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Reactogenicity, Safety and Immunological Efficacy of the Live, Pentavalent Rotavirus Vaccine in Childhood Immunization

Primary Purpose

Rotavirus Infection

Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
The pentavalent rotavirus vaccine (live attenuated oral, freeze-dried)
Placebo
Sponsored by
Limited Liability Company Pharm Aid
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Rotavirus Infection focused on measuring rotavirus vaccine

Eligibility Criteria

60 Days - 70 Days (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male or female children at the age of 2 months at the time of the first vaccination with PI / PS, vaccinated according to age by the schedule of the National Calendar of Preventive Vaccinations of the Russian Federation;
  2. Baby should be ≥ 37 weeks gestational age and birth weight ≥ 2500 g;
  3. Children who do not have contraindications for vaccination (by the Protocol, according to medical history and clinical examination);
  4. An Informed Consent Form for participation in the research, voluntarily and personally signed by the parent / adoptive parent of the child, before any of the research procedures;
  5. Ability, in the researcher's opinion, of the parents / adoptive parents of the child to comply with the requirements of the Protocol (attendance of all scheduled Visits, completion of the Child Observation Diary, etc.).

Exclusion Criteria:

  1. Orphans (except for officially adopted children) and children without parental care;
  2. Child's gestational age <37 weeks and birth weight <2500 g;
  3. Participation in any other clinical study;
  4. Received or planned vaccination with any other rotavirus vaccine before enrollment in this study;
  5. A history of diarrhea or blood in the stool or a violation of bowel movements in the last 14 days;
  6. A history of chronic diseases of the gastrointestinal tract, history of intussusception of the intestine and congenital malformations of the gastrointestinal tract, predisposing to it, surgery on the abdominal organs;
  7. Known sensitivity or allergy to any of the PI and PS components;
  8. Serious post-vaccination reactions/complications disorders/defects associated with any previous vaccinations;
  9. Any significant systemic disease (from the lungs, liver, kidneys, skin, cardiovascular system, gastrointestinal tract, endocrine system, immune system, nervous system, and cancer or autoimmune disease) that would jeopardize children's health or result in non-compliance with the Protocol;
  10. Congenital or genetic disorders/defects;
  11. Clinically significant abnormalities in laboratory parameters that go beyond the limits of the normal range identified at the Screening and may have a negative impact on the safety of the child's participation in the study;
  12. Household contact with immunocompromised people or with an immunocompromised pregnant woman;
  13. In the researcher's opinion, the child is not eligible for inclusion in the study, or the researcher is convinced that the parent / adoptive parent will not follow the Protocol's procedures;
  14. Continuous use (more than 14 days from birth until inclusion in the study) of immunosuppressants or immunomodulators;
  15. Continuous use (more than 14 days from birth until inclusion in the study) of steroid drugs at a dose of more than 0.5 mg/kg/day in terms of prednisone. The use of topical or inhaled steroids is permitted;
  16. A history of proven hepatitis B, diphtheria, tetanus, whooping cough, poliomyelitis, hemophilic or pneumococcal infection;
  17. Confirmed or suspected immunodeficiency condition (based on medical history);
  18. Hereditary or congenital immunodeficiency (according to family history );
  19. Administration of immunoglobulins or blood components from birth until inclusion and their planned administration during the study.

Sites / Locations

  • Perm State Medical University named after Academician E.A. Wagner
  • Tyumen State Medical University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

The pentavalent rotavirus vaccine (live attenuated oral, freeze-dried)

Diluent is a sterile solution (Citrate Bicarbonate Buffer)

Arm Description

Live attenuated bovine-human [UK] reassortant rotavirus vaccine manufactured by the Serum Institute of India, Limited (SIIL). The pentavalent vaccine contains rotavirus serotypes G1, G2, G3, G4, and G9 (≥5.6 log10 FFU/serotype/dose). The vaccine is lyophilized and supplied with 2.5 ml of citrate bicarbonate buffer added for reconstitution before oral administration.

Same constituents as the active vaccine but without the viral antigens; manufactured by SIIL.

Outcomes

Primary Outcome Measures

Geometric mean concentration (GMC) of IgA antibodies
Increased number of specific antibodies IgA after threefold administration of HPV in the 1st group was statistically significantly different from the diversity of the increase in IgA level in the placebo group.
Seroconversion rate
Seroconversion rate (with two, three, and quadruple antibody increases) in the Group those grafted with the study drug ranged from 79.17% to 83.33%, with data values of effectiveness indicator of the studied Vaccine for prevention rotavirus infection statistically significantly exceeded levels seroconversion in children from the Placebo Group.
Seroconversion factor
The multiplicity of the increase in antibody HRT in the Vaccine Group was 39.05, in the Pla cebo Group -2,80. This indicator in the Vaccine Vaccinated Group is also statistically significant exceeded the seroconversion factor in the Placebo Group.
Occurrence of unsolicited adverse events
The association with the study product had 44 adverse events (22 adverse events in study participants from Group 1 and 22 adverse events in study participants from Group 2). All adverse events that had a connection with taking the test product, were recorded within the first 7 days after immunization and were a manifestation of reactogenicity.
Occurrence of serious adverse events
No history has been detected since severe post-vaccine reactions/complications related to the previous vaccination, allergic reactions to vaccine components, or any prior immunization.

Secondary Outcome Measures

Full Information

First Posted
August 9, 2021
Last Updated
September 2, 2021
Sponsor
Limited Liability Company Pharm Aid
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1. Study Identification

Unique Protocol Identification Number
NCT05032391
Brief Title
Reactogenicity, Safety and Immunological Efficacy of the Live, Pentavalent Rotavirus Vaccine in Childhood Immunization
Official Title
Multicenter, Prospective, Randomized, Double-blind Placebo-controlled Clinical Study of the Efficacy and Safety of the Vaccine for Prevention of Rotavirus Infection Pentavalent Live With the Participation of Healthy Children
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
February 22, 2019 (Actual)
Primary Completion Date
September 22, 2019 (Actual)
Study Completion Date
October 25, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Limited Liability Company Pharm Aid

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The first multicenter prospective, randomized, double-blind, placebo-controlled clinical trial of the pentavalent live vaccine for RVI prevention was conducted in Russia among healthy infants aged 2 months at the time of the first vaccination.
Detailed Description
The study is a double-blind placebo-controlled prospective randomized, of efficiency and safety of Vaccine to prevent a rotavirus infection pentavalent live with the participation of healthy children" is carried out in the Russian Federation according to the Protocol of clinical trial No. RTB 003/18, requirements of the national legal system and the international rules of conduct of clinical trials (ICH GCP). The study was randomized of 100 children corresponding to inclusion criteria and not having criteria of non-inclusion, which in the ratio 1:1 were randomized in one of two groups. Children from Group 1 received a vaccine to prevent a rotavirus infection pentavalent live, is triple orally with interval not less than four weeks of 2.5 ml (1 dose). Children from Group 2 received a placebo not less than four weeks of 2.5 ml (1 dose) are triple orally with an interval. Three children (2 persons from Groups 1 and 1 person of Group 2) who were ahead of schedule finished participation in the research were immunized once.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rotavirus Infection
Keywords
rotavirus vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Multicenter, prospective, randomized double-blind, placebo-controlled
Masking
ParticipantInvestigator
Masking Description
The present study was a double-blind, placebo-controlled study, i.e., neither the investigator nor the parent / adoptive parent of the child knew which particular drug was administered to a particular study participant.
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
The pentavalent rotavirus vaccine (live attenuated oral, freeze-dried)
Arm Type
Experimental
Arm Description
Live attenuated bovine-human [UK] reassortant rotavirus vaccine manufactured by the Serum Institute of India, Limited (SIIL). The pentavalent vaccine contains rotavirus serotypes G1, G2, G3, G4, and G9 (≥5.6 log10 FFU/serotype/dose). The vaccine is lyophilized and supplied with 2.5 ml of citrate bicarbonate buffer added for reconstitution before oral administration.
Arm Title
Diluent is a sterile solution (Citrate Bicarbonate Buffer)
Arm Type
Placebo Comparator
Arm Description
Same constituents as the active vaccine but without the viral antigens; manufactured by SIIL.
Intervention Type
Biological
Intervention Name(s)
The pentavalent rotavirus vaccine (live attenuated oral, freeze-dried)
Other Intervention Name(s)
Rota-V-Aid™
Intervention Description
Three times orally in a volume of 2.5 ml (1 dose)
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Diluent is a sterile solution (Citrate Bicarbonate Buffer)
Intervention Description
Three times orally in a volume of 2.5 ml (1 dose)
Primary Outcome Measure Information:
Title
Geometric mean concentration (GMC) of IgA antibodies
Description
Increased number of specific antibodies IgA after threefold administration of HPV in the 1st group was statistically significantly different from the diversity of the increase in IgA level in the placebo group.
Time Frame
From 28 days post-Dose 3 to 1 year of age
Title
Seroconversion rate
Description
Seroconversion rate (with two, three, and quadruple antibody increases) in the Group those grafted with the study drug ranged from 79.17% to 83.33%, with data values of effectiveness indicator of the studied Vaccine for prevention rotavirus infection statistically significantly exceeded levels seroconversion in children from the Placebo Group.
Time Frame
From 28 days post-Dose 3 to 1 year of age
Title
Seroconversion factor
Description
The multiplicity of the increase in antibody HRT in the Vaccine Group was 39.05, in the Pla cebo Group -2,80. This indicator in the Vaccine Vaccinated Group is also statistically significant exceeded the seroconversion factor in the Placebo Group.
Time Frame
From 28 days post-Dose 3 to 1 year of age
Title
Occurrence of unsolicited adverse events
Description
The association with the study product had 44 adverse events (22 adverse events in study participants from Group 1 and 22 adverse events in study participants from Group 2). All adverse events that had a connection with taking the test product, were recorded within the first 7 days after immunization and were a manifestation of reactogenicity.
Time Frame
Within the 31 days (Day 0 - Day 30) after the vaccine dose
Title
Occurrence of serious adverse events
Description
No history has been detected since severe post-vaccine reactions/complications related to the previous vaccination, allergic reactions to vaccine components, or any prior immunization.
Time Frame
Within the 31 days (Day 0 - Day 30) after the vaccine dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Days
Maximum Age & Unit of Time
70 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or female children at the age of 2 months at the time of the first vaccination with PI / PS, vaccinated according to age by the schedule of the National Calendar of Preventive Vaccinations of the Russian Federation; Baby should be ≥ 37 weeks gestational age and birth weight ≥ 2500 g; Children who do not have contraindications for vaccination (by the Protocol, according to medical history and clinical examination); An Informed Consent Form for participation in the research, voluntarily and personally signed by the parent / adoptive parent of the child, before any of the research procedures; Ability, in the researcher's opinion, of the parents / adoptive parents of the child to comply with the requirements of the Protocol (attendance of all scheduled Visits, completion of the Child Observation Diary, etc.). Exclusion Criteria: Orphans (except for officially adopted children) and children without parental care; Child's gestational age <37 weeks and birth weight <2500 g; Participation in any other clinical study; Received or planned vaccination with any other rotavirus vaccine before enrollment in this study; A history of diarrhea or blood in the stool or a violation of bowel movements in the last 14 days; A history of chronic diseases of the gastrointestinal tract, history of intussusception of the intestine and congenital malformations of the gastrointestinal tract, predisposing to it, surgery on the abdominal organs; Known sensitivity or allergy to any of the PI and PS components; Serious post-vaccination reactions/complications disorders/defects associated with any previous vaccinations; Any significant systemic disease (from the lungs, liver, kidneys, skin, cardiovascular system, gastrointestinal tract, endocrine system, immune system, nervous system, and cancer or autoimmune disease) that would jeopardize children's health or result in non-compliance with the Protocol; Congenital or genetic disorders/defects; Clinically significant abnormalities in laboratory parameters that go beyond the limits of the normal range identified at the Screening and may have a negative impact on the safety of the child's participation in the study; Household contact with immunocompromised people or with an immunocompromised pregnant woman; In the researcher's opinion, the child is not eligible for inclusion in the study, or the researcher is convinced that the parent / adoptive parent will not follow the Protocol's procedures; Continuous use (more than 14 days from birth until inclusion in the study) of immunosuppressants or immunomodulators; Continuous use (more than 14 days from birth until inclusion in the study) of steroid drugs at a dose of more than 0.5 mg/kg/day in terms of prednisone. The use of topical or inhaled steroids is permitted; A history of proven hepatitis B, diphtheria, tetanus, whooping cough, poliomyelitis, hemophilic or pneumococcal infection; Confirmed or suspected immunodeficiency condition (based on medical history); Hereditary or congenital immunodeficiency (according to family history ); Administration of immunoglobulins or blood components from birth until inclusion and their planned administration during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Irina V. Feldblium, PhD
Organizational Affiliation
Perm State Medical University named after Academician E.A. Wagner
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Olga A. Rychkova, Dr. Sci
Organizational Affiliation
Tyumen State Medical University
Official's Role
Study Director
Facility Information:
Facility Name
Perm State Medical University named after Academician E.A. Wagner
City
Perm
ZIP/Postal Code
614990
Country
Russian Federation
Facility Name
Tyumen State Medical University
City
Tyumen
ZIP/Postal Code
625023
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Reactogenicity, Safety and Immunological Efficacy of the Live, Pentavalent Rotavirus Vaccine in Childhood Immunization

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