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Measles Antibody SeroconversionPhase 4NCT01700621

Coadministration of Measles-rubella and Rotavirus Vaccines

A Phase 4 study testing Rotarix vaccine and measles-rubella vaccine in people with Measles Antibody Seroconversion and Rubella Antibody Seroconversion, run by PATH at 1 site in Bangladesh.

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 investigators aim to establish the non-inferiority of concomitant administration of measles-rubella and rotavirus vaccines to measles-rubella vaccine given alone in terms of measles seroconversion rates. Read more about this study

Who is it for?
Ages 9 to 11 monthsHealthy volunteers can take part
What is being tested?
Rotarix vaccine and measles-rubella vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
482 participants
Where
1 siteBangladesh
Study dates
Jan 2013to Sep 2013
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 9 to 11 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Child 9 months of age eligible for measles-rubella vaccination
  • documented evidence of a primary rotavirus vaccine series with first dose between 6 and 10 weeks of age and second dose at least 4 weeks after first dose
  • healthy infants free of chronic or serious medical condition as determined by history and physical examination at time of study enrollment
  • parents/guardians of each participant are able to understand and follow study procedures and agree to participate in study by providing signed informed consent

Who cannot join

  • hypersensitivity to any component of measles-rubella or Rotarix vaccine which would preclude administration of the vaccine
  • history of intussusception, intestinal malformations, or abdominal surgery
  • known history of measles and/or rubella disease
  • history of previous receipt of measles and/or rubella vaccine
  • use of any immunosuppressive drugs or immunoglobulin and/or blood products since birth or anticipated during study period
  • current enrolment in any other intervention trial or use of any investigational drug or vaccine throughout the study period
Show all 9Show fewer
  • any participant who reports planning to leave the study area before the completion of the study
  • acute diarrhea (defined as ≥3 loose stools within a 24-hour period) or vomiting (defined as projectile vomiting or any vomiting at the discretion of the clinician) at the time of enrollment or within the last 24 hours
  • acute febrile illness (defined as a temperature of ≥38°C) at the time of enrollment.

Trial locations and contacts

1 site in 1 country.

Bangladesh1 site
  • ICDDR,B

    Dhaka

Other trials in Bangladesh

About this study

Official title: Non-interference and Safety of Concomitant Administration of Measles-rubella and Rotavirus Vaccines at 9 Months of Age in Rural Bangladesh

The investigators aim to establish the non-inferiority of concomitant administration of measles-rubella and rotavirus vaccines to measles-rubella vaccine given alone in terms of measles seroconversion rates. The primary study hypothesis is the measles seroconversion rate as defined by the percentage of children seroconverting to measles with a measles serum antibody concentration of >=1:120 at 8 weeks post vaccination after the concomitant administration of measles-rubella and rotavirus vaccines is non-inferior to that obtained when measles-rubella vaccine is given alone in children 9 months of age who have received a primary rotavirus vaccine series with the first dose between 6 and 10 weeks and the second at least 4 weeks later and are seronegative for measles antibody in the pre-vaccination sample.

Being tested
Rotarix vaccine, measles-rubella vaccine
Keywords
rotavirus

What participants receive

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

  • Rotarix vaccineBiological

    Also called rotavirus vaccine

    one 1.0 ml dose of oral rotavirus vaccine at 9 months of age

  • measles-rubella vaccineBiological

    Also called Measles-Rubella Virus Vaccine Live US Pharmacopeia (USP)

    one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine

Study groups in NCT01700621
Study groupRoleWhat they receive
measles-rubella and rotavirus vaccinesExperimentalreceive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine and one 1.0 ml dose of oral Rotarix vaccine at 9 months of age
Receives: Biological: Rotarix vaccine; Biological: measles-rubella vaccine
measles-rubella vaccineActive comparatorreceive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age
Receives: Biological: measles-rubella vaccine

What is being measured

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

  1. Percentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies

    Detected by plaque reduction neutralization test (PRNT).

    Seroprotection defined as measles serum antibody concentration >=1:120 8 weeks post vaccination. Assays were standardized using WHO Second International Standard for measles antibody containing 5000 mIU/ml, which enables the 50% neutralizing antibody end-point dose (titer, ND50) of test samples to be transformed to antibody concentrations in terms of mIU/ml. The analytical cut-off value in this assay was ND50 < 1/8; this was the lowest dilution at which sera were tested.

    Measured: 8 weeks post vaccination

  2. Percentage/Number of Subjects With Seroprotection for Anti-measles Virus Immunoglobulin G (IgG)

    Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for measles virus. All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

    Measured: 8 weeks post vaccination

Secondary outcomes (12)
  1. Percentage/Number of Subjects With Seroconversion for Anti-rubella Virus Immunoglobulin G (IgG)

    Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

    Measured: 8 weeks post vaccination

  2. Geometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG)

    Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

    Measured: 8 weeks post vaccination

  3. Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin A (IgA)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Measured: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  4. Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin A (IgA)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of <20 U/mL are converted to 10 U/mL for calculation purposes.

    Measured: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  5. Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin G (IgG)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Measured: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  6. Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin G (IgG)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of <20 U/mL are converted to 10 U/mL for calculation purposes.

    Measured: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  7. Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin A (IgA)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Measured: 8 weeks post vaccination

  8. Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin G (IgG)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Measured: 8 weeks post vaccination

  9. Number/Percentage of Subjects Experiencing Immediate Post-vaccination Reactions Following Administration of Vaccine

    Immediate reactogenicity was defined as local or systemic reactions occurring directly and up to 30 minutes after vaccine receipt, with an emphasis on allergic reactions.

    Measured: 30 minutes post-vaccination

  10. Number/Percentage of Subjects Experiencing Solicited Adverse Events

    Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. They included diarrhea, fever, vomiting, loss of appetite, irritability, and intussusception. Adverse events were graded for severity and relationship to vaccine.

    Measured: 14 days post-vaccination

  11. Number/Percentage of Subjects Experiencing Unsolicited Non-serious Adverse Events

    Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. Adverse events were graded for severity and relationship to vaccine.

    Measured: 14 days post-vaccination

  12. Number/Percentage of Subjects Experiencing Serious Adverse Events

    An adverse event (AE) or suspected AE was considered "serious" if it resulted in any of the following outcomes:

    • Death
    • A life-threatening AE (the term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe)
    • Inpatient hospitalization or prolongation of existing hospitalization
    • A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions

    Important medical events that may not result in death, be life threatening, or require hospitalization would have been considered severe adverse events when, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed in this definition.

    Measured: 2 months after vaccination

Timeline

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

  1. First posted4 Oct 2012 (estimated)
  2. Study startJan 2013
  3. Primary completionSep 2013
  4. Study completionSep 2013

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
482 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01700621
Sponsor's protocol ID
HS677
Status last verified
Feb 2019
First submitted
2 Oct 2012
Last updated
13 Mar 2019
Data monitoring committee
Yes

Publications

  • Zaman K, Fleming JA, Victor JC, Yunus M, Bari TI, Azim T, Rahman M, Mowla SM, Bellini WJ, McNeal M, Icenogle JP, Lopman B, Parashar U, Cortese MM, Steele AD, Neuzil KM. Noninterference of Rotavirus Vaccine With Measles-Rubella Vaccine at 9 Months of Age and Improvements in Antirotavirus Immunity: A Randomized Trial. J Infect Dis. 2016 Jun 1;213(11):1686-93. doi: 10.1093/infdis/jiw024. Epub 2016 Jan 27.

    PubMed 26823338

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Rotarix vaccine and measles-rubella vaccine in people with Measles Antibody Seroconversion and Rubella Antibody Seroconversion, run by PATH at 1 site in Bangladesh.

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 4 inclusion and 9 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 13 Mar 2019. 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 Bangladesh. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Feb 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies (time frame: 8 weeks post vaccination). The study lists 2 primary outcomes in all. 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 NCT01700621, which also lists 1 linked publication.

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 13 Mar 2019.

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