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Study of Two Doses of GSK Biologicals' Live Attenuated HRV Vaccine (Two Different Formulations) in Healthy Infants.

Primary Purpose

Infections, Rotavirus

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Human Rotavirus Vaccine - two different formulations
Prevnar
IPOL
Infanrix
OmniHIB
Pentacel
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Infections, Rotavirus focused on measuring Rotavirus Gastroenteritis, Human rotavirus vaccine

Eligibility Criteria

6 Weeks - 12 Weeks (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • A male or female child between, and including 6 and 12 weeks (42-90 days) of age at the time of the first vaccination.
  • Free of obvious health problems as established by medical history and clinical examination before entering into the study.
  • Written informed consent obtained from the parents or guardians of the subject.
  • Born after a normal gestation period (between 36 and 42 weeks).

Exclusion Criteria:

  • Use of any investigational or non-registered drug or vaccine other than the study vaccine within 30 days preceding the study vaccine or placebo or planned use during the study period.
  • Planned administration of a vaccine (including routine pediatric vaccines) not foreseen by the study protocol during the period starting from 14 days before each dose of vaccine(s) and ending 14 days after. Hepatitis B vaccine given concomitantly or within 14 days before and after vaccination is not an exclusion criteria.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs since birth.
  • History of diphtheria, tetanus, pertussis, polio, Hib disease and/or invasive pneumococcal infection. History of invasive pneumococcal infection is not an exclusion criteria for Canadian subjects.
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b, and/or Streptococcus pneumoniae. Previous vaccination against Streptococcus pneumoniae is not an exclusion criteria for Canadian subjects.
  • Use of antibiotics within 7 days preceding dose 1.
  • Any clinically significant history of chronic gastrointestinal disease including any uncorrected congenital malformation of the GI tract or other serious medical condition as determined by the investigator.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
  • History of allergic disease or reaction likely to be exacerbated by any component of the vaccine.
  • Acute disease at time of enrollment.
  • Gastroenteritis within 7 days preceding the study vaccine administration.
  • Household contact with an immunosuppressed individual or pregnant women.
  • Administration of immunoglobulins and/or blood products since birth or planned administration during the study period.
  • Previous confirmed occurrence of rotavirus gastroenteritis.
  • Inability to contact parents/guardians of the subject by telephone.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Group A

    Group B

    Group C

    Arm Description

    Human Rotavirus Vaccine - Formulation 1

    Human Rotavirus Vaccine - Formulation 2

    Outcomes

    Primary Outcome Measures

    Proportion of subjects with vaccine take
    Occurrence of any grade 2 or 3 fever, vomiting or diarrhea

    Secondary Outcome Measures

    Occurrence of each type of solicited symptoms
    Occurrence of unsolicited symptoms according to WHO classification.
    Occurrence of serious adverse events
    Serum rotavirus immunoglobulin A (IgA) antibody titers
    Rotavirus seropositivity status
    Vaccine take (for pilot efficacy subset only)
    Anti- polyribosyl-ribitol phosphate (PRP), anti-diphtheria and anti-tetanus toxoids, anti- pertussis toxoid (PT), anti- filamentous haemagglutinin (FHA), anti- pertactin (PRN), anti-polio type 1, 2 and 3 antibody concentrations
    Antibody concentrations to pneumococcal serotypes 4, 6B, 9V, 14, 18C, 19F and 23F
    Anti-PRP, anti-diphtheria, anti-tetanus, anti-polio type 1, 2 and 3 seroprotection status.
    Anti-PT, anti-FHA, anti-PRN, pneumococcal serotypes 4, 6B, 9V, 14, 18C, 19F and 23F (only in US subjects) seropositivity status.
    Seropositivity status and Geometric mean titres (GMTs) of rotavirus IgA for breast fed infants compared with formula fed infants
    Occurrence of rotavirus gastroenteritis (in a pilot efficacy subset of subjects)

    Full Information

    First Posted
    August 4, 2008
    Last Updated
    September 15, 2016
    Sponsor
    GlaxoSmithKline
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00729001
    Brief Title
    Study of Two Doses of GSK Biologicals' Live Attenuated HRV Vaccine (Two Different Formulations) in Healthy Infants.
    Official Title
    Phase II, Double-blind, Randomized, Placebo-controlled Study of 2 Doses of GSK Biologicals' Live Attenuated Human Rotavirus Vaccine at Different Virus Concentrations (10 5.2 and 10 6.4 Ffu) in Healthy Infants Following a 0, 2 Month Schedule and Previously Uninfected With Human Rotavirus.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2000 (undefined)
    Primary Completion Date
    September 2002 (Actual)
    Study Completion Date
    September 2002 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    GlaxoSmithKline

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a dose exploration study to assess the safety and immunogenicity of two doses of the candidate HRV vaccine at different virus concentrations in the target age group (infants approximately 2 months of age and previously uninfected with human rotavirus) and receiving concomitant administration of routine vaccinations. The study also aims at exploring the effect of unrestricted feeding on the immunogenicity of the vaccine.
    Detailed Description
    All subjects enrolled from Eastern United States and Eastern Canada will continue their participation in the pilot efficacy follow-up (pilot efficacy subset). The third dose of IPV vaccine (IPOL) may be given at visit 3, 4 or another time, at the investigator's discretion. Comvax may be given in place of OmniHIB/ActHIB at Visit 1 and Visit 2 and the third dose of Comvax administered according to the prescribing information.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    529 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Group A
    Arm Type
    Experimental
    Arm Description
    Human Rotavirus Vaccine - Formulation 1
    Arm Title
    Group B
    Arm Type
    Experimental
    Arm Description
    Human Rotavirus Vaccine - Formulation 2
    Arm Title
    Group C
    Arm Type
    Placebo Comparator
    Intervention Type
    Biological
    Intervention Name(s)
    Human Rotavirus Vaccine - two different formulations
    Intervention Description
    Two oral doses
    Intervention Type
    Biological
    Intervention Name(s)
    Prevnar
    Intervention Description
    Three-dose intramuscular injection (US subjects only)
    Intervention Type
    Biological
    Intervention Name(s)
    IPOL
    Intervention Description
    Two-dose intramuscular injection (US subjects only)
    Intervention Type
    Biological
    Intervention Name(s)
    Infanrix
    Intervention Description
    Three-dose intramuscular injection (US subjects only)
    Intervention Type
    Biological
    Intervention Name(s)
    OmniHIB
    Other Intervention Name(s)
    ActHIB
    Intervention Description
    Three-dose intramuscular injection (US subjects only)
    Intervention Type
    Biological
    Intervention Name(s)
    Pentacel
    Intervention Description
    Three-dose intramuscular injection (Canada only)
    Primary Outcome Measure Information:
    Title
    Proportion of subjects with vaccine take
    Time Frame
    Two months after the second dose
    Title
    Occurrence of any grade 2 or 3 fever, vomiting or diarrhea
    Time Frame
    Within the 15-day solicited follow-up period after any dose of study vaccine.
    Secondary Outcome Measure Information:
    Title
    Occurrence of each type of solicited symptoms
    Time Frame
    Within the 15-day solicited follow-up period after any dose of study vaccine
    Title
    Occurrence of unsolicited symptoms according to WHO classification.
    Time Frame
    Within 42 days after dose 1 and dose 2
    Title
    Occurrence of serious adverse events
    Time Frame
    Throughout the entire study period
    Title
    Serum rotavirus immunoglobulin A (IgA) antibody titers
    Time Frame
    At visits 1, 3 and 4 and at all Visits for pilot efficacy subset
    Title
    Rotavirus seropositivity status
    Time Frame
    Before dose 1 and at the end of the study
    Title
    Vaccine take (for pilot efficacy subset only)
    Time Frame
    2 months after dose 1
    Title
    Anti- polyribosyl-ribitol phosphate (PRP), anti-diphtheria and anti-tetanus toxoids, anti- pertussis toxoid (PT), anti- filamentous haemagglutinin (FHA), anti- pertactin (PRN), anti-polio type 1, 2 and 3 antibody concentrations
    Time Frame
    Two months after dose 2 and at the end of the study.
    Title
    Antibody concentrations to pneumococcal serotypes 4, 6B, 9V, 14, 18C, 19F and 23F
    Time Frame
    Two months after dose 2 and at the end of the study (only in a subset of U.S. subjects)
    Title
    Anti-PRP, anti-diphtheria, anti-tetanus, anti-polio type 1, 2 and 3 seroprotection status.
    Time Frame
    Two months after dose 2 and at the end of the study.
    Title
    Anti-PT, anti-FHA, anti-PRN, pneumococcal serotypes 4, 6B, 9V, 14, 18C, 19F and 23F (only in US subjects) seropositivity status.
    Time Frame
    Two months after dose 2 and at the end of the study.
    Title
    Seropositivity status and Geometric mean titres (GMTs) of rotavirus IgA for breast fed infants compared with formula fed infants
    Time Frame
    Two months after dose 2.
    Title
    Occurrence of rotavirus gastroenteritis (in a pilot efficacy subset of subjects)
    Time Frame
    Two weeks after dose 2 until the end of the rotavirus season following vaccination.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Weeks
    Maximum Age & Unit of Time
    12 Weeks
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: A male or female child between, and including 6 and 12 weeks (42-90 days) of age at the time of the first vaccination. Free of obvious health problems as established by medical history and clinical examination before entering into the study. Written informed consent obtained from the parents or guardians of the subject. Born after a normal gestation period (between 36 and 42 weeks). Exclusion Criteria: Use of any investigational or non-registered drug or vaccine other than the study vaccine within 30 days preceding the study vaccine or placebo or planned use during the study period. Planned administration of a vaccine (including routine pediatric vaccines) not foreseen by the study protocol during the period starting from 14 days before each dose of vaccine(s) and ending 14 days after. Hepatitis B vaccine given concomitantly or within 14 days before and after vaccination is not an exclusion criteria. Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs since birth. History of diphtheria, tetanus, pertussis, polio, Hib disease and/or invasive pneumococcal infection. History of invasive pneumococcal infection is not an exclusion criteria for Canadian subjects. Previous vaccination against diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b, and/or Streptococcus pneumoniae. Previous vaccination against Streptococcus pneumoniae is not an exclusion criteria for Canadian subjects. Use of antibiotics within 7 days preceding dose 1. Any clinically significant history of chronic gastrointestinal disease including any uncorrected congenital malformation of the GI tract or other serious medical condition as determined by the investigator. Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection. History of allergic disease or reaction likely to be exacerbated by any component of the vaccine. Acute disease at time of enrollment. Gastroenteritis within 7 days preceding the study vaccine administration. Household contact with an immunosuppressed individual or pregnant women. Administration of immunoglobulins and/or blood products since birth or planned administration during the study period. Previous confirmed occurrence of rotavirus gastroenteritis. Inability to contact parents/guardians of the subject by telephone.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    GSK Clinical Trials
    Organizational Affiliation
    GlaxoSmithKline
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
    Citations:
    PubMed Identifier
    16111790
    Citation
    Dennehy PH; North American Human Rotavirus Vaccine Study Group. A short report on the highlights of world-wide development of RIX4414: a North American experience comparative evaluation of safety and immunogenicity of two dosages of an oral live attenuated human rotavirus vaccine (RIX4414) in infants in the United States and Canada. Vaccine. 2006 May 1;24(18):3780-1. doi: 10.1016/j.vaccine.2005.07.030. Epub 2005 Aug 1.
    Results Reference
    background
    PubMed Identifier
    15933555
    Citation
    Dennehy PH, Brady RC, Halperin SA, Ward RL, Alvey JC, Fischer FH Jr, Innis BL, Rathfon H, Schuind A, De Vos B; North American Human Rotavirus Vaccine Study Group. Comparative evaluation of safety and immunogenicity of two dosages of an oral live attenuated human rotavirus vaccine. Pediatr Infect Dis J. 2005 Jun;24(6):481-8. doi: 10.1097/01.inf.0000164763.55558.71.
    Results Reference
    background
    Links:
    URL
    https://www.clinicalstudydatarequest.com
    Description
    Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
    Available IPD and Supporting Information:
    Available IPD/Information Type
    Dataset Specification
    Available IPD/Information URL
    https://www.clinicalstudydatarequest.com
    Available IPD/Information Identifier
    444563/005
    Available IPD/Information Comments
    For additional information about this study please refer to the GSK Clinical Study Register
    Available IPD/Information Type
    Study Protocol
    Available IPD/Information URL
    https://www.clinicalstudydatarequest.com
    Available IPD/Information Identifier
    444563/005
    Available IPD/Information Comments
    For additional information about this study please refer to the GSK Clinical Study Register
    Available IPD/Information Type
    Individual Participant Data Set
    Available IPD/Information URL
    https://www.clinicalstudydatarequest.com
    Available IPD/Information Identifier
    444563/005
    Available IPD/Information Comments
    For additional information about this study please refer to the GSK Clinical Study Register
    Available IPD/Information Type
    Clinical Study Report
    Available IPD/Information URL
    https://www.clinicalstudydatarequest.com
    Available IPD/Information Identifier
    444563/005
    Available IPD/Information Comments
    For additional information about this study please refer to the GSK Clinical Study Register
    Available IPD/Information Type
    Informed Consent Form
    Available IPD/Information URL
    https://www.clinicalstudydatarequest.com
    Available IPD/Information Identifier
    444563/005
    Available IPD/Information Comments
    For additional information about this study please refer to the GSK Clinical Study Register
    Available IPD/Information Type
    Statistical Analysis Plan
    Available IPD/Information URL
    https://www.clinicalstudydatarequest.com
    Available IPD/Information Identifier
    444563/005
    Available IPD/Information Comments
    For additional information about this study please refer to the GSK Clinical Study Register

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    Study of Two Doses of GSK Biologicals' Live Attenuated HRV Vaccine (Two Different Formulations) in Healthy Infants.

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