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

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

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00263666
Enrollment
100
Registered
2005-12-09
Start date
2005-03-16
Completion date
2008-02-13
Last updated
2020-11-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Infections, Rotavirus

Brief 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.

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.

Interventions

BIOLOGICALRotarix

Oral vaccination

BIOLOGICALPlacebo

Oral administration

BIOLOGICALTritanrix-HB+Hib

Concomitant routine vaccination, IM administration

BIOLOGICALPolio Sabin

Oral administration, concomitant routine vaccination

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

The study was conducted in a double-blind manner. The parents/guardians of the subjects and the study personnel were unaware of the administered treatment (HRV vaccine or placebo).

Eligibility

Sex/Gender
ALL
Age
6 Weeks to 10 Weeks
Healthy volunteers
No

Inclusion criteria

* 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.

Exclusion criteria

* 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. * 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.

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects Reporting Grade 2 or Grade 3 Fever, Vomiting or DiarrheaWithin the 15-day solicited follow-up period after any doseSymptoms 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.

Secondary

MeasureTime frameDescription
Geometric Mean Concentration for Anti-HBs AntibodiesTwo months after dose 3Anti-HBs antibody concentrations are presented as geometric mean concentrations, expressed in milli international units/milliliter (mIU/mL).
Number of Subjects Reporting Any Unsolicited SymptomsWithin 30 days after any doseAn 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.
Number of Subjects Reporting Any Serious Adverse EventsUntil 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)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.
Number of Subjects Reporting Each Type of Solicited SymptomWithin the 15-day solicited follow-up period after each doseSolicited symptoms included Cough, Diarrhea (3 or more looser than normal stools/day), Fever (axillary temperature ≥ 37.5°C), Irritability, Loss of appetite, and Vomiting.
The Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentAt the screening visit and 2 months after dose 3 (Visit 4)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.
Human Immunodeficiency Virus (HIV) Viral LoadAt the screening visit and 2 months after dose 3The 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).
Number of Subjects Who Seroconverted Against RotavirusTwo months after dose 3A 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.
Number of Subjects With Vaccine TakeTwo months after dose 3Vaccine 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.
Serum Rotavirus Immunoglobulin A (IgA) Antibody ConcentrationsTwo months after dose 3Concentrations are given as geometric mean concentrations (GMC) for anti-rotavirus IgA antibodies.
Number of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off ValueTwo months after dose 3Cut-off values for anti-PRP antibody concentrations were ≥ 0.15 and ≥ 1.0 microgram/milliliter (µg/mL).
Geometric Mean Concentration for Anti-PRP AntibodiesTwo months after dose 3Anti-PRP antibody concentrations are presented as geometric mean concentrations, expressed in microgram/milliliter (μg/mL).
Number of Subjects With Anti-hepatitis B (HBs) Antibody Concentrations More Than or Equal to the Cut-off ValueTwo months after dose 3The cut-off value was ≥ 10 milli international units/milliliter (mIU/mL).
Geometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids AntibodiesTwo months after dose 3Anti-diphteria and anti-tetanus toxoids antibody concentrations are presented as geometric mean concentrations, expressed in international units/milliliter (IU/mL).
Number of Subjects With Anti-Bordetella Pertussis (BPT) Antibody Concentrations More Than or Equal to the Cut-off ValueTwo months after dose 3The cut-off value was ≥ 15 Enzyme Linked Immunosorbent Assay Unit/milliliter (EL.U/mL).
Geometric Mean Concentration for Anti-BPT AntibodiesTwo months after dose 3Anti-BPT antibody concentrations are presented as geometric mean concentrations, expressed in ELISA units/milliliter (EL.U/mL).
Number of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueTwo months after dose 3The 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.
Geometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Two months after dose 3Anti-polio types 1, 2 and 3 antibody titers are presented as geometric mean titers.
Rotavirus Antigen Excretion in Stool SamplesAt day of each vaccination and at planned days following each vaccine dose until 2 months after dose 3 or until end of RV sheddingNumber of subjects with rotavirus detected by Enzyme Linked Immunosorbent Assay (ELISA) in stool samples collected from Dose 1 until study end.
Rotavirus in Diarrheal Stool SamplesFrom Dose 1 until 2 months after dose 3 or until end of RV sheddingNumber of subjects reporting at least one rotavirus (vaccine strain or wild type rotavirus) gastroenteritis episode.
Rotavirus Vaccine Strain IdentificationFrom dose 1 until 2 months after dose 3 or until end of RV sheddingNumber 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.
Enteric Pathogens IdentificationFrom Dose 1 until 2 months after dose 3 or until end of RV sheddingNumber of subjects reporting gastroenteritis (GE) episodes classified by enteric pathogen tests results.
Number of Subjects With the RV in Stool SamplesFrom Dose 1 until post Dose 3Number 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 \[NA\]).
Number of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off ValueTwo months after dose 3The cut-off value was ≥ 0.1 International Units/milliliter (IU/mL).

Countries

South Africa

Participant flow

Pre-assignment details

In case of discrepancy between the HIV results (DNA PCR positive, viral load negative), performed at the Screening Visit (one week prior to first vaccination) the infants were not enrolled in the study.

Participants by arm

ArmCount
Rotarix Group
Subjects received 3 doses of Rotarix vaccine co-administered with routine Tritanrix HepB Hib and Polio Sabin vaccines.
50
Placebo Group
Subjects received 3 doses of placebo co-administered with routine Tritanrix HepB Hib and Polio Sabin vaccines.
50
Total100

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event68
Overall StudyLost to Follow-up12
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicRotarix GroupPlacebo GroupTotal
Age, Continuous7.1 weeks
STANDARD_DEVIATION 1.1
6.9 weeks
STANDARD_DEVIATION 1.02
7.0 weeks
STANDARD_DEVIATION 1.06
Sex: Female, Male
Female
28 Participants25 Participants53 Participants
Sex: Female, Male
Male
22 Participants25 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
6 / 509 / 50
other
Total, other adverse events
48 / 5047 / 50
serious
Total, serious adverse events
17 / 5012 / 50

Outcome results

Primary

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.

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

Population: The analysis was performed on the Total Vaccinated Cohort which included the vaccinated subjects for whom data were available.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects Reporting Grade 2 or Grade 3 Fever, Vomiting or Diarrhea26 Participants
Placebo GroupNumber of Subjects Reporting Grade 2 or Grade 3 Fever, Vomiting or Diarrhea28 Participants
Secondary

Enteric Pathogens Identification

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

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

Population: The analysis was performed on the subjects from the Total Vaccinated Cohort with gastroenteritis episodes reported between the first dose and the last visit and for whom stools were collected.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupEnteric Pathogens IdentificationCampylobacter, negative18 Participants
Rotarix GroupEnteric Pathogens IdentificationCampylobacter, positive0 Participants
Rotarix GroupEnteric Pathogens IdentificationCampylobacter, unknown11 Participants
Rotarix GroupEnteric Pathogens IdentificationE. histolytica, negative18 Participants
Rotarix GroupEnteric Pathogens IdentificationE. histolytica, positive0 Participants
Rotarix GroupEnteric Pathogens IdentificationE. histolytica, unknown11 Participants
Rotarix GroupEnteric Pathogens IdentificationSalmonella, negative17 Participants
Rotarix GroupEnteric Pathogens IdentificationSalmonella, positive1 Participants
Rotarix GroupEnteric Pathogens IdentificationSalmonella, unknown11 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Epec, negative3 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Epec, positive0 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Epec, unknown26 Participants
Rotarix GroupEnteric Pathogens IdentificationSto G.Lamblia, negative18 Participants
Rotarix GroupEnteric Pathogens IdentificationSto G.Lamblia, positive0 Participants
Rotarix GroupEnteric Pathogens IdentificationSto G.Lamblia, unknown11 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Shigella, negative18 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Shigella, positive0 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Shigella, unknown11 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Yersinia, negative18 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Yersinia, positive0 Participants
Rotarix GroupEnteric Pathogens IdentificationSto Yersinia, unknown11 Participants
Placebo GroupEnteric Pathogens IdentificationSto Epec, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationCampylobacter, negative24 Participants
Placebo GroupEnteric Pathogens IdentificationSto Yersinia, negative24 Participants
Placebo GroupEnteric Pathogens IdentificationCampylobacter, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationSto Epec, unknown29 Participants
Placebo GroupEnteric Pathogens IdentificationCampylobacter, unknown10 Participants
Placebo GroupEnteric Pathogens IdentificationSto Shigella, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationE. histolytica, negative24 Participants
Placebo GroupEnteric Pathogens IdentificationSto G.Lamblia, negative24 Participants
Placebo GroupEnteric Pathogens IdentificationE. histolytica, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationSto Yersinia, unknown10 Participants
Placebo GroupEnteric Pathogens IdentificationE. histolytica, unknown10 Participants
Placebo GroupEnteric Pathogens IdentificationSto G.Lamblia, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationSalmonella, negative24 Participants
Placebo GroupEnteric Pathogens IdentificationSto Shigella, unknown10 Participants
Placebo GroupEnteric Pathogens IdentificationSalmonella, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationSto G.Lamblia, unknown10 Participants
Placebo GroupEnteric Pathogens IdentificationSalmonella, unknown10 Participants
Placebo GroupEnteric Pathogens IdentificationSto Yersinia, positive0 Participants
Placebo GroupEnteric Pathogens IdentificationSto Epec, negative5 Participants
Placebo GroupEnteric Pathogens IdentificationSto Shigella, negative24 Participants
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According to Protocol cohort for immunogenicity.

ArmMeasureValue (GEOMETRIC_MEAN)
Rotarix GroupGeometric Mean Concentration for Anti-BPT Antibodies28.8 ELISA-Units/milliliter
Placebo GroupGeometric Mean Concentration for Anti-BPT Antibodies18.1 ELISA-Units/milliliter
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According to Protocol cohort for immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Rotarix GroupGeometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids AntibodiesAnti-tetanus1.457 International Units / milliliter
Rotarix GroupGeometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids AntibodiesAnti-diphtheria0.283 International Units / milliliter
Placebo GroupGeometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids AntibodiesAnti-tetanus1.035 International Units / milliliter
Placebo GroupGeometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids AntibodiesAnti-diphtheria0.219 International Units / milliliter
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According to Protocol cohort for immunogenicity.

ArmMeasureValue (GEOMETRIC_MEAN)
Rotarix GroupGeometric Mean Concentration for Anti-HBs Antibodies25.6 Milli International Units/milliliter
Placebo GroupGeometric Mean Concentration for Anti-HBs Antibodies18.9 Milli International Units/milliliter
Secondary

Geometric Mean Concentration for Anti-PRP Antibodies

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

Time frame: Two months after dose 3

Population: The analysis was performed on the According to Protocol cohort for immunogenicity.

ArmMeasureValue (GEOMETRIC_MEAN)
Rotarix GroupGeometric Mean Concentration for Anti-PRP Antibodies4.641 microgram/milliliter
Placebo GroupGeometric Mean Concentration for Anti-PRP Antibodies4.865 microgram/milliliter
Secondary

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.

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol cohort for immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Rotarix GroupGeometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Anti-polio 190.5 Titer
Rotarix GroupGeometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Anti-polio 2142.6 Titer
Rotarix GroupGeometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Anti-polio 344.7 Titer
Placebo GroupGeometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Anti-polio 153.0 Titer
Placebo GroupGeometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Anti-polio 2252.4 Titer
Placebo GroupGeometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.Anti-polio 366.0 Titer
Secondary

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).

Time frame: At the screening visit and 2 months after dose 3

Population: Analysis was performed on the Total Vaccinated Cohort, which included vaccinated subjects for whom data were available.

ArmMeasureGroupValue (MEAN)Dispersion
Rotarix GroupHuman Immunodeficiency Virus (HIV) Viral LoadAt screening5.7 base-10 logarithm of copies/milliliterStandard Deviation 0.52
Rotarix GroupHuman Immunodeficiency Virus (HIV) Viral LoadTwo months after dose 35.6 base-10 logarithm of copies/milliliterStandard Deviation 0.77
Placebo GroupHuman Immunodeficiency Virus (HIV) Viral LoadAt screening5.7 base-10 logarithm of copies/milliliterStandard Deviation 0.51
Placebo GroupHuman Immunodeficiency Virus (HIV) Viral LoadTwo months after dose 35.7 base-10 logarithm of copies/milliliterStandard Deviation 0.51
Secondary

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.

Time frame: 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)

Population: Analysis was performed on the Total Vaccinated Cohort.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects Reporting Any Serious Adverse Events17 Participants
Placebo GroupNumber of Subjects Reporting Any Serious Adverse Events12 Participants
Secondary

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.

Time frame: Within 30 days after any dose

Population: Analysis was performed on the Total Vaccinated Cohort.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects Reporting Any Unsolicited Symptoms47 Participants
Placebo GroupNumber of Subjects Reporting Any Unsolicited Symptoms48 Participants
Secondary

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.

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

Population: Analysis was performed on the Total Vaccinated Cohort, which included vaccinated subjects for whom data were available and who had their symptom sheets completed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomDiarrhoea, after dose 18 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomCough, after dose 218 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomIrritability, after dose 317 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomDiarrhoea, after dose 23 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomFever, after dose 120 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomFever, after dose 215 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomVomiting, after dose 312 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomIrritability, after dose 220 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomIrritability, after dose 124 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomLoss of appetite, after dose 215 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomCough, after dose 124 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomVomiting, after dose 29 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomLoss of appetite, after dose 118 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomCough, after dose 318 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomLoss of appetite, after dose 310 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomDiarrhoea, after dose 37 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomVomiting, after dose 111 Participants
Rotarix GroupNumber of Subjects Reporting Each Type of Solicited SymptomFever, after dose 317 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomVomiting, after dose 110 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomFever, after dose 313 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomIrritability, after dose 318 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomLoss of appetite, after dose 312 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomCough, after dose 125 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomDiarrhoea, after dose 18 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomFever, after dose 119 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomIrritability, after dose 124 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomLoss of appetite, after dose 119 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomVomiting, after dose 36 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomCough, after dose 219 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomDiarrhoea, after dose 27 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomFever, after dose 212 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomIrritability, after dose 219 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomLoss of appetite, after dose 215 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomVomiting, after dose 210 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomCough, after dose 317 Participants
Placebo GroupNumber of Subjects Reporting Each Type of Solicited SymptomDiarrhoea, after dose 34 Participants
Secondary

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.

Time frame: Two months after dose 3

Population: Analysis was performed on subjects from the According to Protocol Cohort for immunogenicity for whom results were available.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects Who Seroconverted Against Rotavirus12 Participants
Placebo GroupNumber of Subjects Who Seroconverted Against Rotavirus4 Participants
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol cohort for immunogenicity.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With Anti-Bordetella Pertussis (BPT) Antibody Concentrations More Than or Equal to the Cut-off Value19 Participants
Placebo GroupNumber of Subjects With Anti-Bordetella Pertussis (BPT) Antibody Concentrations More Than or Equal to the Cut-off Value14 Participants
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol cohort for immunogenicity.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off ValueAnti-diphtheria19 Participants
Rotarix GroupNumber of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off ValueAnti-tetanus23 Participants
Placebo GroupNumber of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off ValueAnti-tetanus24 Participants
Placebo GroupNumber of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off ValueAnti-diphtheria19 Participants
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol cohort for immunogenicity.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With Anti-hepatitis B (HBs) Antibody Concentrations More Than or Equal to the Cut-off Value15 Participants
Placebo GroupNumber of Subjects With Anti-hepatitis B (HBs) Antibody Concentrations More Than or Equal to the Cut-off Value11 Participants
Secondary

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.

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol cohort for immunogenicity.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueAnti-polio type 119 Participants
Rotarix GroupNumber of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueAnti-polio type 223 Participants
Rotarix GroupNumber of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueAnti-polio type 318 Participants
Placebo GroupNumber of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueAnti-polio type 115 Participants
Placebo GroupNumber of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueAnti-polio type 221 Participants
Placebo GroupNumber of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off ValueAnti-polio type 315 Participants
Secondary

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).

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol Cohort for immunogenicity.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off Value≥ 0.15 µg/mL20 Participants
Rotarix GroupNumber of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off Value≥ 1 µg/mL20 Participants
Placebo GroupNumber of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off Value≥ 0.15 µg/mL23 Participants
Placebo GroupNumber of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off Value≥ 1 µg/mL22 Participants
Secondary

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 \[NA\]).

Time frame: From Dose 1 until post Dose 3

Population: Analysis was performed on subjects from the According to Protocol Cohort for immunogenicity for whom results were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 7; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 21; Yes)1 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 7; NA)1 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 7; Yes )7 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 14; Yes)2 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 14; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 14; NA)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 42; Yes)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 21; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 42; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 42; NA)1 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 21; NA)4 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesPost Dose 3 (Day 0; Yes)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesPost Dose 3 (Day 0; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesPost Dose 3 (Day 0; NA)1 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; Yes)10 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 7; NA)2 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; Mixed)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; Mixed type)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 7; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; NA)16 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; NA)4 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 14; Yes)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 14; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 14; NA)1 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 21; Yes)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 21; No)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 21; NA)2 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 7; Yes)0 Participants
Rotarix GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 7; No)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 7; Yes )0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 7; No)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 7; NA)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; No)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; Mixed)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 14; NA)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 21; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 21; No)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 1 (Day 21; NA)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 7; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 7; No)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 2 (Day 7; NA)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 7; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; NA)2 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 7; NA)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 42; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 42; No)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesDose 3 (Day 42; NA)1 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; Yes)0 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; No)4 Participants
Placebo GroupNumber of Subjects With the RV in Stool SamplesOverall total (overall total; Mixed type)1 Participants
Secondary

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.

Time frame: Two months after dose 3

Population: Analysis was performed on subjects from the According To Protocol Cohort for immunogenicity for whom data were available.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupNumber of Subjects With Vaccine Take15 Participants
Placebo GroupNumber of Subjects With Vaccine Take7 Participants
Secondary

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.

Time frame: 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

Population: The analysis was performed on the According to Protocol Cohort for immunogenicity.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupRotavirus Antigen Excretion in Stool Samples11 Participants
Placebo GroupRotavirus Antigen Excretion in Stool Samples5 Participants
Secondary

Rotavirus in Diarrheal Stool Samples

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

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

Population: Analysis was performed on the Total Vaccinated Cohort

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupRotavirus in Diarrheal Stool Samples4 Participants
Placebo GroupRotavirus in Diarrheal Stool Samples4 Participants
Secondary

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.

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

Population: Analysis was performed on the Total Vaccinated Cohort.

ArmMeasureGroupValue (NUMBER)
Rotarix GroupRotavirus Vaccine Strain IdentificationG2+P40 Number of episodes
Rotarix GroupRotavirus Vaccine Strain IdentificationGX+P61 Number of episodes
Rotarix GroupRotavirus Vaccine Strain IdentificationG3+P80 Number of episodes
Rotarix GroupRotavirus Vaccine Strain IdentificationUnknown1 Number of episodes
Rotarix GroupRotavirus Vaccine Strain IdentificationG1WT+P8WT2 Number of episodes
Placebo GroupRotavirus Vaccine Strain IdentificationUnknown2 Number of episodes
Placebo GroupRotavirus Vaccine Strain IdentificationG1WT+P8WT0 Number of episodes
Placebo GroupRotavirus Vaccine Strain IdentificationG2+P41 Number of episodes
Placebo GroupRotavirus Vaccine Strain IdentificationG3+P81 Number of episodes
Placebo GroupRotavirus Vaccine Strain IdentificationGX+P60 Number of episodes
Secondary

Serum Rotavirus Immunoglobulin A (IgA) Antibody Concentrations

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

Time frame: Two months after dose 3

Population: The analysis was performed on the According To Protocol Cohort for immunogenicity for whom data were available. In the Placebo group, GMCs were all \< 20 U/ml, hence values were not computed.

ArmMeasureValue (GEOMETRIC_MEAN)
Rotarix GroupSerum Rotavirus Immunoglobulin A (IgA) Antibody Concentrations75.5 Units/milliliter
Secondary

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.

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

Population: Analysis was performed on the Total Vaccinated Cohort, which included vaccinated subjects for whom data were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentNo suppression at screening37 Participants
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentModerate suppression at Visit 415 Participants
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentModerate suppression at screening12 Participants
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentNo suppression at Visit 413 Participants
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentSevere suppression at Visit 411 Participants
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentUnknown at Visit 44 Participants
Rotarix GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentSevere suppression at screening1 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentUnknown at Visit 44 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentSevere suppression at screening2 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentModerate suppression at screening15 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentNo suppression at screening33 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentSevere suppression at Visit 47 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentModerate suppression at Visit 418 Participants
Placebo GroupThe Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ PercentNo suppression at Visit 410 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026