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Acute Gastroenteropathy Due to NorovirusPhase 3NCT06524947

Clinical Trial of Protective Efficacy of Quadrivalent Recombinant Norovirus Vaccine (Pichia Pastoris)

A Phase 3 study testing quadrivalent recombinant norovirus vaccine (Pichia pastoris) in people with Acute Gastroenteropathy Due to Norovirus, run by Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd. at 3 sites in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of the research is to evaluate the protective efficacy, immunogenicity, and safety of quadrivalent recombinant norovirus vaccine (Pichia Pastoris) in people aged 6 weeks to 13 years.A total of 6600 infants and children aged 6 weeks to 13 years old were enrolled in this study, which were divided into 3 age… Read more about this study

Who is it for?
Ages 6 weeks to 13 yearsHealthy volunteers can take part
Conditions the study is for
Acute Gastroenteropathy Due to Norovirus
What is being tested?
quadrivalent recombinant norovirus vaccine (Pichia pastoris)
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
6,600 participants
Where
3 sitesChina
Study dates
27 Jul 2024to 28 Mar 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 weeks to 13 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • 1.The subject's legal guardian agrees to participate in the trial (consent is also required for subjects 8 years of age and older), and can provide proof of legal identity, is fully informed and has signed an informed consent form, and understands and complies with the requirements of the trial protocol to participate in the follow-up visits.
  • 2.The age of the subjects on the day of enrollment is not less than 6 weeks old and not more than 13 years old, regardless of gender.
  • 3.Those younger than 12 months of age: 2.5kg ≤ birth weight ≤ 4.5kg, 37 weeks ≤ weeks of gestation ≤ 42 weeks, born in normal labor (excluding severe abnormal labor and history of severe asphyxia resuscitation).

Who cannot join

  • 1.Allergic to or having a history of specific reactions to any component of the investigational vaccine; Previous history of severe allergy to any vaccine or drug (such as anaphylactic shock, laryngeal edema, anaphylactic purpura, local anaphylactic necrosis reaction (Arthus reaction), dyspnea, angioneurotic edema, etc.); People with allergic constitution.
  • 2.A history of confirmed norovirus infection within 2 years.
  • 3.Have a history of any of the following diseases or are suffering from serious diseases: ① Abnormal coagulation function: such as leukemia, congenital or acquired coagulation factor deficiency, aplastic anemia, thrombocytopenia and receiving anticoagulation therapy; ② Diseases affecting local observation: such as rational jaundice; ③Diseases affecting immune function: a history of congenital or acquired immunodeficiency or autoimmune disease; Uncontrolled lymphoproliferative diseases (such as chronic lymphocytic leukemia, Hodgkin's lymphoma, etc.); No spleen, or splenic surgery history, trauma history; ④Now suffering from infectious diseases: such as tuberculosis, viral hepatitis, etc; ⑤Neurological and psychiatric diseases: epilepsy, congenital brain hypoplasia, brain trauma, brain tumor, infection, brain nerve tissue damage caused by chemical and physical factors, etc., psychiatric history and family history; ⑥Other serious diseases that may interfere with the conduct or completion of the study: severe congenital malformations, severe developmental disorders, severe malnutrition, malignant tumors, congenital cardiovascular, liver, kidney diseases, etc.
  • 4.Received blood or blood-related products (other than hepatitis B immunoglobulin) within 1 month prior to enrollment; Long-term use of systemic immunosuppressants or other immunomodulatory drugs within 3 months (defined as use for more than 14 days).
  • 5.Have participated or are participating in other clinical trials (including drugs, biologics, or devices) within 3 months prior to enrollment.
  • 6.The investigator believes that the subject has any disease or condition that could put the subject at risk, poor adherence or inability to complete the trial as required by the protocol, and conditions that interfere with the evaluation of vaccine response.

Trial locations and contacts

3 sites in 1 country.

China3 sites
  • Hunan Center for Disease Control and Prevention

    Changsha, Hunan, 410153

  • Sichuan Center for Disease Control and Prevention

    Chengdu, Sichuan, 610041

  • Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention

    Nanning, Guangxi, 530028

Other trials in China

About this study

Official title: Phase III Clinical Trial to Evaluate the Protective Efficacy, Immunogenicity, and Safety of Quadrivalent Recombinant Norovirus Vaccine (Pichia Pastoris) Implanted in People Aged 6 Weeks to 13 Years

The purpose of the research is to evaluate the protective efficacy, immunogenicity, and safety of quadrivalent recombinant norovirus vaccine (Pichia Pastoris) in people aged 6 weeks to 13 years.A total of 6600 infants and children aged 6 weeks to 13 years old were enrolled in this study, which were divided into 3 age groups: 1400 children (6-13 years old), 2200 toddler (2-5 years old), and 3000 infants (6-23 months old).Subjects of all ages were randomly assigned to the test group and the control group in a 1:1 ratio.All subjects received 3 doses of the experimental vaccine at 30 day intervals.

Read the detailed description

Overall design: A multicenter, randomized, double-blind, placebo-controlled trial was designed.

The purpose of the research is to evaluate the protective efficacy, immunogenicity, and safety of quadrivalent recombinant norovirus vaccine (Pichia Pastoris) in people aged 6 weeks to 13 years.A total of 6600 infants and children aged 6 weeks to 13 years old were enrolled in this study, which were divided into 3 age groups: 1400 children (6-13 years old), 2200 toddler (2-5 years old), and 3000 infants (6-23 months old).Subjects of all ages were randomly assigned to the test group and the control group in a 1:1 ratio.All subjects received 3 doses of the experimental vaccine at 30 day intervals.

Protective effectiveness evaluation:All subjects entered the observation period 7 days after completing the first dose of immunization. Stool and/or vomit samples (if applicable) from all AGE cases occurring during the observation period were collected and AGE caused by Norovirus was identified by PCR.Primary protective efficacy was calculated using data from primary endpoint cases that occurred between 7 days after completion of full immunization and the end of the observation period.

Immunogenicity evaluation:For the immunogenic subgroup of subjects (120 subjects before the study number of each age group in a clinical trial site, a total of 360 subjects), blood samples were collected before the first dose of immunization, 31 days after the second dose of immunization, 31 days, 180 days, 1 year and 2 years after the total immunization, and blood samples were 2.5~3.0ml each time.It is used to detect anti-norovirus IgG antibody, tissue Blood group antigen (HBGA) blocking antibody, and to detect the immunogenicity of anti-norovirus.

Safety evaluation:Adverse events (AE) and serious adverse events (SAE) : All enrolled subjects collected AE 30 minutes after each dose of vaccine, enlisted AE 0-7 days, non-enlisted AE 0-30 days, and SAE from the first dose to 180 days after full immunization.

Being tested
quadrivalent recombinant norovirus vaccine (Pichia pastoris), quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo
Keywords
prevention

What participants receive

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

  • quadrivalent recombinant norovirus vaccine (Pichia pastoris)Biological

    Subjects were given three doses of quadrivalent recombinant norovirus vaccine (Pichia pastoris) at a 30-day interval.

    Main ingredients: recombinant ReNoV GI.1-VP1 protein, recombinant ReNoV GII.3-VP1 protein, recombinant ReNoVGII.4-VP1 protein, recombinant ReNoV GII.17-VP1 protein, aluminum hydroxide adjuvant, histidine, sodium chloride, tween 80, disodium phosphate, disodium hydrogen phosphate

  • quadrivalent recombinant norovirus vaccine (Pichia pastoris) placeboBiological

    Subjects were given three doses of quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo at a 30-day interval.

    Main ingredients: aluminum hydroxide adjuvant, histidine, sodium chloride, tween 80, disodium phosphate, disodium hydrogen phosphate

Study groups in NCT06524947
Study groupRoleWhat they receive
Infant experimental group (6 weeks -23 months)ExperimentalAt least 6 weeks old but less than 2 years old.
Receives: Biological: quadrivalent recombinant norovirus vaccine (Pichia pastoris)
Infant placebo control group (6 weeks -23 months)Placebo comparatorAt least 6 weeks old but less than 2 years old.
Receives: Biological: quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo
Toddler experimental group (2-5 years old)ExperimentalAt least 2 years old but less than 6 years old.
Receives: Biological: quadrivalent recombinant norovirus vaccine (Pichia pastoris)
Toddler placebo control group (2-5 years old)Placebo comparatorAt least 2 years old but less than 6 years old.
Receives: Biological: quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo
Children experimental group (6-13 years old)ExperimentalAt least 6 years of age but under 14 years of age.
Receives: Biological: quadrivalent recombinant norovirus vaccine (Pichia pastoris)
Children placebo control group (6-13 years old)Placebo comparatorAt least 6 years of age but under 14 years of age.
Receives: Biological: quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo

What is being measured

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

  1. Protective efficacy against AGE caused by four genotypes of norovirus

    Protective efficacy against AGE caused by the four genotypes included in the prophylactic vaccine (GI.1, GII.3, GII.4, GII.17) (co-infections of rotavirus and adenovirus were excluded) after 7 days of full immunization until the end of the observation period.Protective efficacy = 1 - (person-years of incidence in the vaccine group/person-years of incidence in the placebo group) × 100%; person-years of incidence = (number of cases of AGE (excluding co-infections with rotavirus and adenovirus) caused by the four genotypes included in the vaccine (GI.1, GII.3, GII.4, and GII.17) after 7 days of 3 doses of the vaccine/number of person-years of observation) × 100%.

    Measured: From 7 days after full immunization to 2 years after 7 days after after full immunization

  2. Geometric mean titers (GMT) of IgG antibody

    Geometric mean titers of IgG antibodies against norovirus (GI.1, GII.3, GII.4, GII.17) were measured at 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization.

    Measured: 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization

  3. Geometric mean titers (GMT) of HBGA blocking antibody

    Geometric mean titers of HBGA blocking antibodies against norovirus (GI.1, GII.3, GII.4, GII.17) were measured at 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization.

    Measured: at 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization

  4. Positive conversion rate of IgG antibodies

    Positive conversion rate of IgG antibody against norovirus (GI.1, GII.3, GII.4, GII.17) at 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year and 2 years after full immunization.

    Measured: 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year and 2 years after full immunization

  5. Positive conversion rate of HBGA blocking antibody

    The positive conversion rate of HBGA blocking antibodies against norovirus (GI.1, GII.3, GII.4, GII.17) was measured at 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization.

    Measured: 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization

  6. Geometric mean titers Growth multiplier of IgG antibody

    Geometric mean titers Growth multiplier of IgG antibody at 31 days after 2 doses of immunization and at 31 days after full immunization.

    Measured: at 31 days after 2 doses of immunization and at 31 days after full immunization

  7. Geometric mean titers Growth multiplier of HBGA blocking antibody

    Geometric mean titers Growth multiplier of HBGA blocking antibody at 31 days after 2 doses of immunization and at 31 days after full immunization.

    Measured: at 31 days after 2 doses of immunization and at 31 days after full immunization

  8. Occurrence of any adverse event

    Occurrence of any adverse event within 30 minutes of each dose of vaccination.

    Measured: within 30 minutes of each dose of vaccination

  9. Occurrence of recruited adverse event

    Occurrence of recruited adverse event between day 0 and day 7 after each dose of vaccination.

    Measured: between day 0 and day 7 after each dose of vaccination

  10. Occurrence of non-recruited adverse event

    Occurrence of non-recruited adverse event between day 0 and day 30 after each dose of vaccination.

    Measured: between day 0 and day 30 after each dose of vaccination

  11. Occurrence of serious adverse event

    Occurrence of serious adverse event from the first dose to 180 days after full immunization.

    Measured: from the first dose to 180 days after full immunization

Timeline

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

  1. First posted29 Jul 2024
  2. Study start27 Jul 2024
  3. Primary completion28 Mar 2027 (estimated)
  4. Study completion28 Mar 2027 (estimated)

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
6,600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06524947
Sponsor's protocol ID
LKM-2023-NoV01
Status last verified
Jan 2025
First submitted
19 Jul 2024
Last updated
23 Jan 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing quadrivalent recombinant norovirus vaccine (Pichia pastoris) in people with Acute Gastroenteropathy Due to Norovirus, run by Anhui Zhifei Longcom Biologic Pharmacy Co., Ltd. at 3 sites in China.

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 3 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 23 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Protective efficacy against AGE caused by four genotypes of norovirus (time frame: From 7 days after full immunization to 2 years after 7 days after after full immunization). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Jan 2025.

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