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Vaccine Efficacy Against Rotavirus Diarrhea; Vaccine Given With Routine Childhood Vaccinations in Healthy African Infants

27 de octubre de 2016 actualizado por: GlaxoSmithKline

Multi-Center Study to Assess the Efficacy, Safety and Immunogenicity of 2 or 3 Doses of GSK Biologicals' Oral Live Attenuated Human Rotavirus (HRV) Vaccine Given Concomitantly With Routine EPI Vaccinations in Healthy Infants

The primary objective of this study is to determine if the GSK Biologicals' human rotavirus (HRV) vaccine (pooled HRV groups) given concomitantly with routine expanded program on immunisation (EPI) vaccinations can prevent severe rotavirus gastroenteritis (≥11 on the 20-point Vesikari scoring system [Ruuska, 1990]) caused by the circulating wild-type RV strains during the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 5.

The primary objective will be reached if the lower limit of the 95% confidence interval (CI) on vaccine efficacy is >0%.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Descripción general del estudio

Estado

Terminado

Descripción detallada

The study will have three groups: Rotarix 3-Dose Group, Rotarix 2-Dose Group and Placebo Group. Three-dose immunisation will be administered in healthy infants at approximately 6, 10, and 14 weeks of age. Routine EPI vaccinations will be administered concomitantly with the study vaccines. This study will also evaluate immunogenicity and safety relative to the placebo.

Tipo de estudio

Intervencionista

Inscripción (Actual)

2089

Fase

  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Bangwe, Blantyre, Malaui, 3
        • GSK Investigational Site
      • Limbe, Blantyre, Malaui, 3
        • GSK Investigational Site
      • Ndirande, Blantyre, Malaui, 3
        • GSK Investigational Site
      • Zingwanga, Blantyre, Malaui, 3
        • GSK Investigational Site
      • Brits, Sudáfrica, 0250
        • GSK Investigational Site
      • Diepkloof, Soweto, Sudáfrica
        • GSK Investigational Site
      • Diepsloot, Sudáfrica
        • GSK Investigational Site
      • Eldorado Park Ext 9, Soweto, Sudáfrica
        • GSK Investigational Site
      • Karenpark, Sudáfrica, 0118
        • GSK Investigational Site
      • Mamelodi, Sudáfrica
        • GSK Investigational Site
      • Mamelodi East, Sudáfrica
        • GSK Investigational Site
      • Shoshanguve, Sudáfrica
        • GSK Investigational Site
      • Tembisa, Sudáfrica
        • GSK Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

1 mes a 2 meses (Niño)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study.
  • A male or female child between, and including, 5 and 10 weeks of age at the time of the first study vaccination.
  • Written informed consent obtained from the parent or guardian of the subject who is of legal age
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • In South Africa, birth weight > 2000 grams or if weight unknown, gestation period > 36 weeks.

Exclusion Criteria:

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product
  • Planned administration of a vaccine not foreseen by the study protocol within 14 days before each dose of study vaccine(s) and ending 14 days after.
  • Chronic administration (defined as more than 14 days) of immunosuppressants since birth.
  • History of use of experimental rotavirus vaccine.
  • Previous routine vaccination except Bacille Calmette-Guérin (BCG), hepatitis B virus (HBV) and oral poliovirus (OPV) vaccination at birth
  • Any clinically significant history of chronic gastrointestinal disease including any uncorrected congenital malformation of the gastrointestinal tract, intussusception or other medical condition determined to be serious by the investigator.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination
  • History of allergic disease or reaction likely to be exacerbated by any component of the vaccine.
  • Acute disease at the time of enrolment.
  • Gastroenteritis within 7 days preceding the first study vaccine administration
  • Previous confirmed occurrence of rotavirus gastroenteritis (RV GE).
  • A family history of congenital or hereditary immunodeficiency.
  • Administration of immunoglobulins and/or blood products since birth or planned administration during the study period.
  • History of any neurologic disorders or seizures.
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Cuadruplicar

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Rotarix 3-Dose Group
Subjects received 3 doses of Rotarix™ vaccine given concomitantly with routine EPI vaccines.
Two or Three doses, oral administration
Otros nombres:
  • GSK Biologicals' HRV vaccine
Experimental: Rotarix 2-Dose Group
Subjects received 1 dose of placebo followed by 2 doses of Rotarix™ vaccine given concomitantly with routine EPI vaccines.
Two or Three doses, oral administration
Otros nombres:
  • GSK Biologicals' HRV vaccine
One or three doses, oral administration.
Comparador de placebos: Placebo Group
Subjects received 3 doses of placebo given concomitantly with routine EPI vaccines.
One or three doses, oral administration.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of Subjects With Severe Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strain
Periodo de tiempo: From 2 weeks after the last vaccine or placebo dose up to 1 year of age
Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.
From 2 weeks after the last vaccine or placebo dose up to 1 year of age

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of Subjects With Severe Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strain, Classified by Rotavirus Type
Periodo de tiempo: From 2 weeks after the last vaccine or placebo dose up to 1 year of age

Number of subjects presenting with three or more looser than normal stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.

Rotavirus types were G1 wild type (WT) and non-G1.

From 2 weeks after the last vaccine or placebo dose up to 1 year of age
Number of Subjects Reporting Any Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strain
Periodo de tiempo: From 2 weeks after the last vaccine or placebo dose up to 1 year of age
Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample.
From 2 weeks after the last vaccine or placebo dose up to 1 year of age
Number of Subjects With Severe Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strain
Periodo de tiempo: From the first vaccine or placebo dose up to 1 year of age
Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.
From the first vaccine or placebo dose up to 1 year of age
In South Africa, Number of Subjects With Severe Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strain
Periodo de tiempo: From 2 weeks after the third dose of vaccine or placebo up to 1 year of age
Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.
From 2 weeks after the third dose of vaccine or placebo up to 1 year of age
Number of Subjects Reporting Severe Gastroenteritis of Any Cause
Periodo de tiempo: From 2 weeks after the last vaccine or placebo dose up to 1 year of age
Number of subjects with gastroenteritis (three or more looser than normal stools or watery stools within a day) that scored ≥ 11 on the 20-point Vesikari scoring system.
From 2 weeks after the last vaccine or placebo dose up to 1 year of age
Number of Subjects Hospitalized and/or With Supervised Re-hydration Therapy Due to Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strain
Periodo de tiempo: From 2 weeks after the last vaccine or placebo dose up to 1 year of age
RV GE caused by the circulating wild-type rotavirus strain: three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample collected as soon as possible after the symptoms begin.
From 2 weeks after the last vaccine or placebo dose up to 1 year of age
For Subjects in Cohort 2 South Africa and the Cohort in Malawi: Number of Subjects With Severe Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strains
Periodo de tiempo: During the period from 2 weeks after the last dose of vaccine or placebo until study end
Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.
During the period from 2 weeks after the last dose of vaccine or placebo until study end
For Subjects in Cohort 2 South Africa and the Cohort in Malawi: Number of Subjects With Severe Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strains
Periodo de tiempo: During the period from 1 year of age to study end
Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.
During the period from 1 year of age to study end
For Subjects in Cohort 2 South Africa and the Cohort in Malawi: Number of Subjects Hospitalized and/or With Supervised Re-hydration Therapy Due to Rotavirus Gastroenteritis (RV GE) Episode Caused by the Circulating Wild-type RV Strains
Periodo de tiempo: During the period from 2 weeks after the last dose of vaccine or placebo until study end
RV GE caused by the circulating wild-type rotavirus strain: three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample collected as soon as possible after the symptoms begin.
During the period from 2 weeks after the last dose of vaccine or placebo until study end
For Subjects in Cohort 2 South Africa and the Cohort in Malawi: Number of Subjects Hospitalized and/or With Supervised Re-hydration Therapy Due to Rotavirus Gastroenteritis (RV GE) Episode Caused by the Circulating Wild-type RV Strains
Periodo de tiempo: During the period from 1 year of age to study end
RV GE caused by the circulating wild-type rotavirus strain: three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample collected as soon as possible after the symptoms begin.
During the period from 1 year of age to study end
For Subjects in Cohort 2 South Africa and the Cohort in Malawi: Number of Subjects With Severe Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strains, Classified by Rotavirus Type
Periodo de tiempo: During the period from 2 weeks after the last dose of vaccine or placebo until study end

Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.

Rotavirus types were G1 wild type (WT) and non-G1.

During the period from 2 weeks after the last dose of vaccine or placebo until study end
For Subjects in Cohort 2 South Africa and the Cohort in Malawi: Number of Subjects With Severe Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strains, Classified by Rotavirus Type
Periodo de tiempo: During the period from 1 year of age to study end

Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.

Rotavirus types were G1 wild type (WT) and non-G1.

During the period from 1 year of age to study end
Number of Subjects With Adverse Events (AEs) or Serious Adverse Events (SAEs) Leading to Drop Out
Periodo de tiempo: From the first dose of vaccine or placebo up to end of the study

An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

An SAE is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

From the first dose of vaccine or placebo up to end of the study
Number of Subjects Reporting Serious Adverse Events (SAEs)
Periodo de tiempo: From the first dose of vaccine or placebo up to end of the study
An SAE is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.
From the first dose of vaccine or placebo up to end of the study
Geometric Mean Concentration of Anti-rotavirus Immunoglobulin A (IgA) Antibodies in Initially Seronegative Subjects
Periodo de tiempo: One month after the last vaccine dose
An initially seronegative subject is a subject whose IgA antibody concentration was below the assay cut-off value of 20 Units per milliliter (U/mL) before administration of the first vaccine dose.
One month after the last vaccine dose
Number of Seroconverted Subjects
Periodo de tiempo: One month after the last vaccine or placebo dose
Seroconverted subjects are defined as subjects with appearance of anti-rotavirus IgA antibody concentration ≥ 20 U/mL in subjects initially (i.e. prior to the first dose of vaccine or placebo) seronegative for rotavirus.
One month after the last vaccine or placebo dose
Geometric Mean Concentration of Anti-rotavirus Immunoglobulin A (IgA) Antibodies
Periodo de tiempo: One month after the last vaccine or placebo dose
Geometric mean concentrations are given as Units per milliliter (U/mL).
One month after the last vaccine or placebo dose
Number of Seropositive Subjects
Periodo de tiempo: One month after the last vaccine or placebo dose
Seropositive subjects are defined as subjects with anti-rotavirus IgA antibody concentration ≥ 20 U/mL.
One month after the last vaccine or placebo dose

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de octubre de 2005

Finalización primaria (Actual)

1 de junio de 2008

Finalización del estudio (Actual)

1 de junio de 2008

Fechas de registro del estudio

Enviado por primera vez

18 de octubre de 2005

Primero enviado que cumplió con los criterios de control de calidad

18 de octubre de 2005

Publicado por primera vez (Estimar)

19 de octubre de 2005

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

9 de diciembre de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

27 de octubre de 2016

Última verificación

1 de octubre de 2016

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Descripción del plan IPD

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Datos del estudio/Documentos

  1. Conjunto de datos de participantes individuales
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register. The results of this study 102248 are summarised with study 111274 on the GSK Clinical Study Register.
  2. Formulario de consentimiento informado
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  3. Plan de Análisis Estadístico
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  4. Especificación del conjunto de datos
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  5. Formulario de informe de caso anotado
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  6. Informe de estudio clínico
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  7. Protocolo de estudio
    Identificador de información: 102248
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre Infecciones, Rotavirus

Ensayos clínicos sobre Rotarix™

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