RH5.1/Matrix-M, a blood-stage malaria vaccine, shows promising results in Phase IIb trial, potentially becoming the first of its kind. It complements pre-erythrocytic vaccines, offering a second line of defence against malaria, with 55% efficacy against clinical malaria and 80% in reducing high parasite levels. The vaccine targets the blood stage, occurring after liver infection, and could significantly aid global malaria prevention efforts.