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

27 oktober 2016 bijgewerkt door: 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.

Studie Overzicht

Toestand

Voltooid

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

2089

Fase

  • Fase 3

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

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

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

1 maand tot 2 maanden (Kind)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Preventie
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Verviervoudigen

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Rotarix 3-Dose Group
Subjects received 3 doses of Rotarix™ vaccine given concomitantly with routine EPI vaccines.
Two or Three doses, oral administration
Andere namen:
  • GSK Biologicals' HRV vaccine
Experimenteel: 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
Andere namen:
  • GSK Biologicals' HRV vaccine
One or three doses, oral administration.
Placebo-vergelijker: Placebo Group
Subjects received 3 doses of placebo given concomitantly with routine EPI vaccines.
One or three doses, oral administration.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Number of Subjects With Severe Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strain
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Number of Subjects With Severe Rotavirus Gastroenteritis Caused by the Circulating Wild-type Rotavirus Strain, Classified by Rotavirus Type
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start

1 oktober 2005

Primaire voltooiing (Werkelijk)

1 juni 2008

Studie voltooiing (Werkelijk)

1 juni 2008

Studieregistratiedata

Eerst ingediend

18 oktober 2005

Eerst ingediend dat voldeed aan de QC-criteria

18 oktober 2005

Eerst geplaatst (Schatting)

19 oktober 2005

Updates van studierecords

Laatste update geplaatst (Schatting)

9 december 2016

Laatste update ingediend die voldeed aan QC-criteria

27 oktober 2016

Laatst geverifieerd

1 oktober 2016

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

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

Bestudeer gegevens/documenten

  1. Gegevensset individuele deelnemers
    Informatie-ID: 102248
    Informatie opmerkingen: 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. Formulier geïnformeerde toestemming
    Informatie-ID: 102248
    Informatie opmerkingen: For additional information about this study please refer to the GSK Clinical Study Register
  3. Statistisch analyseplan
    Informatie-ID: 102248
    Informatie opmerkingen: For additional information about this study please refer to the GSK Clinical Study Register
  4. Specificatie gegevensset
    Informatie-ID: 102248
    Informatie opmerkingen: For additional information about this study please refer to the GSK Clinical Study Register
  5. Geannoteerd casusrapportformulier
    Informatie-ID: 102248
    Informatie opmerkingen: For additional information about this study please refer to the GSK Clinical Study Register
  6. Klinisch onderzoeksrapport
    Informatie-ID: 102248
    Informatie opmerkingen: For additional information about this study please refer to the GSK Clinical Study Register
  7. Leerprotocool
    Informatie-ID: 102248
    Informatie opmerkingen: For additional information about this study please refer to the GSK Clinical Study Register

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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