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DiarrheaPhase 2NCT01377571

A Dose-escalating Study to Evaluate the Immunogenicity and Safety of Rotavin-M1 Vaccine in Healthy Infants

A Phase 2 study testing Rotarix in people with Diarrhea and Fever, run by National Institute of Hygiene and Epidemiology, Vietnam at 1 site in Vietnam.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety and immunogenicity of Rotavin-M1 produced by the Center for Research and Production of Vaccines and Biologicals (POLYVAC) in infants in Vietnam. In addition, we evaluate different dosages and schedules to determine the best regimen to test in a clinical trial. Read more about this study

Who is it for?
Ages 6 to 12 weeksHealthy volunteers can take part
Conditions the study is for
Diarrhea, Fever, Nausea
What is being tested?
Rotarix
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteVietnam
Study dates
Oct 2009to Apr 2010
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 12 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • At dose 1
  • A healthy male or female, 6 to 12 weeks of age (42 days to 84 days of age).
  • Full term gestation (>=37 weeks).
  • Birth weight of the subject should be >=2.5 kg.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Did not use any dose of Rota virus vaccine.
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  • Written informed consent obtained from the parent or guardian of the subject.
  • At dose 2
  • Received dose 1.
  • Oral informed consent obtained from the parent or guardian of the subject for continuing participate the study.
  • At dose 3
  • Received both dose 1 and dose 2.
  • Oral informed consent obtained from the parent or guardian of the subject for continuing participate the study.

Who cannot join

  • At dose 1
  • Has a chronic disease (cardiovascular, liver, kidney disease).
  • Acute disease at the time of enrolment.
  • Administering corticosteroids (> 1mg/kg/day).
  • Received any immunosuppressive therapy within 4 week before vaccination (Administration of immunoglobulins and/or any blood product or corticosteroids for >2 weeks).
  • Immunosuppressive or immunodeficient condition.
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  • Family has immunosuppressive or immunodeficient condition medical history.
  • History of high fever convulsion.
  • Allergic or reaction with any component of vaccine, includes anaphylactic shock with any antibiotic.
  • Preterm of gestation delivery (gestation period < 37 weeks).
  • Low birth weight (<2.5 kg).
  • Fever (axillary temperature >38oC) within 3 days before or on the day of vaccination.
  • Malnutrition.
  • Has any type of blood disorder, leukemia, or malignant tumor which can affect the bone marrow or lymph system.
  • Use of any investigational or non-registered product (unlicensed drug or vaccine) other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • At dose 2
  • Acute disease at the time of 2nd dose.
  • Administering corticosteroids (> 1mg/kg/day).
  • Received any immunosuppressive therapy within 4 week before vaccination (Administration of immunoglobulins and/or any blood product or corticosteroids for >2 weeks).
  • History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine.
  • Fever (axillary temperature >38oC) within 3 days before or on the day of vaccination.
  • Has any type of blood disorder, leukemia, or malignant tumor which can affect the bone marrow or lymph system.
  • Use of any investigational or non-registered product (unlicensed drug or vaccine) other than the study vaccine during the study period.
  • At dose 3
  • Acute disease at the time of 3rd dose.
  • Administering corticosteroids (> 1mg/kg/day).
  • Received any immunosuppressive therapy within 4 week before vaccination (Administration of immunoglobulins and/or any blood product or corticosteroids for >2 weeks).
  • History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine.
  • Fever (axillary temperature >38oC) within 3 days before or on the day of vaccination.
  • Has any type of blood disorder, leukemia, or malignant tumor which can affect the bone marrow or lymph system.
  • Use of any investigational or non-registered product (unlicensed drug or vaccine) other than the study vaccine during the study period.

Trial locations and contacts

1 site in 1 country.

Vietnam1 site
  • Preventive Medicine center

    Thanh Sơn, Phu Tho

Other trials in Vietnam

About this study

Official title: A Phase II, Randomized, Double-blind, Vaccine-controlled Dose-escalating Study to Evaluate the Immunogenicity, Reactogenicity and Safety of Oral Live Attenuated Human Rotavirus (HRV) Vaccine (Rotavin-M1) in Healthy Infants in Vietnam

The purpose of this study is to evaluate the safety and immunogenicity of Rotavin-M1 produced by the Center for Research and Production of Vaccines and Biologicals (POLYVAC) in infants in Vietnam. In addition, we evaluate different dosages and schedules to determine the best regimen to test in a clinical trial.

Read the detailed description

Rotavirus (RV) is the most important cause of acute gastroenteritis in children worldwide. In Vietnam rotavirus causes an estimated 122,000-140,000 hospitalizations and 2900-5400 deaths per year among children under 5 years of age (1). Over the past 13 years, sentinel hospital surveillance identified rotavirus in 44%-62% of children admitted for the treatment of acute diarrhea in Vietnam (2-4). Such a high burden of disease justified accelerated development of a new and locally manufactured vaccine against rotavirus in Vietnam. It is estimated that if a vaccine was introduced in the current childhood immunization schedule, it could reduce severe rotavirus disease by about 60% or more given current vaccine efficacies and coverage (5).

The Government of Vietnam has pursued a policy to encourage local vaccine production so the country could be self-reliant with affordable vaccines for its population (6). Over the past decades, several locally produced vaccines for poliomyelitis, cholera, Japanese encephalitis, and Diphtheria-Pertussis-Tetanus have contributed to the reduction in the prevalence of these diseases and to the eradication of polio over the past decade. While two commercial rotavirus vaccines, RotarixTM (GSK, Belgium) and RotaTeq® (Merck), have both been tested in Vietnam, neither is currently available at an affordable cost for the national program. Therefore, the candidate vaccine, Rotavin-M1, was developed in order to fill this need for a more affordable vaccine for Vietnamese children (6). This vaccine is similar to RotarixTM, and was developed by selecting a common G1P[8] strain and attenuating it through serial passages and plaque purification in qualified Vero cells under GLP conditions.

Being tested
Rotarix
Keywords
diarrhea, fever, nausea, vomit, irritability
Medical subject headings
Diarrhea, Fever, Nausea, Vomiting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RotarixBiological

    Also called RotarixTM, GSK biologicals

    2 doses of Rotarix vaccine, 106.5CID/dose, 1-month interval between doses

Study groups in NCT01377571
Study groupRoleWhat they receive
Rotavin2HExperimental2 doses of Rotavin-M1 vaccine, 106.3FFU/dose, 2-month separation between doses
Receives: Biological: Rotarix
Rotavin2LExperimental2 doses of Rotavin-M1 vaccine, 106.0FFU/dose, 2-month interval between doses
Receives: Biological: Rotarix
Rotavin3HExperimental3 doses of Rotavin-M1 vaccine, 106.3FFU/dose, 1-month interval between doses
Receives: Biological: Rotarix
Rotavin3LExperimental3 doses of Rotavin-M1, 106.0FFU/dose, 1-month interval between doses
Receives: Biological: Rotarix

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To assess immunogenicity of a new rotavirus vaccine Rotavin-M1 in terms of anti-rotavirus IgA antibody seroconversion 1 month after complete the vaccination schedule

    To assess immunogenicity of Rotavin-M1 of 2 titers (10e6.0 and 10e6.3FFU/dose) and 2 schedules (3 doses and 1-month interval between vs 2 doses and 2-month interval between doses), compared with 2 doses GSK's lyophilized Rotarix (10e6.5 CID50/dose).

    Measured: up to 7 months

Secondary outcomes (7)
  1. To assess immunogenicity of Rotavin-M1 vaccine versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody seroconversion at Month 2 in the group receiving the vaccines.

    To assess immunogenicity of Rotavin-M1 vaccine (of different dosages and schedules) versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody seroconversion at Month 2 in the group receiving the vaccines.

    Measured: up to 7 months

  2. To assess immunogenicity of Rotavin-M1 vaccine versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 2 in the group receiving the vaccines.

    To assess immunogenicity of Rotavin-M1 vaccine (of different dosages and schedules) versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 2 in the group receiving the vaccines.

    Measured: up to 7 months

  3. To assess immunogenicity of Rotavin-M1 vaccine versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 3 in the group receiving the vaccines.

    To assess immunogenicity of Rotavin-M1 vaccine (of different dosages and schedules) versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 3 in the group receiving the vaccines.

    Measured: up to 7 months

  4. To assess the safety and reactogenicity of each dose of Rotavin-M1 versus GSK's biologicals Rotarix

    To assess immediate reactions (30minutes) after administration of each dose To assess adverse events 30 days after each dose To assess change in blood cell counts (red blood cells, white blood cells, platelets), blood urea nitrogen concentration, transaminase concentration (ALT, AST)

    Measured: up to 7 months

  5. To assess the presence of rotavirus (RV) in GE stools collected after administration of first dose of the study vaccine up to 1 month after the last dose.

    To assess the presence of rotavirus (RV) in GE stools collected after administration of the first dose of the study vaccine up to 1 month after the last dose.

    Measured: up to 7 months

  6. To assess the shedding of rotavirus (RV) in stools collected daily for 7 days after administration of each dose of the study vaccine.

    To assess the shedding of rotavirus (RV) in stools collected daily for 7 days after administration of each dose of the study vaccine

    Measured: up to 7 months

  7. To compare the RV antibody titers 1 year after the first doses between one Rotavin-M1 group and Rotarix

    To assess the RV antibody titers 1 year after the 1st dose between Rotavin-M1 group (106.3FFU/dose, 2 doses, 2-month interval) and Rotarix group (106.0CID/dose, 2 doses, 1-month interval between doses).

    Measured: up to 15 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jun 2011 (estimated)
  2. Study startOct 2009
  3. Primary completionMar 2010
  4. Study completionApr 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01377571
Sponsor's protocol ID
Rotavin02
Other IDs
KC.10.33/06-10
Status last verified
Jun 2016
First submitted
19 May 2011
Last updated
4 Jul 2016
Results posted
No
Data monitoring committee
Yes

Publications

  • Anh DD, Thiem VD, Fischer TK, Canh DG, Minh TT, Tho le H, Van Man N, Luan le T, Kilgore P, von Seidlein L, Glass RI. The burden of rotavirus diarrhea in Khanh Hoa Province, Vietnam: baseline assessment for a rotavirus vaccine trial. Pediatr Infect Dis J. 2006 Jan;25(1):37-40. doi: 10.1097/01.inf.0000195635.05186.52.

    PubMed 16395100
  • Van Man N, Luan le T, Trach DD, Thanh NT, Van Tu P, Long NT, Anh DD, Fischer TK, Ivanoff B, Gentsch JR, Glass RI; Vietnam Rotavirus Surveillance Network. Epidemiological profile and burden of rotavirus diarrhea in Vietnam: 5 years of sentinel hospital surveillance, 1998-2003. J Infect Dis. 2005 Sep 1;192 Suppl 1:S127-32. doi: 10.1086/431501.

    PubMed 16088796
  • Ngo TC, Nguyen BM, Dang DA, Nguyen HT, Nguyen TT, Tran VN, Vu TT, Ogino M, Alam MM, Nakagomi T, Nakagomi O, Yamashiro T. Molecular epidemiology of rotavirus diarrhoea among children in Haiphong, Vietnam: the emergence of G3 rotavirus. Vaccine. 2009 Nov 20;27 Suppl 5:F75-80. doi: 10.1016/j.vaccine.2009.08.074.

    PubMed 19931725
  • Nguyen TA, Yagyu F, Okame M, Phan TG, Trinh QD, Yan H, Hoang KT, Cao AT, Le Hoang P, Okitsu S, Ushijima H. Diversity of viruses associated with acute gastroenteritis in children hospitalized with diarrhea in Ho Chi Minh City, Vietnam. J Med Virol. 2007 May;79(5):582-90. doi: 10.1002/jmv.20857.

    PubMed 17385670
  • Kim SY, Goldie SJ, Salomon JA. Cost-effectiveness of Rotavirus vaccination in Vietnam. BMC Public Health. 2009 Jan 21;9:29. doi: 10.1186/1471-2458-9-29.

    PubMed 19159483
  • Luan le T, Trang NV, Phuong NM, Nguyen HT, Ngo HT, Nguyen HT, Tran HB, Dang HN, Dang AD, Gentsch JR, Wang Y, Esona MD, Glass RI, Steele AD, Kilgore PE, Nguyen MV, Jiang B, Nguyen HD. Development and characterization of candidate rotavirus vaccine strains derived from children with diarrhoea in Vietnam. Vaccine. 2009 Nov 20;27 Suppl 5:F130-8. doi: 10.1016/j.vaccine.2009.08.086.

    PubMed 19931712
  • Dang DA, Nguyen VT, Vu DT, Nguyen TH, Nguyen DM, Yuhuan W, Baoming J, Nguyen DH, Le TL; Rotavin-M1 Vaccine Trial Group. A dose-escalation safety and immunogenicity study of a new live attenuated human rotavirus vaccine (Rotavin-M1) in Vietnamese children. Vaccine. 2012 Apr 27;30 Suppl 1:A114-21. doi: 10.1016/j.vaccine.2011.07.118.

    PubMed 22520120

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Rotarix in people with Diarrhea and Fever, run by National Institute of Hygiene and Epidemiology, Vietnam at 1 site in Vietnam.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Vietnam. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To assess immunogenicity of a new rotavirus vaccine Rotavin-M1 in terms of anti-rotavirus IgA antibody seroconversion 1 month after complete the vaccination schedule (time frame: up to 7 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01377571, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jul 2016.

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