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42 Chapter 2<br />

Adjuvant Alhydrogel Montanide AS02 Total<br />

PfAMA1<br />

dose<br />

10µg 50µg 10µg 50µg 10µg 50µg<br />

N 10 10 10 9 9 8 56<br />

Total 8<br />

10<br />

9 9<br />

9 8 53<br />

LOCAL<br />

(80.0 %) (100 %) (90.0 %) (100 %) (100 %) (100 %) (94.6 %)<br />

Pain<br />

8<br />

(80.0 %)<br />

10<br />

(100 %)<br />

8<br />

(80.0 %)<br />

9<br />

(100 %)<br />

9<br />

(100 %)<br />

8<br />

(100 %)<br />

52<br />

(92.9 %)<br />

Erythema<br />

- -<br />

2<br />

(20.0 %)<br />

2<br />

(22.2%)<br />

4<br />

(44.4%)<br />

6<br />

(75.0%)<br />

14<br />

(25%)<br />

Swelling<br />

- -<br />

1<br />

(10.0 %)<br />

-<br />

3<br />

(33.3 %)<br />

1<br />

(12.5 %)<br />

5<br />

(8.9 %)<br />

Induration<br />

- -<br />

1<br />

(10.0 %)<br />

2<br />

(22.2 %)<br />

- -<br />

3<br />

(5.4 %)<br />

Sterile<br />

abscess<br />

SYSTEMIC<br />

- - -<br />

2<br />

(22.2 %)<br />

- -<br />

2<br />

(3.6 %)<br />

Headache<br />

1<br />

(10.0 %)<br />

-<br />

2<br />

(20.0 %)<br />

-<br />

6<br />

(66.7 %)<br />

7<br />

(87.5 %)<br />

16<br />

(28.6 %)<br />

Malaise<br />

- - -<br />

1<br />

(11.1 %)<br />

6<br />

(66.7 %)<br />

7<br />

(87.5 %)<br />

14<br />

(25.0 %)<br />

Fever<br />

- - - -<br />

5<br />

(55.6 %)<br />

5<br />

(62.5 %)<br />

10<br />

(17.9 %)<br />

Myalgia<br />

- - - -<br />

4<br />

(44.4 %)<br />

2<br />

(25.0 %)<br />

6<br />

(10.7 %)<br />

Nausea<br />

1<br />

(10.0 %)<br />

- - -<br />

1<br />

(11.1 %)<br />

2<br />

(25.0 %)<br />

4<br />

(7.1 %)<br />

Fatigue<br />

- - - - -<br />

2<br />

(25.0 %)<br />

2<br />

(3.6 %)<br />

Arthralgia<br />

- - - -<br />

1<br />

(11.1 %)<br />

-<br />

1<br />

(1.8 %)<br />

Abdominal<br />

pain<br />

- - - -<br />

1<br />

(11.1 %)<br />

-<br />

1<br />

(1.8 %)<br />

Table 2. Number of volunteers reporting vaccine related adverse events per dose <strong>and</strong><br />

adjuvant group.<br />

be closely monitored for social, geographic or psychological reasons. Table 1<br />

shows the demographics of volunteers per r<strong>and</strong>omised group. The mean age<br />

was 23 years old (range 18 – 42 years) <strong>and</strong> all but one were Caucasian.<br />

Safety <strong>and</strong> reactogenicity<br />

No serious adverse events occurred that were definitely, probably, or possibly<br />

related to immunisation. No clinically relevant changes in vital signs or<br />

laboratory values were reported throughout the study. Forty-seven volunteers<br />

(84%) received all three immunisations; nine were excluded for one or more<br />

immunisations (Figure 1). Two of these were excluded for reasons unrelated to<br />

the trial procedures. One (Alhydrogel 10 µg group) developed a generalised<br />

rash assessed as unrelated to the vaccine between the first <strong>and</strong> second<br />

immunisations <strong>and</strong> one (Montanide 10 µg group) received a concomitant<br />

hepatitis B immunisation. Seven volunteers were excluded because they<br />

developed grade 3 erythema (diameter >50mm) after the second immunisation;

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