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An Alternate Dosing Schedule for Pentavalent Rotavirus Vaccine (RotaTeq)

10. marts 2017 opdateret af: Dennis Clements

An Open-label, Pilot Study to Compare the Safety and Immunogenicity of an Alternate Dosing Schedule (2-5 Weeks, 2 Months, and 4 Months) for Pentavalent Rotavirus Vaccine (RotaTeq) to the Standard Recommended Schedule (2, 4, and 6 Months)

This is a pilot study to assess the safety and immunogenicity of pentavalent rotavirus vaccine (RV5) when administered according to an alternate dosing schedule (2-5 weeks, 2 months and 4 months). In this interventional, open-label study, infants 2 through 5 weeks of age (14 to 41 days) will be enrolled and vaccinated with RV5 according to a 2-5 week, 2 and 4 month schedule and infants 2 months of age (56 to 83 days) will be vaccinated according to the standard recommended schedule (2, 4, and 6 months of age). Sera will be obtained from subjects one month following the final dose of vaccine and will be assayed for anti-rotavirus IgA and rotavirus neutralizing antibody responses against the G1, G2, G3, G4 and P[8] serotypes. Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titers (GMTs) will be compared between children receiving pentavalent rotavirus vaccine (RV5) according to the alternate dosing schedule versus the standard recommended schedule. Likewise, post dose 3 G2, G3, G4 and P[8] SNA and serum rotavirus IgA GMTs will be compared between children receiving RV5 according to the alternate dosing schedule and the standard recommended schedule. The safety and tolerability of RV5 in children receiving vaccine according to the alternate dosing schedule will be described.

Studieoversigt

Status

Afsluttet

Betingelser

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

66

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • North Carolina
      • Durham, North Carolina, Forenede Stater, 27710
        • Duke University Health System

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

2 uger til 2 måneder (Barn)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Male or female infants who are 14 through 41 or 56 through 83 days of age at Visit 1 (Day of initial vaccination)
  2. Parent / legal guardian has read and signed the informed consent document
  3. Child and parent / legal guardian is available for the entire study period and can be reached by telephone
  4. Healthy infant as determined by medical history and by a baseline physical examination
  5. Infant weight at time of enrollment must exceed birth weight

Exclusion Criteria:

  1. History of hypersensitivity to the vaccine or any component of the vaccine
  2. History of Severe Combined Immunodeficiency Disease (SCID)
  3. History of immunocompromise ( infant is known to be HIV positive, to have hypogammaglobulinemia or to have an underlying malignancy)
  4. History of intussusception
  5. Any clinically significant history of gastrointestinal disease including active acute gastrointestinal illness, chronic diarrhea, failure to thrive, congenital abdominal disorders, abdominal surgery or liver disease
  6. Prior receipt of a rotavirus vaccine
  7. Less than 37 weeks gestation
  8. The subject has participated in a study with an experimental agent within one month of enrollment in the study or anticipated receipt of an experimental agent during participation in the study
  9. Receipt of blood products within 4 weeks of study vaccination
  10. Receipt of a live virus vaccine within 4 weeks of study vaccination or an inactivated vaccine within 2 weeks. Concomitant administration of routinely recommended vaccines is allowed. A dose of hepatitis B vaccine administered in the birthing hospital is permitted. Planned routine use of inactivated influenza vaccine for children over 6 months of age is permitted.
  11. Acute illness within 48 hours of vaccination (axillary temperature of 100.4°F or higher, 3 or more grossly watery stools, vomiting). (Infants with stable unchanged gastroesophageal reflux may be enrolled).
  12. Insufficient weight gain requiring future weight checks in addition to routine scheduled well child visits
  13. The subject has any condition that the investigator believes would put the subject at an increased risk of injury or would render the subject unable to complete the trial or fulfill the requirements of the study protocol.
  14. Household contact who is immunodeficient (any malignancies or otherwise immunocompromised, primary immunodeficiency, receiving immunosuppressive therapy)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Standard Dosing Group
Group will receive RV5 vaccine at 2, 4, and 6 months of age
Andre navne:
  • RotaTeq
Eksperimentel: Alternate Dosing Group
Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age
Andre navne:
  • RotaTeq

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
G1 Serum-neutralizing Antibody
Tidsramme: 1 month following vaccine series completion
Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titer (GMT)
1 month following vaccine series completion

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
G2 Serum-neutralizing Antibody
Tidsramme: 1 month following vaccine series completion
Post dose 3 G2 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
1 month following vaccine series completion
G3 Serum-neutralizing Antibody
Tidsramme: 1 month following vaccine series completion
Post dose 3 G3 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
1 month following vaccine series completion
G4 Serum-neutralizing Antibody
Tidsramme: 1 month following vaccine series completion
Post dose 3 G4 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
1 month following vaccine series completion
P1 Serum-neutralizing Antibody
Tidsramme: 1 month following vaccine series completion
Post dose 3 P1 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
1 month following vaccine series completion

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Serum Rotavirus Immunoglobulin A
Tidsramme: 1 month following vaccine series completion
Post dose 3 serum rotavirus Immunoglobulin A geometric mean titer (GMT)
1 month following vaccine series completion
Reactogenicity Assessment
Tidsramme: 7 days after each dose, up to 10 months post-vaccination
Proportions of subjects in each vaccine group reporting a reactogenicity event in the period following each dose and any dose of RV5 will be determined
7 days after each dose, up to 10 months post-vaccination
Adverse Event Assessment
Tidsramme: 28 days after each dose, up to 10 months post-vaccination
Proportions of subjects in each vaccine group reporting an adverse event in the period following each dose and any dose of RV5 will be determined
28 days after each dose, up to 10 months post-vaccination
Serious Adverse Event Assessment
Tidsramme: After each dose and up to 10 months post-vaccination
Proportions of subjects in each vaccine group reporting an adverse event in the period following each dose and any dose of RV5 will be determined
After each dose and up to 10 months post-vaccination

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Dennis A Clements, MD, PhD, Duke University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. februar 2014

Primær færdiggørelse (Faktiske)

1. december 2015

Studieafslutning (Faktiske)

1. maj 2016

Datoer for studieregistrering

Først indsendt

7. oktober 2013

Først indsendt, der opfyldte QC-kriterier

9. oktober 2013

Først opslået (Skøn)

11. oktober 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. april 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. marts 2017

Sidst verificeret

1. marts 2017

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • Pro00049081
  • MISP-50891 (Andet bevillings-/finansieringsnummer: Merck Investigator Studies Program)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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Kliniske forsøg med Gastroenteritis

Kliniske forsøg med RV5 (Pentavalent Rotavirus Vaccine)

Abonner