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RTS,S

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seems to wane with time. After four years, reductions were 36 percent for children who received three shots and a booster dose. Missing the booster dose reduced the efficacy against severe malaria to a negligible effect. The vaccine was shown to be less effective for infants. Three doses of vaccine plus a booster reduced the risk of clinical episodes by 26 percent over three years but offered no significant protection against severe malaria.
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million children in Ghana, Kenya and Malawi had received at least one injection of the vaccine, with more than 4.5 million doses of the vaccine administered through the countries' routine immunization programs. The next 9 countries to receive the vaccine over the next 2 years are Benin, Burkina Faso,
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In July 2015, Mosquirix received a positive scientific opinion from the European Medicines Agency on the proposal for the vaccine to be used to vaccinate children aged 6 weeks to 17 months outside the European Union. It is the world's first licensed malaria vaccine and also the first vaccine licensed
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In October 2013, preliminary results of a phase III clinical trial indicated that RTS,S/AS01 reduced the number of cases among young children by almost 50 percent and among infants by around 25 percent. The study ended in 2014. The effects of a booster dose were positive, even though overall efficacy
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In November 2012, a phase III trial of RTS,S found that it provided modest protection against both clinical and severe malaria in young infants. The RTS,S-based vaccine formulation had previously been demonstrated to be safe, well tolerated, immunogenic, and to potentially confer partial efficacy in
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Potential malaria vaccines have been an intense area of research since the 1960s. SPf66 was tested extensively in endemic areas in the 1990s, but clinical trials showed it to be insufficiently effective. Other vaccine candidates, targeting the blood-stage of the malaria parasite's life cycle, had
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million children living in areas with moderate-to-high malaria transmission, with millions more doses to be provided as the vaccine's production expands. 18 million doses have been allocated for 2023-2025. It requires at least three doses in infants by age 2, with a fourth dose extending the
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Asante KP, Abdulla S, Agnandji S, Lyimo J, Vekemans J, Soulanoudjingar S, et al. (October 2011). "Safety and efficacy of the RTS,S/AS01E candidate malaria vaccine given with expanded-programme-on-immunisation vaccines: 19 month follow-up of a randomised, open-label, phase 2 trial".
293:'The outcome was extremely promising', wrote Ripley Ballou in 2009, 'not only was the vaccine extremely well tolerated and highly immunogenic – it reduced the risk of infection by 65.9 percent (95 percent CI: 42.6– 79.8 percent, P < 0.0001) during a three-month follow-up period.' 227:) is the only malaria vaccine approved and in current use. The vaccine's use requires at least three doses in infants by age 2, with a fourth dose extending the protection for another 1–2 years. The vaccine reduces hospital admissions from severe malaria by around 30%. 325:(MPAC) jointly and unexpectedly recommended a pilot implementation in Africa, arguing for the need to rule out any increase in meningitis, something that a post-hoc analysis had found in children who had received the vaccine. 1095: 328:
In November 2016, WHO announced that the RTS,S vaccine would be rolled out in pilot projects in three countries in sub-Saharan Africa. This pilot project for vaccination was launched on 23 April 2019 in
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in 1998. Subsequent phase I and II field trials were run in different regions with different dosages: first in 6–11 year old children, then in 1–4 year olds, and finally in younger infants.
1480:"Efficacy and safety of RTS,S/AS01 malaria vaccine with or without a booster dose in infants and children in Africa: final results of a phase 3, individually randomised, controlled trial" 1529:"Interrogating the Plasmodium Sporozoite Surface: Identification of Surface-Exposed Proteins and Demonstration of Glycosylation on CSP and TRAP by Mass Spectrometry-Based Proteomics" 582: 367:
million doses of the RTS,S vaccine over three years. More than 30 countries have areas with moderate to high malaria transmission where the vaccine is expected to be useful.
2247: 875: 309:(EMA) in July 2014. GSK treated the project as a non-profit initiative, with most funding coming from the Gates Foundation, a major contributor to malaria eradication. 2237: 1099: 453:). This protein was then mixed with additional HBsAg to improve purification, hence the extra "S". Together, these two protein components assemble into soluble 1265: 1179: 839: 1288: 2272: 3322: 305:
In a bid to accommodate a larger group and guarantee a sustained availability for the general public, GSK applied for a marketing license with the
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Wilby KJ, Lau TT, Gilchrist SE, Ensom MH (March 2012). "Mosquirix (RTS,S): a novel vaccine for the prevention of Plasmodium falciparum malaria".
1811: 2470: 840:"Towards an RTS,S-based, multi-stage, multi-antigen vaccine against falciparum malaria: progress at the Walter Reed Army Institute of Research" 209:
protection for another 1–2 years. The vaccine reduces hospital admissions from severe malaria by around 30% and reduces toddler deaths by 15%.
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to boost the immune response. Infection is prevented by inducing high antibody titers that block the parasite from infecting the liver.
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in 1986. It was named RTS because it was engineered using genes from the repeat ('R') and T-cell epitope ('T') of the pre-erythrocytic
1439:"Hepatitis B Surface Antigen as Carrier Matrix for the Repetitive Epitope of the Circumsporozoite Protein of Plasmodium Falciparum" 2902: 2691: 2520: 654: 248: 239:
The RTS,S vaccine was conceived of and created in the late 1980s by scientists working at SmithKline Beecham Biologicals (now
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vaccine candidate, and first vaccine to address parasitic infection, to receive this recommendation. As of April 2022, 1
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was conducted in 1997, with six out of seven volunteers developing protection against the parasite. A successful
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Foquet L, Hermsen CC, van Gemert GJ, Van Braeckel E, Weening KE, Sauerwein R, et al. (January 2014).
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Swearingen KE, Lindner SE, Flannery EL, Vaughan AM, Morrison RD, Patrapuvich R, et al. (July 2017).
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Rutgers T, Gordon D, Gathoye AM, Hollingdale M, Hockmeyer W, Rosenberg M, De Wilde M (September 1988).
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Agnandji ST, Lell B, Fernandes JF, Abossolo BP, Methogo BG, Kabwende AL, et al. (December 2012).
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Burundi, Cameroon, the Democratic Republic of the Congo, Liberia, Niger, Sierra Leone, and Uganda.
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Heppner DG, Kester KE, Ockenhouse CF, Tornieporth N, Ofori O, Lyon JA, et al. (March 2005).
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Lopaticki S, Yang AS, John A, Scott NE, Lingford JP, O'Neill MT, et al. (September 2017).
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million children in Ghana, Kenya and Malawi have received at least one shot of the vaccine.
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Swearingen KE, Lindner SE, Shi L, Shears MJ, Harupa A, Hopp CS, et al. (April 2016).
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Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
583:"First malaria vaccine hits 1 million dose milestone — although it has its shortcomings" 414:
Please expand the section to include this information. Further details may exist on the
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malaria parasite together with a viral surface antigen ('S') of the hepatitis B virus (
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Devi S (July 2023). "12 countries to get first doses of malaria vaccine".
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both malaria-naive and malaria-experienced adults as well as children.
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malaria parasite and a portion of a hepatitis B virus plus a chemical
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The RTS,S vaccine is based on a protein construct first developed by
1315:"WHO recommends groundbreaking malaria vaccine for children at risk" 1023: 3148: 3141: 3136: 3106: 2862: 2798: 2793: 1152: 891: 882: 271: 252: 1477: 973:"A phase 3 trial of RTS,S/AS01 malaria vaccine in African infants" 837: 2867: 2311: 1861: 1847: 349: 244: 201: 40: 1634: 1341:"A 'Historical Event': First Malaria Vaccine Approved by W.H.O." 947:"Why we didn't get a malaria vaccine sooner - Works in Progress" 396: 3170: 3155: 2446: 1436: 1071:"Malaria vaccine candidate shown to prevent thousands of cases" 616: 360: 330: 3165: 2656: 2590: 2248:
European and Developing Countries Clinical Trials Partnership
1289:"WHO endorses use of world's first malaria vaccine in Africa" 970: 477: 450: 409: 338: 334: 1203:"Implementation of the malaria candidate vaccine RTS,S/AS01" 2465: 266:
RTS,S was engineered using genes from the outer protein of
1816: 1731: 1526: 1988: 1021: 655:"First malaria vaccine slashes early childhood mortality" 964: 552:. Global Health Technologies Coalition. 15 November 2019 412:
and 3D-MPL (detoxified Lipid A). PMID 22521140 may help.
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The Global Fund to Fight AIDS, Tuberculosis and Malaria
546:"RTS,S Malaria Vaccine: 2019 Partnership Award Honoree" 348:(WHO) for "broad use" in children, making it the first 1761: 1577: 3407: 941: 939: 937: 820:"HYBRID PROTEIN BETWEEN CS FROM PLASMODIUM AND HBsAG" 770:
Graves P, Gelband H (October 2006). Graves PM (ed.).
1685: 499:, while the RTS,S vaccine produced in yeast is not. 480:, that block the parasite from infecting the liver. 1022:Regules JA, Cummings JF, Ockenhouse CF (May 2011). 721:Graves P, Gelband H (April 2006). Graves PM (ed.). 457:similar to the outer shell of a hepatitis B virus. 1123:"GSK aims to market world's first malaria vaccine" 1098:(Press release). GSK. 24 July 2014. Archived from 934: 3323:Cedillo v. Secretary of Health and Human Services 344:In October 2021, the vaccine was endorsed by the 3431: 1478:RTS, S Clinical Trials Partnership (July 2015). 1246:(Press release). Wuxi: World Health Organization 173:A poster advertising trials of the RTS,S vaccine 1200: 833: 831: 829: 772:"Vaccines for preventing malaria (blood-stage)" 606: 604: 136: 255:and has been funded in part by the non-profit 2288: 1832: 769: 720: 1312: 1194: 826: 601: 577: 575: 573: 571: 569: 567: 387:RTS,S recombinant protein viruslike particle 776:The Cochrane Database of Systematic Reviews 727:The Cochrane Database of Systematic Reviews 378: 115:In general: â„ž (Prescription only) 2295: 2281: 1839: 1825: 1338: 1703: 1686:Goddard-Borger ED, Boddey JA (May 2018). 1662: 1652: 1611: 1554: 1544: 1503: 1454: 1218: 1024:"The RTS,S vaccine candidate for malaria" 998: 988: 917: 795: 746: 723:"Vaccines for preventing malaria (SPf66)" 697: 564: 408:about more on the adjuvant—liposome with 156: 1367:"Q&A on RTS,S malaria vaccine - WHO" 1068: 382: 363:awarded a contract to GSK to purchase 18 317:of any kind. On 23 October 2015, WHO's 168: 1359: 1201:Greenwood B, Doumbo OK (January 2016). 1190:from the original on 19 September 2021. 1177: 1140: 1120: 14: 3432: 1286: 1241: 652: 249:Walter Reed Army Institute of Research 2276: 1820: 1146: 898:The Journal of Clinical Investigation 514: 512: 257:PATH Malaria Vaccine Initiative (MVI) 236:also been insufficient on their own. 97:intramuscular injection (0.5 mL) 2143:National Malaria Eradication Program 1393: 1258: 1235: 1149:"Malaria vaccine gets 'green light'" 671: 390: 2198:Bill & Melinda Gates Foundation 1812:Mosquirix: Public Assessment Report 1213:(10016). London, England: 318–319. 977:The New England Journal of Medicine 319:Strategic Advisory Group of Experts 24: 3350:Eradication of infectious diseases 3107:Androvax (androstenedione albumin) 1724: 878:from the original on 23 July 2018. 509: 25: 3461: 2940:Respiratory syncytial virus (RSV) 1800: 1159:from the original on 21 July 2020 323:Malaria Policy Advisory Committee 261:Bill and Melinda Gates Foundation 3417: 3329:Alternative vaccination schedule 2304:Artificial induction of immunity 2259: 2258: 2228:African Leaders Malaria Alliance 2223:South African Malaria Initiative 1641:PLOS Neglected Tropical Diseases 1244:"Letter to partners – June 2019" 395: 243:(GSK) Vaccines) laboratories in 2081:Malaria antigen detection tests 1735:The Lancet. Infectious Diseases 1679: 1628: 1571: 1520: 1471: 1430: 1387: 1339:Mandavilli A (6 October 2021). 1332: 1306: 1280: 1171: 1114: 1088: 1062: 1015: 812: 321:on Immunization (SAGE) and the 212: 3161:Ovandrotone albumin (Fecundin) 2165:Malaria in Mandatory Palestine 1807:Mosquirix: Product information 763: 714: 665: 646: 632: 538: 337:, and on 13 September 2019 in 200:). As of April 2022, the 13: 1: 2697:Group B streptococcal disease 2516:Vaccines for Children Program 2243:Medicines for Malaria Venture 2218:African Malaria Network Trust 1764:The Annals of Pharmacotherapy 1747:10.1016/S1473-3099(11)70100-1 1496:10.1016/S0140-6736(15)60721-8 1408:10.1016/s0140-6736(23)01456-3 1220:10.1016/S0140-6736(15)00807-7 1178:Stewart S (23 October 2015). 856:10.1016/j.vaccine.2005.01.142 502: 483:The T-cell epitope of CSP is 285:took place in adult males in 2128:Millennium Development Goals 1654:10.1371/journal.pntd.0005791 1546:10.1371/journal.ppat.1005606 1121:Kelland K (7 October 2013). 1069:Borghino D (27 April 2015). 653:Wadman M (24 October 2023). 223:RTS,S/AS01 (commercial name 7: 1846: 1287:Davies L (6 October 2021). 10: 3466: 2193:Against Malaria Foundation 1604:10.1038/s41467-017-00571-y 674:"Vaccines against malaria" 370:As of April 2023, 1.5 230: 216: 3368: 3337: 3276: 3208: 3099: 3071: 3038: 2712: 2543: 2536: 2455: 2383: 2335: 2256: 2233:Amazon Malaria Initiative 2180: 2115: 2058: 1976: 1854: 1372:World Health Organization 1319:World Health Organization 1317:(Press release). Geneva: 1242:Alonso P (19 June 2019). 1184:World Health Organization 1182:(Press release). Geneva: 1028:Expert Review of Vaccines 788:10.1002/14651858.CD006199 739:10.1002/14651858.CD005966 524:European Medicines Agency 346:World Health Organization 307:European Medicines Agency 147: 127: 122: 106: 101: 89: 79: 74: 62: 46: 39: 2692:Clostridioides difficile 2160:Malaria in the Caribbean 2009:Sterile insect technique 1313:Drysdale C, Kelleher K. 1147:Walsh F (24 July 2015). 672:Hill AV (October 2011). 464:(AS01, specifically AS01 441:circumsporozoite protein 379:Components and mechanism 313:for use against a human 2950:Tick-borne encephalitis 2213:Africa Fighting Malaria 2059:Diagnosis and treatment 196:approved (the other is 3360:List of vaccine topics 2360:Mathematical modelling 1977:Control and prevention 690:10.1098/rstb.2011.0091 526:(EMA). 8 December 2020 406:is missing information 388: 333:, on 30 April 2019 in 295: 174: 3355:Vaccinate Your Family 2806:Japanese encephalitis 2170:Malaria Atlas Project 1705:10.2217/fmb-2017-0284 1584:Nature Communications 990:10.1056/NEJMoa1208394 490:Plasmodium falciparum 476:, with high antibody 446:Plasmodium falciparum 386: 291: 279:human challenge study 251:in the U.S. state of 172: 55:; to a lesser extent 3238:John Franklin Enders 2066:Diagnosis of malaria 1882:Pregnancy-associated 1456:10.1038/nbt0988-1065 1443:Nature Biotechnology 850:(17–18): 2243–2250. 520:"Mosquirix H-W-2300" 455:virus-like particles 2424:Virus-like particle 2348:Vaccine ingredients 2123:Diseases of poverty 2116:Society and malaria 2026:Sickle-cell anaemia 1999:Malaria prophylaxis 1692:Future Microbiology 1596:2017NatCo...8..561L 684:(1579): 2806–2814. 204:has been given to 1 192:. 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969: 965: 955: 953: 945: 944: 935: 890: 883: 836: 827: 818: 817: 813: 782:(4): CD006199. 768: 764: 733:(2): CD005966. 719: 715: 670: 666: 651: 647: 638: 637: 633: 623: 621: 610: 609: 602: 592: 590: 581: 580: 565: 555: 553: 544: 543: 539: 529: 527: 518: 517: 510: 505: 467: 437:GlaxoSmithKline 429: 423: 420: 413: 400: 381: 371: 364: 353: 241:GlaxoSmithKline 233: 221: 219:Malaria vaccine 215: 205: 190:malaria vaccine 163: 143: 118: 92: 69:Protein subunit 28: 27:Malaria vaccine 23: 22: 15: 12: 11: 5: 3463: 3453: 3452: 3447: 3442: 3427: 3426: 3403: 3402: 3399: 3398: 3397: 3396: 3393: 3382: 3376: 3370: 3369: 3366: 3365: 3363: 3362: 3357: 3352: 3347: 3341: 3339: 3335: 3334: 3332: 3331: 3326: 3319: 3314: 3309: 3304: 3299: 3286: 3280: 3278: 3274: 3273: 3271: 3270: 3265: 3263:Katalin KarikĂł 3260: 3255: 3250: 3245: 3240: 3235: 3230: 3225: 3220: 3214: 3212: 3206: 3205: 3202: 3201: 3199: 3198: 3197: 3196: 3191: 3186: 3181: 3173: 3168: 3163: 3158: 3153: 3152: 3151: 3146: 3145: 3144: 3139: 3129: 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2493: 2488: 2483: 2478: 2473: 2468: 2459: 2457: 2456:Administration 2453: 2452: 2450: 2449: 2444: 2439: 2430: 2413: 2412: 2411: 2406: 2398: 2393: 2387: 2385: 2381: 2380: 2378: 2377: 2372: 2367: 2362: 2357: 2356: 2355: 2345: 2339: 2337: 2333: 2332: 2300: 2299: 2292: 2285: 2277: 2268: 2267: 2257: 2254: 2253: 2251: 2250: 2245: 2240: 2235: 2230: 2225: 2220: 2215: 2210: 2205: 2200: 2195: 2190: 2184: 2182: 2178: 2177: 2175: 2174: 2173: 2172: 2167: 2162: 2152: 2147: 2146: 2145: 2140: 2130: 2125: 2119: 2117: 2113: 2112: 2110: 2109: 2108: 2107: 2102: 2097: 2086: 2085: 2084: 2083: 2078: 2073: 2062: 2060: 2056: 2055: 2053: 2052: 2051: 2050: 2040: 2039: 2038: 2033: 2028: 2023: 2013: 2012: 2011: 2006: 2001: 1996: 1991: 1980: 1978: 1974: 1973: 1971: 1970: 1969: 1968: 1963: 1958: 1953: 1943: 1938: 1937: 1936: 1929: 1922: 1915: 1908: 1901: 1896: 1886: 1885: 1884: 1879: 1874: 1869: 1858: 1856: 1852: 1851: 1844: 1843: 1836: 1829: 1821: 1815: 1814: 1809: 1802: 1801:External links 1799: 1797: 1796: 1770:(3): 384–393. 1759: 1728: 1726: 1723: 1720: 1719: 1698:(6): 609–612. 1678: 1627: 1570: 1533:PLOS Pathogens 1519: 1470: 1429: 1402:(10397): 172. 1386: 1358: 1345:New York Times 1331: 1305: 1279: 1257: 1234: 1193: 1170: 1139: 1113: 1087: 1075:www.gizmag.com 1061: 1034:(5): 589–599. 1014: 963: 933: 904:(1): 140–144. 881: 825: 811: 762: 713: 664: 645: 631: 600: 563: 537: 507: 506: 504: 501: 465: 431: 430: 403: 401: 394: 380: 377: 232: 229: 217:Main article: 214: 211: 165: 164: 162: 161: 153: 151: 145: 144: 142: 141: 133: 131: 125: 124: 120: 119: 117: 116: 112: 110: 104: 103: 99: 98: 95: 93:administration 87: 86: 83: 77: 76: 72: 71: 66: 60: 59: 48: 44: 43: 26: 9: 6: 4: 3: 2: 3462: 3451: 3448: 3446: 3443: 3441: 3438: 3437: 3435: 3425: 3415: 3414: 3411: 3394: 3392: 3389: 3388: 3386: 3383: 3380: 3377: 3375: 3372: 3371: 3367: 3361: 3358: 3356: 3353: 3351: 3348: 3346: 3343: 3342: 3340: 3336: 3330: 3327: 3325: 3324: 3320: 3318: 3315: 3313: 3310: 3308: 3305: 3303: 3300: 3297: 3295: 3290: 3287: 3285: 3282: 3281: 3279: 3275: 3269: 3268:Drew Weissman 3266: 3264: 3261: 3259: 3256: 3254: 3253:H. Fred Clark 3251: 3249: 3246: 3244: 3241: 3239: 3236: 3234: 3231: 3229: 3226: 3224: 3223:Louis Pasteur 3221: 3219: 3218:Edward Jenner 3216: 3215: 3213: 3207: 3195: 3192: 3190: 3189:DTwP-HepB-Hib 3187: 3185: 3184:DTaP-IPV-HepB 3182: 3180: 3177: 3176: 3175:combination: 3174: 3172: 3169: 3167: 3164: 3162: 3159: 3157: 3154: 3150: 3147: 3143: 3140: 3138: 3135: 3134: 3133: 3130: 3128: 3125: 3123: 3120: 3118: 3115: 3114: 3113: 3110: 3108: 3105: 3104: 3102: 3098: 3090: 3087: 3085: 3082: 3081: 3079: 3078: 3076: 3074: 3073:Helminthiasis 3070: 3062: 3059: 3058: 3056: 3052: 3049: 3048: 3047: 3044: 3043: 3041: 3037: 3029: 3026: 3024: 3021: 3019: 3016: 3014: 3011: 3009: 3006: 3004: 3001: 2999: 2996: 2995: 2993: 2989: 2986: 2984: 2981: 2979: 2976: 2975: 2974:combination: 2973: 2971: 2968: 2964: 2961: 2959: 2956: 2955: 2953: 2951: 2948: 2946: 2943: 2941: 2938: 2934: 2931: 2929: 2926: 2924: 2921: 2919: 2916: 2914: 2911: 2909: 2906: 2904: 2901: 2899: 2896: 2894: 2891: 2889: 2886: 2884: 2881: 2879: 2876: 2874: 2871: 2869: 2866: 2864: 2861: 2860: 2859: 2856: 2854: 2851: 2849: 2846: 2844: 2841: 2837: 2834: 2832: 2829: 2828: 2827: 2824: 2822: 2819: 2817: 2814: 2812: 2809: 2807: 2804: 2800: 2797: 2795: 2792: 2791: 2790: 2787: 2785: 2782: 2780: 2777: 2775: 2772: 2770: 2767: 2763: 2760: 2758: 2755: 2752: 2748: 2745: 2744: 2743: 2740: 2736: 2733: 2732: 2731: 2728: 2726: 2723: 2721: 2718: 2717: 2715: 2711: 2703: 2700: 2698: 2695: 2693: 2690: 2689: 2687: 2683: 2680: 2678: 2677:DPT/DTwP/DTaP 2675: 2674: 2673:combination: 2672: 2670: 2667: 2663: 2660: 2658: 2655: 2654: 2653: 2650: 2646: 2643: 2642: 2641: 2638: 2636: 2633: 2631: 2628: 2624: 2621: 2619: 2616: 2615: 2614: 2611: 2609: 2606: 2604: 2601: 2597: 2594: 2592: 2589: 2588: 2587: 2586:Meningococcus 2584: 2582: 2579: 2577: 2576:Leptospirosis 2574: 2572: 2569: 2567: 2564: 2562: 2559: 2557: 2554: 2552: 2549: 2548: 2546: 2542: 2539: 2535: 2527: 2524: 2522: 2519: 2517: 2514: 2512: 2511:Vaccine court 2509: 2507: 2504: 2503: 2501: 2497: 2494: 2492: 2489: 2487: 2484: 2482: 2479: 2477: 2474: 2472: 2469: 2467: 2466:GAVI Alliance 2464: 2463: 2461: 2460: 2458: 2454: 2448: 2445: 2443: 2440: 2438: 2434: 2431: 2429: 2425: 2421: 2417: 2414: 2410: 2407: 2405: 2402: 2401: 2399: 2397: 2394: 2392: 2389: 2388: 2386: 2382: 2376: 2373: 2371: 2368: 2366: 2363: 2361: 2358: 2354: 2351: 2350: 2349: 2346: 2344: 2341: 2340: 2338: 2334: 2329: 2325: 2321: 2317: 2313: 2309: 2305: 2298: 2293: 2291: 2286: 2284: 2279: 2278: 2275: 2265: 2255: 2249: 2246: 2244: 2241: 2239: 2236: 2234: 2231: 2229: 2226: 2224: 2221: 2219: 2216: 2214: 2211: 2209: 2206: 2204: 2201: 2199: 2196: 2194: 2191: 2189: 2186: 2185: 2183: 2181:Organisations 2179: 2171: 2168: 2166: 2163: 2161: 2158: 2157: 2156: 2153: 2151: 2148: 2144: 2141: 2139: 2136: 2135: 2134: 2131: 2129: 2126: 2124: 2121: 2120: 2118: 2114: 2106: 2103: 2101: 2098: 2096: 2093: 2092: 2091: 2090:Antimalarials 2088: 2087: 2082: 2079: 2077: 2074: 2072: 2069: 2068: 2067: 2064: 2063: 2061: 2057: 2049: 2046: 2045: 2044: 2041: 2037: 2034: 2032: 2029: 2027: 2024: 2022: 2021:Duffy antigen 2019: 2018: 2017: 2014: 2010: 2007: 2005: 2002: 2000: 1997: 1995: 1992: 1990: 1987: 1986: 1985: 1984:Public health 1982: 1981: 1979: 1975: 1967: 1964: 1962: 1959: 1957: 1954: 1952: 1949: 1948: 1947: 1944: 1942: 1939: 1935: 1934: 1930: 1928: 1927: 1923: 1921: 1920: 1916: 1914: 1913: 1909: 1907: 1906: 1902: 1900: 1897: 1895: 1892: 1891: 1890: 1887: 1883: 1880: 1878: 1875: 1873: 1872:Quartan fever 1870: 1868: 1865: 1864: 1863: 1860: 1859: 1857: 1853: 1849: 1842: 1837: 1835: 1830: 1828: 1823: 1822: 1819: 1813: 1810: 1808: 1805: 1804: 1793: 1789: 1785: 1781: 1777: 1773: 1769: 1765: 1760: 1756: 1752: 1748: 1744: 1740: 1736: 1730: 1729: 1715: 1711: 1706: 1701: 1697: 1693: 1689: 1682: 1674: 1670: 1665: 1660: 1655: 1650: 1646: 1642: 1638: 1631: 1623: 1619: 1614: 1609: 1605: 1601: 1597: 1593: 1589: 1585: 1581: 1574: 1566: 1562: 1557: 1552: 1547: 1542: 1538: 1534: 1530: 1523: 1515: 1511: 1506: 1501: 1497: 1493: 1489: 1485: 1481: 1474: 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458: 456: 452: 448: 447: 443:(CSP) of the 442: 438: 427: 417: 411: 407: 404:This section 402: 398: 393: 392: 385: 376: 368: 362: 357: 351: 347: 342: 340: 336: 332: 326: 324: 320: 316: 310: 308: 303: 299: 294: 290: 288: 284: 283:phase I trail 280: 275: 273: 269: 268:P. falciparum 264: 262: 258: 254: 250: 246: 242: 237: 228: 226: 220: 210: 203: 199: 195: 191: 187: 183: 179: 171: 159: 155: 154: 152: 150: 146: 139: 135: 134: 132: 130: 126: 121: 114: 113: 111: 109: 105: 100: 96: 94: 88: 84: 82: 78: 75:Clinical data 73: 70: 67: 65: 61: 58: 54: 53: 52:P. falciparum 49: 45: 42: 38: 30: 19: 3345:Epidemiology 3321: 3293: 3179:DTaP-IPV/Hib 3050: 2970:Yellow fever 2883:EpiVacCorona 2640:Tuberculosis 2613:Pneumococcal 2581:Lyme disease 2409:Heterologous 2308:Immunization 2155:Epidemiology 2047: 1994:Mosquito net 1931: 1924: 1917: 1910: 1903: 1767: 1763: 1738: 1734: 1695: 1691: 1681: 1644: 1640: 1630: 1587: 1583: 1573: 1536: 1532: 1522: 1487: 1483: 1473: 1446: 1442: 1432: 1399: 1395: 1389: 1377:. Retrieved 1370: 1361: 1349:. Retrieved 1343: 1334: 1322:. Retrieved 1308: 1296:. Retrieved 1293:The Guardian 1292: 1282: 1270:. Retrieved 1260: 1248:. Retrieved 1237: 1210: 1206: 1196: 1173: 1161:. Retrieved 1142: 1130:. Retrieved 1126: 1116: 1104:. Retrieved 1100:the original 1090: 1078:. Retrieved 1074: 1064: 1031: 1027: 1017: 980: 976: 966: 954:. Retrieved 950: 901: 897: 847: 843: 814: 779: 775: 765: 730: 726: 716: 681: 677: 667: 658: 648: 634: 622:. Retrieved 615: 591:. Retrieved 586: 554:. Retrieved 549: 540: 528:. Retrieved 494: 488: 482: 459: 444: 434: 424:October 2021 421: 405: 369: 358: 343: 327: 311: 304: 300: 296: 292: 276: 267: 265: 238: 234: 224: 222: 213:Medical uses 198:R21/Matrix-M 181: 180:(trade name 177: 176: 108:Legal status 102:Legal status 64:Vaccine type 50: 29: 3381:from market 3277:Controversy 3211:researchers 3127:Hepatitis B 3013:Hepatitis C 2958:Chicken pox 2784:Hepatitis E 2779:Hepatitis B 2774:Hepatitis A 2725:Chikungunya 2702:Shigellosis 2556:Brucellosis 2442:Therapeutic 2396:Inactivated 2336:Development 2324:Inoculation 2316:Vaccination 2138:Roman fever 2095:Artemisinin 2031:Thalassemia 460:A chemical 138:149121-47-1 123:Identifiers 81:Trade names 57:Hepatitis B 3434:Categories 3312:Thiomersal 3258:Paul Offit 3233:Jonas Salk 3209:Inventors/ 3080:research: 3057:research: 2994:research: 2923:Skycovione 2913:Sanofi–GSK 2858:SARS-CoV-2 2769:Hantavirus 2735:rVSV-ZEBOV 2720:Adenovirus 2688:research: 2566:Diphtheria 2404:Attenuated 2100:Mefloquine 2076:Blood film 1966:Gametocyte 1961:Hypnozoite 1946:Life cycle 1912:falciparum 1899:life cycle 1889:Plasmodium 1590:(1): 561. 1272:22 October 1250:22 October 1132:9 December 956:28 October 503:References 287:The Gambia 277:The first 178:RTS,S/AS01 158:69SE2D63CL 129:CAS Number 3391:Phase III 3379:Withdrawn 3307:Pox party 3117:ALVAC-CEA 3039:Protozoan 2928:Sputnik V 2878:CoronaVac 2848:Rotavirus 2751:Pandemrix 2603:Pertussis 2544:Bacterial 2428:Synthetic 2391:Conjugate 2343:Adjuvants 2320:Infection 2105:Proguanil 1956:Merozoite 1424:259849056 1351:6 October 1324:6 October 1298:6 October 624:2 January 593:2 January 556:6 October 416:talk page 225:Mosquirix 182:Mosquirix 91:Routes of 85:Mosquirix 18:Mosquirix 3424:Medicine 3149:Prostvac 3142:Gardasil 3137:Cervarix 3084:Hookworm 2963:Shingles 2945:Smallpox 2863:Corbevax 2799:Gardasil 2794:Cervarix 2537:Vaccines 2491:Schedule 2462:Global: 2370:Timeline 2312:Vaccines 2264:Category 1951:Schizont 1933:knowlesi 1926:malariae 1867:Cerebral 1792:32412123 1784:22408046 1755:21782519 1714:29624074 1673:28759593 1622:28916755 1565:27128092 1514:25913272 1465:39880644 1416:37454658 1379:29 April 1229:26549465 1188:Archived 1157:Archived 1153:BBC News 1056:20443829 1048:21604980 1009:23136909 1000:10915853 928:24292709 876:Archived 872:22824901 864:15755604 806:17054281 757:16625647 708:21893544 462:adjuvant 272:adjuvant 259:and the 253:Maryland 3450:Malaria 3338:Related 3284:General 3046:Malaria 2933:Valneva 2898:Novavax 2893:Moderna 2888:Janssen 2873:CanSino 2853:Rubella 2811:Measles 2682:Td/Tdap 2652:Typhoid 2635:Tetanus 2630:Q fever 2561:Cholera 2551:Anthrax 2420:Peptide 2384:Classes 2365:Storage 1894:biology 1862:Malaria 1855:Biology 1848:Malaria 1664:5552340 1613:5601480 1592:Bibcode 1556:4851412 1505:5626001 1163:25 July 1127:Reuters 1106:30 July 1080:11 June 919:3871238 844:Vaccine 797:6532641 748:6532709 699:3146776 659:Science 550:YouTube 530:4 March 470:humoral 350:malaria 245:Belgium 231:History 202:vaccine 188:-based 184:) is a 3410:Portal 3374:WHO-EM 3294:Lancet 3171:TA-NIC 3156:NicVAX 3003:Dengue 2843:Rabies 2669:Typhus 2608:Plague 2486:Policy 2447:Toxoid 2375:Trials 1790:  1782:  1753:  1712:  1671:  1661:  1620:  1610:  1563:  1553:  1512:  1502:  1484:Lancet 1463:  1422:  1414:  1396:Lancet 1227:  1207:Lancet 1054:  1046:  1007:  997:  926:  916:  870:  862:  804:  794:  755:  745:  706:  696:  617:UNICEF 478:titers 372:  365:  361:UNICEF 354:  331:Malawi 206:  47:Target 3302:NCVIA 3166:TA-CD 3100:Other 3051:RTS,S 2831:Sabin 2826:Polio 2821:Mumps 2730:Ebola 2713:Viral 2662:ViCPS 2657:Ty21a 2591:MeNZB 2521:VAERS 2471:NITAG 2400:Live 2048:RTS,S 1919:ovale 1905:vivax 1788:S2CID 1461:S2CID 1420:S2CID 1052:S2CID 868:S2CID 451:HBsAg 410:QS-21 339:Kenya 335:Ghana 34:RTS,S 3028:Zika 2988:MMRV 2836:Salk 2816:Mpox 2762:LAIV 2757:H5N1 2747:H1N1 2623:PPSV 2506:ACIP 2502:US: 2476:SAGE 2437:mRNA 2353:list 1780:PMID 1751:PMID 1710:PMID 1669:PMID 1618:PMID 1561:PMID 1510:PMID 1412:PMID 1381:2023 1353:2021 1326:2021 1300:2021 1274:2019 1252:2019 1225:PMID 1165:2015 1134:2013 1108:2015 1082:2016 1044:PMID 1005:PMID 958:2023 924:PMID 860:PMID 802:PMID 780:2006 753:PMID 731:2006 704:PMID 626:2023 595:2023 558:2021 532:2021 493:and 472:and 149:UNII 3289:MMR 3132:HPV 3122:BCG 3023:HIV 2983:MMR 2789:HPV 2742:Flu 2645:BCG 2618:PCV 2571:Hib 2526:VSD 2433:DNA 2328:J07 1989:DDT 1772:doi 1743:doi 1700:doi 1659:PMC 1649:doi 1608:PMC 1600:doi 1551:PMC 1541:doi 1500:PMC 1492:doi 1488:386 1451:doi 1404:doi 1400:402 1215:doi 1211:387 1036:doi 995:PMC 985:doi 981:367 914:PMC 906:doi 902:124 852:doi 792:PMC 784:doi 743:PMC 735:doi 694:PMC 686:doi 682:366 587:NPR 487:in 3436:: 3387:: 2435:/ 2426:/ 2422:/ 2418:/ 2322:, 2318:, 2314:, 2310:: 2306:/ 1786:. 1778:. 1768:46 1766:. 1749:. 1739:11 1737:. 1708:. 1696:13 1694:. 1690:. 1667:. 1657:. 1645:11 1643:. 1639:. 1616:. 1606:. 1598:. 1586:. 1582:. 1559:. 1549:. 1537:12 1535:. 1531:. 1508:. 1498:. 1486:. 1482:. 1459:. 1445:. 1441:. 1418:. 1410:. 1398:. 1369:. 1291:. 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Index

Mosquirix
Vaccine description
P. falciparum
Hepatitis B
Vaccine type
Protein subunit
Trade names
Routes of
administration

Legal status
CAS Number
149121-47-1
UNII
69SE2D63CL

recombinant protein
malaria vaccine
malaria vaccines
R21/Matrix-M
vaccine
Malaria vaccine
GlaxoSmithKline
Belgium
Walter Reed Army Institute of Research
Maryland
PATH Malaria Vaccine Initiative (MVI)
Bill and Melinda Gates Foundation
adjuvant
human challenge study
phase I trail
The Gambia

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