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.
Excerpt | Relevance | Reference |
---|---|---|
" Up to 40% of children with severe malarial anaemia have associated lactic acidosis." | 9.17 | The 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." | 9.10 | A 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." | 9.08 | Pharmacokinetics 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." | 7.96 | A 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." | 7.69 | Lactic 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." | 5.17 | The 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." | 5.10 | A 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." | 5.08 | Pharmacokinetics 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." | 4.12 | Controlled 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." | 3.96 | A 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." | 3.88 | Quantile 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." | 3.75 | Physiopathologic 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." | 3.71 | CD8(+)-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." | 3.69 | Lactic 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." | 1.40 | Performance 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." | 1.30 | Status of ammonia, glutamate, lactate and pyruvate during Plasmodium yoelii infection and pyrimethamine treatment in mice. ( Agarwal, A; Pandey, VC; Tripathi, LM, 1997) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 6 (20.00) | 18.7374 |
1990's | 5 (16.67) | 18.2507 |
2000's | 8 (26.67) | 29.6817 |
2010's | 9 (30.00) | 24.3611 |
2020's | 2 (6.67) | 2.80 |
Authors | Studies |
---|---|
Esfahani, G | 1 |
Häusler, O | 1 |
Mäder, K | 1 |
Kemibala, EE | 1 |
Mafra-Neto, A | 1 |
Dekker, T | 1 |
Saroli, J | 1 |
Silva, R | 1 |
Philbert, A | 1 |
Nghabi, K | 1 |
Mboera, LEG | 1 |
Alfred, MG | 1 |
Nkazimulo, MB | 1 |
Vuyisile, MM | 1 |
Tagumirwa, MC | 1 |
Hutson, AD | 1 |
Aramburo, A | 1 |
Todd, J | 1 |
George, EC | 1 |
Kiguli, S | 1 |
Olupot-Olupot, P | 1 |
Opoka, RO | 2 |
Engoru, C | 1 |
Akech, SO | 1 |
Nyeko, R | 1 |
Mtove, G | 1 |
Gibb, DM | 1 |
Babiker, AG | 1 |
Maitland, K | 1 |
Stanczyk, NM | 1 |
Brugman, VA | 1 |
Austin, V | 1 |
Sanchez-Roman Teran, F | 1 |
Gezan, SA | 1 |
Emery, M | 1 |
Visser, TM | 1 |
Dessens, JT | 1 |
Stevens, W | 1 |
Smallegange, RC | 1 |
Takken, W | 2 |
Hurd, H | 1 |
Caulfield, J | 1 |
Birkett, M | 1 |
Pickett, J | 1 |
Logan, JG | 1 |
Hawkes, M | 1 |
Conroy, AL | 1 |
Namasopo, S | 1 |
Liles, WC | 1 |
John, CC | 1 |
Kain, KC | 1 |
Salvador, A | 1 |
Igartua, M | 1 |
Hernández, RM | 1 |
Pedraz, JL | 1 |
Rudd, KE | 1 |
Tutaryebwa, LK | 1 |
West, TE | 1 |
Duranton, C | 1 |
Tanneur, V | 1 |
Lang, C | 1 |
Brand, VB | 1 |
Koka, S | 1 |
Kasinathan, RS | 1 |
Dorsch, M | 1 |
Hedrich, HJ | 1 |
Baumeister, S | 1 |
Lingelbach, K | 1 |
Lang, F | 1 |
Huber, SM | 1 |
Gouado, I | 1 |
Pankoui M, JB | 1 |
Fotso K, H | 1 |
Zambou, O | 1 |
Nguélé, S | 1 |
Combes, V | 1 |
Grau, GE | 1 |
Amvam Z, PH | 1 |
Swysen, C | 1 |
Vekemans, J | 1 |
Bruls, M | 1 |
Oyakhirome, S | 1 |
Drakeley, C | 1 |
Kremsner, P | 1 |
Greenwood, B | 1 |
Ofori-Anyinam, O | 1 |
Okech, B | 1 |
Villafana, T | 1 |
Carter, T | 1 |
Savarese, B | 1 |
Duse, A | 1 |
Reijman, A | 1 |
Ingram, C | 1 |
Frean, J | 1 |
Ogutu, B | 1 |
Dhabangi, A | 1 |
Mworozi, E | 1 |
Lubega, IR | 1 |
Cserti-Gazdewich, CM | 1 |
Maganda, A | 1 |
Dzik, WH | 1 |
Planche, T | 2 |
Agbenyega, T | 2 |
Bedu-Addo, G | 2 |
Ansong, D | 1 |
Owusu-Ofori, A | 1 |
Micah, F | 1 |
Anakwa, C | 1 |
Asafo-Agyei, E | 1 |
Hutson, A | 1 |
Stacpoole, PW | 2 |
Krishna, S | 5 |
NAIR, CP | 1 |
BASU, PC | 1 |
RAY, AP | 1 |
Hernandez-Valladares, M | 1 |
Naessens, J | 1 |
Musoke, AJ | 1 |
Sekikawa, K | 1 |
Rihet, P | 1 |
Ole-Moiyoi, OK | 1 |
Busher, P | 1 |
Iraqi, FA | 1 |
White, NJ | 2 |
Warrell, DA | 1 |
Chanthavanich, P | 1 |
Looareesuwan, S | 1 |
Warrell, MJ | 1 |
Williamson, DH | 1 |
Turner, RC | 1 |
Shoubridge, EA | 1 |
Weatherall, DJ | 1 |
Radda, GK | 1 |
Angus, BJ | 1 |
Ofori-Amanfo, G | 1 |
Henderson, G | 1 |
Szwandt, IS | 1 |
O'Brien, R | 1 |
English, M | 1 |
Muambi, B | 1 |
Mithwani, S | 1 |
Marsh, K | 1 |
Clark, IA | 3 |
Jacobson, LS | 2 |
Rockett, KA | 1 |
al Yaman, FM | 1 |
Agarwal, A | 1 |
Tripathi, LM | 1 |
Pandey, VC | 1 |
Chang, WL | 1 |
Jones, SP | 1 |
Lefer, DJ | 1 |
Welbourne, T | 1 |
Sun, G | 1 |
Yin, L | 1 |
Suzuki, H | 1 |
Huang, J | 1 |
Granger, DN | 1 |
van der Heyde, HC | 1 |
Kombila, M | 1 |
Engel, K | 1 |
Faucher, JF | 1 |
Ngou-Milama, E | 1 |
Kremsner, PG | 1 |
Watt, G | 1 |
Jongsakul, K | 1 |
Ruangvirayuth, R | 1 |
Cowden, WB | 1 |
Butcher, GA | 1 |
Hunt, NH | 1 |
Geoffrion, Y | 1 |
Butler, K | 1 |
Pass, M | 1 |
Smith, IC | 1 |
Deslauriers, R | 1 |
Diribe, CO | 1 |
Warhurst, DC | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Efficacy of GSK Biologicals' Candidate Malaria Vaccine (257049) Against Malaria Disease Caused by P. Falciparum Infection in Infants and Children in Africa[NCT00866619] | Phase 3 | 15,459 participants (Actual) | Interventional | 2009-03-27 | Completed | ||
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 3 | 5,920 participants (Actual) | Interventional | 2017-04-17 | Completed | ||
Effect of Blood Storage Age on the Resolution of Lactic Acidosis in Children With Severe Malarial Anemia at Mulago Hospital[NCT01580111] | 74 participants (Actual) | Interventional | 2010-12-31 | Completed | |||
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) | Interventional | 2014-10-31 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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)
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 32 |
GSK257049 - Menjugate [5-17M] Group | 40 |
VeroRab Comparator [5-17M] Group | 38 |
GSK257049 -GSK257049 [6-12W] Group | 34 |
GSK257049 - Menjugate [6-12W] Group | 21 |
Menjugate Comparator [6-12W] Group | 24 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 174 |
GSK257049 [6-12W] Group | 63 |
VeroRab Comparator [5-17M] Group | 89 |
Menjugate Comparator [6-12W] Group | 38 |
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)
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 4 |
GSK257049 - Menjugate [5-17M] Group | 4 |
VeroRab Comparator [5-17M] Group | 0 |
GSK257049 -GSK257049 [6-12W] Group | 0 |
GSK257049 - Menjugate [6-12W] Group | 2 |
Menjugate Comparator [6-12W] Group | 3 |
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)
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 15 |
GSK257049 - Menjugate [5-17M] Group | 12 |
VeroRab Comparator [5-17M] Group | 5 |
GSK257049 -GSK257049 [6-12W] Group | 7 |
GSK257049 - Menjugate [6-12W] Group | 8 |
Menjugate Comparator [6-12W] Group | 7 |
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)
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 5 |
GSK257049 - Menjugate [5-17M] Group | 1 |
VeroRab Comparator [5-17M] Group | 4 |
GSK257049 -GSK257049 [6-12W] Group | 3 |
GSK257049 - Menjugate [6-12W] Group | 1 |
Menjugate Comparator [6-12W] Group | 2 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 -GSK257049 [6-12W] Group | 64 |
GSK257049 - Menjugate [6-12W] Group | 47 |
Menjugate Comparator [6-12W] Group | 59 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 1273 |
GSK257049 [6-12W] Group | 1161 |
VeroRab Comparator [5-17M] Group | 626 |
Menjugate Comparator [6-12W] Group | 600 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 232 |
GSK257049 - Menjugate [5-17M] Group | 205 |
VeroRab Comparator [5-17M] Group | 215 |
GSK257049 -GSK257049 [6-12W] Group | 231 |
GSK257049 - Menjugate [6-12W] Group | 239 |
Menjugate Comparator [6-12W] Group | 240 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 312 |
GSK257049 [6-12W] Group | 192 |
VeroRab Comparator [5-17M] Group | 181 |
Menjugate Comparator [6-12W] Group | 96 |
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)
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 276 |
GSK257049 - Menjugate [5-17M] Group | 316 |
VeroRab Comparator [5-17M] Group | 287 |
GSK257049 -GSK257049 [6-12W] Group | 180 |
GSK257049 - Menjugate [6-12W] Group | 193 |
Menjugate Comparator [6-12W] Group | 201 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 1040 |
GSK257049 [6-12W] Group | 782 |
VeroRab Comparator [5-17M] Group | 634 |
Menjugate Comparator [6-12W] Group | 419 |
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)
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 720 |
GSK257049 - Menjugate [5-17M] Group | 752 |
VeroRab Comparator [5-17M] Group | 846 |
GSK257049 -GSK257049 [6-12W] Group | 580 |
GSK257049 - Menjugate [6-12W] Group | 602 |
Menjugate Comparator [6-12W] Group | 619 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 34 |
GSK257049 - Menjugate [5-17M] Group | 22 |
VeroRab Comparator [5-17M] Group | 27 |
GSK257049 -GSK257049 [6-12W] Group | 19 |
GSK257049 - Menjugate [6-12W] Group | 19 |
Menjugate Comparator [6-12W] Group | 20 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 1108 |
GSK257049 [6-12W] Group | 959 |
VeroRab Comparator [5-17M] Group | 676 |
Menjugate Comparator [6-12W] Group | 503 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 399 |
GSK257049 [6-12W] Group | 578 |
VeroRab Comparator [5-17M] Group | 72 |
Menjugate Comparator [6-12W] Group | 231 |
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
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 [5-17M] Group | 55 |
GSK257049 [6-12W] Group | 48 |
VeroRab Comparator [5-17M] Group | 28 |
Menjugate Comparator [6-12W] Group | 17 |
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)]
Intervention | Participants (Count of Participants) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 5 |
GSK257049 - Menjugate [5-17M] Group | 8 |
VeroRab Comparator [5-17M] Group | 11 |
GSK257049 -GSK257049 [6-12W] Group | 6 |
GSK257049 - Menjugate [6-12W] Group | 9 |
Menjugate Comparator [6-12W] Group | 15 |
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)
Intervention | Percentage of subjects (Number) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 0.03 |
GSK257049 - Menjugate [5-17M] Group | 0.03 |
VeroRab Comparator [5-17M] Group | 0.04 |
GSK257049 -GSK257049 [6-12W] Group | 0.03 |
GSK257049 - Menjugate [6-12W] Group | 0.03 |
Menjugate Comparator [6-12W] Group | 0.04 |
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
Intervention | events per person-year (Number) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 1.1 |
GSK257049 - Menjugate [5-17M] Group | 1.24 |
VeroRab Comparator [5-17M] Group | 1.78 |
GSK257049 -GSK257049 [6-12W] Group | 1.19 |
GSK257049 - Menjugate [6-12W] Group | 1.33 |
Menjugate Comparator [6-12W] Group | 1.54 |
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)
Intervention | events per person-year (Number) |
---|---|
GSK257049 - GSK257049 [5-17M] Group | 1.26 |
GSK257049 - Menjugate [5-17M] Group | 1.41 |
VeroRab Comparator [5-17M] Group | 1.81 |
GSK257049 -GSK257049 [6-12W] Group | 1.29 |
GSK257049 - Menjugate [6-12W] Group | 1.43 |
Menjugate Comparator [6-12W] Group | 1.61 |
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
Intervention | events per person-year (Number) |
---|---|
GSK257049 [6-12W] Group | 0.367 |
Menjugate Comparator [6-12W] Group | 0.484 |
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
Intervention | events per person-year (Number) |
---|---|
GSK257049 [5-17M] Group | 0.435 |
VeroRab Comparator [5-17M] Group | 0.833 |
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
Intervention | mIU/mL (Geometric Mean) | |
---|---|---|
Anti-HBs, Day 0 | Anti-HBs, Month 3 | |
GSK257049 [5-17M] Group | 98.6 | 37476.5 |
GSK257049 [6-12W] Group | 7.5 | 1996.2 |
Menjugate Comparator [6-12W] Group | 5 | 197.2 |
VeroRab Comparator [5-17M] Group | 63.6 | 37.1 |
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
Intervention | mIU/mL (Geometric Mean) | |
---|---|---|
Anti-HBs, Month 20 | Anti-HBs, Month 21 | |
GSK257049 - GSK257049 [5-17M] Group | 5068.5 | 95206.4 |
GSK257049 -GSK257049 [6-12W] Group | 1532.5 | 116458.1 |
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
Intervention | mIU/mL (Geometric Mean) | |
---|---|---|
Anti-HBs, Day 0 | Anti-HBs, Month 3 | |
Menjugate Comparator [6-12W] Group | 8.5 | 728.8 |
VeroRab Comparator [5-17M] Group | 168.6 | 127.5 |
GSK257049 [5-17M] Group | 166.3 | 81567.7 |
GSK257049 [6-12W] Group | 8.6 | 13674.3 |
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
Intervention | EL.U/mL (Geometric Mean) | ||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Anti-CS, Agogo - Month 20 | Anti-CS, Agogo - Month 21 | Anti-CS, Agogo - Month 32 | Anti-CS, Bagamoyo - Month 20 | Anti-CS, Bagamoyo - Month 21 | Anti-CS, Bagamoyo - Month 32 | Anti-CS, Kilifi - Month 20 | Anti-CS, Kilifi - Month 21 | Anti-CS, Kilifi - Month 32 | Anti-CS, Kintampo - Month 20 | Anti-CS, Kintampo - Month 21 | Anti-CS, Kintampo - Month 32 | Anti-CS, Kombewa - Month 20 | Anti-CS, Kombewa - Month 21 | Anti-CS, Kombewa - Month 32 | Anti-CS, Korogwe - Month 20 | Anti-CS, Korogwe - Month 21 | Anti-CS, Korogwe - Month 32 | Anti-CS, Lambarene - Month 20 | Anti-CS, Lambarene - Month 21 | Anti-CS, Lambarene - Month 32 | Anti-CS, Lilongwe - Month 20 | Anti-CS, Lilongwe - Month 21 | Anti-CS, Lilongwe - Month 32 | Anti-CS, Nanoro - Month 20 | Anti-CS, Nanoro - Month 21 | Anti-CS, Nanoro - Month 32 | Anti-CS, Siaya - Month 20 | Anti-CS, Siaya - Month 21 | Anti-CS, Siaya - Month 32 | Anti-CS, Overall sites - Month 20 | Anti-CS, Overall sites - Month 21 | Anti-CS, Overall sites - Month 32 | |
GSK257049 - GSK257049 [5-17M] Group | 34.1 | 265.0 | 46.3 | 26.6 | 306.6 | 44.6 | 34.3 | 308.4 | 59.4 | 50.8 | 266.8 | 70.9 | 39.8 | 308.5 | 53.8 | 29.4 | 305.6 | 47.4 | 8.2 | 203.6 | 23.0 | 45.9 | 285.0 | 45.6 | 57.2 | 520.5 | 69.2 | 28.4 | 398.1 | 55.8 | 34.4 | 318.2 | 52.4 |
GSK257049 - Menjugate [5-17M] Group | 52.1 | 48.3 | 28.8 | 23.1 | 31.8 | 16.9 | 33.1 | 24.3 | 14.9 | 36.6 | 41.2 | 20.2 | 46.6 | 37.1 | 19.8 | 28.2 | 27.1 | 16.8 | 11.1 | 10.6 | 5.9 | 22.2 | 17.0 | 12.7 | 61.8 | 71.1 | 35.0 | 32.8 | 36.4 | 21.7 | 35.4 | 34.2 | 19.3 |
VeroRab Comparator [5-17M] Group | 0.3 | 0.3 | 0.3 | 0.3 | 0.6 | 0.3 | 0.3 | 0.3 | 0.3 | 0.4 | 0.3 | 0.4 | 0.3 | 0.4 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.4 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.4 | 0.3 | 0.3 | 0.3 |
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
Intervention | EL.U/mL (Geometric Mean) | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Anti-CS, Agogo - Month 20 | Anti-CS, Agogo - Month 21 | Anti-CS, Agogo - Month 32 | Anti-CS, Bagamoyo - Month 20 | Anti-CS, Bagamoyo - Month 21 | Anti-CS, Bagamoyo - Month 32 | Anti-CS, Kilifi - Month 20 | Anti-CS, Kilifi - Month 21 | Anti-CS, Kilifi - Month 32 | Anti-CS, Kintampo - Month 20 | Anti-CS, Kintampo - Month 21 | Anti-CS, Kintampo - Month 32 | Anti-CS, Kombewa - Month 20 | Anti-CS, Kombewa - Month 21 | Anti-CS, Kombewa - Month 32 | Anti-CS, Korogwe - Month 20 | Anti-CS, Korogwe - Month 21 | Anti-CS, Korogwe - Month 32 | Anti-CS, Lambarene - Month 20 | Anti-CS, Lambarene - Month 21 | Anti-CS, Lambarene - Month 32 | Anti-CS, Lilongwe - Month 20 | Anti-CS, Lilongwe - Month 21 | Anti-CS, Lilongwe - Month 32 | Anti-CS, Nanoro - Month 20 | Anti-CS, Nanoro - Month 21 | Anti-CS, Nanoro - Month 32 | Anti-CS, Siaya - Month 20 | Anti-CS, Siaya - Month 21 | Anti-CS, Siaya - Month 32 | Anti-CS, Manhica - Month 20 | Anti-CS, Manhica - Month 21 | Anti-CS, Manhica - Month 32 | Anti-CS, Overall sites - Month 20 | Anti-CS, Overall sites - Month 21 | Anti-CS, Overall sites - Month 32 | |
GSK257049 - Menjugate [6-12W] Group | 5.6 | 5.3 | 2.9 | 7.6 | 7.2 | 3.7 | 6.1 | 5.3 | 2.8 | 3.7 | 3.2 | 2.2 | 8.7 | 9.2 | 4.3 | 8.1 | 7.6 | 4.9 | 8.3 | 7.4 | 4.1 | 7.4 | 8.0 | 4.5 | 3.2 | 3.1 | 2.8 | 8.9 | 8.4 | 5.5 | 14.7 | 12.3 | 6.8 | 6.6 | 6.2 | 3.7 |
GSK257049 -GSK257049 [6-12W] Group | 5.1 | 137.6 | 14.8 | 6.9 | 169.9 | 14.4 | 6.6 | 229.3 | 19.8 | 3.8 | 128.8 | 13.3 | 5.5 | 146.3 | 8.3 | 7.9 | 178.3 | 19.6 | 7.7 | 251.3 | 21.0 | 5.1 | 126.1 | 15.4 | 2.7 | 163.2 | 11.9 | 7.0 | 171.5 | 23.6 | 12.3 | 260.2 | 25.4 | 5.9 | 169.9 | 15.9 |
Menjugate Comparator [6-12W] Group | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.4 | 0.4 | 0.4 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.5 | 0.4 | 0.4 | 0.5 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 |
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)
Intervention | EL.U/mL (Geometric Mean) | |||
---|---|---|---|---|
Anti-CS, Agogo - Study end | Anti-CS, Lilongwe - Study end | Anti-CS, Siaya - Study end | Anti-CS, Overall - Study end | |
GSK257049 - Menjugate [6-12W] Group | 2.1 | 2.8 | 3.3 | 2.6 |
GSK257049 -GSK257049 [6-12W] Group | 6.1 | 10.9 | 10.4 | 8.9 |
Menjugate Comparator [6-12W] Group | 0.3 | 0.3 | 0.4 | 0.3 |
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)
Intervention | EL.U/mL (Geometric Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Anti-CS, Agogo - Month 44 | Anti-CS, Agogo - Study end | Anti-CS, Lilongwe - Month 44 | Anti-CS, Lilongwe - Study end | Anti-CS, Siaya - Month 44 | Anti-CS, Siaya - Study end | Anti-CS, Overall - Month 44 | Anti-CS, Overall - Study end | |
GSK257049 - GSK257049 [5-17M] Group | 27.7 | 23.2 | 30.5 | 26.9 | 41.4 | 27.4 | 33.0 | 25.4 |
GSK257049 - Menjugate [5-17M] Group | 17.9 | 17.2 | 8.5 | 7.2 | 21.2 | 15.8 | 16.8 | 14.4 |
VeroRab Comparator [5-17M] Group | 0.3 | 0.3 | 0.3 | 0.3 | 0.5 | 0.4 | 0.3 | 0.3 |
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
Intervention | EL.U/mL (Geometric Mean) | |
---|---|---|
Anti-CS, Day 0 | Anti-CS, Month 3 | |
GSK257049 [6-12W] Group | 0.3 | 125.3 |
Menjugate Comparator [6-12W] Group | 0.3 | 0.3 |
VeroRab Comparator [5-17M] Group | 0.4 | 0.5 |
GSK257049 [5-17M] Group | 0.3 | 264.7 |
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
Intervention | EL.U/mL (Geometric Mean) | |||
---|---|---|---|---|
Anti-CS, Tertile 1 | Anti-CS, Tertile 2 | Anti-CS, Tertile 3 | Anti-CS, Across Tertiles | |
GSK257049 - GSK257049 [5-17M] Group | 138.15 | 311.35 | 675.24 | 307.93 |
GSK257049 -GSK257049 [6-12W] Group | 47.99 | 194.85 | 479.44 | 165.31 |
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
Intervention | EL.U/mL (Geometric Mean) | |||
---|---|---|---|---|
Anti-CS, Tertile 1 | Anti-CS, Tertile 2 | Anti-CS, Tertile 3 | Anti-CS, Across Tertiles | |
GSK257049 - Menjugate [5-17M] Group | 264.15 | 613.79 | 1351.41 | 603.77 |
GSK257049 - Menjugate [6-12W] Group | 78.45 | 230.68 | 592.65 | 220.9 |
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
Intervention | EL.U/mL (Geometric Mean) | |
---|---|---|
Anti-CS, Day 0 | Anti-CS, Month 3 | |
GSK257049 [5-17M] Group | 0.3 | 621 |
GSK257049 [6-12W] Group | 0.4 | 210.5 |
Menjugate Comparator [6-12W] Group | 0.4 | 0.3 |
VeroRab Comparator [5-17M] Group | 0.3 | 0.3 |
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
Intervention | Titer (Geometric Mean) | |||||
---|---|---|---|---|---|---|
Anti-Polio 1, Day 0 | Anti-Polio 1, Month 3 | Anti-Polio 2, Day 0 | Anti-Polio 2, Month 3 | Anti-Polio 3, Day 0 | Anti-Polio 3, Month 3 | |
GSK257049 [6-12W] Group | 47.4 | 334.9 | 38.6 | 372.1 | 9.4 | 80.0 |
Menjugate Comparator [6-12W] Group | 43.3 | 417.6 | 40.3 | 450.8 | 9.1 | 95.9 |
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)
Intervention | z-score (Mean) | ||
---|---|---|---|
HAZ | WAZ | MUACZ | |
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 |
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)
Intervention | z-score (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
HAZ, Month 32 | WAZ, Month 32 | MUACZ, Month 32 | HAZ, Month 44 | WAZ, Month 44 | MUACZ, Month 44 | HAZ, Study end Early | WAZ, Study end Early | MUACZ, Study end Early | HAZ, Study end Late | WAZ, Study end Late | MUACZ, 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 |
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)
Intervention | z-score (Mean) | |||||
---|---|---|---|---|---|---|
HAZ, Month 32 | WAZ, Month 32 | MUACZ, Month 32 | HAZ, Study end Early | WAZ, Study end Early | MUACZ, 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 |
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)
Intervention | Doses (Number) | ||||
---|---|---|---|---|---|
Level 1 | Level 2 | Level 3 | Level 4 | Level 5 | |
GSK257049 - GSK257049 [5-17M] Group | 1 | 5 | 0 | 1 | 1 |
GSK257049 - Menjugate [5-17M] Group | 1 | 2 | 0 | 0 | 1 |
GSK257049 - Menjugate [6-12W] Group | 0 | 0 | 0 | 0 | 0 |
GSK257049 -GSK257049 [6-12W] Group | 1 | 3 | 0 | 0 | 0 |
Menjugate Comparator [6-12W] Group | 0 | 1 | 0 | 0 | 0 |
VeroRab Comparator [5-17M] Group | 0 | 1 | 0 | 0 | 0 |
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
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Any Pain | Grade 3 Pain | Any Redness | Grade 3 Redness | Any Swelling | Grade 3 Swelling | |
GSK257049 - GSK257049 [5-17M] Group | 109 | 0 | 15 | 3 | 42 | 9 |
GSK257049 - Menjugate [5-17M] Group | 45 | 0 | 13 | 0 | 35 | 1 |
GSK257049 - Menjugate [6-12W] Group | 29 | 0 | 12 | 0 | 28 | 0 |
GSK257049 -GSK257049 [6-12W] Group | 59 | 0 | 9 | 1 | 45 | 5 |
Menjugate Comparator [6-12W] Group | 25 | 0 | 9 | 0 | 43 | 2 |
VeroRab Comparator [5-17M] Group | 41 | 0 | 8 | 0 | 30 | 0 |
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
Intervention | Participants (Count of Participants) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any Pain, Dose 1 | Grade 3 Pain, Dose 1 | Any Redness, Dose 1 | Grade 3 Redness, Dose 1 | Any Swelling, Dose 1 | Grade 3 Swelling, Dose 1 | Any Pain, Dose 2 | Grade 3 Pain, Dose 2 | Any Redness, Dose 2 | Grade 3 Redness, Dose 2 | Any Swelling, Dose 2 | Grade 3 Swelling, Dose 2 | Any Pain, Dose 3 | Grade 3 Pain, Dose 3 | Any Redness, Dose 3 | Grade 3 Redness, Dose 3 | Any Swelling, Dose 3 | Grade 3 Swelling, Dose 3 | Any Pain, Across doses | Grade 3 Pain, Across doses | Any Redness, Across doses | Grade 3 Redness, Across doses | Any Swelling, Across doses | Grade 3 Swelling, Across doses | |
GSK257049 [5-17M] Group | 247 | 0 | 66 | 2 | 140 | 6 | 179 | 3 | 26 | 3 | 140 | 15 | 108 | 0 | 42 | 2 | 134 | 9 | 401 | 3 | 122 | 6 | 303 | 25 |
GSK257049 [6-12W] Group | 435 | 10 | 176 | 3 | 227 | 27 | 383 | 5 | 124 | 3 | 228 | 29 | 345 | 8 | 113 | 1 | 185 | 9 | 705 | 23 | 292 | 7 | 427 | 59 |
Menjugate Comparator [6-12W] Group | 215 | 7 | 89 | 3 | 125 | 29 | 178 | 3 | 90 | 1 | 128 | 17 | 153 | 2 | 63 | 1 | 111 | 12 | 342 | 12 | 163 | 5 | 248 | 53 |
VeroRab Comparator [5-17M] Group | 61 | 0 | 26 | 0 | 77 | 0 | 41 | 0 | 18 | 0 | 50 | 0 | 22 | 0 | 13 | 0 | 35 | 0 | 105 | 0 | 49 | 0 | 119 | 0 |
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
Intervention | Participants (Count of Participants) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Any Drowsiness | Grade 3 Drowsiness | Related Drowsiness | Any Irritability | Grade 3 Irritability | Related Irritability | Any Loss of appetite | Grade 3 Loss of appetite | Related Loss of appetite | Any Fever | Grade 3 Fever | Related Fever | |
GSK257049 - GSK257049 [5-17M] Group | 55 | 1 | 34 | 63 | 1 | 40 | 66 | 1 | 39 | 233 | 34 | 151 |
GSK257049 - Menjugate [5-17M] Group | 22 | 0 | 10 | 25 | 0 | 12 | 27 | 0 | 14 | 70 | 6 | 29 |
GSK257049 - Menjugate [6-12W] Group | 19 | 0 | 6 | 23 | 0 | 10 | 27 | 0 | 8 | 52 | 7 | 15 |
GSK257049 -GSK257049 [6-12W] Group | 33 | 0 | 19 | 46 | 0 | 27 | 45 | 0 | 26 | 152 | 9 | 80 |
Menjugate Comparator [6-12W] Group | 15 | 0 | 5 | 23 | 0 | 6 | 18 | 0 | 6 | 58 | 10 | 18 |
VeroRab Comparator [5-17M] Group | 21 | 0 | 13 | 18 | 0 | 8 | 21 | 0 | 13 | 45 | 5 | 16 |
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
Intervention | Participants (Count of Participants) | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any Drowsiness, Dose 1 | Grade 3 Drowsiness, Dose 1 | Related Drowsiness, Dose 1 | Any Irritability, Dose 1 | Grade 3 Irritability, Dose 1 | Related Irritability, Dose 1 | Any Loss of appetite, Dose 1 | Grade 3 Loss of appetite, Dose 1 | Related Loss of appetite, Dose 1 | Any Fever, Dose 1 | Grade 3 Fever, Dose 1 | Related Fever, Dose 1 | Any Drowsiness, Dose 2 | Grade 3 Drowsiness, Dose 2 | Related Drowsiness, Dose 2 | Any Irritability, Dose 2 | Grade 3 Irritability, Dose 2 | Related Irritability, Dose 2 | Any Loss of appetite, Dose 2 | Grade 3 Loss of appetite, Dose 2 | Related Loss of appetite, Dose 2 | Any Fever, Dose 2 | Grade 3 Fever, Dose 2 | Related Fever, Dose 2 | Any Drowsiness, Dose 3 | Grade 3 Drowsiness, Dose 3 | Related Drowsiness, Dose 3 | Any Irritability, Dose 3 | Grade 3 Irritability, Dose 3 | Related Irritability, Dose 3 | Any Loss of appetite, Dose 3 | Grade 3 Loss of appetite, Dose 3 | Related Loss of appetite, Dose 3 | Any Fever, Dose 3 | Grade 3 Fever, Dose 3 | Related Fever, Dose 3 | Any Drowsiness, Across doses | Grade 3 Drowsiness, Across doses | Related Drowsiness, Across doses | Any Irritability, Across doses | Grade 3 Irritability, Across doses | Related Irritability, Across doses | Any Loss of appetite, Across doses | Grade 3 Loss of appetite, Across doses | Related Loss of appetite, Across doses | Any Fever, Across doses | Grade 3 Fever, Across doses | Related Fever, Across doses | |
GSK257049 [5-17M] Group | 91 | 3 | 33 | 165 | 0 | 64 | 202 | 3 | 71 | 385 | 29 | 200 | 99 | 1 | 61 | 192 | 2 | 114 | 151 | 0 | 89 | 503 | 42 | 267 | 97 | 1 | 52 | 138 | 1 | 76 | 138 | 2 | 76 | 457 | 39 | 262 | 230 | 5 | 121 | 369 | 3 | 207 | 398 | 5 | 206 | 897 | 105 | 547 |
GSK257049 [6-12W] Group | 164 | 1 | 88 | 370 | 10 | 226 | 124 | 2 | 67 | 459 | 5 | 326 | 135 | 0 | 74 | 289 | 7 | 175 | 105 | 0 | 60 | 411 | 9 | 278 | 124 | 1 | 49 | 287 | 3 | 144 | 106 | 0 | 44 | 429 | 13 | 280 | 285 | 2 | 144 | 574 | 17 | 363 | 243 | 2 | 128 | 839 | 26 | 598 |
Menjugate Comparator [6-12W] Group | 65 | 1 | 26 | 157 | 3 | 84 | 52 | 0 | 24 | 192 | 2 | 127 | 55 | 0 | 15 | 123 | 0 | 57 | 43 | 0 | 8 | 154 | 6 | 89 | 44 | 1 | 19 | 104 | 2 | 54 | 45 | 1 | 20 | 111 | 3 | 57 | 121 | 2 | 51 | 244 | 5 | 139 | 104 | 1 | 41 | 331 | 11 | 209 |
VeroRab Comparator [5-17M] Group | 27 | 0 | 8 | 41 | 0 | 16 | 71 | 0 | 24 | 108 | 7 | 52 | 37 | 0 | 26 | 45 | 0 | 28 | 47 | 0 | 24 | 100 | 10 | 42 | 29 | 0 | 16 | 27 | 0 | 15 | 40 | 0 | 18 | 77 | 7 | 32 | 78 | 0 | 44 | 96 | 0 | 54 | 132 | 0 | 61 | 235 | 24 | 110 |
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)
Intervention | Participants (Count of Participants) | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Overall Mortality (M0-M20), Females | Overall Mortality (M0-SE), Females | Overall Mortality (M0-M20), Males | Overall Mortality (M0-SE), Males | Severe Malaria SCD, All, Females | Severe Malaria SCD, All, Males | Severe Malaria SCD, Fatal, Females | Severe Malaria SCD, Fatal, Males | Cerebral Malaria SCD, All, Females | Cerebral Malaria SCD, All, Males | Cerebral Malaria SCD, Fatal, Females | Cerebral Malaria SCD, Fatal, Males | Meningitis, All, Females | Meningitis, All, Males | Meningitis, Fatal, Females | Meningitis, Fatal, Males | Fatal All-Cause Traumas, Females | Fatal All-Cause Traumas, Males | Fatal Malaria, Females | Fatal Malaria, Males | |
GSK257049 - GSK257049 [5-17M] Group | 27 | 35 | 19 | 26 | 75 | 87 | 4 | 3 | 16 | 10 | 3 | 2 | 5 | 6 | 2 | 2 | 3 | 4 | 9 | 4 |
GSK257049 - Menjugate [5-17M] Group | 20 | 32 | 8 | 19 | 107 | 115 | 4 | 4 | 14 | 14 | 4 | 1 | 5 | 5 | 3 | 0 | 4 | 1 | 8 | 9 |
GSK257049 - Menjugate [6-12W] Group | 24 | 29 | 20 | 26 | 49 | 80 | 0 | 2 | 5 | 7 | 0 | 1 | 2 | 5 | 0 | 1 | 1 | 2 | 4 | 8 |
GSK257049 -GSK257049 [6-12W] Group | 20 | 27 | 20 | 24 | 57 | 78 | 2 | 2 | 1 | 9 | 1 | 1 | 2 | 3 | 0 | 1 | 1 | 1 | 5 | 3 |
Menjugate Comparator [6-12W] Group | 13 | 16 | 21 | 26 | 75 | 79 | 0 | 2 | 7 | 3 | 0 | 0 | 3 | 3 | 1 | 2 | 2 | 0 | 3 | 3 |
VeroRab Comparator [5-17M] Group | 14 | 17 | 19 | 29 | 100 | 134 | 2 | 2 | 7 | 9 | 2 | 0 | 1 | 2 | 0 | 1 | 1 | 3 | 4 | 8 |
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
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Any SAE(s), Month 0 - Month 20 | Any SAE(s), Month 0 - Study end | Any SAE(s), Month 20 - Study end | |
Comparator Group | 36 | 42 | 16 |
GSK257049 - Menjugate Group | 39 | 46 | 19 |
GSK257049 -GSK257049 Group | 43 | 47 | 19 |
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
Intervention | Participants (Count of Participants) | |
---|---|---|
Any AE(s), post-primary vaccination | Any AE(s), post-booster vaccination | |
Comparator Group | 3 | 0 |
GSK257049 - Menjugate Group | 0 | 0 |
GSK257049 -GSK257049 Group | 0 | 2 |
GSK257049 Group | 13 | 0 |
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
Intervention | Participants (Count of Participants) | |
---|---|---|
Any AE(s), in LW | Any AE(s), in VLW | |
GSK257049 [5-17M] Group | 68 | 27 |
GSK257049 [6-12W] Group | 38 | 24 |
Menjugate Comparator [6-12W] Group | 17 | 10 |
VeroRab Comparator [5-17M] Group | 21 | 6 |
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
Intervention | Participants (Count of Participants) | |
---|---|---|
Any AE(s) in LW | Any AE(s) in VLW | |
GSK257049 - GSK257049 [5-17M] Group | 4 | 5 |
GSK257049 - Menjugate [5-17M] Group | 1 | 0 |
GSK257049 - Menjugate [6-12W] Group | 0 | 0 |
GSK257049 -GSK257049 [6-12W] Group | 2 | 2 |
Menjugate Comparator [6-12W] Group | 0 | 1 |
VeroRab Comparator [5-17M] Group | 0 | 1 |
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
Intervention | Percentage of subjects (Number) | |||
---|---|---|---|---|
Fatal Malaria PCD | Fatal Malaria SCD1 | All-cause mortality CD1 | All-cause mortality CD2 | |
GSK257049 [5-17M] Group | 0 | 0 | 0.01 | 0.01 |
GSK257049 [6-12W] Group | 0 | 0 | 0.01 | 0.01 |
Menjugate Comparator [6-12W] Group | 0 | 0 | 0.01 | 0.01 |
VeroRab Comparator [5-17M] Group | 0 | 0 | 0.01 | 0.01 |
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
Intervention | Percentage of subjects (Number) | ||
---|---|---|---|
ISA CD1 | MH CD1 | MH CD2 | |
GSK257049 [5-17M] Group | 0.01 | 0.05 | 0.06 |
GSK257049 [6-12W] Group | 0.01 | 0.04 | 0.05 |
Menjugate Comparator [6-12W] Group | 0.01 | 0.05 | 0.06 |
VeroRab Comparator [5-17M] Group | 0.01 | 0.09 | 0.1 |
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
Intervention | Percentage of subjects (Number) | |||||||
---|---|---|---|---|---|---|---|---|
ISA CD1 | ISA CD2 | ISA CD3 | MH CD1 | MH CD2 | FM PCD | FM SCD1 | FM SCD4 | |
GSK257049 - GSK257049 [5-17M] Group | 0.01 | 0.01 | 0.01 | 0.06 | 0.08 | 0 | 0 | 0 |
GSK257049 - Menjugate [5-17M] Group | 0.01 | 0.01 | 0.02 | 0.09 | 0.1 | 0 | 0 | 0 |
GSK257049 - Menjugate [6-12W] Group | 0.01 | 0.01 | 0.02 | 0.06 | 0.08 | 0 | 0 | 0 |
GSK257049 -GSK257049 [6-12W] Group | 0.1 | 0.01 | 0.02 | 0.05 | 0.07 | 0 | 0 | 0 |
Menjugate Comparator [6-12W] Group | 0.01 | 0.01 | 0.02 | 0.07 | 0.09 | 0 | 0 | 0 |
VeroRab Comparator [5-17M] Group | 0.01 | 0.02 | 0.02 | 0.11 | 0.12 | 0 | 0 | 0 |
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)
Intervention | Percentage of subjects (Number) | |||||||
---|---|---|---|---|---|---|---|---|
ISA CD1 | ISA CD2 | ISA CD3 | MH CD1 | MH CD2 | FM PCD | FM SCD1 | FM SCD4 | |
GSK257049 - GSK257049 [5-17M] Group | 0.01 | 0.01 | 0.02 | 0.07 | 0.09 | 0 | 0 | 0 |
GSK257049 - Menjugate [5-17M] Group | 0.01 | 0.02 | 0.02 | 0.1 | 0.11 | 0 | 0 | 0 |
GSK257049 - Menjugate [6-12W] Group | 0.01 | 0.02 | 0.03 | 0.07 | 0.09 | 0 | 0 | 0.01 |
GSK257049 -GSK257049 [6-12W] Group | 0.01 | 0.01 | 0.02 | 0.06 | 0.08 | 0 | 0 | 0 |
Menjugate Comparator [6-12W] Group | 0.02 | 0.02 | 0.03 | 0.08 | 0.1 | 0 | 0 | 0 |
VeroRab Comparator [5-17M] Group | 0.02 | 0.02 | 0.02 | 0.12 | 0.13 | 0 | 0 | 0 |
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
Intervention | Percentage of subjects (Number) | ||||||
---|---|---|---|---|---|---|---|
Pneumonia PCD | Pneumonia SCD1 | Pneumonia SCD2 | Pneumonia SCD3 | All-Cause Hospitalization PCD | Sepsis CD1 | Sepsis CD2 | |
GSK257049 [5-17M] Group | 0.03 | 0.01 | 0.02 | 0 | 0.15 | 0.02 | 0.01 |
GSK257049 [6-12W] Group | 0.04 | 0.01 | 0.03 | 0.01 | 0.18 | 0.02 | 0.01 |
Menjugate Comparator [6-12W] Group | 0.04 | 0.01 | 0.03 | 0.01 | 0.19 | 0.01 | 0.01 |
VeroRab Comparator [5-17M] Group | 0.03 | 0 | 0.02 | 0.01 | 0.19 | 0.02 | 0.01 |
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)
Intervention | Percentage of subjects (Number) | ||||||||
---|---|---|---|---|---|---|---|---|---|
All-Cause Hospitalization PCD | Sepsis CD1 | Sepsis CD2 | Pneumonia PCD | Pneumonia SCD1 | Pneumonia SCD2 | Pneumonia SCD3 | All-Cause Mortality CD1 | All-Cause Mortality CD2 | |
GSK257049 - GSK257049 [5-17M] Group | 0.21 | 0.02 | 0.01 | 0.04 | 0.01 | 0.03 | 0 | 0.01 | 0.01 |
GSK257049 - Menjugate [5-17M] Group | 0.22 | 0.02 | 0.01 | 0.03 | 0.01 | 0.02 | 0 | 0.01 | 0.01 |
GSK257049 - Menjugate [6-12W] Group | 0.23 | 0.02 | 0.02 | 0.05 | 0.01 | 0.03 | 0.01 | 0.02 | 0.02 |
GSK257049 -GSK257049 [6-12W] Group | 0.23 | 0.02 | 0.01 | 0.05 | 0.01 | 0.03 | 0.01 | 0.02 | 0.02 |
Menjugate Comparator [6-12W] Group | 0.24 | 0.02 | 0.01 | 0.05 | 0.01 | 0.03 | 0.01 | 0.01 | 0.01 |
VeroRab Comparator [5-17M] Group | 0.24 | 0.03 | 0.02 | 0.03 | 0.01 | 0.02 | 0.01 | 0.01 | 0.01 |
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)
Intervention | Percentage of subjects (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
PP, Month 32 | PSA, Month 32 | PMA, Month 32 | PP, Month 44 | PSA, Month 44 | PMA, Month 44 | PP, SE (Early) | PSA, SE (Early) | PMA, SE (Early) | PP, SE (Late) | PSA, SE (Late) | PMA, SE (Late) | |
GSK257049 - GSK257049 [5-17M] Group | 0.09 | 0 | 0.02 | 0.16 | 0 | 0.01 | 0.09 | 0 | 0.01 | 0.18 | 0 | 0.03 |
GSK257049 - Menjugate [5-17M] Group | 0.1 | 0 | 0.02 | 0.17 | 0 | 0.02 | 0.1 | 0 | 0.02 | 0.18 | 0 | 0.03 |
VeroRab Comparator [5-17M] Group | 0.14 | 0 | 0.02 | 0.2 | 0 | 0.01 | 0.14 | 0 | 0.03 | 0.21 | 0 | 0.02 |
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)
Intervention | Percentage of subjects (Number) | |||||
---|---|---|---|---|---|---|
PP, Month 32 | PSA, Month 32 | PMA, Month 32 | PP, SE (Early) | PSA, SE (Early) | PMA, SE (Early) | |
GSK257049 -GSK257049 [6-12W] Group | 0.09 | 0 | 0.02 | 0.11 | 0 | 0.03 |
Menjugate Comparator [6-12W] Group | 0.1 | 0 | 0.03 | 0.13 | 0 | 0.03 |
GSK257049 - Menjugate [6-12W] Group | 0.11 | 0 | 0.04 | 0.14 | 0 | 0.03 |
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)
Intervention | Percentage of subjects (Number) | ||
---|---|---|---|
PP | PSA | PMA | |
GSK257049 [6-12W] Group | 0.07 | 0 | 0.04 |
Menjugate Comparator [6-12W] Group | 0.08 | 0 | 0.04 |
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)
Intervention | Percentage of subjects (Number) | |||
---|---|---|---|---|
PP | PSA | PMA | PG | |
GSK257049 [5-17M] Group | 0.07 | 0 | 0.03 | 0.03 |
VeroRab Comparator [5-17M] Group | 0.11 | 0 | 0.03 | 0.04 |
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
Intervention | Percentage of subjects (Number) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
PCD, M2.5 to SE | PCD, M20 to SE | PCD, M33 to SE | PCD, M2.5 to M32 | PCD, M20 to M32 | SCD1, M2.5 to SE | SCD1, M20 to SE | SCD1, M33 to SE | SCD1, M2.5 to M32 | SCD1, M20 to M32 | |
GSK257049 - GSK257049 [5-17M] Group | 0.04 | 0.03 | 0.01 | 0.03 | 0.02 | 0.05 | 0.03 | 0.01 | 0.04 | 0.02 |
GSK257049 - Menjugate [5-17M] Group | 0.06 | 0.04 | 0.02 | 0.05 | 0.02 | 0.07 | 0.04 | 0.02 | 0.06 | 0.03 |
GSK257049 - Menjugate [6-12W] Group | 0.04 | 0.03 | 0.01 | 0.04 | 0.02 | 0.05 | 0.03 | 0.01 | 0.04 | 0.02 |
GSK257049 -GSK257049 [6-12W] Group | 0.04 | 0.02 | 0.01 | 0.04 | 0.01 | 0.04 | 0.02 | 0.01 | 0.04 | 0.01 |
Menjugate Comparator [6-12W] Group | 0.05 | 0.03 | 0.01 | 0.04 | 0.02 | 0.06 | 0.03 | 0.01 | 0.05 | 0.02 |
VeroRab Comparator [5-17M] Group | 0.06 | 0.02 | 0.01 | 0.05 | 0.02 | 0.07 | 0.03 | 0.01 | 0.06 | 0.02 |
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
Intervention | Percentage of subjects (Number) | |
---|---|---|
SPFMI PCD | SPFMI SCD1 | |
GSK257049 [5-17M] Group | 2.0 | 2.6 |
GSK257049 [6-12W] Group | 1.5 | 1.6 |
Menjugate Comparator [6-12W] Group | 2.3 | 2.5 |
VeroRab Comparator [5-17M] Group | 3.8 | 4.9 |
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
Intervention | Percentage of subjects (Number) | |
---|---|---|
SPFMI PCD | SPFMI SCD1 | |
GSK257049 [5-17M] Group | 0.03 | 0.03 |
GSK257049 [6-12W] Group | 0.03 | 0.03 |
Menjugate Comparator [6-12W] Group | 0.03 | 0.03 |
VeroRab Comparator [5-17M] Group | 0.04 | 0.05 |
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)
Intervention | Percentage of subjects (Number) | |||
---|---|---|---|---|
PCD | SCD1 | SCD2 | SCD3 | |
Comparator Group | 0.03 | 0.036 | 0.034 | 0.03 |
GSK257049 Group | 0.019 | 0.023 | 0.023 | 0.019 |
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)
Intervention | events per person-year (Number) | |
---|---|---|
PCD | SCD1 | |
GSK257049 - GSK257049 [5-17M] Group | 1.01 | 1.61 |
GSK257049 - Menjugate [5-17M] Group | 1.1 | 1.79 |
GSK257049 - Menjugate [6-12W] Group | 1.31 | 1.92 |
GSK257049 -GSK257049 [6-12W] Group | 1.18 | 1.73 |
Menjugate Comparator [6-12W] Group | 1.29 | 1.91 |
VeroRab Comparator [5-17M] Group | 1.1 | 1.88 |
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
Intervention | events per person-year (Number) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
PCD - Kilifi | PCD - Korogwe | PCD - Lambarene | PCD - Bagamoyo | PCD - Lilongwe | PCD - Agogo | PCD - Kombewa | PCD - Kintampo | PCD - Nanoro | PCD - Siaya | PCD - Across | |
GSK257049 - GSK257049 [5-17M] Group | 0.03 | 0.04 | 0.14 | 0.13 | 0.11 | 0.59 | 1.12 | 1.08 | 1.42 | 1.91 | 0.68 |
GSK257049 - Menjugate [5-17M] Group | 0.04 | 0.03 | 0.14 | 0.19 | 0.22 | 0.75 | 1.29 | 1.17 | 1.67 | 2.46 | 0.81 |
VeroRab Comparator [5-17M] Group | 0.09 | 0.08 | 0.21 | 0.31 | 0.29 | 1.15 | 1.67 | 1.87 | 2.45 | 3.25 | 1.15 |
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
Intervention | events per person-year (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
PCD - Kilifi | PCD - Korogwe | PCD - Lambarene | PCD - Bagamoyo | PCD - Lilongwe | PCD - Agogo | PCD - Kombewa | PCD - Kintampo | PCD - Manhica | PCD - Nanoro | PCD - Siaya | PCD - Across | |
GSK257049 - Menjugate [6-12W] Group | 0.04 | 0.06 | 0.18 | 0.11 | 0.32 | 0.72 | 1.25 | 1.6 | 0.12 | 2.53 | 2.54 | 0.88 |
GSK257049 -GSK257049 [6-12W] Group | 0.06 | 0.02 | 0.1 | 0.08 | 0.27 | 0.56 | 1.28 | 1.52 | 0.15 | 2.27 | 2.41 | 0.8 |
Menjugate Comparator [6-12W] Group | 0.05 | 0.06 | 0.18 | 0.15 | 0.47 | 0.86 | 1.55 | 1.6 | 0.15 | 2.92 | 3.09 | 1.03 |
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
Intervention | events per person-year (Number) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
PCD - Agogo | PCD - Bagamoyo | PCD - Kilifi | PCD - Kintampo | PCD - Kombewa | PCD - Korogwe | PCD - Lambarene | PCD - Lilongwe | PCD - Nanoro | PCD - Siaya | PCD - Across | |
GSK257049 [5-17M] Group | 0.56 | 0.1 | 0.01 | 1.01 | 1.21 | 0.04 | 0.11 | 0.2 | 1.42 | 2.01 | 0.69 |
VeroRab Comparator [5-17M] Group | 1.16 | 0.28 | 0.04 | 1.85 | 1.87 | 0.11 | 0.2 | 0.32 | 2.4 | 3.31 | 1.17 |
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
Intervention | events per person-year (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
PCD - Agogo | PCD - Bagamoyo | PCD - Kilifi | PCD - Kintampo | PCD - Kombewa | PCD - Korogwe | PCD - Lambarene | PCD - Lilongwe | PCD - Manhica | PCD - Nanoro | PCD - Siaya | PCD - Across | |
GSK257049 [6-12W] Group | 0.64 | 0.08 | 0.04 | 1.53 | 0.94 | 0.03 | 0.11 | 0.3 | 0.1 | 1.93 | 2.03 | 0.71 |
Menjugate Comparator [6-12W] Group | 0.79 | 0.14 | 0.02 | 1.49 | 1.32 | 0.05 | 0.12 | 0.5 | 0.12 | 2.39 | 2.75 | 0.92 |
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
Intervention | events per person-year (Number) | |
---|---|---|
PCD | SCD1 | |
GSK257049 - GSK257049 [5-17M] Group | 0.72 | 1.14 |
GSK257049 - Menjugate [5-17M] Group | 0.96 | 1.48 |
GSK257049 - Menjugate [6-12W] Group | 1.15 | 1.72 |
GSK257049 -GSK257049 [6-12W] Group | 0.91 | 1.35 |
Menjugate Comparator [6-12W] Group | 1.2 | 1.74 |
VeroRab Comparator [5-17M] Group | 1.1 | 1.74 |
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)
Intervention | events per person-year (Number) | |
---|---|---|
PCD | SCD1 | |
GSK257049 - GSK257049 [5-17M] Group | 0.87 | 1.39 |
GSK257049 - Menjugate [5-17M] Group | 1.03 | 1.65 |
GSK257049 - Menjugate [6-12W] Group | 1.21 | 1.79 |
GSK257049 -GSK257049 [6-12W] Group | 1.01 | 1.48 |
Menjugate Comparator [6-12W] Group | 1.23 | 1.8 |
VeroRab Comparator [5-17M] Group | 1.1 | 1.82 |
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)
Intervention | events per person-year (Number) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
PCD - Kilifi | PCD - Korogwe | PCD - Lambarene | PCD - Bagamoyo | PCD - Lilongwe | PCD - Agogo | PCD - Kombewa | PCD - Kintampo | PCD - Nanoro | PCD - Siaya | PCD - Across | |
GSK257049 - GSK257049 [5-17M] Group | 0.02 | 0.04 | 0.15 | 0.16 | 0.09 | 0.59 | 1.26 | 1.11 | 1.95 | 2.09 | 0.79 |
GSK257049 - Menjugate [5-17M] Group | 0.03 | 0.05 | 0.15 | 0.21 | 0.2 | 0.73 | 1.37 | 1.31 | 2.18 | 2.55 | 0.9 |
VeroRab Comparator [5-17M] Group | 0.08 | 0.1 | 0.23 | 0.27 | 0.23 | 1.01 | 1.64 | 1.71 | 2.69 | 3.15 | 1.14 |
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)
Intervention | events per person-year (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
PCD - Kilifi | PCD - Korogwe | PCD - Lambarene | PCD - Bagamoyo | PCD - Lilongwe | PCD - Agogo | PCD - Kombewa | PCD - Kintampo | PCD - Manhica | PCD - Nanoro | PCD - Siaya | PCD - Across | |
GSK257049 - Menjugate [6-12W] Group | 0.04 | 0.07 | 0.18 | 0.11 | 0.29 | 0.77 | 1.37 | 1.71 | 0.14 | 2.79 | 2.67 | 0.95 |
GSK257049 -GSK257049 [6-12W] Group | 0.06 | 0.05 | 0.1 | 0.08 | 0.25 | 0.59 | 1.37 | 1.65 | 0.18 | 2.59 | 2.43 | 0.86 |
Menjugate Comparator [6-12W] Group | 0.04 | 0.09 | 0.17 | 0.15 | 0.42 | 0.84 | 1.62 | 1.69 | 0.2 | 3.14 | 3.12 | 1.08 |
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
Intervention | events per person-year (Number) | ||
---|---|---|---|
PCD Females | PCD Males | PCD Overall | |
GSK257049 - GSK257049 [5-17M] Group | 0.72 | 0.65 | 0.68 |
GSK257049 - Menjugate [5-17M] Group | 0.8 | 0.81 | 0.81 |
GSK257049 - Menjugate [6-12W] Group | 0.79 | 0.96 | 0.88 |
GSK257049 -GSK257049 [6-12W] Group | 0.76 | 0.83 | 0.8 |
Menjugate Comparator [6-12W] Group | 1.06 | 1.01 | 1.03 |
VeroRab Comparator [5-17M] Group | 1.11 | 1.19 | 1.15 |
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
Intervention | events per person-year (Number) | ||
---|---|---|---|
Tertile 1 | Tertile 2 | Tertile 3 | |
GSK257049 - GSK257049 [5-17M] Group | 0.68 | 0.68 | 0.77 |
GSK257049 -GSK257049 [6-12W] Group | 0.99 | 0.84 | 0.64 |
Menjugate Comparator [6-12W] Group | 0.94 | 0.94 | 0.94 |
VeroRab Comparator [5-17M] Group | 1.21 | 1.21 | 1.21 |
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
Intervention | events per person-year (Number) | ||
---|---|---|---|
Tertile 1 | Tertile 2 | Tertile 3 | |
GSK257049 - Menjugate [5-17M] Group | 0.68 | 0.78 | 1.03 |
GSK257049 - Menjugate [6-12W] Group | 1.29 | 0.7 | 0.58 |
Menjugate Comparator [6-12W] Group | 0.93 | 0.93 | 0.93 |
VeroRab Comparator [5-17M] Group | 1.21 | 1.21 | 1.21 |
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
Intervention | events per person-year (Number) | ||
---|---|---|---|
SCD1 | SCD2 | SCD3 | |
GSK257049 [5-17M] Group | 1.09 | 0.78 | 0.59 |
GSK257049 [6-12W] Group | 1.09 | 0.81 | 0.58 |
Menjugate Comparator [6-12W] Group | 1.42 | 1.04 | 0.76 |
VeroRab Comparator [5-17M] Group | 1.78 | 1.3 | 1.01 |
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
Intervention | events per person-year (Number) | |||
---|---|---|---|---|
PCD | SCD1 | SCD2 | SCD3 | |
GSK257049 [5-17M] Group | 0.735 | 1.224 | 0.847 | 0.625 |
GSK257049 [6-12W] Group | 0.639 | 0.989 | 0.736 | 0.515 |
Menjugate Comparator [6-12W] Group | 0.908 | 1.403 | 1.031 | 0.731 |
VeroRab Comparator [5-17M] Group | 1.468 | 2.312 | 1.628 | 1.244 |
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.
Intervention | No. of events/1000 person years at risk (Number) |
---|---|
SMC With SP+AQ | 304.8 |
RTS,S/AS01 | 278.2 |
RTS,S/AS01 PLUS SMC With SP+AQ | 113.3 |
1 review available for lactic acid and Malaria
Article | Year |
---|---|
The biological basis of malarial disease.
Topics: Animals; Carbohydrate Metabolism; Cytokines; Humans; Hypoglycemia; Immune Tolerance; Inflammation Me | 1997 |
4 trials available for lactic acid and Malaria
Article | Year |
---|---|
Development of standardized laboratory methods and quality processes for a phase III study of the RTS, S/AS01 candidate malaria vaccine.
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.
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.
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.
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.
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.
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.
Topics: Acetylcysteine; Adjuvants, Pharmaceutic; Adult; Antimalarials; Double-Blind Method; Humans; Interfer | 2002 |
25 other studies available for lactic acid and Malaria
Article | Year |
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Controlled release starch-lipid implant for the therapy of severe malaria.
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.
Topics: Animals; Anopheles; Feeding Behavior; Female; Goats; Humans; Insecticides; Lactic Acid; Malaria; Mos | 2020 |
ASIATIC ACID INFLUENCES GLUCOSE HOMEOSTASIS IN
Topics: Animals; Disease Models, Animal; Glucose; Glucose Tolerance Test; Homeostasis; Insulin; Lactic Acid; | 2016 |
Quantile planes without crossing via nonlinear programming.
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.
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.
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.
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.
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.
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.
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.
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.
Topics: Child; Humans; Lactic Acid; Malaria; Prognosis; Prospective Studies; Respiration; Survival Rate | 2003 |
Therapeutic action of paludrine lactate (intravenous) in simian malaria.
Topics: Administration, Intravenous; Lactates; Lactic Acid; Malaria; Proguanil | 1950 |
Pathology of Tnf-deficient mice infected with Plasmodium chabaudi adami 408XZ.
Topics: Anemia; Animals; Blood Glucose; Body Temperature; Body Weight; Female; Hemoglobins; Hypothermia; Kap | 2006 |
Severe hypoglycemia and hyperinsulinemia in falciparum malaria.
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.
Topics: Adenosine Triphosphate; Animals; Blood Glucose; Brain; Energy Metabolism; Hydrogen-Ion Concentration | 1983 |
Lactic acidosis and oxygen debt in African children with severe anaemia.
Topics: Acidosis, Lactic; Anemia; Blood Transfusion; Child; Child, Preschool; Female; Humans; Infant; Kenya; | 1997 |
Acidosis in severe childhood malaria.
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.
Topics: Ammonia; Animals; Antimalarials; Glutamic Acid; Humans; Lactic Acid; Malaria; Mice; Plasmodium yoeli | 1997 |
Malaria mosquitoes favor the human skin and not expired air.
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.
Topics: Acidosis, Lactic; Adenosine Triphosphatases; Animals; Anion Transport Proteins; Capillary Permeabili | 2001 |
Comparison of methods for the rapid laboratory assessment of children with malaria.
Topics: Blood Glucose; Child; Humans; Lactic Acid; Malaria; Parasitemia; Sensitivity and Specificity | 2001 |
Possible roles of tumor necrosis factor in the pathology of malaria.
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.
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.
Topics: 3-O-Methylglucose; Animals; Binding Sites; Chloroquine; Deoxyglucose; Erythrocytes; Glucose; Lactate | 1985 |