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    Clinical Trial Results:
    Open, multi-centric, post-marketing surveillance (PMS) to evaluate the reactogenicity and safety of two doses of GlaxoSmithKline (GSK) Biologicals’ oral live attenuated human rotavirus (HRV) vaccine, Rotarix™ when administered according to a 0, 2 month schedule to Sri Lankan infants aged at least 6 weeks at the time of first vaccination.

    Summary
    EudraCT number
    2015-001546-28
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    26 Aug 2009

    Results information
    Results version number
    v1
    This version publication date
    20 Apr 2016
    First version publication date
    10 Jul 2015
    Other versions
    v2

    Trial information

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    Trial identification
    Sponsor protocol code
    111664
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00779779
    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
    13 Jan 2010
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    25 May 2009
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Aug 2009
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the reactogenicity of Rotarix™ in terms of occurrence of at least one grade “2” or grade “3” fever, vomiting or diarrhoea within a 8-day follow-up period after each vaccine dose.
    Protection of trial subjects
    The subjects were observed closely for at least 30 minutes following the administration of vaccines, with appropriate medical treatment readily available in case of a rare anaphylactic reaction.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    22 Nov 2008
    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
    Sri Lanka: 522
    Worldwide total number of subjects
    522
    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)
    522
    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 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 an interval of at least 4 weeks between doses. The first dose was given from the age of 6 weeks and vaccination with both doses was to be completed by 24 weeks of age.
    Arm type
    Experimental

    Investigational medicinal product name
    Rotarix™
    Investigational medicinal product code
    Other name
    HRV
    Pharmaceutical forms
    Powder and solvent for oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    Two oral doses, with at least 4 weeks interval in-between.

    Number of subjects in period 1
    Rotarix Group
    Started
    522
    Completed
    498
    Not completed
    24
         Consent withdrawn by subject
    4
         Adverse event, non-fatal
    1
         Protocol Violation
    14
         Lost to follow-up
    5

    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 an interval of at least 4 weeks between doses. The first dose was given from the age of 6 weeks and vaccination with both doses was to be completed by 24 weeks of age.

    Reporting group values
    Rotarix Group Total
    Number of subjects
    522 522
    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)
    12.5 ± 5.62 -
    Gender categorical
    Units: Subjects
        Female
    267 267
        Male
    255 255

    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 an interval of at least 4 weeks between doses. The first dose was given from the age of 6 weeks and vaccination with both doses was to be completed by 24 weeks of age.

    Primary: Number of subjects reporting Grade 2 or 3 symptoms (fever, vomiting, diarrhoea)

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    End point title
    Number of subjects reporting Grade 2 or 3 symptoms (fever, vomiting, diarrhoea) [1]
    End point description
    Grade 2 fever was defined as axillary temperature > 38.0 to <= 39.0 degrees Celsius and grade 3 fever as axillary temperature > 39.0 degrees Celsius. Grade 2 vomiting was defined as 2 episodes of vomiting per day and grade 3 as 3 or more episodes of vomiting per day. Grade 2 diarrhoea was defined as 4-5 looser than normal stools per day and grade 3 as 6 or more looser than normal stools a day.
    End point type
    Primary
    End point timeframe
    During the 8-day 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
    522
    Units: Subjects
        Grade 2/3 fever, vomiting or diarrhoea; Dose 1
    46
        Grade 2/3 fever, vomiting or diarrhoea; Dose 2
    50
        Grade 2/3 fever,vomiting or diarrhoea;Across doses
    78
    No statistical analyses for this end point

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

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    End point title
    Number of subjects reporting any, related and grade 3 solicited general symptoms
    End point description
    Assessed solicited general symptoms were cough, diarrhoea, irritability, loss of appetite, fever (degrees Celsius) and vomiting. Any = occurrence of the symptom regardless of intensity and relationship to vaccination. Grade 3 Cough and Irritability = symptoms which prevented normal everyday activities. Grade 3 Diarrhoea = ≥ 6 looser than normal stools/day. 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. Related = considered by the investigator to be causally related to the study vaccination.
    End point type
    Secondary
    End point timeframe
    During the 8-day follow-up period after each vaccine dose (Dose 1 and Dose 2).
    End point values
    Rotarix Group
    Number of subjects analysed
    522
    Units: Subjects
        Any Cough; Dose 1 [N=522]
    43
        Grade 3 Cough; Dose 1 [N=522]
    2
        Related Cough; Dose 1 [N=522]
    43
        Any Diarrhoea; Dose 1 [N=522]
    18
        Grade 3 Diarrhoea; Dose 1 [N=522]
    7
        Related Diarrhoea; Dose 1 [N=522]
    17
        Any Irritability; Dose 1 [N=522]
    81
        Grade 3 Irritability; Dose 1 [N=522]
    4
        Related Irritability; Dose 1 [N=522]
    81
        Any Loss of appetite; Dose 1 [N=522]
    54
        Grade 3 Loss of appetite; Dose 1 [N=522]
    0
        Related Loss of appetite; Dose 1 [N=522]
    54
        Any Temperature; Dose 1 [N=522]
    94
        Grade 3 Temperature; Dose 1 [N=522]
    3
        Related Temperature; Dose 1 [N=522]
    94
        Any Vomiting; Dose 1 [N=522]
    28
        Grade 3 Vomiting; Dose 1 [N=522]
    9
        Related Vomiting; Dose 1 [N=522]
    28
        Any Cough; Dose 2 [N=501]
    42
        Grade 3 Cough; Dose 2 [N=501]
    4
        Related Cough; Dose 2 [N=501]
    42
        Any Diarrhoea; Dose 2 [N=501]
    9
        Grade 3 Diarrhoea; Dose 2 [N=501]
    3
        Related Diarrhoea; Dose 2 [N=501]
    9
        Any Irritability; Dose 2 [N=501]
    84
        Grade 3 Irritability; Dose 2 [N=501]
    2
        Related Irritability; Dose 2 [N=501]
    83
        Any Loss of appetite; Dose 2 [N=501]
    51
        Grade 3 Loss of appetite; Dose 2 [N=501]
    1
        Related Loss of appetite; Dose 2 [N=501]
    51
        Any Temperature; Dose 2 [N=501]
    101
        Grade 3 Temperature; Dose 2 [N=501]
    3
        Related Temperature; Dose 2 [N=501]
    101
        Any Vomiting; Dose 2 [N=501]
    27
        Grade 3 Vomiting; Dose 2 [N=501]
    5
        Related Vomiting; Dose 2 [N=501]
    27
        Any Cough; Across Doses [N=522]
    71
        Grade 3 Cough; Across Doses [N=522]
    6
        Related Cough; Across Doses [N=522]
    71
        Any Diarrhoea; Across Doses [N=522]
    24
        Grade 3 Diarrhoea; Across Doses [N=522]
    9
        Related Diarrhoea; Across Doses [N=522]
    23
        Any Irritability; Across Doses [N=522]
    124
        Grade 3 Irritability; Across Doses [N=522]
    6
        Related Irritability; Across Doses [N=522]
    123
        Any Loss of appetite; Across Doses [N=522]
    83
        Grade 3 Loss of appetite; Across Doses [N=522]
    1
        Related Loss of appetite; Across Doses [N=522]
    83
        Any Temperature; Across Doses [N=522]
    152
        Grade Temperature; Across Doses [N=522]
    6
        Related Temperature; Across Doses [N=522]
    152
        Any Vomiting; Across Doses [N=522]
    45
        Grade 3 Vomiting; Across Doses [N=522]
    11
        Related Vomiting; Across Doses [N=522]
    45
    No statistical analyses for this end point

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

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    End point title
    Number of subjects reporting any unsolicited adverse events (AEs)
    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 after each vaccine dose.
    End point values
    Rotarix Group
    Number of subjects analysed
    522
    Units: Subjects
        any AE(s)
    25
    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 result in death, is life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are 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 Month 3 or 4)
    End point values
    Rotarix Group
    Number of subjects analysed
    522
    Units: Subjects
        any SAE(s)
    1
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Solicited general symptoms: during the 8-day (Day 0 - Day7) post-vaccination period. Unsolicited AEs: during the 31-day (Day 0 - Day 30) post-vaccination period and SAEs during the entire period (Day 0 to Month 3 or 4).
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    12.1
    Reporting groups
    Reporting group title
    Rotarix Group
    Reporting group description
    Subjects received 2 oral doses of Rotarix vaccine at an interval of at least 4 weeks between doses. The first dose was given from the age of 6 weeks and vaccination with both doses was to be completed by 24 weeks of age.

    Serious adverse events
    Rotarix Group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 522 (0.19%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Nervous system disorders
    Crying
         subjects affected / exposed
    1 / 522 (0.19%)
         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
    152 / 522 (29.12%)
    General disorders and administration site conditions
    Cough; Dose 1
    alternative assessment type: Systematic
         subjects affected / exposed
    43 / 522 (8.24%)
         occurrences all number
    43
    Loss of appetite; Dose 1
    alternative assessment type: Systematic
         subjects affected / exposed
    54 / 522 (10.34%)
         occurrences all number
    54
    Irritability; Dose 1
    alternative assessment type: Systematic
         subjects affected / exposed
    81 / 522 (15.52%)
         occurrences all number
    81
    Fever; Dose 1
    alternative assessment type: Systematic
         subjects affected / exposed
    94 / 522 (18.01%)
         occurrences all number
    94
    Vomiting; Dose 1
    alternative assessment type: Systematic
         subjects affected / exposed
    28 / 522 (5.36%)
         occurrences all number
    28
    Loss of appetite; Dose 2
    alternative assessment type: Systematic
         subjects affected / exposed [1]
    51 / 501 (10.18%)
         occurrences all number
    51
    Loss of appetite; Across Doses
    alternative assessment type: Systematic
         subjects affected / exposed
    83 / 522 (15.90%)
         occurrences all number
    83
    Irritability; Dose 2
    alternative assessment type: Systematic
         subjects affected / exposed [2]
    84 / 501 (16.77%)
         occurrences all number
    84
    Irritability; Across Doses
    alternative assessment type: Systematic
         subjects affected / exposed
    124 / 522 (23.75%)
         occurrences all number
    124
    Fever; Dose 2
    alternative assessment type: Systematic
         subjects affected / exposed [3]
    101 / 501 (20.16%)
         occurrences all number
    101
    Fever; Across Doses
    alternative assessment type: Systematic
         subjects affected / exposed
    152 / 522 (29.12%)
         occurrences all number
    152
    Vomiting; Dose 2
    alternative assessment type: Systematic
         subjects affected / exposed [4]
    27 / 501 (5.39%)
         occurrences all number
    27
    Vomiting; Across Doses
    alternative assessment type: Systematic
         subjects affected / exposed
    45 / 522 (8.62%)
         occurrences all number
    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: Subjects who missed reporting symptoms (solicited/unsolicited or concomitant medications) were treated as subjects without symptoms (solicited/unsolicited or concomitant medications, respectively)
    [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: Subjects who missed reporting symptoms (solicited/unsolicited or concomitant medications) were treated as subjects without symptoms (solicited/unsolicited or concomitant medications, respectively)
    [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: Subjects who missed reporting symptoms (solicited/unsolicited or concomitant medications) were treated as subjects without symptoms (solicited/unsolicited or concomitant medications, respectively)
    [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: Subjects who missed reporting symptoms (solicited/unsolicited or concomitant medications) were treated as subjects without symptoms (solicited/unsolicited or concomitant medications, respectively)

    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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    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
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