July 8
By Patricia Reaney
LONDON (Reuters) - A trial of new malaria vaccine will begin
among children in Mozambique next week, raising hopes that
scientists may one day conquer the disease that kills more African
youngsters than any other illness.
About 2,000 children will take part in the trial to see whether
the RTS,S/AS02 vaccine made by GlaxoSmithKline Plc protects against
the disease that affects three million people worldwide, mostly
children under five years old.
A vaccine is seen as the best hope against the disease because
the malaria parasite has become resistant to some anti-malarial
drugs. If a vaccine is proved effective it will be given to babies
along with other childhood immunizations.
RTS,S/AS02 is one of 80 malaria vaccines in development, but,
said Dr Pedro Alonso of the University of Barcelona who will conduct
the trial, "it is the most promising and the most advanced by far."
"All other vaccines are a number of years behind," he told
Reuters, adding that the Mozambique experiment was the only large
scale efficacy trial in young African children currently being
carried out.
The vaccine had a short term efficacy rate of 71 percent when it
was tested in adults in Gambia. Scientists are hoping it will work
even better in the youngsters but even a 50 percent effectiveness
would be a major advance.
"The burden of malaria is of such magnitude that...if we could
reduce by 50 percent the amount of clinical disease and death due to
malaria, this would be the most effective vaccine ever deployed,"
Alonso said.
"The efficacy has to be seen in relation to the burden of the
disease," he added, estimating that a 50 percent rate would prevent
half a million deaths each year.
He expects results from the trial in 18 months. If it is
successful, further tests will be done on infants.
Creating a vaccine against the disease has been a top public
health priority. Forty percent of the world's population is at risk
of malaria, which kills an African child every 30 seconds.
Vaccine development has been difficult because of the complexity
of the mosquito-borne Plasmodium falciparum parasite which has more
than 5,000 genes.
The project is a collaborative effort involving the non-profit
Malaria Vaccine Initiative (MVI), GSK, the Mozambique Ministry of
Health, the University of Barcelona and the Centro de Investigacao
em Saude de Manhica (CISM) in Mozambique.
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