Safety and Immunogenicity of a Recombinant Plasmodium falciparum AMA1 Malaria Vaccine Adjuvanted with Alhydrogel?, Montanide ISA 720 or AS02 英文参考文献.docVIP
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Safety and Immunogenicity of a Recombinant Plasmodium falciparum AMA1 Malaria Vaccine Adjuvanted with Alhydrogel?, Montanide ISA 720 or AS02 英文参考文献
SafetyandImmunogenicityofaRecombinant
PlasmodiumfalciparumAMA1MalariaVaccine
AdjuvantedwithAlhydrogelTM,MontanideISA720or
AS02
MetaRoestenberg1*,EdRemarque2,ErikdeJonge1,RobHermsen1,HildurBlythman3,OdileLeroy3,
EgeruanImoukhuede3,SorenJepsen3,OpokuaOfori-Anyinam4,BartFaber2,ClemensH.M.Kocken2,
MirandaArnold2,VanessaWalraven2,KarinaTeelen1,WillRoeffen1,QuirijndeMast1,W.RipleyBallou4¤,
JoeCohen4,MarieClaudeDubois4,Ste′phaneAscarateil5,AndrevanderVen1,AlanThomas2 ,Robert
Sauerwein1
1RadboudUniversityNijmegenMedicalCentre,Nijmegen,TheNetherlands,2BiomedicalPrimateResearchCentre,Rijswijk,TheNetherlands,3EuropeanMalariaVaccine
Initiative,Copenhagen,Denmark,4GlaxoSmithKlineBiologicals,Rixensart,Belgium,5SEPPIC,Paris,France
Abstract
Background: Plasmodium falciparum Apical Membrane Antigen 1 (PfAMA1) is a candidate vaccine antigen expressed by
merozoitesandsporozoites.Itplaysakeyroleinredbloodcellandhepatocyteinvasionthatcanbeblockedbyantibodies.
Methodology/Principal Findings: We assessed the safety and immunogenicity of recombinant PfAMA1 in a dose-
escalating,phaseIatrial.PfAMA1FVOstrain,producedinPichiapastoris,wasreconstitutedat10mgand50mgdoseswith
TM
threedifferentadjuvants,Alhydrogel ,MontanideISA720andAS02AdjuvantSystem.Sixrandomised groupsofhealthy
male volunteers, 8–10 volunteers each, were scheduled to receive three immunisations at 4-week intervals. Safety and
immunogenicitydatawerecollectedoveroneyear.Transientpainwasthepredominantinjectionsitereaction(80–100%).
IndurationoccurredintheMontanide50mggroup,resultinginasterileabscessintwovolunteers.Systemicadverseevents
occurredmainlyintheAS02groupslastingfor1–2days.Erythemawasobservedin22%ofMontanideand59%ofAS02
groupvolunteers.Aftertheseconddose,sixvolunteersintheAS02groupandoneintheMontanidegroupwhoreported
grade3erythema(.50mm)werewithdrawnastheymetthestoppingcriteria.Alladverseeventsresolved.Therewereno
vaccine-relatedseriousadverseevents.HumoralresponseswerehighestintheAS02groups.Antibodiesshowedacti
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