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    Clinical Trial Results:
    A phase IV, open, multi-centre study to assess the immunogenicity, reactogenicity and safety of two doses of GSK Biologicals’ oral live attenuated human rotavirus (HRV) vaccine in healthy Taiwanese infants who received hepatitis B immunoglobulin after birth.

    Summary
    EudraCT number
    2011-003731-63
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    18 Apr 2011

    Results information
    Results version number
    v2(current)
    This version publication date
    05 Mar 2023
    First version publication date
    12 Jun 2015
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Correction of full data set and alignment between registries.

    Trial information

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    Trial identification
    Sponsor protocol code
    114351
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01198769
    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?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Apr 2011
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    18 Apr 2011
    Global end of trial reached?
    Yes
    Global end of trial date
    18 Apr 2011
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the immunogenicity of GSK Biologicals' HRV vaccine in terms of serum anti-rotavirus (anti-RV) immunoglobulin A (IgA) antibody seroconversion rate (SCR), 2 months post-Dose 2 (i.e. at study Month 4) of the HRV vaccine.
    Protection of trial subjects
    All the subjects were observed closely for at least 30 minutes, with appropriate medical treatment readily available in case of anaphylaxis following the administration of vaccine.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Nov 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Taiwan: 15
    Worldwide total number of subjects
    15
    EEA total number of subjects
    0
    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)
    15
    Children (2-11 years)
    0
    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 Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Rotarix Group
    Arm description
    Subjects received 2 oral doses of Rotarix vaccine at 2 and 4 months of age.
    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
    Subjects received 2 oral doses of Rotarix (HRV) vaccine at 2 and 4 months of age.

    Number of subjects in period 1
    Rotarix Group
    Started
    15
    Completed
    15

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 oral doses of Rotarix vaccine at 2 and 4 months of age.

    Reporting group values
    Rotarix Group Total
    Number of subjects
    15 15
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    15 15
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age continuous
    Units: weeks
        arithmetic mean (standard deviation)
    8.9 ( 0.8 ) -
    Gender categorical
    Units: Subjects
        Female
    8 8
        Male
    7 7

    End points

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    End points reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 oral doses of Rotarix vaccine at 2 and 4 months of age.

    Primary: Number of seroconverted subjects for serum anti-rotavirus immunoglobulin A (igA) antibody

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    End point title
    Number of seroconverted subjects for serum anti-rotavirus immunoglobulin A (igA) antibody [1]
    End point description
    Seroconversion is defined as the appearance of IgA antibody concentration equal to or above (≥) 20 Units per millilitre (U/mL) in the serum of subjects who were seronegative before vaccination. A seronegative subject is a subject with anti-rotavirus IgA antibody concentration below (<) 20 U/mL. The According-To-Protocol cohort for immunogenicity included subjects who received Hepatitis B immunoglobulin after birth, who were seronegative for serum anti-RV IgA antibody at Day 0, who complied with vaccination schedule for the Rotarix vaccine, who had no RV other than the vaccine strain in gastroenteritis stool sample up to Month 4.
    End point type
    Primary
    End point timeframe
    2 months post-Dose 2 (at study Month 4)
    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
    Number of subjects analysed
    15
    Units: Subjects
        ≥20 U/mL
    15
    No statistical analyses for this end point

    Secondary: Serum anti-rotavirus IgA antibody concentrations

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    End point title
    Serum anti-rotavirus IgA antibody concentrations
    End point description
    Concentrations were expressed as geometric mean antibody concentration in units per millilitre (U/mL), calculated on all subjects. The According-To-Protocol cohort for immunogenicity included subjects who received Hepatitis B immunoglobulin after birth, who were seronegative for serum anti-RV IgA antibody at Day 0, who complied with vaccination schedule for the Rotarix vaccine, who had no RV other than the vaccine strain in gastroenteritis stool sample up to Month 4.
    End point type
    Secondary
    End point timeframe
    2 months post-Dose 2 (at study Month 4)
    End point values
    Rotarix Group
    Number of subjects analysed
    15
    Units: U/mL
    geometric mean (confidence interval 95%)
        GMC (U/mL)
    254.7 (145 to 447.7)
    No statistical analyses for this end point

    Secondary: Number of subjects reporting solicited general symptoms

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    End point title
    Number of subjects reporting solicited general symptoms
    End point description
    Solicited general symptoms assessed were cough, diarrhoea, irritability, loss of appetite, temperature (any temperature was defined as a tympanic on rectal setting temperature ≥ 38.0 degrees Celsius) and vomiting. The Total vaccinated cohort included all subjects with at least one vaccine administration documented.
    End point type
    Secondary
    End point timeframe
    During the 8-day (Days 0-7) post-vaccination period
    End point values
    Rotarix Group
    Number of subjects analysed
    15
    Units: Subjects
        Cough
    6
        Diarrhoea
    1
        Irritability
    11
        Loss of appetite
    10
        Temperature (Tympanic on rectal seting (≥38.0°C))
    5
        Vomiting
    2
    No statistical analyses for this end point

    Secondary: Number of subjects with rotavirus (RV) present in the gastroenteritis (GE) stool sample

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    End point title
    Number of subjects with rotavirus (RV) present in the gastroenteritis (GE) stool sample
    End point description
    RV was not identified in the one GE stool sample collected in the study. Two subjects reported GE episode between vaccination Dose 1 and before vaccination Dose 2. For one of them, GE stool sample was not collected and for the other subject no RV was identified in the GE stool sample. GE symptoms were defined as diarrhoea with or without vomiting. A GE stool sample was collected as soon as possible after the illness began by the parent/guardian of the subject. Presence of RV antigen was detected by Enzyme-linked immunosorbent assay (ELISA). The Total vaccinated cohort included all subjects with at least one vaccine administration documented.
    End point type
    Secondary
    End point timeframe
    From Day 0 (first vaccine dose) to study Month 4 (2 months post-Dose 2)
    End point values
    Rotarix Group
    Number of subjects analysed
    15
    Units: Subjects
        RV present in the GE stool samples
    0
    No statistical analyses for this end point

    Secondary: Number of subjects reporting unsolicited adverse events (AEs)

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    End point title
    Number of subjects reporting unsolicited adverse events (AEs)
    End point description
    An unsolicited adverse event is any adverse event (i.e. any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product) reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. The Total vaccinated cohort included all subjects with at least one vaccine administration documented.
    End point type
    Secondary
    End point timeframe
    Within the 31-day (Days 0-30) follow-up period after vaccination
    End point values
    Rotarix Group
    Number of subjects analysed
    15
    Units: Subjects
        Unsolicited AEs
    4
    No statistical analyses for this end point

    Secondary: Number of subjects reporting serious adverse events (SAEs)

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    End point title
    Number of subjects reporting serious adverse events (SAEs)
    End point description
    SAEs assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization, results in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subjects. The Total vaccinated cohort included all subjects with at least one vaccine administration documented.
    End point type
    Secondary
    End point timeframe
    During the entire study period (from Dose 1 at Day 0 up to Month 4)
    End point values
    Rotarix Group
    Number of subjects analysed
    15
    Units: Subjects
        SAEs
    1
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    SAEs: During the entire study period (from Dose 1 at Day 0 up to Month 4). Unsolicited AEs: Within the 31-day (Days 0-30) follow-up period after vaccination. Solicited general symptoms: During the 8-day (Days 0-7) post vaccination period.
    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
    14.0
    Reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 oral doses of Rotarix vaccine at 2 and 4 months of age.

    Serious adverse events
    Rotarix Group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 15 (6.67%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Infections and infestations
    Bronchiolitis
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Rotarix Group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    13 / 15 (86.67%)
    General disorders and administration site conditions
    Cough
    alternative assessment type: Systematic
         subjects affected / exposed
    6 / 15 (40.00%)
         occurrences all number
    6
    Diarrhoea
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences all number
    1
    Irritability
    alternative assessment type: Systematic
         subjects affected / exposed
    11 / 15 (73.33%)
         occurrences all number
    11
    Loss of appetite
    alternative assessment type: Systematic
         subjects affected / exposed
    10 / 15 (66.67%)
         occurrences all number
    10
    Temperature
    alternative assessment type: Systematic
         subjects affected / exposed
    5 / 15 (33.33%)
         occurrences all number
    5
    Vomiting
    alternative assessment type: Systematic
         subjects affected / exposed
    2 / 15 (13.33%)
         occurrences all number
    2
    Skin and subcutaneous tissue disorders
    Eczema
         subjects affected / exposed
    2 / 15 (13.33%)
         occurrences all number
    2
    Rash
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences all number
    1
    Infections and infestations
    Bronchiolitis
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences all number
    1
    Nasopharyngitis
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences all number
    1
    Pharyngitis
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences all number
    1
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 15 (6.67%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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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