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Infections, RotavirusPhase 2NCT00263666

A Study of Safety, Reactogenicity and Immunogenicity of HRV Vaccine in HIV Infected Infants in South Africa

A Phase 2 study testing Rotarix, Tritanrix-HB+Hib and Polio Sabin in people with Infections, Rotavirus, run by GlaxoSmithKline at 6 sites in South Africa.

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 aim of this study is to evaluate the reactogenicity, safety and immunogenicity of GSK Biologicals' human rotavirus (HRV) vaccine given concomitantly with routine vaccines including OPV in HIV positive infants. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007. Read more about this study

Who is it for?
Ages 6 to 10 weeks
Conditions the study is for
Infections, Rotavirus
What is being tested?
Rotarix, Tritanrix-HB+Hib and Polio Sabin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
6 sitesSouth Africa
Study dates
16 Mar 2005to 13 Feb 2008
Phase
Phase 2
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 6 to 10 weeks
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study.
  • A male or female between, and including 6 and 10 weeks of age at the time of the first vaccination.
  • Written informed consent obtained from the parents or guardians of the subject
  • Documented HIV status of the subject as confirmed by PCR.
  • HIV asymptomatic and HIV mildly symptomatic; Stages I and II disease according to WHO's most recent classification for HIV stages in infants and children.
  • Born after a gestation period of 36 to 42 weeks.

Who cannot join

  • Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Previous routine vaccination except OPV, BCG and HBV vaccination at birth
  • 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.
  • History of allergic disease or reaction likely to be exacerbated by any component of the vaccine.
  • Acute disease at time of enrolment.
  • Gastroenteritis within 7 days preceding the study vaccine administration.
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  • Previous confirmed occurrence of RV gastroenteritis.
  • Other conditions which in the opinion of the investigator may potentially interfere with interpretation of study outcomes.
  • HIV moderately and severely symptomatic: stages III and IV according to WHO's recent classification.
  • Administration of immunoglobulins and/or blood products since birth or planned administration during the study period.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

South Africa6 sites
  • GSK Investigational Site

    Attridgerville, Gauteng, 0008

  • GSK Investigational Site

    Brits, 0250

  • GSK Investigational Site

    Capital Park, 0002

  • GSK Investigational Site

    Coronationville, Gauteng, 2112

  • GSK Investigational Site

    Ga-Rankuwa, 0208

  • GSK Investigational Site

    Garankuwa, North West, 0204

Other trials in South Africa

About this study

Official title: A Phase II, Double-blind, Randomized, Placebo-controlled Study to Assess the Safety, Reactogenicity and Immunogenicity of Three Doses of GlaxoSmithKline (GSK) Biologicals' Oral Live Attenuated Human Rotavirus (HRV) Vaccine

The aim of this study is to evaluate the reactogenicity, safety and immunogenicity of GSK Biologicals' human rotavirus (HRV) vaccine given concomitantly with routine vaccines including OPV in HIV positive infants. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Read the detailed description

HIV infected infants as determined prior to study entry (screening) and asymptomatic or mildly symptomatic (WHO stages I and II) of disease will be enrolled. The study will have two groups: Group HRV and Group Placebo. Three-dose immunisation will be administered at approximately 6, 10, and 14 weeks of age. Routine EPI (Expanded Program on Immunisation) vaccinations will be administered concomitantly with the study vaccines. At the time of first dose, subjects will be aged 6 to 10 weeks. This study will evaluate safety, reactogenicity and immunogenicity of the HRV vaccine relative to the placebo.

Being tested
Rotarix, Placebo, Tritanrix-HB+Hib, Polio Sabin
Medical subject headings
Rotavirus Infections

What participants receive

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

  • RotarixBiological

    Oral vaccination

  • PlaceboBiological

    Oral administration

  • Tritanrix-HB+HibBiological

    Concomitant routine vaccination, IM administration

  • Polio SabinBiological

    Oral administration, concomitant routine vaccination

Study groups in NCT00263666
Study groupRoleWhat they receive
Rotarix GroupExperimentalSubjects received 3 doses of Rotarix vaccine co-administered with routine Tritanrix HepB Hib and Polio Sabin vaccines.
Receives: Biological: Rotarix; Biological: Tritanrix-HB+Hib; Biological: Polio Sabin
Placebo GroupPlacebo comparatorSubjects received 3 doses of placebo co-administered with routine Tritanrix HepB Hib and Polio Sabin vaccines.
Receives: Biological: Placebo; Biological: Tritanrix-HB+Hib; Biological: Polio Sabin

What is being measured

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

  1. Number of Subjects Reporting Grade "2" or Grade "3" Fever, Vomiting or Diarrhea

    Symptoms reported in the table include: Fever: temperature (axillary route) > 38.0 degree Celsius (°C); Diarrhea: ≥ 4 looser than normal stools/day; Vomiting: ≥ 2 episodes of vomiting/day.

    Measured: Within the 15-day solicited follow-up period after any dose

Secondary outcomes (23)
  1. Number of Subjects Reporting Any Unsolicited Symptoms

    An unsolicited symptom was any spontaneously reported untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Measured: Within 30 days after any dose

  2. Number of Subjects Reporting Any Serious Adverse Events

    A serious adverse event (SAE) is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

    Measured: Until 2 months after dose 3 (for subjects RV negative at Day 42 post-dose 3) or until end of RV shedding (for subjects who shed RV at Day 42 post-dose 3)

  3. Number of Subjects Reporting Each Type of Solicited Symptom

    Solicited symptoms included Cough, Diarrhea (3 or more looser than normal stools/day), Fever (axillary temperature ≥ 37.5°C), Irritability, Loss of appetite, and Vomiting.

    Measured: Within the 15-day solicited follow-up period after each dose

  4. The Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ Percent

    Severe suppression: CD4+ cells/microliter (μl) < 750 and CD4+ percent < 15 percent (%); No evidence of suppression: CD4+ cells/μl ≥ 1500 and CD4+ percent ≥ 25%; Moderate suppression = all other CD4+ cell count and CD4+ % combinations.

    Measured: At the screening visit and 2 months after dose 3 (Visit 4)

  5. Human Immunodeficiency Virus (HIV) Viral Load

    The HIV viral load was expressed as mean and standard deviation of the base-10 logarithm of HIV-1 ribonucleic acid (RNA) copies per milliliter (mL).

    Measured: At the screening visit and 2 months after dose 3

  6. Number of Subjects Who Seroconverted Against Rotavirus

    A subject with anti-rotavirus Immunoglobulin (IgA) antibody concentration < 20 units/milliliter (U/mL) before vaccination and ≥ 20 U/mL after vaccination is considered as seroconverted.

    Measured: Two months after dose 3

  7. Number of Subjects With Vaccine Take

    Vaccine take: appearance of serum IgA to rotavirus at a concentration of ≥ 20 U/ml or rotavirus shedding in any stool sample collected from the Screening Visit to 2 months after dose 3 for subjects initially negative for rotavirus.

    Measured: Two months after dose 3

  8. Serum Rotavirus Immunoglobulin A (IgA) Antibody Concentrations

    Concentrations are given as geometric mean concentrations (GMC) for anti-rotavirus IgA antibodies.

    Measured: Two months after dose 3

  9. Number of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off Value

    Cut-off values for anti-PRP antibody concentrations were ≥ 0.15 and ≥ 1.0 microgram/milliliter (µg/mL).

    Measured: Two months after dose 3

  10. Geometric Mean Concentration for Anti-PRP Antibodies

    Anti-PRP antibody concentrations are presented as geometric mean concentrations, expressed in microgram/milliliter (μg/mL).

    Measured: Two months after dose 3

  11. Number of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off Value

    The cut-off value was ≥ 0.1 International Units/milliliter (IU/mL).

    Measured: Two months after dose 3

  12. Geometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids Antibodies

    Anti-diphteria and anti-tetanus toxoids antibody concentrations are presented as geometric mean concentrations, expressed in international units/milliliter (IU/mL).

    Measured: Two months after dose 3

  13. Number of Subjects With Anti-hepatitis B (HBs) Antibody Concentrations More Than or Equal to the Cut-off Value

    The cut-off value was ≥ 10 milli international units/milliliter (mIU/mL).

    Measured: Two months after dose 3

  14. Geometric Mean Concentration for Anti-HBs Antibodies

    Anti-HBs antibody concentrations are presented as geometric mean concentrations, expressed in milli international units/milliliter (mIU/mL).

    Measured: Two months after dose 3

  15. Number of Subjects With Anti-Bordetella Pertussis (BPT) Antibody Concentrations More Than or Equal to the Cut-off Value

    The cut-off value was ≥ 15 Enzyme Linked Immunosorbent Assay Unit/milliliter (EL.U/mL).

    Measured: Two months after dose 3

  16. Geometric Mean Concentration for Anti-BPT Antibodies

    Anti-BPT antibody concentrations are presented as geometric mean concentrations, expressed in ELISA units/milliliter (EL.U/mL).

    Measured: Two months after dose 3

  17. Number of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off Value

    The cut-off value was ≥ 1:8. The lowest dilution at which serum samples were tested was 1:8, from which a test was considered positive.

    Measured: Two months after dose 3

  18. Geometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.

    Anti-polio types 1, 2 and 3 antibody titers are presented as geometric mean titers.

    Measured: Two months after dose 3

  19. Rotavirus Antigen Excretion in Stool Samples

    Number of subjects with rotavirus detected by Enzyme Linked Immunosorbent Assay (ELISA) in stool samples collected from Dose 1 until study end.

    Measured: At day of each vaccination and at planned days following each vaccine dose until 2 months after dose 3 or until end of RV shedding

  20. Rotavirus in Diarrheal Stool Samples

    Number of subjects reporting at least one rotavirus (vaccine strain or wild type rotavirus) gastroenteritis episode.

    Measured: From Dose 1 until 2 months after dose 3 or until end of RV shedding

  21. Rotavirus Vaccine Strain Identification

    Number of gastroenteritis (GE) episodes classified by rotavirus vaccine strain/serotype. Unknown: These samples were typed post hoc and found "G1P8" vaccine type for one subject in HRV group, "G3P8" and "G2P4" for subjects in placebo group.

    Measured: From dose 1 until 2 months after dose 3 or until end of RV shedding

  22. Enteric Pathogens Identification

    Number of subjects reporting gastroenteritis (GE) episodes classified by enteric pathogen tests results.

    Measured: From Dose 1 until 2 months after dose 3 or until end of RV shedding

  23. Number of Subjects With the RV in Stool Samples

    Number of subjects with presence of RV in stool samples (shedding) collected at pre-determined time points by RV type (Yes, No, Mixed type = G1V+G1WT+G2+G3+P4+P8V+P8WT and results not available [NA]).

    Measured: From Dose 1 until post Dose 3

Timeline

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

  1. First posted9 Dec 2005 (estimated)
  2. Study start16 Mar 2005
  3. Primary completion7 Feb 2008
  4. Study completion13 Feb 2008

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
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00263666
Sponsor's protocol ID
444563/022
Other IDs
2015-001484-39, 2015
Status last verified
Oct 2020
First submitted
8 Dec 2005
Last updated
23 Nov 2020
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Buyse H, Vinals C, Karkada N, Han HH. The human rotavirus vaccine Rotarix in infants: an integrated analysis of safety and reactogenicity. Hum Vaccin Immunother. 2014;10(1):19-24. doi: 10.4161/hv.26476. Epub 2013 Oct 8.

    PubMed 24047799
  • Steele AD, Madhi SA, Louw CE, Bos P, Tumbo JM, Werner CM, Bicer C, De Vos B, Delem A, Han HH. Safety, Reactogenicity, and Immunogenicity of Human Rotavirus Vaccine RIX4414 in Human Immunodeficiency Virus-positive Infants in South Africa. Pediatr Infect Dis J. 2011 Feb;30(2):125-30. doi: 10.1097/INF.0b013e3181f42db9.

    PubMed 20842070
  • Ruiz-Palacios GM, Perez-Schael I, Velazquez FR, Abate H, Breuer T, Clemens SC, Cheuvart B, Espinoza F, Gillard P, Innis BL, Cervantes Y, Linhares AC, Lopez P, Macias-Parra M, Ortega-Barria E, Richardson V, Rivera-Medina DM, Rivera L, Salinas B, Pavia-Ruz N, Salmeron J, Ruttimann R, Tinoco JC, Rubio P, Nunez E, Guerrero ML, Yarzabal JP, Damaso S, Tornieporth N, Saez-Llorens X, Vergara RF, Vesikari T, Bouckenooghe A, Clemens R, De Vos B, O'Ryan M; Human Rotavirus Vaccine Study Group. Safety and efficacy of an attenuated vaccine against severe rotavirus gastroenteritis. N Engl J Med. 2006 Jan 5;354(1):11-22. doi: 10.1056/NEJMoa052434.

    PubMed 16394298

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Rotarix, Tritanrix-HB+Hib and Polio Sabin in people with Infections, Rotavirus, run by GlaxoSmithKline at 6 sites in South Africa.

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 10 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 23 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in South Africa. 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 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?

Yes. Results are posted in the registry (first posted 13 Mar 2009). 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 of Subjects Reporting Grade "2" or Grade "3" Fever, Vomiting or Diarrhea (time frame: Within the 15-day solicited follow-up period after any dose). 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 NCT00263666, which also lists 3 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 23 Nov 2020.

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