Rotavirus GastroenteritisPhase 3NCT04185545
Efficacy, Safety and Immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in Neonates
A Phase 3 study testing Rotavirus RV3 Vaccine (Bio Farma) in people with Rotavirus Gastroenteritis, run by PT Bio Farma at 21 sites in Indonesia.
Trial summary
This phase III trial aims to assess the efficacy, safety and immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in neonates, lot-to-lot consistency, and antigen interference with co-administered EPI vaccines Read more about this study
- Who is it for?
- Ages 1 minute to 5 daysHealthy volunteers can take part
- Conditions the study is for
- Rotavirus Gastroenteritis
- What is being tested?
- Rotavirus RV3 Vaccine (Bio Farma)
- Type of treatment
- Vaccines, Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,400 participants
- Where
- 21 sitesIndonesia
- Study dates
- 30 Oct 2020to 30 May 2023
- Phase
- Phase 3
- 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 1 minute to 5 days
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Neonate 0-5 days (0-144 hours) of age at the time of first dose.
- Neonate is in good health as determined by clinical judgment, including a medical history and physical exam, which confirms the absence of a current or past disease state considered significant by the investigator.
- The neonate was born full term (minimum of 37 completed weeks and maximum of 42 completed weeks gestation).
- Neonate birth weight 2500-4000 g inclusive.
- Parent or guardian has been informed properly regarding the study and signed the informed consent form.
- Parent or guardian commits to comply with the instructions of the investigator and the schedule of the trial.
Who cannot join
- Subject concomitantly enrolled or scheduled to be enrolled in another trial.
- The subject has direct relatives relationship with the study team.
- The subject has evolving mild, moderate or severe illness, especially infectious diseases or fever (body temperature 37.5°C) within the 48 hours preceding enrollment.
- Subject with a known or suspected history of allergy to any component of the vaccines (based on anamnesis).
- Subject with a biological mother with a known or suspected human immunodeficiency virus (HIV) or Hepatitis B infection.
- Subject with known or suspected major congenital malformations or genetically determined disease.
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- Subject with intussusception.
- Subject with a known or suspected disease of uncontrolled coagulopathy or blood disorders contraindicating for phlebotomy.
- Subject with a known or suspected disease of the immune system or those who have received immunosuppressive therapy, including immunosuppressive courses of systemic corticosteroid.
- Subject who have ever received any blood products, including immunoglobulin, or for whom receipt of any blood product is anticipated during the course of study.
- Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives.
- Subject immunized with non-EPI vaccines.
- Gastroenteritis in the 24 hours preceding dosing (temporary exclusion criteria).
- Subject planning to move from the study area before the end of the study period.
Trial locations and contacts
21 sites in 1 country.
21 sites in 1 country
Indonesia21 sites
Dr. Moewardi District Hospital
Surakarta
Gajahan Primary Health Center
Surakarta
Gambirsari Primary Health Center
Surakarta
Pajang Primary Health Center
Surakarta
Sangkrah Primary Health Center
Surakarta
Sibela Primary Health Center
Surakarta
Bayat Primary Health Center
Yogyakarta
dr. Soeradji Tirtonegoro General Hospital
Yogyakarta
Gantiwarno Primary Health Center
Yogyakarta
Jogonalan 1 Primary Health Center
Yogyakarta
Jogonalan 2 Primary Health Center
Yogyakarta
Karanganom Primary Health Center
Yogyakarta
Kebonarum Primary Health Center
Yogyakarta
Kebondalem Lor Primary Health Center
Yogyakarta
Klaten Selatan Primary Health Center
Yogyakarta
Ngawen Primary Health Center
Yogyakarta
Pedan Primary Health Center
Yogyakarta
Prambanan Primary Health Center
Yogyakarta
Trucuk 1 Primary Health Center
Yogyakarta
Trucuk 2 Primary Health Center
Yogyakarta
Wedi Primary Health Center
Yogyakarta
About this study
Official title: Efficacy, Safety and Immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in Neonates, Lot to Lot Consistency and Antigen Interference With Co-Administered EPI Vaccines (Phase III)
This phase III trial aims to assess the efficacy, safety and immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in neonates, lot-to-lot consistency, and antigen interference with co-administered EPI vaccines
Read the detailed description
This study is a randomized, double-blind, placebo-controlled study to investigate the efficacy, safety and immunogenicity following three doses of rotavirus RV3 vaccine (Bio Farma) administered as a neonatal schedule
- Conditions
- Rotavirus Gastroenteritis
- Being tested
- Rotavirus RV3 Vaccine (Bio Farma), Placebo
- Keywords
- Rotavirus, Vaccine
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rotavirus RV3 Vaccine (Bio Farma)Biological
Each 1 mL dose of the final product of oral liquid rotavirus vaccine contains > 5x10^6 fcfu/mL rotavirus vaccine strain RV3
PlaceboOther
Each 1 mL dose of placebo contains 30% of sucrose in DMEM
| Study group | Role | What they receive |
|---|---|---|
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 1 | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) batch 1; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. Receives: Biological: Rotavirus RV3 Vaccine (Bio Farma) |
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 2 | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) batch 2; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. Receives: Biological: Rotavirus RV3 Vaccine (Bio Farma) |
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 3 | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) batch 3; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. Receives: Biological: Rotavirus RV3 Vaccine (Bio Farma) |
| Immunogenicity Group - Placebo | Placebo comparator | 3 oral doses of Placebo; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. Receives: Other: Placebo |
| Other Efficacy Group - RV3 Vaccine (Bio Farma) | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. Receives: Biological: Rotavirus RV3 Vaccine (Bio Farma) |
| Other Efficacy Group - Placebo | Placebo comparator | 3 oral doses of Placebo administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy of three doses against severe acute rotavirus gastroenteritis
Episodes of severe rotavirus gastroenteritis (defined as a modified Vesikari score ≥ 11 and rotavirus antigen detected in stool by ELISA)
Measured: 2 weeks after three doses to 18 months of age
Secondary outcomes (13)
Efficacy of three doses against rotavirus gastroenteritis of any severity and all-cause gastroenteritis
Episodes of rotavirus gastroenteritis of any severity (based on modified Vesikari score and rotavirus antigen detected in stool by ELISA) and all-cause gastroenteritis
Measured: 2 weeks after three doses to 18 months of age
Serum immune response (sIgA) after third dose
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the third dose
Measured: 28 days after the third dose
Stool excretion following each dose
Detectable RV3 excretion in stool (by PCR) any day from day 3 to day 5 following each dose
Measured: 3-5 days after each dose
Cumulative serum immune response
Cumulative serum anti-rotavirus IgA (sIgA) following each dose
Measured: 28 days after each dose
Lot to lot consistency
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the third dose
Measured: 28 days after the third dose
Solicited and unsolicited adverse events (AE)
Number of solicited and unsolicited Adverse Events (AE), from randomization to 28 days following last dose
Measured: Up to 28 days after the third dose
Serious adverse events (SAE)
Number of Serious Adverse Events (SAE), from randomization to 28 days following last dose
Measured: Up to 28 days after the third dose
Serum immune response (sIgA) after the first dose
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the first dose
Measured: 28 days after the first dose
Serum immune response (sIgA) after the second dose
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the second dose
Measured: 28 days after the second dose
Abnormality of ALT and AST levels
Abnormality of ALT and AST levels measured 28 days following first dose, assessed as probably or definitely related to the dosing
Measured: 28 days after the first dose
Immune interference
Percentage of subjects with reciprocal titre ≥ 1:8 against poliovirus strains 1-3 measured 28 days after bOPV4+ IPV and Pentabio 3 vaccination
Measured: 28 days after non-EPI vaccination
Geometric Mean Titre (GMT)
Geometric Mean Titre (GMT) of serum IgA 28 days after each dose
Measured: 28 days after each dose
Serum neutralizing antibodies (SNA) after the third dose
Percentage of subjects with positive SNA (≥ 100), two-fold and three-fold increasing antibodies from baseline to 28 days after the third dose
Measured: 28 days after the third dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2019
- Study start30 Oct 2020
- Primary completion30 Apr 2022
- Study completion30 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rotavirus GastroenteritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,400 participants (actual)
Sponsor and investigators
- Lead sponsor
- PT Bio Farma
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Titis Widowati, Principal investigator, Center for Child Health Universitas Gadjah Mada (CCH-PRO UGMHari Wahyu N., Principal investigator, Pediatric Research Center Universitas Sebelas Maret (PRC UNS)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04185545
- Sponsor's protocol ID
- RV 0319
- Status last verified
- Nov 2023
- First submitted
- 27 Nov 2019
- Last updated
- 29 Nov 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy, Safety and Immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in Neonates, Lot to Lot Consistency and Antigen Interference With Co-Administered EPI Vaccines (Phase III)
- ClinicalTrials.gov ID
- NCT04185545
- Acronym / sponsor ID
- RV 0319
- Conditions
- Rotavirus Gastroenteritis
- Keywords
- Rotavirus, Vaccine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,400 participants (actual)
- Lead sponsor
- PT Bio FarmaIndustry (pharma, biotech, devices)
- Study start
- 30 Oct 2020 (actual)
- Primary completion
- 30 Apr 2022 (actual)
- Study completion
- 30 May 2023 (actual)
- First posted
- 4 Dec 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase III trial aims to assess the efficacy, safety and immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in neonates, lot-to-lot consistency, and antigen interference with co-administered EPI vaccines
Detailed description
This study is a randomized, double-blind, placebo-controlled study to investigate the efficacy, safety and immunogenicity following three doses of rotavirus RV3 vaccine (Bio Farma) administered as a neonatal schedule
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 1 | Experimental | Biological: Rotavirus RV3 Vaccine (Bio Farma)3 oral doses of RV3 vaccine (Bio Farma) batch 1; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 2 | Experimental | Biological: Rotavirus RV3 Vaccine (Bio Farma)3 oral doses of RV3 vaccine (Bio Farma) batch 2; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 3 | Experimental | Biological: Rotavirus RV3 Vaccine (Bio Farma)3 oral doses of RV3 vaccine (Bio Farma) batch 3; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
| Immunogenicity Group - Placebo | Placebo comparator | Other: Placebo3 oral doses of Placebo; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
| Other Efficacy Group - RV3 Vaccine (Bio Farma) | Experimental | Biological: Rotavirus RV3 Vaccine (Bio Farma)3 oral doses of RV3 vaccine (Bio Farma) administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
| Other Efficacy Group - Placebo | Placebo comparator | Other: Placebo3 oral doses of Placebo administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
Who may qualify
- Ages
- 1 minute to 5 days
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Neonate 0-5 days (0-144 hours) of age at the time of first dose.
- Neonate is in good health as determined by clinical judgment, including a medical history and physical exam, which confirms the absence of a current or past disease state considered significant by the investigator.
- The neonate was born full term (minimum of 37 completed weeks and maximum of 42 completed weeks gestation).
- Neonate birth weight 2500-4000 g inclusive.
- Parent or guardian has been informed properly regarding the study and signed the informed consent form.
Key exclusion criteria (14 listed)
- Subject concomitantly enrolled or scheduled to be enrolled in another trial.
- The subject has direct relatives relationship with the study team.
- The subject has evolving mild, moderate or severe illness, especially infectious diseases or fever (body temperature 37.5°C) within the 48 hours preceding enrollment.
- Subject with a known or suspected history of allergy to any component of the vaccines (based on anamnesis).
- Subject with a biological mother with a known or suspected human immunodeficiency virus (HIV) or Hepatitis B infection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rotavirus RV3 Vaccine (Bio Farma)Each 1 mL dose of the final product of oral liquid rotavirus vaccine contains > 5x10^6 fcfu/mL rotavirus vaccine strain RV3 | Biological | Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 1, Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 2, Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 3, Other Efficacy Group - RV3 Vaccine (Bio Farma) |
| PlaceboEach 1 mL dose of placebo contains 30% of sucrose in DMEM | Other | Immunogenicity Group - Placebo, Other Efficacy Group - Placebo |
Primary outcome
Efficacy of three doses against severe acute rotavirus gastroenteritis
Time frame: 2 weeks after three doses to 18 months of age
Episodes of severe rotavirus gastroenteritis (defined as a modified Vesikari score ≥ 11 and rotavirus antigen detected in stool by ELISA)
13 secondary outcomes
Efficacy of three doses against rotavirus gastroenteritis of any severity and all-cause gastroenteritis
Time frame: 2 weeks after three doses to 18 months of age
Serum immune response (sIgA) after third dose
Time frame: 28 days after the third dose
Stool excretion following each dose
Time frame: 3-5 days after each dose
Cumulative serum immune response
Time frame: 28 days after each dose
Lot to lot consistency
Time frame: 28 days after the third dose
Solicited and unsolicited adverse events (AE)
Time frame: Up to 28 days after the third dose
Serious adverse events (SAE)
Time frame: Up to 28 days after the third dose
Serum immune response (sIgA) after the first dose
Time frame: 28 days after the first dose
Serum immune response (sIgA) after the second dose
Time frame: 28 days after the second dose
Abnormality of ALT and AST levels
Time frame: 28 days after the first dose
Immune interference
Time frame: 28 days after non-EPI vaccination
Geometric Mean Titre (GMT)
Time frame: 28 days after each dose
Serum neutralizing antibodies (SNA) after the third dose
Time frame: 28 days after the third dose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Titis Widowati principal investigator
Center for Child Health Universitas Gadjah Mada (CCH-PRO UGM
Hari Wahyu N. principal investigator
Pediatric Research Center Universitas Sebelas Maret (PRC UNS)
21 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rotavirus RV3 Vaccine (Bio Farma) in people with Rotavirus Gastroenteritis, run by PT Bio Farma at 21 sites in Indonesia.
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 14 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 29 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 21 sites in Indonesia. 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?
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?
Efficacy of three doses against severe acute rotavirus gastroenteritis (time frame: 2 weeks after three doses to 18 months of age). 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 29 Nov 2023.