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NCT00420745

To Assess Safety, Reactogenicity & Immunogenicity of 2 Doses of GSK's Oral Human Rotavirus Vaccine in Pre-Term Infants

Completed Phase 3 Results posted Last updated 8 June 2018
What this trial tests

Phase 3 trial testing Rotarix™ in Infections, Rotavirus in 1,009 participants. Completed in 25 March 2008.

Timeline
25 January 2007
Primary endpoint
1 March 2008
25 March 2008

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment1,009
Start date25 January 2007
Primary completion1 March 2008
Estimated completion25 March 2008
Sites31 locations across Portugal, France, Spain, Poland

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 6 Weeks to 14 Weeks, any sex, with Infections, Rotavirus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Subjects Reporting Any Serious Adverse Events (SAEs). Primary · From Day 0 up to 1 month after Dose 2 of Rotarix vaccine/Placebo

An 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.

GroupValue95% CI
Rotarix Group34
Placebo Group23
Number of Subjects Reporting Unsolicited Adverse Events (AEs), According to Medical Dictionary for Regulatory Activities (MedDRA) Classification. Secondary · Within 31 days after any Rotarix vaccine/Placebo dose.

An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

GroupValue95% CI
Rotarix Group196
Placebo Group138
Number of Subjects for Whom Each Type of Solicited Symptom Was Reported. Secondary · Within 15 days after each Rotarix vaccine/Placebo dose.

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

Diarrhea
GroupValue95% CI
Rotarix Group9
Placebo Group5
Fever
GroupValue95% CI
Rotarix Group54
Placebo Group29
Irritability
GroupValue95% CI
Rotarix Group133
Placebo Group66
Loss of appetite
GroupValue95% CI
Rotarix Group81
Placebo Group45
Vomiting
GroupValue95% CI
Rotarix Group52
Placebo Group27
Number of Subjects for Whom Presence of Rotavirus (RV) Gastroenteritis (GE) Was Detected in Stools. Secondary · From Dose 1 up to 1 month after Dose 2 of Rotarix vaccine/Placebo

Gastroenteritis (GE): diarrhoea with or without vomiting. Rotavirus (RV) GE: A GE episode was a RV GE if a stool sample taken during or not later than 7 days after the episode was RV positive by Enzyme Linked Immunosorbent Assay.

GroupValue95% CI
Rotarix Group3
Placebo Group2
Seroconversion to Anti-rotavirus Immunoglobulin A (IgA) Antibody. Secondary · At Visit 3, 1 month after Dose 2 of Rotarix vaccine/Placebo

Number of subjects with anti-rotavirus IgA antibody concentration ≥ 20 Units/milliliter (U/mL).

GroupValue95% CI
Rotarix Group126
Placebo Group13
Serum Anti-Rotavirus IgA Antibody Concentration. Secondary · At Visit 3, 1 month after Dose 2 of Rotarix vaccine/Placebo

Anti-rotavirus IgA antibody concentrations are given as geometric mean concentrations (GMC) with 95% Confidence Intervals, calculated on all subjects.

GroupValue95% CI
Rotarix Group202.2153.1 – 267.1

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 1.3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Rotarix Group
Serious: 34
Deaths:
Placebo Group
Serious: 23
Deaths:

Serious adverse events (35 terms)

ReactionSystemRotarix GroupPlacebo Group
GastroenteritisGastrointestinal disorders
BronchiolitisInfections and infestations
BronchitisInfections and infestations
BronchopneumoniaInfections and infestations
PneumoniaInfections and infestations
PyrexiaGeneral disorders
Respiratory syncytial virus bronchiolitisInfections and infestations
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Pyelonephritis acuteInfections and infestations
ApnoeaRespiratory, thoracic and mediastinal disorders
Bronchial obstructionRespiratory, thoracic and mediastinal disorders
Coarctation of the aortaCongenital, familial and genetic disorders
CoughRespiratory, thoracic and mediastinal disorders
DacryocystitisInfections and infestations
DehydrationMetabolism and nutrition disorders
Diarrhoea haemorrhagicGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
GastritisGastrointestinal disorders
Gastroenteritis adenovirusInfections and infestations
Gastrooesophageal reflux diseaseGastrointestinal disorders
Gastroenteritis rotavirusInfections and infestations
HyperkalaemiaMetabolism and nutrition disorders
Other adverse events (6 terms — click to expand)

ReactionSystemRotarix GroupPlacebo Group
IrritabilityGeneral disorders
Loss of appetiteMetabolism and nutrition disorders
FeverGeneral disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders

Most-reported serious reactions: Gastroenteritis, Bronchiolitis, Bronchitis, Bronchopneumonia, Pneumonia, Pyrexia, Respiratory syncytial virus bronchiolitis, Anaemia.

Data from ClinicalTrials.gov NCT00420745 adverse events section.

Sponsor's own description

This study is planned to evaluate the safety (in terms of occurrence of any serious adverse events), reactogenicity (any side effects) and immunogenicity (ability of the vaccine to develop antibodies that fight infection) of the HRV vaccine when used in pre-term infants aged between 6 and 14 weeks at the time of the first dose in Portugal, France and Poland and in pre-term infants aged between 6 and 12 weeks at the time of first dose in Spain. The study will be performed in four European countries (France, Poland, Spain, and Portugal). The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Vaccines for preventing rotavirus diarrhoea: vaccines in use.
    Bergman H, Henschke N, Hungerford D, Pitan F, et al · · 2021 · cited 57× · PMID 34788488 · DOI 10.1002/14651858.cd008521.pub6
  2. Vaccines for preventing rotavirus diarrhoea: vaccines in use.
    Soares-Weiser K, Bergman H, Henschke N, Pitan F, et al · · 2019 · cited 40× · PMID 31684685 · DOI 10.1002/14651858.cd008521.pub5
  3. Vaccines for preventing rotavirus diarrhoea: vaccines in use.
    Soares-Weiser K, Bergman H, Henschke N, Pitan F, et al · · 2019 · cited 40× · PMID 30912133 · DOI 10.1002/14651858.cd008521.pub4
  4. Safety, reactogenicity and immunogenicity of the human rotavirus vaccine in preterm European Infants: a randomized phase IIIb study.
    Omenaca F, Sarlangue J, Szenborn L, Nogueira M, et al · · 2012 · cited 39× · PMID 22228231 · DOI 10.1097/inf.0b013e3182490a2c
  5. Early exposure of infants to natural rotavirus infection: a review of studies with human rotavirus vaccine RIX4414.
    Cunliffe N, Zaman K, Rodrigo C, Debrus S, et al · · 2014 · cited 18× · PMID 25433534 · DOI 10.1186/s12887-014-0295-2
  6. Serologic response to porcine circovirus type 1 (PCV1) in infants vaccinated with the human rotavirus vaccine, Rotarix™: A retrospective laboratory analysis.
    Han HH, Karkada N, Jayadeva G, Dubin G. · · 2017 · cited 5× · PMID 27657348 · DOI 10.1080/21645515.2016.1231262

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