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Phase III Study on Rotavirus Vaccine to Evaluate Lot-to-lot Consistency and Interference With Routine UIP Immunization

Primary Purpose

Rotavirus Gastroenteritis

Status
Completed
Phase
Phase 3
Locations
India
Study Type
Interventional
Intervention
BRV-PV Lot A + DPT-HepB-Hib + OPV
BRV-PV Lot B + DPT-HepB-Hib + OPV
BRV-PV Lot C + DPT-HepB-Hib + OPV
ROTARIX + DPT-HepB-Hib + OPV
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 BRV-PV, Rotavirus vaccine, lot-to-lot consistency, interference with routine immunization

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy infants as established by medical history and clinical examination before entering the study.
  2. Age: 6-8 weeks at the time of enrollment.
  3. Parental ability and willingness to provide written informed consent.
  4. Parent who intends to remain in the area with the child during the study period.
  5. Receipt of birth dose of Hepatitis B vaccine and OPV.

Exclusion Criteria:

  1. Presence of diarrhea or vomiting in the previous 72 hours or on the day of enrollment (temporary exclusion).
  2. Presence of fever on the day of enrollment (temporary exclusion).
  3. Acute disease at the time of enrollment (temporary exclusion).
  4. Concurrent participation in another clinical trial at any point throughout the entire timeframe for this study.
  5. Presence of significant malnutrition or any systemic disorder 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.
  6. History of congenital abdominal disorders, intussusception, or abdominal surgery.
  7. Known or suspected impairment of immunological function based on medical history and physical examination.
  8. Household contact with an immunosuppressed individual or pregnant woman.
  9. Prior receipt or intent to receive rotavirus and / or diphtheria, tetanus, pertussis, Haemophilus Influenzae type b, Hepatitis B vaccine (other than birth dose) or inactivated polio vaccine (IPV) during the study period and outside of the study. OPV dose received during national / subnational immunization days will be allowed.
  10. A known sensitivity or allergy to any components of the study vaccine.
  11. Clinically detectable congenital or genetic defect.
  12. History of persistent diarrhea (defined as diarrhea that lasts 14 days or longer).
  13. Receipt of any immunoglobulin therapy and / or blood products since birth or planned administration during the study period.
  14. 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.
  15. History of any neurologic disorders or seizures.
  16. 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 written informed consent.

Sites / Locations

  • Gandhi Medical College and Gandhi Hospital
  • King George Hospital
  • JSS Medical College and Hospital
  • T. N. Medical College and B. Y. L. Nair Charitable
  • Seth G S Medical College & KEM Hospital
  • Bharati Vidyapeeth Medical College and Hospital
  • KEM Hospital and Research Centre, Vadu
  • Sri Ramachandra Medical Centre
  • Institute of Child Health
  • Maulana Azad Medical College

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

Group 1 - BRV-PV Lot A

Group 2 - BRV-PV Lot B

Group 3 - BRV-PV Lot C

Group 4 - ROTARIX

Arm Description

BRV-PV Lot A + DPT- HepB-Hib + OPV

BRV-PV Lot B+ DPT- HepB-Hib + OPV

BRV-PV Lot C + DPT- HepB-Hib + OPV

ROTARIX + DPT-HepB-Hib + OPV

Outcomes

Primary Outcome Measures

Rotavirus vaccine lots Immunogenicity
Serum anti- rotavirus IgA antibody concentrations expressed as GMCs for the BRV-PV to demonstrate equivalence in lot consistency among three lots.
Immunogenicity of UIP vaccines

Secondary Outcome Measures

Immediate adverse events and Solicited post -vaccination reactogenicity
Rotavirus Immunogenicity:
Serum anti- rotavirus IgA antibody concentrations expressed as GMCs and proportion of subjects with post-vaccination IgA antibody concentration ≥20 U/ml for the comparison of BRV-PV vaccine and licensed rotavirus vaccine.

Full Information

First Posted
October 6, 2015
Last Updated
September 7, 2018
Sponsor
Serum Institute of India Pvt. Ltd.
Collaborators
PATH
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1. Study Identification

Unique Protocol Identification Number
NCT02584816
Brief Title
Phase III Study on Rotavirus Vaccine to Evaluate Lot-to-lot Consistency and Interference With Routine UIP Immunization
Official Title
A Phase III, Multicenter, Open Label, Randomized Study of Bovine Rotavirus Pentavalent Vaccine (BRV-PV) to Evaluate Lot-To-Lot Consistency and to Investigate Potential Interference With Routine UIP Vaccinations in Healthy Infants in India.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
April 2017 (Actual)
Study Completion Date
June 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, open-label, randomized study to evaluate lot-to-lot consistency in the manufacture of Bovine Rotavirus Pentavalent Vaccine (BRV-PV).
Detailed Description
The study is designed to evaluate lot-to-lot consistency in the manufacturing of Rotavirus vaccine by testing the vaccine in infants in order to demonstrate equivalence in the induction of specific anti-rotavirus IgA antibodies across three production lots. The study will also examine the potential interference of vaccine with UIP vaccines that will be administered concurrently by assessing non-inferiority in the immune responses to those vaccines when administered with / without the study vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rotavirus Gastroenteritis
Keywords
BRV-PV, Rotavirus vaccine, lot-to-lot consistency, interference with routine immunization

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1500 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 - BRV-PV Lot A
Arm Type
Experimental
Arm Description
BRV-PV Lot A + DPT- HepB-Hib + OPV
Arm Title
Group 2 - BRV-PV Lot B
Arm Type
Experimental
Arm Description
BRV-PV Lot B+ DPT- HepB-Hib + OPV
Arm Title
Group 3 - BRV-PV Lot C
Arm Type
Experimental
Arm Description
BRV-PV Lot C + DPT- HepB-Hib + OPV
Arm Title
Group 4 - ROTARIX
Arm Type
Active Comparator
Arm Description
ROTARIX + DPT-HepB-Hib + OPV
Intervention Type
Biological
Intervention Name(s)
BRV-PV Lot A + DPT-HepB-Hib + OPV
Intervention Description
Dose 1: 6-8 weeks, Dose 2: 10 week, Dose 3: 14 week
Intervention Type
Biological
Intervention Name(s)
BRV-PV Lot B + DPT-HepB-Hib + OPV
Other Intervention Name(s)
Live Attenuated human-bovine reassortant pentavalent rotavirus vaccine
Intervention Description
Dose 1: 6-8 weeks, Dose 2: 10 week, Dose 3: 14 week
Intervention Type
Biological
Intervention Name(s)
BRV-PV Lot C + DPT-HepB-Hib + OPV
Intervention Description
Dose 1: 6-8 weeks, Dose 2: 10 week, Dose 3: 14 week
Intervention Type
Biological
Intervention Name(s)
ROTARIX + DPT-HepB-Hib + OPV
Intervention Description
Dose 1: 6-8 weeks, Dose 2: 10 week, Dose 3: 14 week (Third dose-Placebo)
Primary Outcome Measure Information:
Title
Rotavirus vaccine lots Immunogenicity
Description
Serum anti- rotavirus IgA antibody concentrations expressed as GMCs for the BRV-PV to demonstrate equivalence in lot consistency among three lots.
Time Frame
Four weeks after the third dose of vaccination
Title
Immunogenicity of UIP vaccines
Time Frame
Four weeks after the third dose of vaccination
Secondary Outcome Measure Information:
Title
Immediate adverse events and Solicited post -vaccination reactogenicity
Time Frame
AEs within 30 minutes post-vaccination and post vacc reactogenicity during 7 days after each vaccination
Title
Rotavirus Immunogenicity:
Description
Serum anti- rotavirus IgA antibody concentrations expressed as GMCs and proportion of subjects with post-vaccination IgA antibody concentration ≥20 U/ml for the comparison of BRV-PV vaccine and licensed rotavirus vaccine.
Time Frame
Four weeks after the third dose of vaccination

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 written informed consent. Parent who intends to remain in the area with the child during the study period. Receipt of birth dose of Hepatitis B vaccine and OPV. 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 at any point throughout the entire timeframe for this study. Presence of significant malnutrition or any systemic disorder 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 or intent to receive rotavirus and / or diphtheria, tetanus, pertussis, Haemophilus Influenzae type b, Hepatitis B vaccine (other than birth dose) or inactivated polio vaccine (IPV) during the study period and outside of the study. OPV dose received during national / subnational immunization days will be allowed. A known sensitivity or allergy to any components of the study vaccine. Clinically detectable congenital or genetic defect. History of persistent diarrhea (defined as diarrhea that lasts 14 days or longer). Receipt of 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 written informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr Prasad Kulkarni, M.D.
Organizational Affiliation
Serum Institute of India Pvt. Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Gandhi Medical College and Gandhi Hospital
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500020
Country
India
Facility Name
King George Hospital
City
Visakhapatnam
State/Province
Andhra Pradesh
ZIP/Postal Code
530002
Country
India
Facility Name
JSS Medical College and Hospital
City
Mysore
State/Province
Karnataka
ZIP/Postal Code
570004
Country
India
Facility Name
T. N. Medical College and B. Y. L. Nair Charitable
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400008
Country
India
Facility Name
Seth G S Medical College & KEM Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400012
Country
India
Facility Name
Bharati Vidyapeeth Medical College and Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411043
Country
India
Facility Name
KEM Hospital and Research Centre, Vadu
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
412216
Country
India
Facility Name
Sri Ramachandra Medical Centre
City
Chennai
State/Province
Tamil Nadu
ZIP/Postal Code
600116
Country
India
Facility Name
Institute of Child Health
City
Kolkata
State/Province
West Bengal
ZIP/Postal Code
700017
Country
India
Facility Name
Maulana Azad Medical College
City
New Delhi
Country
India

12. IPD Sharing Statement

Citations:
PubMed Identifier
30104114
Citation
Desai S, Rathi N, Kawade A, Venkatramanan P, Kundu R, Lalwani SK, Dubey AP, Venkateswara Rao J, Narayanappa D, Ghildiyal R, Gogtay NJ, Venugopal P, Palkar S, Munshi R, Bavdekar A, Juvekar S, Ganguly N, Niyogi P, Uttam KG, Kondekar A, Kumbhar D, Mohanlal S, Agarwal MC, Shetty P, Antony K, Gunale B, Dharmadhikari A, Deshpande J, Nalavade U, Sharma D, Bansal A, Tang Y, Flores J, Kulkarni PS. Non-interference of Bovine-Human reassortant pentavalent rotavirus vaccine ROTASIIL(R) with the immunogenicity of infant vaccines in comparison with a licensed rotavirus vaccine. Vaccine. 2018 Sep 5;36(37):5519-5523. doi: 10.1016/j.vaccine.2018.07.064. Epub 2018 Aug 10.
Results Reference
result
Links:
URL
https://www.ncbi.nlm.nih.gov/pubmed/30104114
Description
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Phase III Study on Rotavirus Vaccine to Evaluate Lot-to-lot Consistency and Interference With Routine UIP Immunization

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