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An Alternate Dosing Schedule for Pentavalent Rotavirus Vaccine (RotaTeq)

Primary Purpose

Diarrhea, Gastroenteritis

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
RV5 (Pentavalent Rotavirus Vaccine)
Sponsored by
Dennis Clements
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Diarrhea focused on measuring Gastroenteritis, Diarrhea, Rotavirus, Vaccine, Dehydration

Eligibility Criteria

14 Days - 83 Days (Child)All SexesAccepts Healthy Volunteers

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)

Sites / Locations

  • Duke University Health System

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Standard Dosing Group

Alternate Dosing Group

Arm Description

Group will receive RV5 vaccine at 2, 4, and 6 months of age

Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age

Outcomes

Primary Outcome Measures

G1 Serum-neutralizing Antibody
Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titer (GMT)

Secondary Outcome Measures

G2 Serum-neutralizing Antibody
Post dose 3 G2 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
G3 Serum-neutralizing Antibody
Post dose 3 G3 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
G4 Serum-neutralizing Antibody
Post dose 3 G4 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
P1 Serum-neutralizing Antibody
Post dose 3 P1 serum-neutralizing antibody(SNA) geometric mean titer (GMT)

Full Information

First Posted
October 7, 2013
Last Updated
March 10, 2017
Sponsor
Dennis Clements
Collaborators
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01960725
Brief Title
An Alternate Dosing Schedule for Pentavalent Rotavirus Vaccine (RotaTeq)
Official Title
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)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
February 2014 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
May 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Dennis Clements
Collaborators
Merck Sharp & Dohme LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diarrhea, Gastroenteritis
Keywords
Gastroenteritis, Diarrhea, Rotavirus, Vaccine, Dehydration

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Masking Description
Open Label
Allocation
Non-Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Standard Dosing Group
Arm Type
Active Comparator
Arm Description
Group will receive RV5 vaccine at 2, 4, and 6 months of age
Arm Title
Alternate Dosing Group
Arm Type
Experimental
Arm Description
Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age
Intervention Type
Biological
Intervention Name(s)
RV5 (Pentavalent Rotavirus Vaccine)
Other Intervention Name(s)
RotaTeq
Primary Outcome Measure Information:
Title
G1 Serum-neutralizing Antibody
Description
Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titer (GMT)
Time Frame
1 month following vaccine series completion
Secondary Outcome Measure Information:
Title
G2 Serum-neutralizing Antibody
Description
Post dose 3 G2 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
Time Frame
1 month following vaccine series completion
Title
G3 Serum-neutralizing Antibody
Description
Post dose 3 G3 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
Time Frame
1 month following vaccine series completion
Title
G4 Serum-neutralizing Antibody
Description
Post dose 3 G4 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
Time Frame
1 month following vaccine series completion
Title
P1 Serum-neutralizing Antibody
Description
Post dose 3 P1 serum-neutralizing antibody(SNA) geometric mean titer (GMT)
Time Frame
1 month following vaccine series completion
Other Pre-specified Outcome Measures:
Title
Serum Rotavirus Immunoglobulin A
Description
Post dose 3 serum rotavirus Immunoglobulin A geometric mean titer (GMT)
Time Frame
1 month following vaccine series completion
Title
Reactogenicity Assessment
Description
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
Time Frame
7 days after each dose, up to 10 months post-vaccination
Title
Adverse Event Assessment
Description
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
Time Frame
28 days after each dose, up to 10 months post-vaccination
Title
Serious Adverse Event Assessment
Description
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
Time Frame
After each dose and up to 10 months post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
14 Days
Maximum Age & Unit of Time
83 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female infants who are 14 through 41 or 56 through 83 days of age at Visit 1 (Day of initial vaccination) Parent / legal guardian has read and signed the informed consent document Child and parent / legal guardian is available for the entire study period and can be reached by telephone Healthy infant as determined by medical history and by a baseline physical examination Infant weight at time of enrollment must exceed birth weight Exclusion Criteria: History of hypersensitivity to the vaccine or any component of the vaccine History of Severe Combined Immunodeficiency Disease (SCID) History of immunocompromise ( infant is known to be HIV positive, to have hypogammaglobulinemia or to have an underlying malignancy) History of intussusception 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 Prior receipt of a rotavirus vaccine Less than 37 weeks gestation 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 Receipt of blood products within 4 weeks of study vaccination 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. 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). Insufficient weight gain requiring future weight checks in addition to routine scheduled well child visits 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. Household contact who is immunodeficient (any malignancies or otherwise immunocompromised, primary immunodeficiency, receiving immunosuppressive therapy)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dennis A Clements, MD, PhD
Organizational Affiliation
Duke University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Duke University Health System
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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An Alternate Dosing Schedule for Pentavalent Rotavirus Vaccine (RotaTeq)

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