Consuelo Giménez Pardo
Senior Lecturer at the University of Alcalá and Member of the Knowledge and Research Management Committee at Médicos del Mundo
Led by researcher Hamtandi Magloire Natama, interim results in children from a double-blind, randomised, controlled, double-blind phase IIb trial of RH5.1/Matrix M, a vaccine against blood-borne merozoites, are presented, which appears to provide a second line of paediatric defence against clinical malaria. Dr Magloire Natama - a researcher with expertise in the study of genetic and immunological factors contributing to inter-individual variation in susceptibility to malaria in early childhood - was also co-investigator and coordinator of the phase II trial of R21/Matrix-M, the second malaria vaccine after RTS, S/AS02, which is also pre-erythrocytic and capable of targeting another stage of the parasite's life cycle: sporozoites.
The proposed trial was conducted in a controlled study in children aged 5-17 months in the Nanoro region of Burkina Faso, administering the vaccine during the malaria transmission season. The paper, published in The Lancet Infectious Diseases, reports that RH5.1/Matrix M is safe and well tolerated, and in three doses provides anti-RH5.1 antibodies. The authors propose that, as a promising strategy in this second generation of paediatric malaria vaccines, it should be used synergistically in combination with existing pre-erythrocytic vaccines.