Clinical Trial Results:
A Phase 3 Randomized, Open-Label, Clinical Trial to Study the Immunogenicity and Safety of Concomitant and Non-Concomitant Administration of V260 and Inactivated Poliomyelitis Vaccine (IPV) in Chinese Healthy Infants
Summary
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EudraCT number |
2020-003329-49 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
08 May 2021
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Results information
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Results version number |
v2(current) |
This version publication date |
27 Apr 2023
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First version publication date |
21 Jan 2023
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Other versions |
v1 |
Version creation reason |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
V260-074
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT04481191 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Merck Sharp & Dohme LLC
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Sponsor organisation address |
126 East Lincoln Avenue, P.O. Box 2000, Rahway, NJ, United States, 07065
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Public contact |
Clinical Trials Disclosure, Merck Sharp & Dohme LLC, ClinicalTrialsDisclosure@merck.com
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Scientific contact |
Clinical Trials Disclosure, Merck Sharp & Dohme LLC, ClinicalTrialsDisclosure@merck.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
08 May 2021
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
08 May 2021
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Global end of trial reached? |
Yes
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Global end of trial date |
08 May 2021
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
This study will evaluate the immunogenicity and safety of concomitant administration of RotaTeq® (V260) and inactivated poliomyelitis vaccine (IPV) in Chinese infants. Its primary objective is to demonstrate that the immunogenicity of IPV in the concomitant-use group is non-inferior to the immunogenicity of IPV in the staggered-use group. The hypothesis to be tested is: The seroconversion percentage at 1 month post dose 3 for poliovirus types 1, 2, and 3 in the concomitant-use group is non-inferior to those of the staggered-use group.
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Protection of trial subjects |
This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding ethical committee review, informed consent, and the protection of human subjects participating in biomedical research.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
25 Aug 2020
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
China: 400
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Worldwide total number of subjects |
400
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
400
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||||||||
Pre-assignment
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Screening details |
Healthy Chinese infants age 48-63 days were enrolled. | ||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | ||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Concomitant RotaTeq and IPV | ||||||||||||||||||
Arm description |
Participants received RotaTeq (2 mL oral dose) and IPV (0.5 mL intramuscular [IM] injection ) concomitantly at Visit 2 (15 to 21 days after Visit 1 [Day 1]), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | ||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||
Investigational medicinal product name |
Inactivated Poliomyelitis Vaccine
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Investigational medicinal product code |
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Other name |
IPV
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Pharmaceutical forms |
Solution for injection/infusion
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Routes of administration |
Intramuscular use
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Dosage and administration details |
0.5 mL dose IPV (Sabin strain based), administered via IM injection.
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Investigational medicinal product name |
RotaTeq
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Investigational medicinal product code |
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Other name |
V260
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Pharmaceutical forms |
Oral solution
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Routes of administration |
Oral use
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Dosage and administration details |
Live, pentavalent rotavirus vaccine administered as a 2 mL-dose oral solution.
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Arm title
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Staggered RotaTeq and IPV | ||||||||||||||||||
Arm description |
Participants received RotaTeq (2 mL oral dose) at Visit 1 (Day 1), Visit 3 (30 to 42 days after Visit 1), and Visit 5 (30 to 42 days after Visit 3); and IPV (0.5 mL IM injection) at Visit 2 (15 to 21 days Visit 1), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | ||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||
Investigational medicinal product name |
Inactivated Poliomyelitis Vaccine
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Investigational medicinal product code |
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Other name |
IPV
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Pharmaceutical forms |
Solution for injection/infusion
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Routes of administration |
Intramuscular use
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Dosage and administration details |
0.5 mL dose IPV (Sabin strain based), administered via IM injection.
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Investigational medicinal product name |
RotaTeq
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Investigational medicinal product code |
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Other name |
V260
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Pharmaceutical forms |
Oral solution
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Routes of administration |
Oral use
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Dosage and administration details |
Live, pentavalent rotavirus vaccine administered as a 2 mL-dose oral solution.
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Baseline characteristics reporting groups
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Reporting group title |
Concomitant RotaTeq and IPV
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Reporting group description |
Participants received RotaTeq (2 mL oral dose) and IPV (0.5 mL intramuscular [IM] injection ) concomitantly at Visit 2 (15 to 21 days after Visit 1 [Day 1]), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Staggered RotaTeq and IPV
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Reporting group description |
Participants received RotaTeq (2 mL oral dose) at Visit 1 (Day 1), Visit 3 (30 to 42 days after Visit 1), and Visit 5 (30 to 42 days after Visit 3); and IPV (0.5 mL IM injection) at Visit 2 (15 to 21 days Visit 1), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Concomitant RotaTeq and IPV
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Reporting group description |
Participants received RotaTeq (2 mL oral dose) and IPV (0.5 mL intramuscular [IM] injection ) concomitantly at Visit 2 (15 to 21 days after Visit 1 [Day 1]), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | ||
Reporting group title |
Staggered RotaTeq and IPV
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Reporting group description |
Participants received RotaTeq (2 mL oral dose) at Visit 1 (Day 1), Visit 3 (30 to 42 days after Visit 1), and Visit 5 (30 to 42 days after Visit 3); and IPV (0.5 mL IM injection) at Visit 2 (15 to 21 days Visit 1), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). |
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End point title |
Percentage of Participants Achieving Neutralizing Antibody Seroconversion to Poliovirus Types 1, 2, and 3 at 1 Month Post Dose 3 of IPV | |||||||||||||||||||||
End point description |
The immunogenicity of IPV was measured using poliovirus serum neutralizing antibody assay of the National Institutes for Food and Drug Control (NIFDC), Beijing, China. Serum conversion was defined as antibody titer ≥1:8 post-vaccination in baseline seronegative participants or ≥4-fold increase in titer post-vaccination in baseline seropositive participants. Participants who received the 3 scheduled doses of study vaccination, adhered to guidelines for vaccine administration, provided baseline and post-vaccination blood samples within the acceptable day range, and did not have important protocol deviations are included.
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End point type |
Primary
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End point timeframe |
Baseline and 1 month postdose 3 of IPV (Month ~3.5)
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Statistical analysis title |
Poliovirus Type 1 Group Difference | |||||||||||||||||||||
Statistical analysis description |
Difference indicates Concomitant-use Group % - Staggered-use Group %
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Comparison groups |
Staggered RotaTeq and IPV v Concomitant RotaTeq and IPV
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Number of subjects included in analysis |
367
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Analysis specification |
Pre-specified
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Analysis type |
non-inferiority [1] | |||||||||||||||||||||
P-value |
< 0.001 [2] | |||||||||||||||||||||
Method |
Unstratified Miettinen & Nurminen method | |||||||||||||||||||||
Parameter type |
Mean difference (final values) | |||||||||||||||||||||
Point estimate |
-1.1
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Confidence interval |
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level |
95% | |||||||||||||||||||||
sides |
2-sided
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lower limit |
-4 | |||||||||||||||||||||
upper limit |
0.9 | |||||||||||||||||||||
Notes [1] - Non-inferiority was declared when the lower bound of the 95% CI for the difference in percentages (Concomitant-use Group - Staggered-use Group) being > -10 percentage points (one-sided p-value < 0.025). [2] - One-sided p-value |
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Statistical analysis title |
Poliovirus Type 3 Group Difference | |||||||||||||||||||||
Statistical analysis description |
Difference indicates Concomitant-use % - Staggered-use %
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Comparison groups |
Concomitant RotaTeq and IPV v Staggered RotaTeq and IPV
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Number of subjects included in analysis |
367
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Analysis specification |
Pre-specified
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Analysis type |
non-inferiority [3] | |||||||||||||||||||||
P-value |
< 0.001 [4] | |||||||||||||||||||||
Method |
Unstratified Miettinen & Nurminen method | |||||||||||||||||||||
Parameter type |
Mean difference (final values) | |||||||||||||||||||||
Point estimate |
0.5
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Confidence interval |
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level |
95% | |||||||||||||||||||||
sides |
2-sided
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lower limit |
-1.6 | |||||||||||||||||||||
upper limit |
3 | |||||||||||||||||||||
Notes [3] - Non-inferiority was declared when the lower bound of the 95% CI for the difference in percentages (Concomitant-use Group - Staggered-use Group) being > -10 percentage points (one-sided p-value < 0.025). [4] - One-sided p-value |
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Statistical analysis title |
Poliovirus Type 2 Group Difference | |||||||||||||||||||||
Statistical analysis description |
Difference indicates Concomitant-use Group % - Staggered-use Group %
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Comparison groups |
Concomitant RotaTeq and IPV v Staggered RotaTeq and IPV
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Number of subjects included in analysis |
367
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Analysis specification |
Pre-specified
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Analysis type |
non-inferiority [5] | |||||||||||||||||||||
P-value |
< 0.001 [6] | |||||||||||||||||||||
Method |
Unstratified Miettinen & Nurminen method | |||||||||||||||||||||
Parameter type |
Mean difference (final values) | |||||||||||||||||||||
Point estimate |
-1.1
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Confidence interval |
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level |
95% | |||||||||||||||||||||
sides |
2-sided
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lower limit |
-4.3 | |||||||||||||||||||||
upper limit |
1.5 | |||||||||||||||||||||
Notes [5] - Non-inferiority was declared when the lower bound of the 95% CI for the difference in percentages (Concomitant-use Group - Staggered-use Group) being > -10 percentage points (one-sided p-value < 0.025). [6] - One-sided p-value |
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End point title |
Geometric Mean Titers (GMTs) of Neutralizing Antibody to Poliovirus Types 1, 2, and 3 at 1 Month Post Dose 3 of IPV | |||||||||||||||||||||
End point description |
The immune response to IPV was measured using poliovirus serum neutralizing antibody assay of the NIFDC, Beijing, China. Participants who received the 3 scheduled doses of study vaccination, adhered to guidelines for vaccine administration, provided baseline and post-vaccination blood samples within the acceptable day range, and did not have important protocol deviations are included.
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End point type |
Secondary
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End point timeframe |
1 month postdose 3 of IPV (Month ~3.5)
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No statistical analyses for this end point |
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End point title |
Percentage of Participants Achieving Neutralizing Antibody Titers ≥1:8 for Poliovirus Types 1, 2, and 3 at 1 Month Post Dose 3 of IPV | |||||||||||||||||||||
End point description |
The immune response to IPV was measured using poliovirus serum neutralizing antibody assay of the NIFDC, Beijing, China. Participants who received the 3 scheduled doses of study vaccination, adhered to guidelines for vaccine administration, provided baseline and post-vaccination blood samples within the acceptable day range, and did not have important protocol deviations are included.
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End point type |
Secondary
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End point timeframe |
1 month post dose 3 of IPV (Month ~3.5)
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No statistical analyses for this end point |
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End point title |
Percentage of Participants Achieving Neutralizing Antibody Titers ≥1:64 for Poliovirus Types 1, 2, and 3 at 1 Month Post Dose 3 of IPV | |||||||||||||||||||||
End point description |
The immune response to IPV was measured using poliovirus serum neutralizing antibody assay of the NIFDC, Beijing, China. Participants who received the 3 scheduled doses of study vaccination, adhered to guidelines for vaccine administration, provided baseline and post-vaccination blood samples within the acceptable day range, and did not have important protocol deviations are included.
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End point type |
Secondary
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End point timeframe |
1 month postdose 3 of IPV (Month ~3.5)
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No statistical analyses for this end point |
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End point title |
Percentage of Participants With Solicited Injection-Site Adverse Events | ||||||||||||
End point description |
Solicited injection-site adverse events (AEs) included erythema, swelling, induration, and pain at the IPV injection-site. All participants who received ≥1 dose of study treatment are included.
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End point type |
Secondary
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End point timeframe |
Up to 7 days following each IPV vaccination
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No statistical analyses for this end point |
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End point title |
Percentage of Participants With Solicited Systemic Adverse Events | |||||||||||||||||||||
End point description |
Solicited systemic AEs included diarrhea, vomiting, and elevated temperature (axillary temperature ≥37.5º C). All participants who received ≥1 dose of study treatment are included.
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End point type |
Secondary
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End point timeframe |
Up to 7 days following each RotaTeq and/or IPV vaccination
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No statistical analyses for this end point |
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End point title |
Percentage of Participants With Serious Adverse Events (SAEs) | ||||||||||||
End point description |
The percentage of participants with SAEs is presented. An SAE is an AE that 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 another important medical event. All participants who received ≥1 dose of study treatment are included.
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End point type |
Secondary
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End point timeframe |
Up to approximately 3.5 months
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Up to approximately 3.5 months
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Adverse event reporting additional description |
All participants who received ≥1 study-related vaccination are included.
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
25.0
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Reporting groups
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Reporting group title |
Staggered RotaTeq and IPV
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Reporting group description |
Participants will receive RotaTeq (2 mL oral dose) at Visit 1 (Day 1), Visit 3 (30 to 42 days after Visit 1), and Visit 5 (30 to 42 days after Visit 3); and IPV (0.5 mL IM injection) at Visit 2 (15 to 21 days Visit 1), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Concomitant RotaTeq and IPV
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Reporting group description |
Participants will receive RotaTeq (2 mL oral dose) and IPV (0.5 mL intramuscular [IM] injection ) concomitantly at Visit 2 (15 to 21 days after Visit 1 [Day 1]), Visit 4 (30 to 42 days after Visit 2), and Visit 6 (30 to 42 days after Visit 4). | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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30 Jan 2020 |
Amendment 01: The primary purpose was to align protocol with new guideline on the grading scales for adverse events in vaccine studies in China. |
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11 Aug 2020 |
Amendment 2: The primary purpose was to add the EudraCT number and clarify baseline characteristics to be collected. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
Protocol Amendment 3 was issued after study completion. The purpose of the amendment was to update the Sponsor entity name and address. |