New malaria vaccine seen as bringing potential relief to developing countries

ByJoanna Kedzierska

New malaria vaccine seen as bringing potential relief to developing countries

The vaccine against malaria developed by Oxford University has demonstrated a 77% efficacy and thus is the first vaccine to exceed the WHO efficiency threshold of 75%. None of the malaria vaccines that have so far been developed have achieved this level with most reaching an efficacy rate of 50%. The Oxford University team made the announcement as they revealed the results of the second phase of the vaccine’s clinical trials.

Malaria, a disease transmitted from person to person by infected mosquitoes, is estimated to cost about 400,000 lives annually, most of whom are children under five years of age.

The vaccine, R21/Matrix-M, was developed by the same team that worked on the Oxford-AstraZeneca COVID-19 vaccine. Trials began in 2019 among 450 children in Burkina Faso when they were tested between May and August before the peak of the malaria season with low and high doses. The results showed that the vaccine was safe and highly effective. Oxford scientists have started recruitment for the third phase which will involve 5,000 children aged between five months and three years old in four African countries.

If the final trials are successful, the biggest world vaccine manufacturer, the Indian Serum Institute, has announced its readiness to produce 200 million doses a year. Professor Adrian Hill, Director of the Jenner Institute at Oxford and one of the study’s authors, said the “vaccine has the potential to have a major public health impact.”

Although malaria has been a well-known disease for many years, it emerged that developing a vaccine against it was challenging as scientists had to deal with thousands of genes whereas a disease such as SARS-CoV-2 only has a dozen. This means that a very high immune response is needed to defeat malaria, as Adrian Hill explained.

Malaria affects mostly those living in poor, tropical, and subtropical areas of the world: sub-Saharan Africa, the Amazon basin in Latin America, India, and the Golden Triangle in Southeast Asia. According to the WHO, in 2019 malaria killed 409,000 people and caused 229 million new infections mostly amongst young children in sub-Saharan Africa with 94% of deaths occurring in Africa.

In 2020, malaria killed more people in Africa than the coronavirus.