World’s first malaria vaccine in another leap toward market

British drugmaker GlaxoSmithKline will seek marketing approval for the world’s first malaria vaccine next year after trial data showed the shot significantly cut cases of the disease in African children.The vaccine, known as RTS,S, was found after 18 months of follow-up to have almost halved the number of malaria cases in young children in the trial. It reduced by around a quarter the number of malaria cases in infants.“Based on these data, GSK now intends to submit, in 2014, a regulatory application to the European Medicines Agency (EMA),” said the company, which has been developing the vaccine for three decades, in a statement.It added that the World Health Organization (WHO) has indicated it may recommend use of the RTS,S vaccine from as early as 2015 if EMA drugs regulators back its licence application.Malaria, a mosquito-borne parasitic disease, kills hundreds of thousands of people a year, mainly babies in the poorest parts of sub-Saharan Africa. Scientists say an effective vaccine is the key to attempts to eradicate it.Yet hopes that RTS,S would be the final answer were dampened last year when results from a final-stage trial with 6,537 babies aged 6 to 12 weeks showed the shot provided only modest protection, reducing episodes of the disease by 30 per cent compared to immunization with a control vaccine.Tuesday’s latest readout from the malaria trial, which is Africa’s largest ever clinical trial involving almost 15,500 children in seven countries, were presented at a medical meeting in Durban, South Africa.GSK is developing RTS,S with the non-profit PATH Malaria Vaccine Initiative, which is getting grant funding from the Bill & Melinda Gates Foundation.“Many millions of malaria cases fill the wards of our hospitals. Progress is being made with bed nets and other measures, but we need more tools to battle this terrible disease,” said Halidou Tinto, a lead investigator on the RTS,S trial from Burkina Faso.Previous data sets released from earlier parts of the trial showed the vaccine’s efficacy was 65 per cent in babies analyzed six months after vaccination, and only around 50 per cent in 5- to 17 month-olds.And further data released earlier this year found RTS,S’s effectiveness wanes over time, with the shot protecting only 16.8 per cent of children over four years.Despite these drawbacks, David Kaslow, vice-president of product development at PATH, said RTS,S would serve as a useful additional tool alongside other malaria control measures such as mosquito nets, insecticides and anti-malaria drugs.“Given the huge disease burden of malaria among African children, we cannot ignore what these latest results tell us about the potential for RTS,S to have a measurable and significant impact on the health of millions of young children in Africa,” he said in a statement.“This trial continues to show that a malaria vaccine could potentially bring an important additional benefit beyond that provided by the tools already in use.”Responding to the trial results update, the WHO said RTS,S would be evaluated “as an addition to, not a replacement for” existing methods for malaria prevention, diagnosis and drug treatment.“The need for long-lasting insecticidal nets, rapid diagnostic tests and artemisinin-based combination therapies (anti-malarial drugs) will continue,” even if RTS,S is made available and used, it said.If approved, the vaccine is unlikely to be anything other than neutral for GSK’s bottom line. GSK has promised that if RTS,S is given the market go-ahead, it will be priced at cost of manufacture plus a 5 per cent margin, and the margin would be reinvested in malaria research.