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NCT02661490

Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-Like Particle Vaccine in an Elderly Population

Completed Phase 2 Results posted Last updated 18 May 2020
What this trial tests

Phase 2 trial testing Norovirus GI.1/GII.4 Bivalent VLP Vaccine in Norovirus in 320 participants. Completed in 29 September 2017.

Timeline
1 February 2016
Primary endpoint
28 October 2016
29 September 2017

Quick facts

Lead sponsorTakeda
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment320
Start date1 February 2016
Primary completion28 October 2016
Estimated completion29 September 2017
Sites10 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

18 and older, any sex, with Norovirus. 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.

Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 and GII.4 Virus Like Particles (VLP) as Measured by Histoblood Group Antigen (HBGA) Blocking Assay on Day 57 Primary · Day 57
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose42.330.6 – 54.6
Arm 2: NoV Vaccine Formulation A_2-Dose41.529.4 – 54.4
Arm 3: NoV Vaccine Formulation B_1-Dose56.543.3 – 69.0
Arm 4: NoV Vaccine Formulation B_2-Dose63.650.9 – 75.1
Arm 5: NoV Vaccine Formulation A_1-Dose45.825.6 – 67.2
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1 Primary · Within 7 days of first vaccination on Day 1

Solicited local AEs at the injection site that occurred within 7 days after each vaccination were collected using a diary and included pain, erythema swelling and induration.

Any Solicited Local AEs
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose6.6
Arm 2: NoV Vaccine Formulation A_2-Dose26.0
Arm 3: NoV Vaccine Formulation B_1-Dose15.3
Arm 4: NoV Vaccine Formulation B_2-Dose34.7
Arm 5: NoV Vaccine Formulation A_1-Dose4.0
Pain
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose5.3
Arm 2: NoV Vaccine Formulation A_2-Dose23.3
Arm 3: NoV Vaccine Formulation B_1-Dose9.7
Arm 4: NoV Vaccine Formulation B_2-Dose34.7
Arm 5: NoV Vaccine Formulation A_1-Dose4.0
Erythema
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose1.3
Arm 2: NoV Vaccine Formulation A_2-Dose2.7
Arm 3: NoV Vaccine Formulation B_1-Dose4.2
Arm 4: NoV Vaccine Formulation B_2-Dose1.4
Arm 5: NoV Vaccine Formulation A_1-Dose4.0
Swelling
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.0
Arm 2: NoV Vaccine Formulation A_2-Dose2.7
Arm 3: NoV Vaccine Formulation B_1-Dose2.8
Arm 4: NoV Vaccine Formulation B_2-Dose1.4
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Induration
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.0
Arm 2: NoV Vaccine Formulation A_2-Dose1.4
Arm 3: NoV Vaccine Formulation B_1-Dose1.4
Arm 4: NoV Vaccine Formulation B_2-Dose1.4
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29 Primary · Within 7 days of second vaccination on Day 29

Solicited local AEs at the injection site that occurred within 7 days after each vaccination were collected using a diary and included pain, erythema, swelling and induration.

Any Solicited Local AEs
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose37.0
Arm 2: NoV Vaccine Formulation A_2-Dose21.7
Arm 3: NoV Vaccine Formulation B_1-Dose38.2
Arm 4: NoV Vaccine Formulation B_2-Dose39.4
Arm 5: NoV Vaccine Formulation A_1-Dose41.7
Pain
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose32.9
Arm 2: NoV Vaccine Formulation A_2-Dose21.7
Arm 3: NoV Vaccine Formulation B_1-Dose38.2
Arm 4: NoV Vaccine Formulation B_2-Dose37.9
Arm 5: NoV Vaccine Formulation A_1-Dose41.7
Erythema
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose2.7
Arm 2: NoV Vaccine Formulation A_2-Dose0.0
Arm 3: NoV Vaccine Formulation B_1-Dose1.5
Arm 4: NoV Vaccine Formulation B_2-Dose3.0
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Swelling
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose1.4
Arm 2: NoV Vaccine Formulation A_2-Dose0.0
Arm 3: NoV Vaccine Formulation B_1-Dose1.5
Arm 4: NoV Vaccine Formulation B_2-Dose1.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Induration
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose1.4
Arm 2: NoV Vaccine Formulation A_2-Dose0.0
Arm 3: NoV Vaccine Formulation B_1-Dose1.5
Arm 4: NoV Vaccine Formulation B_2-Dose1.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Percentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1 Primary · Within 7 days of first vaccination on Day 1

Solicited systemic AEs that occurred within 7 days after each vaccination were collected using a diary and included headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea.

Any solicited systemic AEs
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose28.9
Arm 2: NoV Vaccine Formulation A_2-Dose34.2
Arm 3: NoV Vaccine Formulation B_1-Dose30.6
Arm 4: NoV Vaccine Formulation B_2-Dose44.4
Arm 5: NoV Vaccine Formulation A_1-Dose36.0
Headache
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose7.9
Arm 2: NoV Vaccine Formulation A_2-Dose2.7
Arm 3: NoV Vaccine Formulation B_1-Dose11.1
Arm 4: NoV Vaccine Formulation B_2-Dose12.5
Arm 5: NoV Vaccine Formulation A_1-Dose20.0
Fatigue
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose18.4
Arm 2: NoV Vaccine Formulation A_2-Dose24.7
Arm 3: NoV Vaccine Formulation B_1-Dose9.7
Arm 4: NoV Vaccine Formulation B_2-Dose27.8
Arm 5: NoV Vaccine Formulation A_1-Dose28.0
Myalgia
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose5.3
Arm 2: NoV Vaccine Formulation A_2-Dose13.7
Arm 3: NoV Vaccine Formulation B_1-Dose11.1
Arm 4: NoV Vaccine Formulation B_2-Dose20.8
Arm 5: NoV Vaccine Formulation A_1-Dose16.0
Arthralgia
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose5.3
Arm 2: NoV Vaccine Formulation A_2-Dose8.2
Arm 3: NoV Vaccine Formulation B_1-Dose6.9
Arm 4: NoV Vaccine Formulation B_2-Dose6.9
Arm 5: NoV Vaccine Formulation A_1-Dose4.0
Vomiting
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.0
Arm 2: NoV Vaccine Formulation A_2-Dose1.4
Arm 3: NoV Vaccine Formulation B_1-Dose0.0
Arm 4: NoV Vaccine Formulation B_2-Dose2.8
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Diarrhea
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose5.3
Arm 2: NoV Vaccine Formulation A_2-Dose6.8
Arm 3: NoV Vaccine Formulation B_1-Dose8.3
Arm 4: NoV Vaccine Formulation B_2-Dose18.1
Arm 5: NoV Vaccine Formulation A_1-Dose8.0
Percentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29 Primary · Within 7 days of second vaccination on Day 29

Solicited systemic AEs that occurred within 7 days after each vaccination were collected using a diary and included headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea.

Any solicited systemic AEs
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose19.2
Arm 2: NoV Vaccine Formulation A_2-Dose20.3
Arm 3: NoV Vaccine Formulation B_1-Dose20.6
Arm 4: NoV Vaccine Formulation B_2-Dose28.8
Arm 5: NoV Vaccine Formulation A_1-Dose16.7
Headache
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose8.2
Arm 2: NoV Vaccine Formulation A_2-Dose5.8
Arm 3: NoV Vaccine Formulation B_1-Dose5.9
Arm 4: NoV Vaccine Formulation B_2-Dose6.1
Arm 5: NoV Vaccine Formulation A_1-Dose4.2
Fatigue
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose12.3
Arm 2: NoV Vaccine Formulation A_2-Dose15.9
Arm 3: NoV Vaccine Formulation B_1-Dose13.2
Arm 4: NoV Vaccine Formulation B_2-Dose15.2
Arm 5: NoV Vaccine Formulation A_1-Dose8.3
Myalgia
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose6.8
Arm 2: NoV Vaccine Formulation A_2-Dose5.8
Arm 3: NoV Vaccine Formulation B_1-Dose7.4
Arm 4: NoV Vaccine Formulation B_2-Dose13.6
Arm 5: NoV Vaccine Formulation A_1-Dose4.2
Arthralgia
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose4.1
Arm 2: NoV Vaccine Formulation A_2-Dose7.2
Arm 3: NoV Vaccine Formulation B_1-Dose4.4
Arm 4: NoV Vaccine Formulation B_2-Dose6.1
Arm 5: NoV Vaccine Formulation A_1-Dose4.2
Vomiting
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.0
Arm 2: NoV Vaccine Formulation A_2-Dose0.0
Arm 3: NoV Vaccine Formulation B_1-Dose0.0
Arm 4: NoV Vaccine Formulation B_2-Dose1.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Diarrhea
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose1.4
Arm 2: NoV Vaccine Formulation A_2-Dose4.3
Arm 3: NoV Vaccine Formulation B_1-Dose2.9
Arm 4: NoV Vaccine Formulation B_2-Dose4.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1 Primary · Within 7 days of first vaccination on Day 1

The body temperature measurement was performed using the thermometer for 7 days after each vaccination. The highest body temperature observed each day was recorded on the diary card. An elevated temperature is ≥ 38 °C or 100.4°F (considered as fever).

GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.0
Arm 2: NoV Vaccine Formulation A_2-Dose0.0
Arm 3: NoV Vaccine Formulation B_1-Dose0.0
Arm 4: NoV Vaccine Formulation B_2-Dose0.0
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29 Primary · Within 7 days of second vaccination on Day 29

The body temperature measurement was performed using the thermometer for 7 days after each vaccination. The highest body temperature observed each day was recorded on the diary card. An elevated temperature is ≥ 38 °C or 100.4°F (considered as fever).

GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.0
Arm 2: NoV Vaccine Formulation A_2-Dose0.0
Arm 3: NoV Vaccine Formulation B_1-Dose0.0
Arm 4: NoV Vaccine Formulation B_2-Dose1.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After First Vaccination on Day 1 Primary · Within 28 days of first vaccination on Day 1

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose32.9
Arm 2: NoV Vaccine Formulation A_2-Dose28.4
Arm 3: NoV Vaccine Formulation B_1-Dose33.3
Arm 4: NoV Vaccine Formulation B_2-Dose26.4
Arm 5: NoV Vaccine Formulation A_1-Dose20.0
Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After Second Vaccination on Day 29 Primary · Within 28 days of second vaccination on Day 29

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose34.2
Arm 2: NoV Vaccine Formulation A_2-Dose18.8
Arm 3: NoV Vaccine Formulation B_1-Dose25.0
Arm 4: NoV Vaccine Formulation B_2-Dose30.3
Arm 5: NoV Vaccine Formulation A_1-Dose8.3
Percentage of Participants With At Least One Serious Adverse Event (SAE) Primary · From first vaccination up to Day 393

An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically important due to other reasons than the above mentioned criteria.

GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose9.2
Arm 2: NoV Vaccine Formulation A_2-Dose12.2
Arm 3: NoV Vaccine Formulation B_1-Dose23.6
Arm 4: NoV Vaccine Formulation B_2-Dose12.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.0
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by HBGA Blocking Assay Secondary · Days 8, 29, 36, 211 and 393
Day 8
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.00.0 – 5.0
Arm 2: NoV Vaccine Formulation A_2-Dose33.822.6 – 46.6
Arm 3: NoV Vaccine Formulation B_1-Dose0.00.0 – 5.4
Arm 4: NoV Vaccine Formulation B_2-Dose55.442.5 – 67.7
Arm 5: NoV Vaccine Formulation A_1-Dose0.00.0 – 14.8
Day 29
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.00.0 – 5.0
Arm 2: NoV Vaccine Formulation A_2-Dose40.929.0 – 53.7
Arm 3: NoV Vaccine Formulation B_1-Dose0.00.0 – 5.4
Arm 4: NoV Vaccine Formulation B_2-Dose54.541.8 – 66.9
Arm 5: NoV Vaccine Formulation A_1-Dose0.00.0 – 14.2
Day 36
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose26.416.7 – 38.1
Arm 2: NoV Vaccine Formulation A_2-Dose45.533.1 – 58.2
Arm 3: NoV Vaccine Formulation B_1-Dose34.422.9 – 47.3
Arm 4: NoV Vaccine Formulation B_2-Dose63.650.9 – 75.1
Arm 5: NoV Vaccine Formulation A_1-Dose43.523.2 – 65.5
Day 211
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose15.58.0 – 26.0
Arm 2: NoV Vaccine Formulation A_2-Dose18.29.8 – 29.6
Arm 3: NoV Vaccine Formulation B_1-Dose28.117.6 – 40.8
Arm 4: NoV Vaccine Formulation B_2-Dose30.319.6 – 42.9
Arm 5: NoV Vaccine Formulation A_1-Dose8.71.1 – 28.0
Day 393
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose12.96.1 – 23.0
Arm 2: NoV Vaccine Formulation A_2-Dose10.94.5 – 21.2
Arm 3: NoV Vaccine Formulation B_1-Dose19.010.2 – 30.9
Arm 4: NoV Vaccine Formulation B_2-Dose16.98.8 – 28.3
Arm 5: NoV Vaccine Formulation A_1-Dose13.02.8 – 33.6
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (HBGA) Secondary · Days 8, 29, 36, 57, 211 and 393
Day 8
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose1.40.0 – 7.5
Arm 2: NoV Vaccine Formulation A_2-Dose63.150.2 – 74.7
Arm 3: NoV Vaccine Formulation B_1-Dose0.00.0 – 5.4
Arm 4: NoV Vaccine Formulation B_2-Dose76.964.8 – 86.5
Arm 5: NoV Vaccine Formulation A_1-Dose0.00.0 – 14.8
Day 29
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose0.00.0 – 5.0
Arm 2: NoV Vaccine Formulation A_2-Dose72.760.4 – 83.0
Arm 3: NoV Vaccine Formulation B_1-Dose0.00.0 – 5.4
Arm 4: NoV Vaccine Formulation B_2-Dose77.365.3 – 86.7
Arm 5: NoV Vaccine Formulation A_1-Dose0.00.0 – 14.2
Day 36
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose55.643.4 – 67.3
Arm 2: NoV Vaccine Formulation A_2-Dose74.262.0 – 84.2
Arm 3: NoV Vaccine Formulation B_1-Dose65.652.7 – 77.1
Arm 4: NoV Vaccine Formulation B_2-Dose89.479.4 – 95.6
Arm 5: NoV Vaccine Formulation A_1-Dose60.938.5 – 80.3
Day 57
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose64.852.5 – 75.8
Arm 2: NoV Vaccine Formulation A_2-Dose80.068.2 – 88.9
Arm 3: NoV Vaccine Formulation B_1-Dose74.261.5 – 84.5
Arm 4: NoV Vaccine Formulation B_2-Dose89.479.4 – 95.6
Arm 5: NoV Vaccine Formulation A_1-Dose62.540.6 – 81.2
Day 211
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose33.823.0 – 46.0
Arm 2: NoV Vaccine Formulation A_2-Dose57.644.8 – 69.7
Arm 3: NoV Vaccine Formulation B_1-Dose54.741.7 – 67.2
Arm 4: NoV Vaccine Formulation B_2-Dose57.644.8 – 69.7
Arm 5: NoV Vaccine Formulation A_1-Dose26.110.2 – 48.4
Day 393
GroupValue95% CI
Arm 1: NoV Vaccine Formulation A_1-Dose25.716.0 – 37.6
Arm 2: NoV Vaccine Formulation A_2-Dose50.037.2 – 62.8
Arm 3: NoV Vaccine Formulation B_1-Dose41.329.0 – 54.4
Arm 4: NoV Vaccine Formulation B_2-Dose47.735.1 – 60.5
Arm 5: NoV Vaccine Formulation A_1-Dose30.413.2 – 52.9

Adverse events — posted to ClinicalTrials.gov

Time frame: All-Cause Mortality and Serious adverse events: From first vaccination (Day 1) through end of study (Day 393); Other adverse events: From any vaccination (Day 1 and Day 29) up to 28 days post vaccination.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1: NoV Vaccine Formulation A_1-Dose
Serious: 7/76 (9%)
Deaths: 1/76
Arm 2: NoV Vaccine Formulation A_2-Dose
Serious: 9/74 (12%)
Deaths: 1/74
Arm 3: NoV Vaccine Formulation B_1-Dose
Serious: 17/72 (24%)
Deaths: 0/72
Arm 4: NoV Vaccine Formulation B_2-Dose
Serious: 9/72 (13%)
Deaths: 1/72
Arm 5: NoV Vaccine Formulation A_1-Dose
Serious: 0/25 (0%)
Deaths: 0/25

Serious adverse events (61 terms)

ReactionSystemArm 1: NoV Vaccine Formula…Arm 2: NoV Vaccine Formula…Arm 3: NoV Vaccine Formula…Arm 4: NoV Vaccine Formula…Arm 5: NoV Vaccine Formula…
Atrial fibrillationCardiac disorders
Hip fractureInjury, poisoning and procedural complications
Haemorrhagic anaemiaBlood and lymphatic system disorders
Aortic valve stenosisCardiac disorders
Cardiac failure congestiveCardiac disorders
Acute coronary syndromeCardiac disorders
Acute myocardial infarctionCardiac disorders
Aortic valve incompetenceCardiac disorders
Atrial flutterCardiac disorders
Atrioventricular block completeCardiac disorders
Atrioventricular block second degreeCardiac disorders
Myocardial infarctionCardiac disorders
Stress cardiomyopathyCardiac disorders
TachycardiaCardiac disorders
Vertigo positionalEar and labyrinth disorders
Gastrointestinal haemorrhageGastrointestinal disorders
ColitisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Diverticulum intestinal haemorrhagicGastrointestinal disorders
PancreatitisGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Non-cardiac chest painGeneral disorders
Complication associated with deviceGeneral disorders
CholecystitisHepatobiliary disorders
Bile duct stoneHepatobiliary disorders
Other adverse events (29 terms — click to expand)

ReactionSystemArm 1: NoV Vaccine Formula…Arm 2: NoV Vaccine Formula…Arm 3: NoV Vaccine Formula…Arm 4: NoV Vaccine Formula…Arm 5: NoV Vaccine Formula…
Upper respiratory tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Injection site bruisingGeneral disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DizzinessNervous system disorders
BronchitisInfections and infestations
PneumoniaInfections and infestations
Otitis mediaInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
DyspepsiaGastrointestinal disorders
LacerationInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Procedural painInjury, poisoning and procedural complications
Skin abrasionInjury, poisoning and procedural complications
PresyncopeNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
ConjunctivitisInfections and infestations
NauseaGastrointestinal disorders
ContusionInjury, poisoning and procedural complications
Exposure to communicable diseaseInjury, poisoning and procedural complications
Poor quality sleepNervous system disorders

Most-reported serious reactions: Atrial fibrillation, Hip fracture, Haemorrhagic anaemia, Aortic valve stenosis, Cardiac failure congestive, Acute coronary syndrome, Acute myocardial infarction, Aortic valve incompetence.

Data from ClinicalTrials.gov NCT02661490 adverse events section.

Sponsor's own description

The purpose of this study is to further develop a formulation and dose regimen of the norovirus GI.1/GII.4 bivalent virus-like particle (VLP) vaccine that is immunogenic and safe in an elderly population aged 60 years and above.

Publications & conference data

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

  1. Virus-like particle vaccines: immunology and formulation for clinical translation.
    Donaldson B, Lateef Z, Walker GF, Young SL, et al · · 2018 · cited 108× · PMID 30173619 · DOI 10.1080/14760584.2018.1516552
  2. Prospects and Challenges in the Development of a Norovirus Vaccine.
    Cortes-Penfield NW, Ramani S, Estes MK, Atmar RL. · · 2017 · cited 71× · PMID 28756066 · DOI 10.1016/j.clinthera.2017.07.002
  3. Norovirus Vaccine: Priorities for Future Research and Development.
    Esposito S, Principi N. · · 2020 · cited 69× · PMID 32733458 · DOI 10.3389/fimmu.2020.01383
  4. Progress on norovirus vaccine research: public health considerations and future directions.
    Mattison CP, Cardemil CV, Hall AJ. · · 2018 · cited 65× · PMID 30092671 · DOI 10.1080/14760584.2018.1510327
  5. Structure(s), function(s), and inhibition of the RNA-dependent RNA polymerase of noroviruses.
    Deval J, Jin Z, Chuang YC, Kao CC. · · 2017 · cited 59× · PMID 28041960 · DOI 10.1016/j.virusres.2016.12.018
  6. Norovirus replication, host interactions and vaccine advances.
    Prasad BVV, Atmar RL, Ramani S, Palzkill T, et al · · 2025 · cited 33× · PMID 39824927 · DOI 10.1038/s41579-024-01144-9
  7. Plant Viruses and Bacteriophage-Based Reagents for Diagnosis and Therapy.
    Shukla S, Hu H, Cai H, Chan SK, et al · · 2020 · cited 27× · PMID 32991265 · DOI 10.1146/annurev-virology-010720-052252
  8. Epidemiology and evolution of Norovirus in China.
    Wei N, Ge J, Tan C, Song Y, et al · · 2021 · cited 20× · PMID 34495811 · DOI 10.1080/21645515.2021.1961465

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