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A Clinical Trial to Study the Effect and Safety of Rotavirus Vaccine Against Severe Rotavirus Gastroenteritis in Healthy Indian Infants

Primary Purpose

Rotavirus Gastroenteritis

Status
Completed
Phase
Phase 3
Locations
India
Study Type
Interventional
Intervention
Live Attenuated Pentavalent (G1-G2-G3-G4-G9) Human X Bovine Reassortant Rotavirus Vaccine (BRV-PV)
Placebo
Sponsored by
Serum Institute of India Pvt. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Rotavirus Gastroenteritis focused on measuring rotavirus, rotavirus vaccine, BRV-PV

Eligibility Criteria

6 Weeks - 8 Weeks (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy infants as established by medical history and clinical examination before entering the study.
  • Age: 6-8 weeks at the time of enrollment.
  • Parental ability and willingness to provide informed consent.
  • Parent who intends to remain in the area with the child during the study period.

Exclusion Criteria:

  • Presence of diarrhea or vomiting in the previous 72 hours or on the day of enrollment (temporary exclusion)
  • Presence of fever on the day of enrollment (temporary exclusion).
  • Acute disease at the time of enrollment (temporary exclusion)
  • Concurrent participation in another clinical trial throughout the entire timeframe for this study.
  • Presence of significant malnutrition (weight-for-height z-score <-3SD median) or any systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer or autoimmune disease) as determined by medical history and/or physical examination which would compromise the subject's health or is likely to result in nonconformance to the protocol. History of congenital abdominal disorders, intussusception or abdominal surgery
  • Known or suspected impairment of immunological function based on medical history and physical examination.
  • Household contact with an immunosuppressed individual or pregnant woman.
  • Prior receipt of rotavirus vaccine.
  • A known sensitivity or allergy to any components of the study vaccine.
  • Major congenital or genetic defect.
  • History of persistent diarrhea (defined as diarrhea more than 14 days).
  • Participant's parents not able, available or willing to accept active weekly follow-up by the study staff.
  • Has received any immunoglobulin therapy and/or blood products since birth or planned administration during the study period.
  • History of chronic administration (defined as more than 14 days) of immunosuppressants including corticosteroids. Infants on inhaled or topical steroids may be permitted to participate in the study.
  • History of any neurologic disorders or seizures.
  • Any medical condition in the parents/infant which, in the judgment of the investigator, would interfere with or serves as a contraindication to protocol adherence or a participant's parents' ability to give informed consent.

Sites / Locations

  • Center for Health Research and Development (CHRD) -Society for applied studies (SAS)
  • Dr Dinesh Kumar Government Medical College, Jammu Department of Community Medicine, Government Medical College
  • Kasturba Medical College, Manipal
  • KEM Hospital and Research Centre
  • Dr. Sushila Nayar School of Public Health ,Mahatma Ghandi School of Medicine
  • National Institute of Cholera & Enteric Diseases

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Vaccine Arm

Placebo group

Arm Description

3 doses, 4 weeks apart, of Live Attenuated Pentavalent (G1-G2-G3-G4-G9) Human X Bovine Reassortant Rotavirus Vaccine (BRV-PV), at a dosage of ≥ Log10^5.6 fluorescent focus units (FFU)/Serotype/Dose in 2.5 ml of buffered diluent

3 doses, 4 weeks apart, of Lyophilized minimal essential medium (MEM) + excipients reconstituted in 2.5 ml of buffered diluents

Outcomes

Primary Outcome Measures

occurrence of Severe Rotavirus Gastroenteritis
Laboratory confirmed cases of severe rotavirus gastroenteritis occurring in infants receiving the complete vaccination regimen occurring from 14 days after the third vaccine dose until 122 cases are accrued, or until all participating infants reach two years of age (per protocol analysis).

Secondary Outcome Measures

Safety
Occurrence of SAE Solicited post-vaccination reactions SAEs Severe AEs Unsolicited AEs Intussusception Death

Full Information

First Posted
May 6, 2014
Last Updated
September 6, 2018
Sponsor
Serum Institute of India Pvt. Ltd.
Collaborators
PATH
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1. Study Identification

Unique Protocol Identification Number
NCT02133690
Brief Title
A Clinical Trial to Study the Effect and Safety of Rotavirus Vaccine Against Severe Rotavirus Gastroenteritis in Healthy Indian Infants
Official Title
Phase III, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Live Attenuated Bovine-Human Rotavirus Reassortant Pentavalent Vaccine (BRV-PV) Against Severe Rotavirus Gastroenteritis in Healthy Indian Infants
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
May 2014 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Serum Institute of India Pvt. Ltd.
Collaborators
PATH

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 3 multicentre, randomized, double blind, placebo-controlled study to determine the effectiveness of the rotavirus vaccine.
Detailed Description
The hypothesis is that a three dose series of BRV-PV administered orally to healthy Indian infants, with the initial dose given at 6-8 weeks of age and followed by vaccinations at monthly intervals, will significantly reduce the incidence of severe rotavirus gastroenteritis (SRVGE). Duration of follow-up is until aged 2 years of each enrolled child. The study is powered to detect vaccine efficacy significantly greater than 10% (95% confidence interval lower bound > 10%) if the true vaccine efficacy is 50% or higher.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rotavirus Gastroenteritis
Keywords
rotavirus, rotavirus vaccine, BRV-PV

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
7500 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine Arm
Arm Type
Experimental
Arm Description
3 doses, 4 weeks apart, of Live Attenuated Pentavalent (G1-G2-G3-G4-G9) Human X Bovine Reassortant Rotavirus Vaccine (BRV-PV), at a dosage of ≥ Log10^5.6 fluorescent focus units (FFU)/Serotype/Dose in 2.5 ml of buffered diluent
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
3 doses, 4 weeks apart, of Lyophilized minimal essential medium (MEM) + excipients reconstituted in 2.5 ml of buffered diluents
Intervention Type
Biological
Intervention Name(s)
Live Attenuated Pentavalent (G1-G2-G3-G4-G9) Human X Bovine Reassortant Rotavirus Vaccine (BRV-PV)
Intervention Description
Live Attenuated Pentavalent (G1-G2-G3-G4-G9) Human X Bovine Reassortant Rotavirus Vaccine (BRV-PV), at a dosage of ≥ Log10^5.6 fluorescent focus units (FFU)/Serotype/Dose in 2.5 ml of buffered diluent
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Lyophilized minimal essential medium (MEM) + excipients reconstituted in 2.5 ml of buffered diluents
Primary Outcome Measure Information:
Title
occurrence of Severe Rotavirus Gastroenteritis
Description
Laboratory confirmed cases of severe rotavirus gastroenteritis occurring in infants receiving the complete vaccination regimen occurring from 14 days after the third vaccine dose until 122 cases are accrued, or until all participating infants reach two years of age (per protocol analysis).
Time Frame
Up to 2 years of age of participants
Secondary Outcome Measure Information:
Title
Safety
Description
Occurrence of SAE Solicited post-vaccination reactions SAEs Severe AEs Unsolicited AEs Intussusception Death
Time Frame
Until completion of 2 years age of participant

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Weeks
Maximum Age & Unit of Time
8 Weeks
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy infants as established by medical history and clinical examination before entering the study. Age: 6-8 weeks at the time of enrollment. Parental ability and willingness to provide informed consent. Parent who intends to remain in the area with the child during the study period. Exclusion Criteria: Presence of diarrhea or vomiting in the previous 72 hours or on the day of enrollment (temporary exclusion) Presence of fever on the day of enrollment (temporary exclusion). Acute disease at the time of enrollment (temporary exclusion) Concurrent participation in another clinical trial throughout the entire timeframe for this study. Presence of significant malnutrition (weight-for-height z-score <-3SD median) or any systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer or autoimmune disease) as determined by medical history and/or physical examination which would compromise the subject's health or is likely to result in nonconformance to the protocol. History of congenital abdominal disorders, intussusception or abdominal surgery Known or suspected impairment of immunological function based on medical history and physical examination. Household contact with an immunosuppressed individual or pregnant woman. Prior receipt of rotavirus vaccine. A known sensitivity or allergy to any components of the study vaccine. Major congenital or genetic defect. History of persistent diarrhea (defined as diarrhea more than 14 days). Participant's parents not able, available or willing to accept active weekly follow-up by the study staff. Has received any immunoglobulin therapy and/or blood products since birth or planned administration during the study period. History of chronic administration (defined as more than 14 days) of immunosuppressants including corticosteroids. Infants on inhaled or topical steroids may be permitted to participate in the study. History of any neurologic disorders or seizures. Any medical condition in the parents/infant which, in the judgment of the investigator, would interfere with or serves as a contraindication to protocol adherence or a participant's parents' ability to give informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prasad Kulkarni, MD
Organizational Affiliation
Serum Institute of India Pvt. Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Center for Health Research and Development (CHRD) -Society for applied studies (SAS)
City
New Delhi
State/Province
Delhi
Country
India
Facility Name
Dr Dinesh Kumar Government Medical College, Jammu Department of Community Medicine, Government Medical College
City
Jammu
State/Province
Jammu & Kashmir
Country
India
Facility Name
Kasturba Medical College, Manipal
City
Manipal
State/Province
Karnataka
Country
India
Facility Name
KEM Hospital and Research Centre
City
Pune
State/Province
Maharashtra
Country
India
Facility Name
Dr. Sushila Nayar School of Public Health ,Mahatma Ghandi School of Medicine
City
Sewagram
State/Province
Maharashtra
Country
India
Facility Name
National Institute of Cholera & Enteric Diseases
City
Kolkata
State/Province
West Bengal
Country
India

12. IPD Sharing Statement

Citations:
PubMed Identifier
28967523
Citation
Kulkarni PS, Desai S, Tewari T, Kawade A, Goyal N, Garg BS, Kumar D, Kanungo S, Kamat V, Kang G, Bavdekar A, Babji S, Juvekar S, Manna B, Dutta S, Angurana R, Dewan D, Dharmadhikari A, Zade JK, Dhere RM, Fix A, Power M, Uprety V, Parulekar V, Cho I, Chandola TR, Kedia VK, Raut A, Flores J; SII BRV-PV author group. A randomized Phase III clinical trial to assess the efficacy of a bovine-human reassortant pentavalent rotavirus vaccine in Indian infants. Vaccine. 2017 Oct 27;35(45):6228-6237. doi: 10.1016/j.vaccine.2017.09.014. Epub 2017 Sep 26.
Results Reference
result
Links:
URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651219/
Description
Related Info

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A Clinical Trial to Study the Effect and Safety of Rotavirus Vaccine Against Severe Rotavirus Gastroenteritis in Healthy Indian Infants

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