Recent Updates
Recently added Catalysts

RTS,S/AS02D and RTS,S/AS02A

Phase 2

Malaria | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Sep 29, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials8
Total Enrollment4,729
FDA Designations
No designations recorded
Clinical Trials (8)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07036159A Study to Assess the Safety and Immunogenicity of a Vaccine Against Malaria in Healthy Children Aged 5-60 MonthsPHASE2 RECRUITING 238Aug 6, 2025Apr 23, 2027Sep 29, 20252 Rwanda
NCT03824236A Study to Evaluate the Efficacy, Immunogenicity and Safety in a Sporozoite Challenge Model of a Fractional Booster Dose of GSK Biologicals' Candidate Malaria Vaccine Administered to Previously Vaccinated Healthy Malaria-naïve AdultsPHASE2 COMPLETED 61Feb 5, 2019Sep 26, 2019Aug 14, 20201 United States
NCT03276962Efficacy, Safety and Immunogenicity Study of GSK Biologicals' Candidate Malaria Vaccine (SB257049) Evaluating Schedules With or Without Fractional Doses, Early Dose 4 and Yearly Doses, in Children 5-17 Months of AgePHASE2 COMPLETED 1,500Sep 28, 2017Nov 14, 2022May 21, 20242 Ghana, Kenya
NCT03162614Efficacy, Immunogenicity and Safety Study of GSK Biologicals' Candidate Malaria Vaccine Evaluating Different Dose Schedules in a Sporozoite Challenge Model in Healthy Malaria-naïve AdultsPHASE2 COMPLETED 154May 24, 2017Sep 24, 2018Oct 27, 20201 United States
NCT00289185Study of Safety, Immunogenicity and Efficacy of a Candidate Malaria Vaccine in Tanzanian InfantsPHASE2 COMPLETED 340Sep 27, 2006Jan 15, 2009Oct 29, 20201 Tanzania
NCT00197028Examine Safety and Immune Responses of GSK 257049 Vaccine When Administered to Infants Living in a Malaria-endemic RegionPHASE2 COMPLETED 214Aug 23, 2005Dec 27, 2007Aug 20, 20181 Mozambique
NCT00197041A Study to Evaluate the Safety, Immunogenicity and Efficacy of GlaxoSmithKline (GSK) Biologicals' Candidate Malaria Vaccine RTS,S/AS02A, When Administered to Children Aged 1 to 4 Years Living in a Malaria-endemic Region of Mozambique.PHASE2 COMPLETED 2,022Jul 1, 2003Apr 1, 2005Sep 21, 20161 Mozambique
NCT00197067A Study to Evaluate the Safety and Immunogenicity of GSK Biologicals' Candidate Vaccines RTS,S/AS02D (0.5 mL Dose) and RTS,S/AS02A (0.25 mL Dose) Administered IM According to a 0, 1, 2 Month Vaccination Schedule in Children Aged 3 to 5 Years Living in a Malaria-endemic Region of Mozambique.PHASE1 COMPLETED 200Mar 15, 2004Apr 26, 2005Dec 27, 20191 Mozambique
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Geometric Mean Concentrations (GMCs) of anti-NANP immunoglobulin G (IgG) antibodies
12 months post-Dose 3 (Month 14 for Groups 1 to 3 and Month 19 for Groups 4 and 5 and Groups 6 and 7)
Number of Subjects Reporting Plasmodium Falciparum (P. Falciparum) Parasitemia (Defined by a Positive Blood Slide) Following Sporozoite Challenge (in All Study Groups Versus Infectivity Controls)
During the sporozoite challenge dose follow-up period (from Day 22 up to Day 50)

Occurrence of P. falciparum parasitemia (defined by a positive blood slide) following sporozoite challenge. Post-challenge, parasitemia was determined by microscopy of Giemsa-stained thick blood films (smear). Microscopy was performed on thick smears using a validated standard operation procedure. P. falciparum infection was defined as asexual blood stage P. falciparum parasite density greater than (\>) 0 detected by blood slide reading. For the analysis of proportion affected (relative risk), all subjects included in the analysis were considered at risk of infection and no censoring or elimination was applied for subjects not completing the entire protocol-defined post-challenge follow-up (Day 50 - 28 days post challenge).

Incidence of Clinical Malaria Meeting the Primary Case Definition
From Month 2.5 to Month 14

The primary case definition is: Plasmodium (P.) falciparum asexual parasitemia greater than (\>)5000 parasites/microliters (μl) and presence of fever (axillary temperature greater than or equal to \[≥\]37.5°C) at the time of presentation and occurring in a child who is unwell and brought for treatment to a healthcare facility. The incidence is expressed as a person year rate for each group (n/T), representing the number of events (n) reported over the risk period, which was counted in days and expressed as person years at risk (T). The objective of this endpoint was to demonstrate the superiority of a Fx012-14-mFxD Group compared to a standard schedule of RTS,S/AS01E with three full doses (R012-20+R012-14 Group) in terms of vaccine efficacy. This analysis was reported for the R012-20+R012-14 Group (Pooled group) because the interventional strategy (1st dose at Month 0, 2nd dose at Month 1, 3rd dose at Month 2) was the same for both the R012-20 group and the R012-14 group until Month 14.

Number of Subjects With at Least One Occurrence of Plasmodium Falciparum (P. Falciparum) Parasitemia for Each Vaccination Schedule Versus Infectivity Controls
Following sporozoite challenge starting 3 months after the last vaccine dose (Day 287) for up to 28 days post-challenge (Day 315).

Occurrence of P. falciparum parasitemia (defined by a positive blood slide) following sporozoite challenge. Post-challenge, parasitemia was determined by microscopy of Giemsa-stained thick blood films (smear). Microscopy was performed on thick smears using a validated standard operation procedure. For the analysis of proportion affected (relative risk), all subjects included in the analysis were considered at risk of infection and no censoring or elimination was applied for subjects not completing the entire protocol defined post challenge follow-up (Day 315 - 28 days post challenge).

Concentrations of Antibodies Against Hepatitis B (Anti-HB)
Prior to vaccination at Week 0 (PRE), at Month 2 and at Month 3.

Concentrations were expressed as geometric mean concentrations (GMCs) in milli-international unit per milliliter (mIU/mL). The cut-off of the assay was the seroprotection cut-off of 10 mIU/mL. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Serious Adverse Events (SAEs)
From Week 0 to Month 9.

SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Concentrations of Antibodies Against Diphtheria (Anti-D)
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). Concentrations were expressed as geometric mean concentrations (GMCs) in international unit per milliliter (IU/mL). The cut-off of the assay was the seroprotection cut-off of 0.1 IU/mL. Month 3 results are the specific results for this primary outcome measure.

Concentrations of Antibodies Against Tetanus (Anti-T)
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). Concentrations were expressed as geometric mean concentrations (GMCs) in international unit per milliliter (IU/mL). The cut-off of the assay was the seroprotection cut-off of 0.1 IU/mL. Month 3 results are the specific results for this primary outcome measure.

Concentrations of Anti-polyribosyl Ribitol Phosphate Antibodies (Anti-PRP).
Prior to vaccination at Week 0 (PRE), and at Month 3.

Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per milliliter (µg/mL). The cut-off of the assay is the seroprotection cut-off value of 0.15 µg/mL. Month 3 results are the specific results for this primary outcome measure.

Concentrations of Anti-Bordetella Pertussis Toxin Antibodies (Anti-BPT).
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). Concentrations were expressed as geometric mean concentrations (GMCs) in ELISA unit per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off of 15 EL.U/mL. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Hepatitis B Antibody (Anti-HB) Concentrations Equal to or Above (>=) the Seroprotection Cut-off Value
Prior to vaccination at Week 0 (PRE), at Month 2 and at Month 3.

The seroprotection cut-off value was 10 milli-international units per milliliter (mIU/mL). Blood samples were collected prior to vaccination at Week 0 (PRE), at Month 2 and at Month 3. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Anti-diphtheria Antibody (Anti-D) Concentrations Equal to or Above (>=) the Seroprotection Cut-off Value
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). The seroprotection cut-off value was 0.1 international unit per milliliter (IU/mL). Blood samples were collected prior to vaccination at Week 0 (PRE), and at Month 3. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Anti-tetanus Antibody (Anti-T) Concentrations Equal to or Above (>=) the Seroprotection Cut-off Value
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). The seroprotection cut-off value was 0.1 international unit per milliliter (IU/mL). Blood samples were collected prior to vaccination at Week 0 (PRE), and at Month 3. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Anti-polyribosyl Ribitol Phosphate Antibody (Anti-PRP) Concentrations Equal to or Above (>=) the Seroprotection Cut-off Value
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). The seroprotection cut-off value was 0.15 microgram per milliliter (µg/mL). Blood samples were collected prior to vaccination at Week 0 (PRE), and at Month 3. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Anti-Bordetella Pertussis Toxin Antibody (Anti-BPT) Concentrations Equal to or Above (>=) the Seropositivity Cut-off Value
Prior to vaccination at Week 0 (PRE), and at Month 3.

Antibodies were measured by Enzyme-linked immunosorbent assay (ELISA). The seropositivity cut-off value was 15 ELISA units per milliliter (EL.U/mL). Blood samples were collected prior to vaccination at Week 0 (PRE), and at Month 3. Month 3 results are the specific results for this primary outcome measure.

Number of Subjects With Serious Adverse Events (SAEs).
From Month 0 to Month 6

SAEs were defined as medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity.

Time to the first clinical episode of symptomatic Plasmodium falciparum malaria infection detected over the 6-month surveillance period after Dose 3 vaccination.
Occurrence of solicited and unsolicited symptoms and serious adverse events during the entire study period; to assess antibody levels for relevant immunological indicators at time points when post completion of vaccination schedule.
Secondary Endpoints
Area under the curve (AUC) of anti-NANP IgG antibodies
At Month 7 and 19
GMC of anti-NANP IgG antibodies
At Month 0, 1, 2, 3, 7, 8, 14, and 19
Number of participants with a greater than or equal to (>=) 2-fold and a (>=) 4-fold increase from pre-Dose 1 in IgG antibody concentration
At Month 0, 1, 2, 3, 7, 8, 14, and 19
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Groups 1 to 3EXPERIMENTALParticipants receive 3 doses of RTS,S/AS01E vaccine on Day 1, Month 1, and Month 2.
Groups 4 and 5EXPERIMENTALParticipants receive 3 doses of RTS,S/AS01E vaccine on Day 1, Month 1, and Month 7.
Groups 6 and 7EXPERIMENTALParticipants receive 3 doses of RTS,S/AS01E vaccine on Day 1, Month 2, and Month 7.
P-Fx groupEXPERIMENTALHealthy subjects, between and including 18 and 55 years of age, vaccinated with RTS,S/AS01 vaccine (different doses/formulations) and protected following the first challenge at the time of the MALARIA-092 study (NCT03162614), who received, in the current study, a fractional (Fx) booster dose of RTS,S/AS01E 12 months after completion of the vaccination course in the Malaria-092 study, and underwent sporozoite challenge.
NP-Fx groupEXPERIMENTALHealthy subjects, between and including 18 and 55 years of age, vaccinated with RTS,S/AS01 vaccine (different doses/formulations) and not protected following the first challenge at the time of the MALARIA-092 study (NCT03162614), who received, in the current study, a fractional (Fx) booster dose of RTS,S/AS01E 12 months after completion of the vaccination course in the Malaria-092 study, and underwent sporozoite challenge.
InfectivityCtrl groupNO_INTERVENTIONHealthy subjects, between and including 18 and 55 years of age, who did not receive, in the current study, any immunization but underwent sporozoite challenge.
R012-20 GroupEXPERIMENTALParticipants will receive a full dose of RTS,S/AS01E at Month 0, Month 1, Month 2 and at Month 20.
R012-14-mD GroupEXPERIMENTALParticipants will receive a full dose of RTS,S/AS01E at Month 0, Month 1, Month 2 and yearly full doses at Month 14, Month 26 and Month 38.
Fx012-14-mFxD GroupEXPERIMENTALParticipants will receive a full dose of RTS,S/AS01E at Month 0 and Month 1, and RTS,S/AS01E 1/5th dose at Month 2 and yearly fractional doses at Month 14, Month 26 and Month 38.
Fx017-mFxD GroupEXPERIMENTALParticipants will receive a full dose of RTS,S/AS01E at Month 0 and Month 1, and RTS,S/AS01E 1/5th dose at Month 7 and yearly fractional doses at Month 20 and Month 32.
Control GroupEXPERIMENTALParticipants will receive rabies vaccine at Month 0, Month 1 and Month 2.
AduFx GroupACTIVE_COMPARATORHealthy subjects, between, and including, 18 and 55 years of age, who received RTS,S/AS01B full dose at Month 0 and Month 1 and 1/5th of RTS,S/AS01B full dose at Month 7, and underwent sporozoite challenge.
2PedFx GroupEXPERIMENTALHealthy subjects, between, and including, 18 and 55 years of age, who received RTS,S/AS01E double dose at Month 0 and Month 1, and 1/5th of double dose RTS,S/AS01E at Month 7, and underwent sporozoite challenge.
PedFx GroupEXPERIMENTALHealthy subjects, between, and including, 18 and 55 years of age, who received RTS,S/AS01E full dose at Month 0 and Month 1, and 1/5th of RTS,S/AS01E full dose at Month 7, and underwent sporozoite challenge.
Adu2Fx GroupEXPERIMENTALHealthy subjects, between, and including, 18 and 55 years of age, who received RTS,S/AS01B full dose at Month 0 and 1/5th of RTS,S/AS01B full dose at Month 1 and Month 7, and underwent sporozoite challenge.
Adu1Fx GroupACTIVE_COMPARATORHealthy subjects, between, and including, 18 and 55 years of age, who received RTS,S/AS01B full dose at Month 0 and 1/5th of RTS,S/AS01B full dose administered at Month 7, and underwent sporozoite challenge.
RTS,S/AS02D GroupEXPERIMENTALSubjects aged between 6 and 10 weeks at the time of first vaccination received by intramuscular injection a 3-dose vaccination course of the RTS,S/AS02D vaccine co-administered with the TETRActHib™ vaccine at Week 0, Week 4 (Month 1) and Week 8 (Month 2). The RTS,S/AS02D vaccine was administered in the left anterolateral thigh, and the TETRActHib™ vaccine in the right anterolateral thigh.
Engerix-B GroupACTIVE_COMPARATORSubjects aged between 6 and 10 weeks at the time of first vaccination received by intramuscular injection a 3-dose vaccination course of Engerix-B® vaccine co-administered with the TETRActHib™ vaccine at Week 0, Week 4 (Month 1) and Week 8 (Month 2). The Engerix-B® vaccine was administered in the left anterolateral thigh, and the TETRActHib™ vaccine in the right anterolateral thigh..
Interventions
NameTypeDescription
RTS,S/AS01E vaccineBIOLOGICALRTS,S/AS01E vaccine will be administered intramuscularly.
RTS,S/AS01E (SB257049)BIOLOGICALSubjects from the P-Fx and NP-Fx groups will receive one Fx booster dose of RTS,S/AS01E at Day 1.
RTS,S/AS01E (Full dose)BIOLOGICALParticipants will receive intramuscular injection of RTS,S/AS01E (full dose: 0.5 ml).
RTS,S/AS01E (1/5th dose)BIOLOGICALParticipants will receive intramuscular injection of RTS,S/AS01E (1/5th dose: 0.1 ml).
Rabies vaccineBIOLOGICALParticipants will receive intramuscular injection of rabies vaccine (0.1 ml).
RTS,S/AS01EBIOLOGICALSubjects will receive intramuscular injection of RTS,S/AS01E.
RTS,S/AS01BBIOLOGICALSubjects will receive intramuscular injection of RTS,S/AS01B.
Sporozoite-infected mosquitoes challenge.PROCEDUREMosquitoes infected approximately 2-3 weeks earlier that are likely to contain sporozoites in their salivary glands will be allowed to feed on the subjects. For each subject, five mosquitoes will be allowed to feed over five minutes, after which they will be dissected to confirm how many were infected, and the salivary glands scored. If required additional mosquitoes will be allowed to feed until a total of five infected mosquitoes with a minimum of 2+ salivary gland scores have fed. The challenge occurs approximately 90 days (three months) after the last vaccination. Subjects will be monitored during 28 days after having bitten by mosquitoes and when parasites are found in their blood, they will be treated with appropriate anti-malarial drugs.
RTS,S/AS02DBIOLOGICAL3-dose intramuscular injection in the thigh
Engerix-B®BIOLOGICAL3-dose intramuscular injection in the thigh.
TETRActHib™BIOLOGICAL3-dose intramuscular injection in the thigh.
RTS,S/AS02ABIOLOGICAL -
RTS,S/AS02D and RTS,S/AS02ABIOLOGICAL -
Unlock Study Design Details
Eligibility Criteria
Age Range5 Months — 60 Months
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: 1. Healthy male or female participants aged 5 to 60 months at the time of the first vaccination, who have previously completed the World Health Organization (WHO) Expanded Programme on Immunization (EPI) vaccinations or for younger infants have received all required vaccinations...

Countries:RwandaUnited StatesGhanaKenyaTanzaniaMozambique
Unlock Eligibility Criteria
Competitive Landscape -Malaria 8 trials
Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07036159primaryCompletionDate: changed
LOWMay 24, 2026NCT07036159studyFirstPostDate: changed