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Diarrhea RotavirusPhase 4NCT02286895

Immune Response to Rotavirus Vaccine After a Supplemental Dose Given at 9 Months of Age With Local EPI Vaccines in Mali

A Phase 4 study testing pentavalent rotavirus vaccine (PRV), measles vaccine (MV) and yellow fever vaccine (YFV) in people with Diarrhea Rotavirus, run by PATH at 1 site in Mali.

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

This study is an evaluation of the immune response to pentavalent rotavirus vaccine (PRV) after an additional fourth dose is given at 9 months of age with local World Health Organization (WHO) Expanded Programme on Immunization (EPI) vaccines in Mali. Read more about this study

Who is it for?
Ages 9 to 11 monthsHealthy volunteers can take part
Conditions the study is for
Diarrhea Rotavirus
What is being tested?
pentavalent rotavirus vaccine (PRV), measles vaccine (MV) and yellow fever vaccine (YFV)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
600 participants
Where
1 siteMali
Study dates
Oct 2014to Mar 2015
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

  • At least 9 months of age through 11 months of age (has not yet reached 1st birthday) at the time of administration of study vaccines.
  • Residence in the study area.
  • At least one parent or guardian who is at least 18 years of age and is willing to provide written informed consent.
  • Generally healthy and free of obvious health problems as established by medical history including physical examination and clinical judgment of the investigator.
  • A child who is fully vaccinated according to the local EPI schedule (exclusive of oral polio vaccine birth dose).
  • A parent or guardian is willing to attend all planned study visits or allow home visits and mobile phone contacts, as required by the protocol.

Who cannot join

  • Previous receipt any measles-containing vaccine.
  • Previous receipt of any yellow fever vaccine.
  • Previous receipt of any meningitis vaccine.
  • Receipt of rotavirus vaccine within the past 90 days.
  • Administration of any other vaccine within 8 weeks prior to administration of study vaccines or planned vaccination during the 4 weeks after study vaccination.
  • History of allergic disease or known hypersensitivity to any component of the study vaccines and/or following administration of vaccines included in the local program of immunization
Show all 15Show fewer
  • Use of any investigational or non-registered drug within 90 days prior to the administration of study vaccines.
  • Administration of immunoglobulins and/or any blood products within 90 days prior to the administration of study vaccines or planned administration during the vaccine period.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying agents since birth (including systemic corticosteroids, this means prednisone, or equivalent, ≥0.5 mg/kg/day; topical steroids including inhaled steroids are allowed).
  • A family history of congenital or hereditary immunodeficiency.
  • History of intussusception.
  • Uncorrected congenital malformation of the gastrointestinal tract that would predispose for intussusception.
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by medical history or physical examination, which in the opinion of the investigator, might interfere with the study objectives.
  • Acute illness at the time of enrollment (acute disease is defined as the presence of a moderate or severe illness with fever [axillary temperature ≥38°C] or without fever [severity determined at the discretion of the investigator]. Acute illness is a temporary exclusion.
  • Any condition or criterion that in the opinion of the investigator might compromise the well-being of the subject or the compliance with study procedures or interfere with the outcome of the study.

Trial locations and contacts

1 site in 1 country.

Mali1 site
  • CVD-Mali

    Bamako

Other trials in Mali

About this study

Official title: An Evaluation of the Immune Response to Pentavalent Rotavirus Vaccine After a Supplemental Dose Given at 9 Months of Age With Local EPI Vaccines in Mali

This study is an evaluation of the immune response to pentavalent rotavirus vaccine (PRV) after an additional fourth dose is given at 9 months of age with local World Health Organization (WHO) Expanded Programme on Immunization (EPI) vaccines in Mali.

Read the detailed description

Vaccination is the best way to prevent severe rotavirus disease and the deadly, dehydrating diarrhea that it causes. However, given only moderate efficacy in the first year of life and a possible further decline in immunity, it is considered a top priority by public health experts to evaluate the possible value of a "booster" dose of rotavirus vaccine in low income countries to confer longer duration of protection into the second year of life when disease burden continues to be high.

This study is an open-label, individual-randomized, parallel-group, comparative immunogenicity trial. Participating infants randomized to Group A will receive one dose each of measles vaccine (MV), yellow fever vaccine (YFV), and meningitis conjugate vaccine (PsA-TT-5μg) at 9 months of age, and infants randomized to Group B will receive one dose each of MV, YFV, PsA-TT-5μg, and PRV at 9 months of age.

The study will simultaneously evaluate two primary objectives, one for noninferiority of the response to MV given with PRV (co-primary objective 1) and one for noninferiority of the response to YFV given with PRV (co-primary objective 2).

Secondary objectives of the study were the following:

  1. To evaluate the non-inferiority of the immune response 3 months post-vaccination (as sero-conversion) to MV given with PRV (Group B) to that given without PRV (Group A).
  2. To compare the immune response (as geometric mean titers [GMTs]) to YFV given with PRV (Group B) to that given without PRV (Group A).
  3. To evaluate the non-inferiority of the immune response (as sero-response) to PsA-TT-5μg given with PRV (Group B) compared to that given without PRV (Group A).
  4. To compare the immune response (as GMTs) to PsA-TT-5μg given with PRV (Group B) to that given without PRV (Group A).
  5. To evaluate the superiority of the immune response (as sero-response and geometric mean concentrations [GMCs]) to a supplemental dose of PRV given at 9 months of age with local EPI vaccines (Group B) compared no supplemental dose (Group A).
  6. To describe the safety profile of study vaccination with PRV.
Being tested
pentavalent rotavirus vaccine (PRV), measles vaccine (MV), yellow fever vaccine (YFV), meningitis conjugate vaccine (PsA-TT-5μg)
Keywords
rotavirus, rotavirus vaccine, Mali, EPI vaccines

What participants receive

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

  • pentavalent rotavirus vaccine (PRV)Biological

    Also called RotaTeq

    Each two-ml dose contains 5 live human-bovine reassortant rotaviruses with a minimum of 2.0 - 2.8 x 106 infectious units (IU) per reassortant, depending on the serotype, and not greater than 116 x 106 IU per aggregate dose. Each vaccine dose contains sucrose, sodium citrate, sodium phosphate monobasic monohydrate, sodium hydroxide, polysorbate 80, cell culture media, and trace amounts of fetal bovine serum. RotaTeq contains no preservatives. RotaTeq is a pale yellow clear liquid that may have a pink tint. This vaccine was administered orally.

  • measles vaccine (MV)Biological

    A lyophilized vaccine in a pack containing one vial plus one ampoule of sterile water for injection. After reconstitution, each 0.5 ml/dose of MV contains active substances not less than 1000 units of 50% cell culture infectious doses (CCID50) of MV. Measles Vaccine Live Attenuated virus is propagated on Human Diploid Cells. This MV is currently part of the local EPI program in Mali. This vaccine was administered subcutaneously to the right deltoid.

  • yellow fever vaccine (YFV)Biological

    A freeze-dried live attenuated yellow fever virus of the 17D strain for injection. After reconstitution, one dose (0.5 ml) contains active substances not less than 1000 units of 50% lethal doses (LD50) of yellow fever virus. This YFV is currently part of the local EPI program in Mali. This vaccine was administered intramuscularly to the left deltoid.

  • meningitis conjugate vaccine (PsA-TT-5μg)Biological

    Also called PsA-TT

    A meningococcal A vaccine, with meningococcal A polysaccharide (PsA) conjugated to the carrier protein, tetanus toxoid (TT). After reconstitution, one dose (0.5 ml) contains 5μg meningococcal A polysaccharide and 5-16 μg tetanus toxoid as a carrier protein. PsA-TT-5μg was considered experimental at the initiation of this study, but received approval from the WHO for infants on 30 December 2014. For all participants enrolled January 1st, 2015 or later, PsA-TT-5μg was not included in Group A or Group B, due to its December 2014 expiration date. This vaccine was administered intramuscularly to the right thigh.

Study groups in NCT02286895
Study groupRoleWhat they receive
Group A (without rotavirus vaccine)Active comparatorGroup A will receive measles vaccine (MV), yellow fever vaccine (YFV), and meningitis conjugate vaccine (PsA-TT-5μg).
Receives: Biological: measles vaccine (MV); Biological: yellow fever vaccine (YFV); Biological: meningitis conjugate vaccine (PsA-TT-5μg)
Group B (with rotavirus vaccine)ExperimentalGroup A will receive measles vaccine (MV), yellow fever vaccine (YFV), and meningitis conjugate vaccine (PsA-TT-5μg) plus one oral dose of pentavalent rotavirus vaccine (PRV).
Receives: Biological: pentavalent rotavirus vaccine (PRV); Biological: measles vaccine (MV); Biological: yellow fever vaccine (YFV); Biological: meningitis conjugate vaccine (PsA-TT-5μg)

What is being measured

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

  1. Number/Percentage of Subjects With Seroconversion for Anti-measles Immunoglobulin G (IgG) Antibody

    Measured using a commercially-available Enzyme Linked Immunosorbent Assay (ELISA). Seroconversion was defined as a measurement ≥1.10 geometric mean titer (GMT) at Day 28 among subjects with measurement ≤0.90 at baseline

    Measured: 28 days post-vaccination

  2. Number/Percentage of Subjects With Seroresponses for Yellow Fever Neutralizing Antibody

    Measured by virus neutralization assay, determined using Robert Koch Institute's yellow fever standard of practice and relative to international scientific references for which the level of anti-YF neutralizing IgG protection was known. Seroresponse was defined as a geometric mean titer (GMT) of at least four times baseline value.

    Measured: 28 days post-vaccination

Secondary outcomes (17)
  1. Number/Percentage of Subjects With Seroconversion for Anti-measles Immunoglobulin G (IgG) Antibody

    Measured using a commercially-available Enzyme Linked Immunosorbent Assay (ELISA). Seroconversion was defined as a measurement ≥1.10 geometric mean titer (GMT) at Day 28 among subjects with measurement ≤0.90 at baseline.

    Measured: 3 months post-vaccination

  2. Serum Neutralization Geometric Mean Titers for Yellow Fever Vaccine

    Measured by virus neutralization assay, determined using Robert Koch Institute's yellow fever standard of practice (SOP) and relative to international scientific references for which the level of anti-YF neutralizing IgG protection was known.

    Measured: 28 days post-vaccination

  3. Number/Percentage of Subjects With Seroresponses for Meningitis Conjugate Serum Bactericidal Antibody (SBA)

    Seroresponse was defined as a geometric mean titer (GMT) of at least four times baseline value. Measured using baby rabbit complement (rSBA).

    Measured: 28 days post-vaccination

  4. Geometric Mean of Meningitis Serum Bactericidal Antibody Titer

    Measured using baby rabbit complement (rSBA).

    Measured: Baseline to Day 28

  5. Number/Percentage of Subjects With Anti-rotavirus Immunoglobulin A (IgA) Titer at Least 3 Times Baseline Value

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  6. Number/Percentage of Subjects With Anti-rotavirus IgA Titer of ≥20 Units/mL

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  7. Number/Percentage of Subjects With Anti-rotavirus IgA <20 Units/mL at Baseline Visit That Had >=20 Units/mL at Day 28

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  8. Number/Percentage of Subjects With Anti-rotavirus IgG Titer at Least 3 Times Baseline Value

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  9. Number/Percentage of Subjects With Anti-rotavirus IgG Titer of ≥20 Units/mL

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  10. Number/Percentage of Subjects With Anti-rotavirus IgG <20 Units/mL at Baseline Visit That Had >=20 Units/mL at Day 28

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  11. Geometric Mean of Anti-rotavirus IgA Concentration

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  12. Geometric Mean of Anti-rotavirus IgG Concentration

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  13. Geometric Mean of Anti-rotavirus IgA Among Subjects With <20 Units/mL Concentration at Baseline

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  14. Geometric Mean of Anti-rotavirus IgG Among Subjects With <20 Units/mL Concentration at Baseline

    Conducted by validated Enzyme Linked Immunosorbent Assay (ELISA). The pre- and post-vaccination samples were to be evaluated in one run for consistency and each specimen was to be tested with a negative control for better specificity.

    Measured: 28 days post-vaccination

  15. Number/Percentage of Participants Experiencing Immediate Reactions Post-vaccination

    With emphasis on allergic reactions, observed by study staff

    Measured: Within 30 minutes post-vaccination

  16. Number of Solicited Adverse Reactions (AR) Experienced by Participants

    identified or observed by study staff during home visits and/or reported by a parent at any time. Solicited adverse reactions were graded and sub-categorized as those deemed related to vaccination or not by the investigator.

    Measured: 7 days post-vaccination

  17. Number/Percentage of Participants Experiencing Serious Adverse Events (SAE)

    Occurring from vaccination through 3 months post-vaccination, identified or observed by study staff and/or reported by a parent at any time. Serious adverse events were graded for severity and sub-categorized as those deemed related to vaccination or not by the investigator.

    Measured: 3 months post-vaccination

Timeline

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

  1. First posted10 Nov 2014 (estimated)
  2. Study startOct 2014
  3. Primary completionMar 2015
  4. Study completionMar 2015

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02286895
Sponsor's protocol ID
PATH-RVI-PRV-01
Status last verified
Dec 2018
First submitted
1 Oct 2014
Last updated
2 Jan 2019
Data monitoring committee
No

Publications

  • Haidara FC, Tapia MD, Sow SO, Doumbia M, Coulibaly F, Diallo F, Traore A, Kodio M, Kelly CL, Fitzpatrick M, Kotloff K, Victor JC, Neuzil K. Evaluation of a Booster Dose of Pentavalent Rotavirus Vaccine Coadministered With Measles, Yellow Fever, and Meningitis A Vaccines in 9-Month-Old Malian Infants. J Infect Dis. 2018 Jul 13;218(4):606-613. doi: 10.1093/infdis/jiy215.

    PubMed 29659924

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing pentavalent rotavirus vaccine (PRV), measles vaccine (MV) and yellow fever vaccine (YFV) in people with Diarrhea Rotavirus, run by PATH at 1 site in Mali.

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 6 inclusion and 15 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 2 Jan 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 Mali. 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 7 Dec 2018). 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?

Number/Percentage of Subjects With Seroconversion for Anti-measles Immunoglobulin G (IgG) Antibody (time frame: 28 days 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 NCT02286895, 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 2 Jan 2019.

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