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    Clinical Trial Results:
    An open, multicentric, post-marketing surveillance study to evaluate the safety and reactogenicity of GlaxoSmithKline Biologicals’ live attenuated oral Human Rotavirus (HRV) vaccine, Rotarix when administered according to the Prescribing Information, in Filipino subjects aged at least 6 weeks at the time of first vaccination.

    Summary
    EudraCT number
    2012-004039-21
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    17 Jul 2010

    Results information
    Results version number
    v2(current)
    This version publication date
    08 Apr 2021
    First version publication date
    15 Jul 2015
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Minor correction in safety section.

    Trial information

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    Trial identification
    Sponsor protocol code
    103366
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00353366
    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 2089-904466, GSKClinicalSupportHD@gsk.com
    Scientific contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089-904466, 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
    07 Aug 2012
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Mar 2010
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Jul 2010
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the safety and reactogenicity of GSK Biologicals’ Rotavirus vaccine, Rotarix™.
    Protection of trial subjects
    All 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 the vaccine.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    16 Nov 2006
    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
    Philippines: 1439
    Worldwide total number of subjects
    1439
    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)
    1439
    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 doses of Rotarix™ administered at an interval of not less than 4 weeks between the doses. The first dose was administered at the age of 6 weeks and the vaccination course completed by the age of 24 weeks.
    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 doses of the oral vaccine.

    Number of subjects in period 1
    Rotarix Group
    Started
    1439
    Completed
    1296
    Not completed
    143
         Adverse event, serious fatal
    5
         Consent withdrawn by subject
    12
         Adverse event, non-fatal
    3
         Migrated/moved from study area
    27
         Unspecified
    19
         Lost to follow-up
    65
         Protocol deviation
    12

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 doses of Rotarix™ administered at an interval of not less than 4 weeks between the doses. The first dose was administered at the age of 6 weeks and the vaccination course completed by the age of 24 weeks.

    Reporting group values
    Rotarix Group Total
    Number of subjects
    1439 1439
    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
        arithmetic mean (standard deviation)
    11.2 ± 3.88 -
    Gender categorical
    Units: Subjects
        Female
    692 692
        Male
    747 747

    End points

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    End points reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 doses of Rotarix™ administered at an interval of not less than 4 weeks between the doses. The first dose was administered at the age of 6 weeks and the vaccination course completed by the age of 24 weeks.

    Primary: Number of subjects reporting grade 2 or 3 symptoms (fever, vomiting or diarrhea).

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    End point title
    Number of subjects reporting grade 2 or 3 symptoms (fever, vomiting or diarrhea). [1]
    End point description
    Grade 2 or 3 symptoms assessed include fever, vomiting and diarrhea. Grade 2 fever was defined as axillary temperature above 38.0 degrees Celsius (°C) and below or equal to 39.0°C or rectal temperature above 38.5°C and below or equal to 39.5°C. Grade 3 fever was defined as axillary temperature above 39.0°C. Grade 2 vomiting was defined as 2 episodes of vomiting per day. Grade 3 vomiting was defined as at least 3 episodes of vomiting per day. Grade 2 diarrhea was defined as 4-5 looser than normal stools per day. Grade 3 diarrhea was defined as at least 6 looser than normal stools per day.
    End point type
    Primary
    End point timeframe
    During the 15-day (Days 0-14) solicited follow-up period after each vaccine dose (Dose 1 and Dose 2).
    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
    1439
    Units: Subjects
        Grade 2/3; Dose 1 (N=1439)
    147
        Grade 2/3; Dose 2 (N=1304)
    98
        Grade 2/3; Across Doses (N=1439)
    212
    No statistical analyses for this end point

    Secondary: Number of subjects reporting any, grade 3 and related solicited general symptoms.

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    End point title
    Number of subjects reporting any, grade 3 and related solicited general symptoms.
    End point description
    Solicited symptoms assessed included cough, diarrhea, fever, irritability, loss of appetite and vomiting. Any = Any reports of the specified symptom irrespective of intensity grade and relationship to vaccination. Grade 3 symptom: symptom that prevented normal activity. Grade 3 loss of appetite = not eating at all, grade 3 fever = axillary temperature > 39.0°C, grade 3 vomiting = ≥ 3 episodes of vomiting/day and grade 3 diarrhea = ≥ 6 looser than normal stools/day. Related = symptom assessed by the investigator as causally related to the vaccination regardless of intensity grade.
    End point type
    Secondary
    End point timeframe
    During the 15-day solicited follow-up period (Day 0 to Day 14) after each vaccine dose (Dose 1 and Dose 2).
    End point values
    Rotarix Group
    Number of subjects analysed
    1439
    Units: Subjects
        Any Cough; Dose 1 (N=1439)
    311
        Grade 3 Cough; Dose 1 (N=1439)
    13
        Related Cough; Dose 1 (N=1439)
    15
        Any Diarrhea; Dose 1 (N=1439)
    69
        Grade 3 Diarrhea; Dose 1 (N=1439)
    13
        Related Diarrhea; Dose 1 (N=1439)
    26
        Any Temperature; Dose 1 (N=1439)
    130
        Grade 3 Temperature; Dose 1 (N=1439)
    3
        Related Temperature; Dose 1 (N=1439)
    26
        Any Irritability; Dose 1 (N=1439)
    464
        Grade 3 Irritability; Dose 1 (N=1439)
    36
        Related Irritability; Dose 1 (N=1439)
    100
        Any Loss of appetite; Dose 1 (N=1439)
    269
        Grade 3 Loss of appetite; Dose 1 (N=1439)
    4
        Related Loss of appetite; Dose 1 (N=1439)
    74
        Any Vomiting; Dose 1 (N=1439)
    190
        Grade 3 Vomiting; Dose 1 (N=1439)
    44
        Related Vomiting; Dose 1 (N=1439)
    38
        Any Cough; Dose 2 (N=1304)
    256
        Grade 3 Cough; Dose 2 (N=1304)
    7
        Related Cough; Dose 2 (N=1304)
    27
        Any Diarrhea; Dose 2 (N=1304)
    38
        Grade 3 Diarrhea; Dose 2 (N=1304)
    5
        Related Diarrhea; Dose 2 (N=1304)
    14
        Any Temperature; Dose 2 (N=1304)
    130
        Grade 3 Temperature; Dose 2 (N=1304)
    4
        Related Temperature; Dose 2 (N=1304)
    24
        Any Irritability; Dose 2 (N=1304)
    307
        Grade 3 Irritability; Dose 2 (N=1304)
    24
        Related Irritability; Dose 2 (N=1304)
    71
        Any Loss of appetite; Dose 2 (N=1304)
    193
        Grade 3 Loss of appetite; Dose 2 (N=1304)
    5
        Related Loss of appetite; Dose 2 (N=1304)
    43
        Any Vomiting; Dose 2 (N=1304)
    113
        Grade 3 Vomiting; Dose 2 (N=1304)
    13
        Related Vomiting; Dose 2 (N=1304)
    22
        Any Cough; Across Doses (N=1439)
    443
        Grade 3 Cough; Across Doses (N=1439)
    18
        Related Cough; Across Doses (N=1439)
    39
        Any Diarrhea; Across Doses (N=1439)
    93
        Grade 3 Diarrhea; Across Doses (N=1439)
    18
        Related Diarrhea; Across Doses (N=1439)
    36
        Any Temperature; Across Doses (N=1439)
    226
        Grade 3 Temperature; Across Doses (N=1439)
    7
        Related Temperature; Across Doses (N=1439)
    48
        Any Irritability; Across Doses (N=1439)
    545
        Grade 3 Irritability; Across Doses (N=1439)
    51
        Related Irritability; Across Doses (N=1439)
    130
        Any Loss of appetite; Across Doses (N=1439)
    351
        Grade 3 Loss of appetite; Across Doses (N=1439)
    8
        Related Loss of appetite; Across Doses (N=1439)
    93
        Any Vomiting; Across Doses (N=1439)
    240
        Grade 3 Vomiting; Across Doses (N=1439)
    54
        Related Vomiting; Across Doses (N=1439)
    49
    No statistical analyses for this end point

    Secondary: Number of subjects reporting any unsolicited Adverse Event (AE)

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    End point title
    Number of subjects reporting any unsolicited Adverse Event (AE)
    End point description
    An unsolicited AE covers 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. Any was defined as an adverse event (AE) reported in addition to those solicited during the clinical study. Any solicited symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event.
    End point type
    Secondary
    End point timeframe
    During the 31-day follow-up period (Day 0 to Day 30) after any vaccine dose.
    End point values
    Rotarix Group
    Number of subjects analysed
    1439
    Units: Subjects
        any AE (s)
    352
    No statistical analyses for this end point

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

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    End point title
    Number of subjects reporting serious adverse events (SAE)
    End point description
    Serious adverse events (SAEs) assessed include medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization, resulted in disability/incapacity or was a congenital anomaly/birth defect in the offspring of a study subject.
    End point type
    Secondary
    End point timeframe
    Throughout the study period (Day 0 to one month post-Dose 2).
    End point values
    Rotarix Group
    Number of subjects analysed
    1439
    Units: Subjects
        any SAE (s)
    33
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Serious Adverse Events: during the entire study period; Solicited local and general symptoms: During the 15-day (Days 0-14) post-vaccination period; Unsolicited symptoms: During the 31-day (Days 0-30) 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
    15.0
    Reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 doses of RotarixTM administered at an interval of not less than 4 weeks between the doses. The first dose was administered at the age of 6 weeks and the vaccination course completed by the age of 24 weeks.

    Serious adverse events
    Rotarix Group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    33 / 1439 (2.29%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Nervous system disorders
    Hypersomnia
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypophagia
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Immune system disorders
    Milk Allergy
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Intussusception
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia aspiration
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Exanthema subitum
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Bronchopneumonia
         subjects affected / exposed
    8 / 1439 (0.56%)
         occurrences causally related to treatment / all
    0 / 8
         deaths causally related to treatment / all
    0 / 0
    Urinary Tract Infection
         subjects affected / exposed
    5 / 1439 (0.35%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    Amoebic Dysentery
         subjects affected / exposed
    4 / 1439 (0.28%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    4 / 1439 (0.28%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Amoebiasis
         subjects affected / exposed
    2 / 1439 (0.14%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Bronchiolitis
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchitis
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Diarrhoea Infections
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Roseola
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection enterococcal
         subjects affected / exposed
    1 / 1439 (0.07%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Viral rash
         subjects affected / exposed
    1 / 1439 (0.07%)
         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
    827 / 1439 (57.47%)
    General disorders and administration site conditions
    Diarrhea
    alternative assessment type: Systematic
         subjects affected / exposed
    93 / 1439 (6.46%)
         occurrences all number
    93
    Cough
    alternative assessment type: Systematic
         subjects affected / exposed
    443 / 1439 (30.79%)
         occurrences all number
    443
    Fever
    alternative assessment type: Systematic
         subjects affected / exposed
    226 / 1439 (15.71%)
         occurrences all number
    226
    Irritability
    alternative assessment type: Systematic
         subjects affected / exposed
    545 / 1439 (37.87%)
         occurrences all number
    545
    Loss of appetite
    alternative assessment type: Systematic
         subjects affected / exposed
    351 / 1439 (24.39%)
         occurrences all number
    351
    Vomiting
    alternative assessment type: Systematic
         subjects affected / exposed
    240 / 1439 (16.68%)
         occurrences all number
    240

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Apr 2008
    The age of the infants was changed from between 6 - 14 weeks to at least 6 weeks at the time of the first vaccination. This change was made to reflect the modifications made in the prescribing information. Other changes were made to reflect changes in the contributing authors and contact for reporting serious adverse events. In addition, the sponsor information sheet was removed from the main protocol to avoid further amendments in case of any changes in the future.

    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
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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