Table 1. Summary of clinical trials to identify novel vaccines for leprosy.
vaccine | location | overall study size | study follow-up (years) |
% protection | reference | |
---|---|---|---|---|---|---|
|
|
|
|
|
|
|
|
BCG BCG + killed M. leprae |
Venezuela |
29, 113 |
5 |
56 54 |
58
|
|
|
|
|
|
|
|
|
BCG BCG + killed M. leprae |
Malawi |
121, 020 |
6–9 |
49 49 |
59
|
|
|
|
|
|
|
|
Whole bacteria |
BCG BCG + killed M. leprae M. w ICRC |
India |
171, 400 |
4–7 |
34 64 26 66 |
61
|
|
|
|
|
|
|
|
|
M. w (killed) |
India |
29, 420 |
8–10 |
39 |
64
|
|
|
|
|
|
|
|
|
BCG M. vaccae BCG + M. vaccae |
Vietnam |
432 |
8 |
58 55 66 |
65
|
|
|
|
|
|
|
|
|
BCG |
composite of multiple studies (meta-analysis) |
26–41a (experimental) 61 (observational) |
50
,
51
|
||
|
|
|
|
|
|
|
Sub-unit | None reported |
a Setia and colleagues selected all the studies (experimental and observational) that described the efficacy of BCG with prevention of clinical leprosy (defined according to clinical and/or microscopic criteria) and excluded studies that measured the protective effect of BCG combined with other therapies (eg, chemotherapy, killed M leprae)/ Their meta-analysis was restricted to studies that measured the protective effect of BCG alone. Merle and colleagues selected only controlled trials with a clearly defined placebo (or nonintervention) group. To be included in their analysis, case-control studies had to define the criteria for selecting cases and controls, as well as the method for determining their BCG vaccination status.