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Efficacy, Safety, and Immunogenicity of V260 in Healthy Chinese Infants (V260-024)

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Efficacy, Safety, and Immunogenicity of V260 in Healthy Chinese Infants

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02062385
Enrollment
4040
Registered
2014-02-13
Start date
2014-05-30
Completion date
2015-06-11
Last updated
2018-11-27

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

Conditions

Rotavirus Gastroenteritis

Brief summary

This study will assess the efficacy, safety, and immunogenicity of a 3-dose regimen of RotaTeq™ (V260) in healthy Chinese infants. Approximately 4040 participants at least 6 weeks and up to 12 weeks of age at the time of the first vaccination with V260 or placebo will be enrolled and randomized (1:1) to receive either V260 or placebo. Participants will also receive the routine China Expanded Program on Immunization (EPI) vaccines (oral poliovirus vaccine \[OPV\] and diphtheria, tetanus, and acellular pertussis vaccine \[DTaP\]) either staggered or concomitantly with V260 or placebo. All participants will be followed for efficacy and safety. Immune responses to OPV and DTaP will be evaluated in a subset of participants. The primary hypothesis of the study states that V260 will be efficacious in preventing any severity of rotavirus gastroenteritis as compared with placebo.

Interventions

BIOLOGICALV260

V260 (RotaTeq™; live, oral, pentavalent rotavirus vaccine)

BIOLOGICALPlacebo to V260

Placebo control

BIOLOGICALOPV

Oral poliovirus vaccine administered according to the standard of care

BIOLOGICALDTaP

Diphtheria, Tetanus, Acellular Pertussis vaccine administered according to the standard of care

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
6 Weeks to 12 Weeks
Healthy volunteers
Yes

Inclusion criteria

* Healthy infants at least 6 weeks (42 days) and up to 12 weeks (84 days) of age at the time of the first study vaccination * Parent/legal guardian agrees to participate by giving written informed consent and is willing and able to comply with study requirements

Exclusion criteria

* History of congenital abdominal disorders, prior rotavirus gastroenteritis, chronic diarrhea, failure to thrive, or abdominal surgery * History of intussusception * Impairment of immunological function, including Severe Combined Immunodeficiency (SCID) * Acute disease, severe chronic disease, or chronic disease during the acute period * Uncontrolled epilepsy, encephalopathy, seizure, or other progressive neurological disease * Hypersensitivity to any component of the rotavirus vaccine, OPV, or DTaP * Prior receipt of any rotavirus vaccine * Fever, with an axillary temperature \>=37.5 °C (or equivalent) within 24 hours before study vaccination (study vaccination can be deferred until complete resolution of febrile illness) * Clinical evidence of active gastrointestinal illness * Received intramuscular, oral, or intravenous corticosteroid treatment since birth (topical, ophthalmic, and inhaled steroids are permitted) * Resides in a household with an immunocompromised person * Receipt of a blood transfusion or blood products, including immunoglobulins * Participation in another interventional study within 14 days before the first study vaccination or during the study * Receipt of an investigational or non-registered product other than the study vaccine within 30 days before the first study vaccination or during the study * For participants in immunogenicity arms: inability to obtain a blood specimen at randomization visit (note: the visit may be rescheduled so that a baseline specimen may be obtained); history of polio, diphtheria, tetanus, or pertussis disease; previous vaccination against diphtheria, tetanus, pertussis, or poliomyelitis * Any condition which, in the opinion of the investigator, may interfere with the evaluation of the study objectives

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Any Severity of Rotavirus GastroenteritisFrom 14 days after the third dose of V260 or placebo through the first rotavirus season (up to 15 months)The number of participants with rotavirus gastroenteritis (RVGE) caused by naturally-occurring wild-type rotavirus (regardless of serotype or disease severity) was assessed. The case definition of RVGE included 1) 3 or more watery or looser-than-normal stools within a 24-hour period and/or forceful vomiting, and 2) naturally-occurring wild-type rotavirus must be detected in a stool specimen taken within 7 days after the onset of symptoms.

Secondary

MeasureTime frameDescription
Percentage of Participants With Vomiting or DiarrheaUp to 30 days after any dose of V260 or PlaceboEpisodes of vomiting and diarrhea were noted by the guardian and recorded on the Vaccination Record Card during Day 1 to Day 14 after each dose of vaccination. Vomiting and diarrhea reported by the guardian were also collected as an adverse event during Day 15 to Day 30 after any dose of vaccination. The percentage of participants with an episode or an adverse event of vomiting or diarrhea was assessed.
Percentage of Participants With IntussusceptionUp to 15 monthsEpisodes of intussusception were collected from the time of written consent until the end of study. The percentage of participants with an episode of intussusception was assessed.
Number of Participants With Severe Rotavirus GastroenteritisFrom 14 days after the third dose of V260 or placebo through the first rotavirus season (up to 15 months)The number of participants with severe rotavirus gastroenteritis (RVGE) caused by naturally-occurring wild-type rotavirus (regardless of serotype or disease severity) was assessed. The case definition of RVGE included 1) 3 or more watery or looser-than-normal stools within a 24-hour period and/or forceful vomiting, and 2) naturally-occurring wild-type rotavirus must be detected in a stool specimen taken within 7 days after the onset of symptoms. Severe RVGE was defined as \>=11 on the Vesikari Scoring System, a composite of the seven parameters related to symptoms and treatment with an overall range from 0 to 20.
Percentage of Participants With Elevated TemperatureUp to 30 days after any dose of V260 or PlaceboElevated temperature (temperature \>=37.5°C axillary or equivalent) was noted by the guardian and recorded on the Vaccination Report Card during Day 1 to Day 14 after each dose of vaccination. Elevated temperature reported by the guardian was also collected as an adverse event (pyrexia) during Day 15 to Day 30 after each dose of vaccination. The percentage of participants with axillary temperature \>=37.5 °C or an adverse event of pyrexia was assessed.
Percentage of Participants With Any Adverse EventUp to 30 days after any dose of V260 or PlaceboAn adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the sponsor's product, is also an adverse event.
Percentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensBaseline and between 28 and 51 days after the third DTaP vaccinationThe percentage of participants seropositive to diphtheria, pertussis, or tetanus antigens was assessed. Seropositive was defined as the following: 1) anti-diphtheria antibody titers \>=0.1 International Units (IU)/mL, 2) anti-tetanus antibody titers \>=0.1 IU/mL, 3) antipertussis toxin antibody titers \>=20 Enzyme-linked Immunosorbent Assay (ELISA) Units (EU)/mL, 4) anti-pertussis filamentous hemagglutinin (FHA) antibody titers \>=20 EU/mL. This outcome was evaluated only in participants receiving concomitant administration of V260 and EPI.
Percentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Baseline and between 28 and 56 days after the third OPV vaccinationThe percentage of participants who achieved seroprotection against poliovirus Type 1, 2, or 3 was assessed. Seroprotection was defined as a neutralizing antibody titer \>=1:8. This outcome was evaluated only in participants receiving concomitant administration of V260 and OPV.

Participant flow

Recruitment details

A total of 4173 participants were screened, 4040 were randomized, and 4037 received at least one dose of study vaccination.

Participants by arm

ArmCount
V260 With Staggered EPI
V260 administered as a 2 mL oral solution at age \ 2, 3, and 4 months, and staggered EPI as follows: OPV administered as a 1 g oral solution at age \ 2.5, 3.5, and 4.5 months, and DTaP administered as a 0.5 mL intramuscular injection at age \ 3.5, 4.5, and 5.5 months.
1,620
Placebo With Staggered EPI
Placebo administered as a 2 mL oral solution at age \ 2, 3, and 4 months, and staggered EPI as follows: OPV administered as a 1 g oral solution at age \ 2.5, 3.5, and 4.5 months, and DTaP administered as a 0.5 mL intramuscular injection at age \ 3.5, 4.5, and 5.5 months.
1,620
V260 With Concomitant EPI
V260 administered as a 2 mL oral solution at age \ 2, 3, and 4 months, and concomitant EPI as follows: OPV administered as a 1 g oral solution at age \ 2, 3, and 4 months, and DTaP administered as a 0.5 mL intramuscular injection at age \ 3, 4, and 5 months.
400
Placebo With Concomitant EPI
Placebo administered as a 2 mL oral solution at age \ 2, 3, and 4 months, and concomitant EPI as follows: OPV administered as a 1 g oral solution at age \ 2, 3, and 4 months, and DTaP administered as a 0.5 mL intramuscular injection at age \ 3, 4, and 5 months.
400
Total4,040

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event191310
Overall StudyDeath0001
Overall StudyIncomplete EPI by database lock2000
Overall StudyLost to Follow-up0010
Overall StudyMoved101110
Overall StudyProtocol Violation1000
Overall StudyWithdrawn by parent/guardian464198

Baseline characteristics

CharacteristicV260 With Staggered EPIPlacebo With Staggered EPIV260 With Concomitant EPIPlacebo With Concomitant EPITotal
Age, Continuous57.5 Days
STANDARD_DEVIATION 10
57.2 Days
STANDARD_DEVIATION 9.7
68.3 Days
STANDARD_DEVIATION 5.7
68.5 Days
STANDARD_DEVIATION 5.7
59.5 Days
STANDARD_DEVIATION 10.2
Sex: Female, Male
Female
806 Participants775 Participants185 Participants183 Participants1949 Participants
Sex: Female, Male
Male
814 Participants845 Participants215 Participants217 Participants2091 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
938 / 2,015931 / 2,019
serious
Total, serious adverse events
339 / 2,015338 / 2,019

Outcome results

Primary

Number of Participants With Any Severity of Rotavirus Gastroenteritis

The number of participants with rotavirus gastroenteritis (RVGE) caused by naturally-occurring wild-type rotavirus (regardless of serotype or disease severity) was assessed. The case definition of RVGE included 1) 3 or more watery or looser-than-normal stools within a 24-hour period and/or forceful vomiting, and 2) naturally-occurring wild-type rotavirus must be detected in a stool specimen taken within 7 days after the onset of symptoms.

Time frame: From 14 days after the third dose of V260 or placebo through the first rotavirus season (up to 15 months)

Population: Participants who were vaccinated in either the staggered EPI or concomitant EPI groups, were not protocol violators, and were classified as evaluable for RVGE according to the per-protocol case definition.

ArmMeasureValue (NUMBER)
V260 With Staggered or Concomitant EPINumber of Participants With Any Severity of Rotavirus Gastroenteritis34 Participants
Placebo With Staggered or Concomitant EPINumber of Participants With Any Severity of Rotavirus Gastroenteritis109 Participants
Comparison: V260 will be considered efficacious if the lower bound of the two-sided confidence interval for efficacy is \>0% at the final analysisp-value: <0.00195% CI: [54.5, 79.7]Clopper-Pearson
Secondary

Number of Participants With Severe Rotavirus Gastroenteritis

The number of participants with severe rotavirus gastroenteritis (RVGE) caused by naturally-occurring wild-type rotavirus (regardless of serotype or disease severity) was assessed. The case definition of RVGE included 1) 3 or more watery or looser-than-normal stools within a 24-hour period and/or forceful vomiting, and 2) naturally-occurring wild-type rotavirus must be detected in a stool specimen taken within 7 days after the onset of symptoms. Severe RVGE was defined as \>=11 on the Vesikari Scoring System, a composite of the seven parameters related to symptoms and treatment with an overall range from 0 to 20.

Time frame: From 14 days after the third dose of V260 or placebo through the first rotavirus season (up to 15 months)

Population: Participants who were vaccinated in either the staggered EPI or concomitant EPI groups, were not protocol violators, and were classified as evaluable for RVGE according to the per-protocol case definition.

ArmMeasureValue (NUMBER)
V260 With Staggered or Concomitant EPINumber of Participants With Severe Rotavirus Gastroenteritis11 Participants
Placebo With Staggered or Concomitant EPINumber of Participants With Severe Rotavirus Gastroenteritis52 Participants
Secondary

Percentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus Antigens

The percentage of participants seropositive to diphtheria, pertussis, or tetanus antigens was assessed. Seropositive was defined as the following: 1) anti-diphtheria antibody titers \>=0.1 International Units (IU)/mL, 2) anti-tetanus antibody titers \>=0.1 IU/mL, 3) antipertussis toxin antibody titers \>=20 Enzyme-linked Immunosorbent Assay (ELISA) Units (EU)/mL, 4) anti-pertussis filamentous hemagglutinin (FHA) antibody titers \>=20 EU/mL. This outcome was evaluated only in participants receiving concomitant administration of V260 and EPI.

Time frame: Baseline and between 28 and 51 days after the third DTaP vaccination

Population: Participants in the concomitant EPI groups who receive their scheduled doses of DTaP without intervening disease specific to the antigen before the blood sample collection postdose 3, adhere to the guidelines for administration of vaccine, and have valid values available for analysis within specified day ranges.

ArmMeasureGroupValue (NUMBER)
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensDiphtheria: Baseline, n=181, 1863.31 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensDiphtheria: Post DTaP #3, n=187, 19499.47 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis FHA: Baseline, n=181, 1860.00 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis FHA: Post DTaP #3, n=187, 19444.92 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis Toxin: Baseline, n=181, 1861.66 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis Toxin, Post DTaP #3, n=187, 19495.19 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensTetanus: Baseline, n=181, 18612.15 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensTetanus: Post DTaP #3, n=187, 194100.00 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensTetanus: Post DTaP #3, n=187, 194100.00 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensDiphtheria: Baseline, n=181, 1862.69 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis Toxin: Baseline, n=181, 1861.08 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensDiphtheria: Post DTaP #3, n=187, 19499.48 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensTetanus: Baseline, n=181, 18612.37 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis FHA: Baseline, n=181, 1860.00 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis Toxin, Post DTaP #3, n=187, 19494.33 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Seropositive to Diphtheria, Pertussis, or Tetanus AntigensPertussis FHA: Post DTaP #3, n=187, 19443.81 Percentage of participants
Secondary

Percentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3

The percentage of participants who achieved seroprotection against poliovirus Type 1, 2, or 3 was assessed. Seroprotection was defined as a neutralizing antibody titer \>=1:8. This outcome was evaluated only in participants receiving concomitant administration of V260 and OPV.

Time frame: Baseline and between 28 and 56 days after the third OPV vaccination

Population: Participants in the concomitant EPI groups who receive their scheduled doses of OPV without intervening disease specific to the antigen before the blood sample collection postdose 3, adhere to the guidelines for administration of vaccine, and have valid values available for analysis within specified day ranges.

ArmMeasureGroupValue (NUMBER)
V260 With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 1: Baseline, n=186, 19044.09 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 1: Post OPV #3, n=187, 19298.93 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 2: Baseline, n=186, 19044.09 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 2: Post OPV #3, n=187, 192100.00 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 3: Baseline, n=186, 19025.27 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 3: Post OPV #3, n=187, 19298.93 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 3: Baseline, n=186, 19021.05 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 1: Baseline, n=186, 19038.95 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 2: Post OPV #3, n=187, 192100.00 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 1: Post OPV #3, n=187, 192100.00 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 3: Post OPV #3, n=187, 19298.96 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants Who Achieved Seroprotection Against Poliovirus Type 1, 2, or 3Poliovirus Type 2: Baseline, n=186, 19041.58 Percentage of participants
Secondary

Percentage of Participants With Any Adverse Event

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the sponsor's product, is also an adverse event.

Time frame: Up to 30 days after any dose of V260 or Placebo

Population: All Subjects as Treated with safety follow-up

ArmMeasureValue (NUMBER)
V260 With Staggered or Concomitant EPIPercentage of Participants With Any Adverse Event53.5 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants With Any Adverse Event53.3 Percentage of participants
Secondary

Percentage of Participants With Elevated Temperature

Elevated temperature (temperature \>=37.5°C axillary or equivalent) was noted by the guardian and recorded on the Vaccination Report Card during Day 1 to Day 14 after each dose of vaccination. Elevated temperature reported by the guardian was also collected as an adverse event (pyrexia) during Day 15 to Day 30 after each dose of vaccination. The percentage of participants with axillary temperature \>=37.5 °C or an adverse event of pyrexia was assessed.

Time frame: Up to 30 days after any dose of V260 or Placebo

Population: All Subjects as Treated with follow-up specific to the endpoint

ArmMeasureValue (NUMBER)
V260 With Staggered or Concomitant EPIPercentage of Participants With Elevated Temperature21.84 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants With Elevated Temperature22.83 Percentage of participants
Secondary

Percentage of Participants With Intussusception

Episodes of intussusception were collected from the time of written consent until the end of study. The percentage of participants with an episode of intussusception was assessed.

Time frame: Up to 15 months

Population: All Subjects as Treated with safety follow-up

ArmMeasureValue (NUMBER)
V260 With Staggered or Concomitant EPIPercentage of Participants With Intussusception0.10 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants With Intussusception0.00 Percentage of participants
Secondary

Percentage of Participants With Vomiting or Diarrhea

Episodes of vomiting and diarrhea were noted by the guardian and recorded on the Vaccination Record Card during Day 1 to Day 14 after each dose of vaccination. Vomiting and diarrhea reported by the guardian were also collected as an adverse event during Day 15 to Day 30 after any dose of vaccination. The percentage of participants with an episode or an adverse event of vomiting or diarrhea was assessed.

Time frame: Up to 30 days after any dose of V260 or Placebo

Population: All Subjects as Treated with safety follow-up

ArmMeasureGroupValue (NUMBER)
V260 With Staggered or Concomitant EPIPercentage of Participants With Vomiting or DiarrheaVomiting2.68 Percentage of participants
V260 With Staggered or Concomitant EPIPercentage of Participants With Vomiting or DiarrheaDiarrhea20.15 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants With Vomiting or DiarrheaVomiting3.52 Percentage of participants
Placebo With Staggered or Concomitant EPIPercentage of Participants With Vomiting or DiarrheaDiarrhea20.11 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026