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A next-generation vaccine that uses a weakened form of a malaria parasite has demonstrated efficacy
and safety in a small number of humans.
Researchers found that GAP3KO stimulated an effective immune response against the deadly malaria parasite Plasmodium
falciparum.
At present, there is no licensed vaccine for malaria. Prevention strategies for malaria
include insecticides, bed nets, and antimalarial drugs, while the primary treatment for
the disease is artemisinin-based combination therapy.
Until now, a vaccine named RTS,S had proven the most promising candidate.
The results of a Phase III trial published in April 2015 showed that RTS,S -
manufactured by pharmaceutical giant GlaxoSmithKline - reduced the number of clinical
malaria cases in young children and infants by 26-36 percent over a 3-year period.
RTS,S uses genetically engineered proteins from P. falciparum to generate an immune
response, which can stop the parasite from infecting the liver and causing malaria
symptoms.
Based on the success of RTS,S in clinical trials, the vaccine will be rolled out in three
countries in sub-Saharan Africa in 2018, as part of the WHO's malaria vaccine pilot
program.
However, the new study suggests a different approach that might lead to the
development of a vaccine that is more effective than RTS,S.
Next, the researchers enrolled 10 human volunteers. Each participant was bitten
approximately 150-200 times by mosquitoes that had been infected with GAP3KO.
"We had already good indicators in preclinical studies that this new 'triple knock-out'
GAP (GAP3KO), which has three genes removed, is completely attenuated," says study
co-author Sebastian Mikolajczak, Ph.D., principal scientist at the Center for Infectious
Disease Research (CIDR) in Seattle, WA.
"The clinical study now shows that the GAP3KO vaccine is completely attenuated
in humans and also shows that even after only a single administration, it elicits a
robust immune response against the malaria parasite. Together these findings
are critical milestones for malaria vaccine development."
"Future studies demonstrating protective efficacy will be the next critical milestone for
continued development of this promising vaccine approach," he adds.
Study co-author Dr. James Kublin, a scientist at the Fred Hutchinson Cancer Research
Center in Seattle, WA, and medical director of the Seattle Malaria Clinical Trials Center,
believes that the team's human malaria challenge model - whereby malaria vaccine
candidates are tested in healthy adults - puts them in a good position for future
research.
"We are very fortunate to have the human malaria challenge model to take the critical
next step evaluating the efficacy of GAP3KO in preventing malaria in people," he says.
"The Hutch is looking forward to bringing its expertise in clinical trial design and
management to the next stage of tests for this vaccine. The collaborations we have with
CIDR and other nearby institutions is what makes Seattle a world leader in the malaria
vaccine development and the human challenge model."
Complete attenuation of genetically engineered Plasmodium falciparum sporozoites in human subjects, Sebastian
Mikolajczak et al., Science Translational Medicine, doi: 10.1126/scitranslmed.aad9099, published online 4 January
2017, abstract.
The Feary Group news release, accessed 6 January 2017 via EurekAlert.
Additional sources:
Malaria Vaccine Initiative, Malaria vaccine candidate has demonstrated efficacy over 3-4 years of follow-up, accessed
6 January 2017.
WHO, Fact sheet: World malaria report 2016, accessed 6 January 2017.
MLA
Whiteman, Honor. "Malaria: Next-generation vaccine shows efficacy, safety in humans." Medical News Today.
APA
Whiteman, H. (2017, January 8). "Malaria: Next-generation vaccine shows efficacy, safety in humans." Medical News
Today. Retrieved from
http://www.medicalnewstoday.com/articles/315072.php.