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    Clinical Trial Results:
    A phase IIIb, double blind, randomised, placebo–controlled, multi–country, multicentre study to assess the safety, reactogenicity and immunogenicity of two doses of GlaxoSmithKline (GSK) Biologicals’ oral live attenuated Human Rotavirus (HRV) Vaccine in pre–term infants.

    Summary
    EudraCT number
    2006-003762-33
    Trial protocol
    FR   PT   ES  
    Global end of trial date
    31 Mar 2008

    Results information
    Results version number
    v1
    This version publication date
    11 May 2016
    First version publication date
    18 Dec 2014
    Other versions
    v2

    Trial information

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    Trial identification
    Sponsor protocol code
    106481
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00420745
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline Biologicals
    Sponsor organisation address
    Rue de l’Institut 89, Rixensart, Belgium, B-1330
    Public contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089904466, GSKClinicalSupportHD@gsk.com
    Scientific contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089904466, GSKClinicalSupportHD@gsk.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    31 Mar 2008
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Mar 2008
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Mar 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the safety of GSK Biologicals’ HRV vaccine in terms of occurrence of serious adverse events (SAEs), throughout the study period in pre–term infants receiving HRV vaccine versus pre–term infants receiving placebo.
    Protection of trial subjects
    The subjects were observed closely for at least 30 minutes, with appropriate medical treatment readily available in case of a rare anaphylactic reaction following the administration of vaccine.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    25 Jan 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 435
    Country: Number of subjects enrolled
    Portugal: 142
    Country: Number of subjects enrolled
    Spain: 354
    Country: Number of subjects enrolled
    France: 78
    Worldwide total number of subjects
    1009
    EEA total number of subjects
    1009
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    1009
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Rotarix Group
    Arm description
    All subjects received 2 oral doses of Rotarix vaccine, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.
    Arm type
    Experimental

    Investigational medicinal product name
    Rotarix™
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Two-dose oral vaccination.

    Arm title
    Placebo Group
    Arm description
    All subjects received 2 oral doses of placebo, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Two-dose oral administration.

    Number of subjects in period 1
    Rotarix Group Placebo Group
    Started
    670
    339
    Completed
    655
    333
    Not completed
    15
    6
         Physician decision
    1
    1
         Adverse event, non-fatal
    2
    2
         Recurrent pneumonia & bronchitis
    -
    1
         Lost to follow-up
    10
    2
         Protocol deviation
    1
    -
         Age limit exceeded for Dose 2
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    All subjects received 2 oral doses of Rotarix vaccine, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.

    Reporting group title
    Placebo Group
    Reporting group description
    All subjects received 2 oral doses of placebo, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.

    Reporting group values
    Rotarix Group Placebo Group Total
    Number of subjects
    670 339 1009
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: weeks
        geometric mean (standard deviation)
    8.5 ( 1.77 ) 8.5 ( 1.78 ) -
    Gender categorical
    Units: Subjects
        Female
    327 167 494
        Male
    343 172 515

    End points

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    End points reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    All subjects received 2 oral doses of Rotarix vaccine, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.

    Reporting group title
    Placebo Group
    Reporting group description
    All subjects received 2 oral doses of placebo, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.

    Primary: Number of Subjects Reporting Any Serious Adverse Events (SAEs).

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    End point title
    Number of Subjects Reporting Any Serious Adverse Events (SAEs). [1]
    End point description
    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.
    End point type
    Primary
    End point timeframe
    From Day 0 up to 1 month after Dose 2 of Rotarix vaccine/Placebo
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed
    End point values
    Rotarix Group Placebo Group
    Number of subjects analysed
    670
    339
    Units: Subjects
        (SAEs)
    34
    23
    No statistical analyses for this end point

    Secondary: Number of Subjects Reporting Unsolicited Adverse Events (AEs), According to Medical Dictionary for Regulatory Activities (MedDRA) Classification

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    End point title
    Number of Subjects Reporting Unsolicited Adverse Events (AEs), According to Medical Dictionary for Regulatory Activities (MedDRA) Classification
    End point description
    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.
    End point type
    Secondary
    End point timeframe
    Within 31 days after any Rotarix vaccine/Placebo dose.
    End point values
    Rotarix Group Placebo Group
    Number of subjects analysed
    670
    339
    Units: Subjects
    196
    138
    No statistical analyses for this end point

    Secondary: Number of subjects for whom each type of solicited symptom was reported.

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    End point title
    Number of subjects for whom each type of solicited symptom was reported.
    End point description
    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
    End point type
    Secondary
    End point timeframe
    Within 15 days after each Rotarix vaccine/Placebo dose.
    End point values
    Rotarix Group Placebo Group
    Number of subjects analysed
    203
    100
    Units: Subjects
        Diarrhea
    9
    5
        Fever
    54
    29
        Irritability
    133
    66
        Loss of appetite
    81
    45
        Vomiting
    52
    27
    No statistical analyses for this end point

    Secondary: Number of subjects for whom presence of rotavirus (RV) gastroenteritis (GE) was detected in stools.

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    End point title
    Number of subjects for whom presence of rotavirus (RV) gastroenteritis (GE) was detected in stools.
    End point description
    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.
    End point type
    Secondary
    End point timeframe
    From Dose 1 up to 1 month after Dose 2 of Rotarix vaccine/Placebo
    End point values
    Rotarix Group Placebo Group
    Number of subjects analysed
    670
    339
    Units: Subjects
        Number of subjects with RV
    3
    2
    No statistical analyses for this end point

    Secondary: Seroconversion to anti-rotavirus Immunoglobulin A (IgA) antibody.

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    End point title
    Seroconversion to anti-rotavirus Immunoglobulin A (IgA) antibody.
    End point description
    Number of subjects with anti-rotavirus IgA antibody concentration ≥ 20 Units/milliliter (U/mL).
    End point type
    Secondary
    End point timeframe
    At Visit 3, 1 month after Dose 2 of Rotarix vaccine/Placebo
    End point values
    Rotarix Group Placebo Group
    Number of subjects analysed
    147
    81
    Units: Subjects
        Seroconversion to anti-rotavirus IgA
    126
    13
    No statistical analyses for this end point

    Secondary: Serum anti–rotavirus IgA antibody concentration.

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    End point title
    Serum anti–rotavirus IgA antibody concentration.
    End point description
    Anti-rotavirus IgA antibody concentrations are given as geometric mean concentrations (GMC) with 95% Confidence Intervals, calculated on all subjects.
    End point type
    Secondary
    End point timeframe
    At Visit 3, 1 month after Dose 2 of Rotarix vaccine/Placebo
    End point values
    Rotarix Group Placebo Group
    Number of subjects analysed
    147
    81
    Units: U/mL
    geometric mean (confidence interval 95%)
        Serum anti–rotavirus IgA
    202.2 (153.1 to 267.1)
    0 (0 to 0)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Serious Adverse events (SAE) = During the entire study period. Solicited local and general symptoms = Within 15 days (Day 0–Day 14) after each HRV vaccine/placebo dose. Unsolicited AEs = Within 31 days (Day 0–Day 30) after any HRV vaccine/placebo dose.
    Adverse event reporting additional description
    The number of occurrences reported for solicited symptoms, adverse events, and serious adverse events were not available for posting. The number of subjects affected by each specific event was indicated as the number of occurrences.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    11
    Reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    All subjects received 2 oral doses of Rotarix vaccine, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.

    Reporting group title
    Placebo Group
    Reporting group description
    All subjects received 2 oral doses of placebo, 1 dose at Day 0 and 1 dose at Month 1 or 2 depending on the country.

    Serious adverse events
    Rotarix Group Placebo Group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    34 / 670 (5.07%)
    23 / 339 (6.78%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    Congenital, familial and genetic disorders
    Coarctation of the aorta
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 670 (0.00%)
    2 / 339 (0.59%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    4 / 670 (0.60%)
    3 / 339 (0.88%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    2 / 670 (0.30%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea haemorrhagic
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspepsia
         subjects affected / exposed
    0 / 670 (0.00%)
    2 / 339 (0.59%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastritis
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    6 / 670 (0.90%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 670 (0.15%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Inguinal hernia
         subjects affected / exposed
    0 / 670 (0.00%)
    2 / 339 (0.59%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rectal haemorrhage
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Apnoea
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchial obstruction
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cough
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Bronchiolitis
         subjects affected / exposed
    3 / 670 (0.45%)
    4 / 339 (1.18%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    4 / 670 (0.60%)
    2 / 339 (0.59%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchopneumonia
         subjects affected / exposed
    4 / 670 (0.60%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dacryocystitis
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis adenovirus
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis rotavirus
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Otitis media acute
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Periorbital cellulitis
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pertussis
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    4 / 670 (0.60%)
    2 / 339 (0.59%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyelonephritis acute
         subjects affected / exposed
    2 / 670 (0.30%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory syncytial virus bronchiolitis
         subjects affected / exposed
    2 / 670 (0.30%)
    3 / 339 (0.88%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyperkalaemia
         subjects affected / exposed
    0 / 670 (0.00%)
    1 / 339 (0.29%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypernatraemia
         subjects affected / exposed
    1 / 670 (0.15%)
    0 / 339 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Rotarix Group Placebo Group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    133 / 670 (19.85%)
    66 / 339 (19.47%)
    General disorders and administration site conditions
    Fever
    alternative assessment type: Systematic
         subjects affected / exposed [1]
    54 / 203 (26.60%)
    29 / 100 (29.00%)
         occurrences all number
    54
    29
    Irritability
    alternative assessment type: Systematic
         subjects affected / exposed [2]
    133 / 203 (65.52%)
    66 / 100 (66.00%)
         occurrences all number
    133
    66
    Pyrexia
         subjects affected / exposed [3]
    28 / 203 (13.79%)
    25 / 100 (25.00%)
         occurrences all number
    28
    25
    Gastrointestinal disorders
    Diarrhoea
    alternative assessment type: Systematic
         subjects affected / exposed [4]
    9 / 203 (4.43%)
    5 / 100 (5.00%)
         occurrences all number
    9
    5
    Vomiting
    alternative assessment type: Systematic
         subjects affected / exposed [5]
    52 / 203 (25.62%)
    27 / 100 (27.00%)
         occurrences all number
    52
    27
    Metabolism and nutrition disorders
    Loss of appetite
    alternative assessment type: Systematic
         subjects affected / exposed [6]
    81 / 203 (39.90%)
    45 / 100 (45.00%)
         occurrences all number
    81
    45
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: The number of subjects exposed to the adverse event may differ from the total number of subjects exposed for the reporting group as subjects who missed reporting symptoms were treated as subjects without symptoms.
    [2] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: The number of subjects exposed to the adverse event may differ from the total number of subjects exposed for the reporting group as subjects who missed reporting symptoms were treated as subjects without symptoms.
    [3] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: The number of subjects exposed to the adverse event may differ from the total number of subjects exposed for the reporting group as subjects who missed reporting symptoms were treated as subjects without symptoms.
    [4] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: The number of subjects exposed to the adverse event may differ from the total number of subjects exposed for the reporting group as subjects who missed reporting symptoms were treated as subjects without symptoms.
    [5] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: The number of subjects exposed to the adverse event may differ from the total number of subjects exposed for the reporting group as subjects who missed reporting symptoms were treated as subjects without symptoms.
    [6] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: The number of subjects exposed to the adverse event may differ from the total number of subjects exposed for the reporting group as subjects who missed reporting symptoms were treated as subjects without symptoms.

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    11 Jun 2007
    Amendment 3 The present study will be conducted to evaluate the safety, reactogenicity and immunogenicity of the HRV vaccine when used in pre-term infants aged between 6 and 14 weeks at the time of 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, Portugal and Spain). (Amendment 3:11 June 2007)

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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