1 for 5-17M age category and of 38 months post-Dose 1 for 6-12W age category) and from Month 2.5 to Month 32 and from Month 20 to Month 32

,,,,,
InterventionPercentage of subjects (Number)
PCD, M2.5 to SEPCD, M20 to SEPCD, M33 to SEPCD, M2.5 to M32PCD, M20 to M32SCD1, M2.5 to SESCD1, M20 to SESCD1, M33 to SESCD1, M2.5 to M32SCD1, M20 to M32
GSK257049 - GSK257049 [5-17M] Group0.040.030.010.030.020.050.030.010.040.02
GSK257049 - Menjugate [5-17M] Group0.060.040.020.050.020.070.040.020.060.03
GSK257049 - Menjugate [6-12W] Group0.040.030.010.040.020.050.030.010.040.02
GSK257049 -GSK257049 [6-12W] Group0.040.020.010.040.010.040.020.010.040.01
Menjugate Comparator [6-12W] Group0.050.030.010.040.020.060.030.010.050.02
VeroRab Comparator [5-17M] Group0.060.020.010.050.020.070.030.010.060.02

Percentage of Subjects With Severe PFMI (SPFMI) of PCD and SCD1

SPFMI of PCD = PFMI>5000 parasites/μL, at least one severity marker and no co-morbidity diagnosis. SPFMI of SCD1 = PFMI>5000 parasites/μL and with one or more severity marker. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24h prior to admission, emergency room and hospitalisation; hypoglycaemia<2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l ≥ 5.0 mmol/L; anaemia<5.0 g/dL. Comorbidities = radiographically proven pneumonia; meningitis; positive blood culture on a blood culture taken within 72h of admission; gastroenteritis with dehydration. SPFMI of SCD1 = PFMI>5000 parasites/μL and with one or more severity marker. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24h prior to admission, emergency room and hospitalisation; hypoglycaemia<2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l ≥ 5.0 mmol/L; anaemia<5.0 g/dL. Results presented are uncorrected for double enrollment of one subject in 5-17 months age category. (NCT00866619)
Timeframe: From Month 2.5 to Month 14

,,,
InterventionPercentage of subjects (Number)
SPFMI PCDSPFMI SCD1
GSK257049 [5-17M] Group2.02.6
GSK257049 [6-12W] Group1.51.6
Menjugate Comparator [6-12W] Group2.32.5
VeroRab Comparator [5-17M] Group3.84.9

Percentage of Subjects With Severe PFMI (SPFMI) of PCD and SCD1

SPFMI of PCD = PFMI>5000 parasites/μL, at least one severity marker and no co-morbidity diagnosis. SPFMI of SCD1 = PFMI>5000 parasites/μL and with one or more severity marker. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24h prior to admission, emergency room and hospitalisation; hypoglycaemia<2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l ≥ 5.0 mmol/L; anaemia<5.0 g/dL. Comorbidities = radiographically proven pneumonia; meningitis; positive blood culture on a blood culture taken within 72h of admission; gastroenteritis with dehydration. SPFMI of SCD1 = PFMI>5000 parasites/μL and with one or more severity marker. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24h prior to admission, emergency room and hospitalisation; hypoglycaemia<2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l ≥ 5.0 mmol/L; anaemia<5.0 g/dL. Results presented are uncorrected for double enrollment of one subject in 5-17 months age category. (NCT00866619)
Timeframe: From Month 2.5 to Month 20 at Booster

,,,
InterventionPercentage of subjects (Number)
SPFMI PCDSPFMI SCD1
GSK257049 [5-17M] Group0.030.03
GSK257049 [6-12W] Group0.030.03
Menjugate Comparator [6-12W] Group0.030.03
VeroRab Comparator [5-17M] Group0.040.05

Percentage of Subjects With Severe PFMI (SPFMI) of PCD, SCD1, SCD2 and SCD3, Across Centers

SPFMI of PCD = PFMI > 5000 parasites/μL, at least one severity marker and no co-morbidity diagnosis. SPFMI of SCD1 = PFMI >5000 parasites/μL and with one or more severity marker. SPFMI of SCD2 = PFMI >0 with one or more severity marker and without co-morbidity diagnosis. SPFMI of SCD3 = PFMI >5000 parasites/μL, with one or more severity marker, and without co-morbidity or HIV. Severity markers = prostration; respiratory distress; Blantyre score ≤ 2; ≥ 2 seizures in 24 h prior to admission, emergency room and hospitalisation; hypoglycaemia < 2.2 mmol/L; acidosis BE ≤ -10.0 mmol/L,l < 5.0 mmol/L; anaemia<5.0 g/dL. Comorbidities = radiographically proven pneumonia; meningitis; positive blood culture on a blood culture taken within 72 h of admission; gastroenteritis with dehydration. Analysis was performed in a pooled manner across age categories. Results presented are uncorrected for double enrollment of one subject in 5-17 months age category receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 up to the time when 250 subjects were diagnosed with severe malaria of PCD, SCD1, SCD2 and SCD3 (up to the Month 14 time point for each age category or date of booster dose, whichever occurred first)

,
InterventionPercentage of subjects (Number)
PCDSCD1SCD2SCD3
Comparator Group0.030.0360.0340.03
GSK257049 Group0.0190.0230.0230.019

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of PCD and SCD1, Across Centers

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by the presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. CPFMI of SCD1 = malaria episode with PFAP > 0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented across centers. (NCT00866619)
Timeframe: From Month 33 up to study end (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

,,,,,
Interventionevents per person-year (Number)
PCDSCD1
GSK257049 - GSK257049 [5-17M] Group1.011.61
GSK257049 - Menjugate [5-17M] Group1.11.79
GSK257049 - Menjugate [6-12W] Group1.311.92
GSK257049 -GSK257049 [6-12W] Group1.181.73
Menjugate Comparator [6-12W] Group1.291.91
VeroRab Comparator [5-17M] Group1.11.88

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of PCD, by Center and Across Centers

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by the presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented by center and across centers. (NCT00866619)
Timeframe: From Month 2.5 to Month 32

,,
Interventionevents per person-year (Number)
PCD - KilifiPCD - KorogwePCD - LambarenePCD - BagamoyoPCD - LilongwePCD - AgogoPCD - KombewaPCD - KintampoPCD - NanoroPCD - SiayaPCD - Across
GSK257049 - GSK257049 [5-17M] Group0.030.040.140.130.110.591.121.081.421.910.68
GSK257049 - Menjugate [5-17M] Group0.040.030.140.190.220.751.291.171.672.460.81
VeroRab Comparator [5-17M] Group0.090.080.210.310.291.151.671.872.453.251.15

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of PCD, by Center and Across Centers

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by the presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented by center and across centers. (NCT00866619)
Timeframe: From Month 2.5 to Month 32

,,
Interventionevents per person-year (Number)
PCD - KilifiPCD - KorogwePCD - LambarenePCD - BagamoyoPCD - LilongwePCD - AgogoPCD - KombewaPCD - KintampoPCD - ManhicaPCD - NanoroPCD - SiayaPCD - Across
GSK257049 - Menjugate [6-12W] Group0.040.060.180.110.320.721.251.60.122.532.540.88
GSK257049 -GSK257049 [6-12W] Group0.060.020.10.080.270.561.281.520.152.272.410.8
Menjugate Comparator [6-12W] Group0.050.060.180.150.470.861.551.60.152.923.091.03

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of PCD, Overall and by Center

PCD = malaria episode with PFAP > 5000 parasites/µL accompanied by fever and occurring in a child unwell brought for treatment to a healthcare facility or a case of malaria meeting the PCD of severe malaria disease (see below endpoints on severe malaria for details). Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are by center and across centers, and are uncorrected for double enrollment of 1 subject receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 to Month 20

,
Interventionevents per person-year (Number)
PCD - AgogoPCD - BagamoyoPCD - KilifiPCD - KintampoPCD - KombewaPCD - KorogwePCD - LambarenePCD - LilongwePCD - NanoroPCD - SiayaPCD - Across
GSK257049 [5-17M] Group0.560.10.011.011.210.040.110.21.422.010.69
VeroRab Comparator [5-17M] Group1.160.280.041.851.870.110.20.322.43.311.17

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of PCD, Overall and by Center

PCD = malaria episode with PFAP > 5000 parasites/µL accompanied by fever and occurring in a child unwell brought for treatment to a healthcare facility or a case of malaria meeting the PCD of severe malaria disease (see below endpoints on severe malaria for details). Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are by center and across centers, and are uncorrected for double enrollment of 1 subject receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 to Month 20

,
Interventionevents per person-year (Number)
PCD - AgogoPCD - BagamoyoPCD - KilifiPCD - KintampoPCD - KombewaPCD - KorogwePCD - LambarenePCD - LilongwePCD - ManhicaPCD - NanoroPCD - SiayaPCD - Across
GSK257049 [6-12W] Group0.640.080.041.530.940.030.110.30.11.932.030.71
Menjugate Comparator [6-12W] Group0.790.140.021.491.320.050.120.50.122.392.750.92

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD) and Secondary Case Definition 1 (SCD1)

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by the presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. CPFMI of SCD1 = malaria episode with PFAP > 0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. Time to all episodes of CPFMI is expressed as a rate of all CPFMI (RaCPFMI), that is, person-year rate in each group (n/T). (NCT00866619)
Timeframe: From Booster at Month 20 up to Month 32

,,,,,
Interventionevents per person-year (Number)
PCDSCD1
GSK257049 - GSK257049 [5-17M] Group0.721.14
GSK257049 - Menjugate [5-17M] Group0.961.48
GSK257049 - Menjugate [6-12W] Group1.151.72
GSK257049 -GSK257049 [6-12W] Group0.911.35
Menjugate Comparator [6-12W] Group1.21.74
VeroRab Comparator [5-17M] Group1.11.74

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD) and Secondary Case Definition 1 (SCD1), Across Centers

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by the presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. CPFMI of SCD1 = malaria episode with PFAP >0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented across centers. (NCT00866619)
Timeframe: From Booster at Month 20 up to study end (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

,,,,,
Interventionevents per person-year (Number)
PCDSCD1
GSK257049 - GSK257049 [5-17M] Group0.871.39
GSK257049 - Menjugate [5-17M] Group1.031.65
GSK257049 - Menjugate [6-12W] Group1.211.79
GSK257049 -GSK257049 [6-12W] Group1.011.48
Menjugate Comparator [6-12W] Group1.231.8
VeroRab Comparator [5-17M] Group1.11.82

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD), by Centers and Across Centers

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented by center and across centers. (NCT00866619)
Timeframe: From Month 2.5 up to study End (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

,,
Interventionevents per person-year (Number)
PCD - KilifiPCD - KorogwePCD - LambarenePCD - BagamoyoPCD - LilongwePCD - AgogoPCD - KombewaPCD - KintampoPCD - NanoroPCD - SiayaPCD - Across
GSK257049 - GSK257049 [5-17M] Group0.020.040.150.160.090.591.261.111.952.090.79
GSK257049 - Menjugate [5-17M] Group0.030.050.150.210.20.731.371.312.182.550.9
VeroRab Comparator [5-17M] Group0.080.10.230.270.231.011.641.712.693.151.14

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD), by Centers and Across Centers

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are presented by center and across centers. (NCT00866619)
Timeframe: From Month 2.5 up to study End (with a median follow-up time post-Dose 1 of 48 months for 5-17M groups and 38 months for 6-12W groups)

,,
Interventionevents per person-year (Number)
PCD - KilifiPCD - KorogwePCD - LambarenePCD - BagamoyoPCD - LilongwePCD - AgogoPCD - KombewaPCD - KintampoPCD - ManhicaPCD - NanoroPCD - SiayaPCD - Across
GSK257049 - Menjugate [6-12W] Group0.040.070.180.110.290.771.371.710.142.792.670.95
GSK257049 -GSK257049 [6-12W] Group0.060.050.10.080.250.591.371.650.182.592.430.86
Menjugate Comparator [6-12W] Group0.040.090.170.150.420.841.621.690.23.143.121.08

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD), by Gender and Overall

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by the presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all episodes of CPFMI is expressed as a rate of all CPFMI (RaCPFMI), that is, person-year rate in each group (n/T). Analysis was performed on subjects aged 5-17 months and 6-12 weeks at enrollment. Results were presented by gender and overall. (NCT00866619)
Timeframe: From Month 2.5 to Month 32

,,,,,
Interventionevents per person-year (Number)
PCD FemalesPCD MalesPCD Overall
GSK257049 - GSK257049 [5-17M] Group0.720.650.68
GSK257049 - Menjugate [5-17M] Group0.80.810.81
GSK257049 - Menjugate [6-12W] Group0.790.960.88
GSK257049 -GSK257049 [6-12W] Group0.760.830.8
Menjugate Comparator [6-12W] Group1.061.011.03
VeroRab Comparator [5-17M] Group1.111.191.15

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD), by Tertile

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all episodes of CPFMI is expressed as a rate of all CPFMI (RaCPFMI), that is, person-year rate in each group (n/T). RaCPFMI was calculated by tertile of anti-CS response post booster vaccination pooled across sites, on subjects in R3R (5-17M; 6-12W) (or R3R below) and C3C (5-17M; 6-12W) (or C3C below) groups taking into account the first 200 participants per site. (NCT00866619)
Timeframe: From Booster at Month 20 to Month 32

,,,
Interventionevents per person-year (Number)
Tertile 1Tertile 2Tertile 3
GSK257049 - GSK257049 [5-17M] Group0.680.680.77
GSK257049 -GSK257049 [6-12W] Group0.990.840.64
Menjugate Comparator [6-12W] Group0.940.940.94
VeroRab Comparator [5-17M] Group1.211.211.21

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of Primary Case Definition (PCD), by Tertile

CPFMI of PCD = episode of malaria for which PFAP > 5000 parasites/µL accompanied by presence of fever (axillary temperature ≥ 37.5°C at time of presentation) AND occurring in a child unwell brought for treatment to a healthcare facility OR a case of malaria meeting the PCD of severe malaria disease. Time to all episodes of CPFMI is expressed as a rate of all CPFMI (RaCPFMI), that is, person-year rate in each group (n/T). RaCPFMI was calculated by tertile of anti-CS response post primary vaccination pooled across sites, on subjects in GSK257049-Menjugate Groups (5-17M; 6-12W) and Comparator Groups (5-17M; 6-12W), taking into account the first 200 participants per site. (NCT00866619)
Timeframe: From Month 2.5 to Month 32

,,,
Interventionevents per person-year (Number)
Tertile 1Tertile 2Tertile 3
GSK257049 - Menjugate [5-17M] Group0.680.781.03
GSK257049 - Menjugate [6-12W] Group1.290.70.58
Menjugate Comparator [6-12W] Group0.930.930.93
VeroRab Comparator [5-17M] Group1.211.211.21

Rate of All Episodes of Clinical P. Falciparum Malaria Infection (CPFMI) of SCD1, SCD2 and SCD3 (Overall)

SCD1 = malaria episode with PFAP > 0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. SCD2 = malaria episode with PFAP > 500 parasites/μL and fever at time of presentation in a subject unwell brought for treatment to a healthcare facility. SCD3 = malaria episode with PFAP > 20.000 parasites/μL and fever at time of presentation in a subject unwell and brought for treatment to a healthcare facility. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are across centers, and are uncorrected for double enrollment of 1 subject receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 to Month 20

,,,
Interventionevents per person-year (Number)
SCD1SCD2SCD3
GSK257049 [5-17M] Group1.090.780.59
GSK257049 [6-12W] Group1.090.810.58
Menjugate Comparator [6-12W] Group1.421.040.76
VeroRab Comparator [5-17M] Group1.781.31.01

Rate of All Episodes of P. Falciparum Clinical Malaria Infection (CPFMI) of PCD and of Secondary Case Definitions (SCD) 1, SCD 2 and SCD 3

PCD=malaria episode with P. falciparum asexual parasitemia (PFAP) > 5000 parasites/µL accompanied by fever and occurring in a child unwell brought for treatment to a healthcare facility or a case of malaria meeting the PCD of severe malaria disease. SCD1=malaria episode with PFAP > 0 and fever at time of presentation or history of fever within 24h of presentation in a subject unwell brought for treatment to a healthcare facility. SCD2=malaria episode with PFAP > 500 parasites/μL and fever at time of presentation in a subject unwell brought for treatment to a healthcare facility. SCD3=malaria episode with PFAP > 20.000 parasites/μL and fever at time of presentation in a subject unwell and brought for treatment to a healthcare facility. Time to all CPFMI episodes is expressed as person-year rate in each group (n/T). Results are uncorrected for double enrollment of 1 subject receiving GSK257049 vaccine. (NCT00866619)
Timeframe: From Month 2.5 to Month 14

,,,
Interventionevents per person-year (Number)
PCDSCD1SCD2SCD3
GSK257049 [5-17M] Group0.7351.2240.8470.625
GSK257049 [6-12W] Group0.6390.9890.7360.515
Menjugate Comparator [6-12W] Group0.9081.4031.0310.731
VeroRab Comparator [5-17M] Group1.4682.3121.6281.244

Incidence of Clinical Episodes of Malaria

Passive surveillance to detect episode of fever (temperature > 37.5 C), or a history of fever within the past 48 hours, that is severe enough to require treatment at a health centre and which is accompanied by a positive blood film with a parasite density of 5,000 per µl or more (NCT03143218)
Timeframe: Passive surveillance of clinical episodes of malaria within the study area starting from the date of the first dose of study vaccines (April/May 2017) until 31st March 2020- a total of 36 months.

InterventionNo. of events/1000 person years at risk (Number)
SMC With SP+AQ304.8
RTS,S/AS01278.2
RTS,S/AS01 PLUS SMC With SP+AQ113.3

Reviews

1 review available for lactic acid and Malaria

ArticleYear
The biological basis of malarial disease.
    International journal for parasitology, 1997, Volume: 27, Issue:10

    Topics: Animals; Carbohydrate Metabolism; Cytokines; Humans; Hypoglycemia; Immune Tolerance; Inflammation Me

1997

Trials

4 trials available for lactic acid and Malaria

ArticleYear
Development of standardized laboratory methods and quality processes for a phase III study of the RTS, S/AS01 candidate malaria vaccine.
    Malaria journal, 2011, Aug-04, Volume: 10

    Topics: Africa; Automation; Biomedical Research; Blood; Blood Glucose; Clinical Laboratory Techniques; Data

2011
Development of standardized laboratory methods and quality processes for a phase III study of the RTS, S/AS01 candidate malaria vaccine.
    Malaria journal, 2011, Aug-04, Volume: 10

    Topics: Africa; Automation; Biomedical Research; Blood; Blood Glucose; Clinical Laboratory Techniques; Data

2011
Development of standardized laboratory methods and quality processes for a phase III study of the RTS, S/AS01 candidate malaria vaccine.
    Malaria journal, 2011, Aug-04, Volume: 10

    Topics: Africa; Automation; Biomedical Research; Blood; Blood Glucose; Clinical Laboratory Techniques; Data

2011
Development of standardized laboratory methods and quality processes for a phase III study of the RTS, S/AS01 candidate malaria vaccine.
    Malaria journal, 2011, Aug-04, Volume: 10

    Topics: Africa; Automation; Biomedical Research; Blood; Blood Glucose; Clinical Laboratory Techniques; Data

2011
The effect of blood storage age on treatment of lactic acidosis by transfusion in children with severe malarial anaemia: a pilot, randomized, controlled trial.
    Malaria journal, 2013, Feb-06, Volume: 12

    Topics: Acidosis, Lactic; Blood Transfusion; Child, Preschool; Drug Storage; Female; Hemoglobins; Humans; In

2013
Pharmacokinetics and pharmacodynamics of dichloroacetate in children with lactic acidosis due to severe malaria.
    QJM : monthly journal of the Association of Physicians, 1995, Volume: 88, Issue:5

    Topics: Acidosis, Lactic; Child; Child, Preschool; Dichloroacetic Acid; Drug Therapy, Combination; Female; H

1995
A pilot study of N-acetylcysteine as adjunctive therapy for severe malaria.
    QJM : monthly journal of the Association of Physicians, 2002, Volume: 95, Issue:5

    Topics: Acetylcysteine; Adjuvants, Pharmaceutic; Adult; Antimalarials; Double-Blind Method; Humans; Interfer

2002

Other Studies

25 other studies available for lactic acid and Malaria

ArticleYear
Controlled release starch-lipid implant for the therapy of severe malaria.
    International journal of pharmaceutics, 2022, Jun-25, Volume: 622

    Topics: Artemether; Delayed-Action Preparations; Humans; Lactic Acid; Lipids; Malaria; Polyglycolic Acid; Po

2022
A zooprophylaxis strategy using L-lactic acid (Abate) to divert host-seeking malaria vectors from human host to treated non-host animals.
    Malaria journal, 2020, Jan-30, Volume: 19, Issue:1

    Topics: Animals; Anopheles; Feeding Behavior; Female; Goats; Humans; Insecticides; Lactic Acid; Malaria; Mos

2020
ASIATIC ACID INFLUENCES GLUCOSE HOMEOSTASIS IN
    African journal of traditional, complementary, and alternative medicines : AJTCAM, 2016, Volume: 13, Issue:5

    Topics: Animals; Disease Models, Animal; Glucose; Glucose Tolerance Test; Homeostasis; Insulin; Lactic Acid;

2016
Quantile planes without crossing via nonlinear programming.
    Computer methods and programs in biomedicine, 2018, Volume: 153

    Topics: Child; Humans; Lactic Acid; Malaria; Nonlinear Dynamics

2018
Lactate clearance as a prognostic marker of mortality in severely ill febrile children in East Africa.
    BMC medicine, 2018, 03-09, Volume: 16, Issue:1

    Topics: Africa, Eastern; Child; Child, Preschool; Critical Illness; Female; Fever; Humans; Infant; Lactic Ac

2018
Species-specific alterations in Anopheles mosquito olfactory responses caused by Plasmodium infection.
    Scientific reports, 2019, 03-04, Volume: 9, Issue:1

    Topics: Animals; Anopheles; Benzothiazoles; Chromatography, Gas; Female; Lactic Acid; Malaria; Mosquito Vect

2019
Performance of point-of-care diagnostics for glucose, lactate, and hemoglobin in the management of severe malaria in a resource-constrained hospital in Uganda.
    The American journal of tropical medicine and hygiene, 2014, Volume: 90, Issue:4

    Topics: Anemia; Blood Glucose; Child; Child, Preschool; Cohort Studies; Female; Health Resources; Hemoglobin

2014
Designing improved poly lactic-co-glycolic acid microspheres for a malarial vaccine: incorporation of alginate and polyinosinic-polycytidilic acid.
    Journal of microencapsulation, 2014, Volume: 31, Issue:6

    Topics: Alginates; Animals; Antibodies, Protozoan; Female; Glucuronic Acid; Hexuronic Acids; Immunoglobulin

2014
Presentation, management, and outcomes of sepsis in adults and children admitted to a rural Ugandan hospital: A prospective observational cohort study.
    PloS one, 2017, Volume: 12, Issue:2

    Topics: Adolescent; Adult; Anti-Bacterial Agents; Blood Glucose; Child; Child, Preschool; Cohort Studies; Fe

2017
A high specificity and affinity interaction with serum albumin stimulates an anion conductance in malaria-infected erythrocytes.
    Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology, 2008, Volume: 22, Issue:5-6

    Topics: Animals; Caseins; Chloride Channels; Erythrocytes; Humans; Ion Channel Gating; Lactic Acid; Malaria;

2008
Physiopathologic factors resulting in poor outcome in childhood severe malaria in Cameroon.
    The Pediatric infectious disease journal, 2009, Volume: 28, Issue:12

    Topics: Bilirubin; Biomarkers; Cameroon; Child; Child, Preschool; Creatinine; Female; Humans; Infant; Infant

2009
A prospective comparison of malaria with other severe diseases in African children: prognosis and optimization of management.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2003, Oct-01, Volume: 37, Issue:7

    Topics: Child; Humans; Lactic Acid; Malaria; Prognosis; Prospective Studies; Respiration; Survival Rate

2003
Therapeutic action of paludrine lactate (intravenous) in simian malaria.
    Indian journal of malariology, 1950, Volume: 4, Issue:3

    Topics: Administration, Intravenous; Lactates; Lactic Acid; Malaria; Proguanil

1950
Pathology of Tnf-deficient mice infected with Plasmodium chabaudi adami 408XZ.
    Experimental parasitology, 2006, Volume: 114, Issue:4

    Topics: Anemia; Animals; Blood Glucose; Body Temperature; Body Weight; Female; Hemoglobins; Hypothermia; Kap

2006
Severe hypoglycemia and hyperinsulinemia in falciparum malaria.
    The New England journal of medicine, 1983, Jul-14, Volume: 309, Issue:2

    Topics: 3-Hydroxybutyric Acid; Adolescent; Adult; Alanine; Blood Glucose; Brain Diseases; C-Peptide; Child;

1983
Plasmodium yoelii: blood oxygen and brain function in the infected mouse.
    Experimental parasitology, 1983, Volume: 56, Issue:3

    Topics: Adenosine Triphosphate; Animals; Blood Glucose; Brain; Energy Metabolism; Hydrogen-Ion Concentration

1983
Lactic acidosis and oxygen debt in African children with severe anaemia.
    QJM : monthly journal of the Association of Physicians, 1997, Volume: 90, Issue:9

    Topics: Acidosis, Lactic; Anemia; Blood Transfusion; Child; Child, Preschool; Female; Humans; Infant; Kenya;

1997
Acidosis in severe childhood malaria.
    QJM : monthly journal of the Association of Physicians, 1997, Volume: 90, Issue:9

    Topics: Acidosis; Child; Cytokines; Humans; Lactic Acid; Malaria

1997
Status of ammonia, glutamate, lactate and pyruvate during Plasmodium yoelii infection and pyrimethamine treatment in mice.
    The Journal of communicable diseases, 1997, Volume: 29, Issue:3

    Topics: Ammonia; Animals; Antimalarials; Glutamic Acid; Humans; Lactic Acid; Malaria; Mice; Plasmodium yoeli

1997
Malaria mosquitoes favor the human skin and not expired air.
    International journal of dermatology, 2000, Volume: 39, Issue:3

    Topics: Animals; Anopheles; Humans; Insect Bites and Stings; Lactic Acid; Malaria; Odorants; Skin; Skin Dise

2000
CD8(+)-T-cell depletion ameliorates circulatory shock in Plasmodium berghei-infected mice.
    Infection and immunity, 2001, Volume: 69, Issue:12

    Topics: Acidosis, Lactic; Adenosine Triphosphatases; Animals; Anion Transport Proteins; Capillary Permeabili

2001
Comparison of methods for the rapid laboratory assessment of children with malaria.
    The American journal of tropical medicine and hygiene, 2001, Volume: 65, Issue:5

    Topics: Blood Glucose; Child; Humans; Lactic Acid; Malaria; Parasitemia; Sensitivity and Specificity

2001
Possible roles of tumor necrosis factor in the pathology of malaria.
    The American journal of pathology, 1987, Volume: 129, Issue:1

    Topics: Animals; Blood Glucose; Lactates; Lactic Acid; Liver; Lung; Malaria; Male; Mice; Mice, Inbred CBA; R

1987
Plasmodium berghei: gluconeogenesis in the infected mouse liver studied by 13C nuclear magnetic resonance.
    Experimental parasitology, 1985, Volume: 59, Issue:3

    Topics: Animals; Blood Glucose; Gluconeogenesis; Lactates; Lactic Acid; Liver; Magnetic Resonance Spectrosco

1985
A study of the uptake of chloroquine in malaria-infected erythrocytes. High and low affinity uptake and the influence of glucose and its analogues.
    Biochemical pharmacology, 1985, Sep-01, Volume: 34, Issue:17

    Topics: 3-O-Methylglucose; Animals; Binding Sites; Chloroquine; Deoxyglucose; Erythrocytes; Glucose; Lactate

1985