title: Evaluation of SPf66 malaria vaccine during a 22-month follow-up field trial in the Pacific coast of Colombia.
abstract: A double-blind randomized placebo-controlled field trial with the SPf66 malaria vaccine was carried out in an endemic area consisting of 14 small villages with exclusive fluvial access, in a rain forest area along the Rosario River, Colombia. A total of 1257 subjects completed the full three dose vaccination schedule on days 0, 30 and 180 (643 vaccinated group/623 placebo group) and were followed-up by passive and active surveillance over a period of 22 months. One hundred and thirty-four Plasmodium falciparum malaria episodes were detected (53 in vaccinated group/81 in placebo group), yielding an attack rate of 5.47 cases/100 person years of follow-up (pyears) in the vaccine group and 8.44/100 pyears in the placebo group. The estimated vaccine protective efficacy was 35.2% (95% CI 8.4-54.2%, P = 0.01). This result supports earlier findings that the SPf66 malaria vaccine diminishes the risk of infection by P. falciparum in endemic areas of South America.
authors.affiliation: Instituto de Inmunologia, Hospital San Juan de Dios, Universidad Nacional de Colombia, Santafé de Bogotá, Colombia.
authors.forename: M V
authors.initials: MV
authors.lastname: Valero
authors.forename: R
authors.initials: R
authors.lastname: Amador
authors.forename: J J
authors.initials: JJ
authors.lastname: Aponte
authors.forename: A
authors.initials: A
authors.lastname: Narvaez
authors.forename: C
authors.initials: C
authors.lastname: Galindo
authors.forename: Y
authors.initials: Y
authors.lastname: Silva
authors.forename: J
authors.initials: J
authors.lastname: Rosas
authors.forename: F
authors.initials: F
authors.lastname: Guzman
authors.forename: M E
authors.initials: ME
authors.lastname: Patarroyo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003105:Colombia; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D017780:Malaria Vaccines / Q000008:administration & dosage*; D016778:Malaria, Falciparum / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged
chemical_list: D017780:Malaria Vaccines