Trial Outcomes & Findings for Dose Confirmation Efficacy Study (V260-007) (NCT NCT00092443)

NCT ID: NCT00092443

Last Updated: 2015-09-14

Results Overview

G1, G2, G3, and G4 Serotype Rotavirus Gastroenteritis Cases Occurring at Least 14 Days Postdose 3 Through the First Rotavirus Season Postvaccination in the Per-Protocol Population Using Per-Protocol Case Definition

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1312 participants

Primary outcome timeframe

At least 14 days following the 3rd vaccination

Results posted on

2015-09-14

Participant Flow

The study was conducted at 30 sites - 27 in the United States, and 3 in Finland from 24-Sep-2002 (first patient in) to 11-Feb-2004 (last dose given). Last subject completed follow-up: 08-Jun-2004. All data corrections applied (Frozen File): 07-Sep-2004

Excluded from the trial before assignment to groups were patients with: history of congenital abdominal disorders, intussusception, or abdominal surgery; history of known prior rotavirus disease, chronic diarrhea, or failure to thrive.

Participant milestones

Participant milestones
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 10^7 IU/Dose)
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and followup for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Overall Study
STARTED
651
661
Overall Study
Vaccinated at Visit 1
650
660
Overall Study
Vaccinated at Visit 2
618
627
Overall Study
Vaccinated at Visit 3
593
608
Overall Study
COMPLETED
593
607
Overall Study
NOT COMPLETED
58
54

Reasons for withdrawal

Reasons for withdrawal
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 10^7 IU/Dose)
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and followup for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Overall Study
Adverse Event
9
13
Overall Study
Lost to Follow-up
7
3
Overall Study
Protocol Violation
11
9
Overall Study
Withdrawal by Subject
9
11
Overall Study
Moved
5
5
Overall Study
Other
17
13

Baseline Characteristics

Dose Confirmation Efficacy Study (V260-007)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 10^7 IU/Dose)
n=651 Participants
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and followup for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
n=661 Participants
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Total
n=1312 Participants
Total of all reporting groups
Age, Customized
6 to 12 Weeks
648 participants
n=5 Participants
658 participants
n=7 Participants
1306 participants
n=5 Participants
Age, Customized
Over 12 Weeks
3 participants
n=5 Participants
3 participants
n=7 Participants
6 participants
n=5 Participants
Sex: Female, Male
Female
304 Participants
n=5 Participants
323 Participants
n=7 Participants
627 Participants
n=5 Participants
Sex: Female, Male
Male
347 Participants
n=5 Participants
338 Participants
n=7 Participants
685 Participants
n=5 Participants
Race/Ethnicity
White
525 participants
n=5 Participants
540 participants
n=7 Participants
1065 participants
n=5 Participants
Race/Ethnicity
Hispanic American
79 participants
n=5 Participants
77 participants
n=7 Participants
156 participants
n=5 Participants
Race/Ethnicity
Black
21 participants
n=5 Participants
23 participants
n=7 Participants
44 participants
n=5 Participants
Race/Ethnicity
Multi-Racial
17 participants
n=5 Participants
15 participants
n=7 Participants
32 participants
n=5 Participants
Race/Ethnicity
Other
9 participants
n=5 Participants
6 participants
n=7 Participants
15 participants
n=5 Participants

PRIMARY outcome

Timeframe: At least 14 days following the 3rd vaccination

Population: Per Protocol Population; number randomized is different from number analyzed due to some data excluded from the analysis (e.g., unevaluable due to wild-type rotavirus-positive stool antigen Enzyme immunoassay (EIA) prior to 14 days Postdose 3, incomplete clinical and/or laboratory results, or stool samples collected out of day range.

G1, G2, G3, and G4 Serotype Rotavirus Gastroenteritis Cases Occurring at Least 14 Days Postdose 3 Through the First Rotavirus Season Postvaccination in the Per-Protocol Population Using Per-Protocol Case Definition

Outcome measures

Outcome measures
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 107 IU/Dose)
n=551 Participants
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
n=564 Participants
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for AGEs through the first rotavirus season post vaccination.
RotaTeq™ at Expiry Potency (SNA - G3)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
RotaTeq™ at Expiry Potency (SNA - G4)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
RotaTeq™ at Expiry Potency (SNA - P1A)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G1)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G2)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G3)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G4)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - P1A)
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Occurence of Clinical Rotavirus Disease Caused by the Composite of the Serotypes Contained Within the Vaccine More Than 14 Days Following the Third Dose.
15 Participants
54 Participants

SECONDARY outcome

Timeframe: 14 days following the 3rd vaccination

Population: Per Protocol Population; number randomized is different from number analyzed due to some data excluded from the analysis (e.g., unevaluable due to wild-type rotavirus-positive stool antigen EIA prior to 14 days Postdose 3, incomplete clinical and/or laboratory results, or stool samples collected out of day range.

Induction of postdose 3 rotavirus Serum neutralizing antibody (SNA) response (Number of subjects with ≥3 fold rise in antibody titer)

Outcome measures

Outcome measures
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 107 IU/Dose)
n=67 Participants
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
n=62 Participants
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for AGEs through the first rotavirus season post vaccination.
RotaTeq™ at Expiry Potency (SNA - G3)
n=67 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
RotaTeq™ at Expiry Potency (SNA - G4)
n=63 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
RotaTeq™ at Expiry Potency (SNA - P1A)
n=61 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G1)
n=73 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G2)
n=70 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G3)
n=75 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - G4)
n=70 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Placebo Matching RotaTeq™ (SNA - P1A)
n=69 Participants
Subjects tested with data available for analysis excluding protocol violators and subjects with invalid data based on lab determinations.
Number of Subjects With ≥3 Fold Rise in Antibody Titer
38 Participants
9 Participants
6 Participants
25 Participants
15 Participants
2 Participants
0 Participants
0 Participants
1 Participants
2 Participants

Adverse Events

RotaTeq™ at Expiry Potency (≈1.1 x 10^7 IU/Dose)

Serious events: 21 serious events
Other events: 558 other events
Deaths: 0 deaths

Placebo Matching RotaTeq™

Serious events: 28 serious events
Other events: 565 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 10^7 IU/Dose)
n=649 participants at risk
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
n=658 participants at risk
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for AGEs through the first rotavirus season post vaccination.
Gastrointestinal disorders
Abdominal pain
0.00%
0/649
0.15%
1/658 • Number of events 1
Gastrointestinal disorders
Constipation
0.00%
0/649
0.15%
1/658 • Number of events 1
Gastrointestinal disorders
Haematochezia
0.00%
0/649
0.15%
1/658 • Number of events 1
Gastrointestinal disorders
Perirectal abscess
0.15%
1/649 • Number of events 1
0.00%
0/658
General disorders
Pyrexia
0.31%
2/649 • Number of events 2
0.00%
0/658
General disorders
Sudden infant death syndrome
0.15%
1/649 • Number of events 1
0.00%
0/658
Immune system disorders
Milk allergy
0.00%
0/649
0.15%
1/658 • Number of events 1
Infections and infestations
Bronchiolitis
1.1%
7/649 • Number of events 7
1.1%
7/658 • Number of events 7
Infections and infestations
Bronchitis
0.00%
0/649
0.15%
1/658 • Number of events 1
Infections and infestations
Croup infectious
0.00%
0/649
0.15%
1/658 • Number of events 1
Infections and infestations
Gastroenteritis
0.15%
1/649 • Number of events 1
0.15%
1/658 • Number of events 1
Infections and infestations
Gastroenteritis rotavirus
0.00%
0/649
0.15%
1/658 • Number of events 1
Infections and infestations
Influenza
0.15%
1/649 • Number of events 1
0.30%
2/658 • Number of events 2
Infections and infestations
Lobar pneumonia
0.15%
1/649 • Number of events 1
0.00%
0/658
Infections and infestations
Meningitis
0.15%
1/649 • Number of events 1
0.00%
0/658
Infections and infestations
Pertussis
0.00%
0/649
0.46%
3/658 • Number of events 3
Infections and infestations
Pneumonia
0.31%
2/649 • Number of events 2
0.00%
0/658
Infections and infestations
Pneumonia bacterial
0.00%
0/649
0.15%
1/658 • Number of events 1
Infections and infestations
Pyelonephritis acute
0.00%
0/649
0.30%
2/658 • Number of events 2
Infections and infestations
Respiratory syncytial virus infection
0.15%
1/649 • Number of events 1
0.15%
1/658 • Number of events 1
Infections and infestations
Tuberculosis
0.15%
1/649 • Number of events 1
0.00%
0/658
Infections and infestations
Upper respiratory tract infection
0.00%
0/649
0.15%
1/658 • Number of events 1
Infections and infestations
Urinary tract infection
0.15%
1/649 • Number of events 1
0.00%
0/658
Metabolism and nutrition disorders
Decreased appetite
0.15%
1/649 • Number of events 1
0.15%
1/658 • Number of events 1
Metabolism and nutrition disorders
Dehydration
0.15%
1/649 • Number of events 1
0.61%
4/658 • Number of events 4
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Spinal cord neoplasm
0.00%
0/649
0.15%
1/658 • Number of events 1
Nervous system disorders
Cerebral cyst
0.00%
0/649
0.15%
1/658 • Number of events 1
Nervous system disorders
Partial seizures
0.15%
1/649 • Number of events 1
0.00%
0/658
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/649
0.15%
1/658 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.15%
1/649 • Number of events 1
0.00%
0/658
Skin and subcutaneous tissue disorders
Dermatitis atopic
0.00%
0/649
0.15%
1/658 • Number of events 1

Other adverse events

Other adverse events
Measure
RotaTeq™ at Expiry Potency (≈1.1 x 10^7 IU/Dose)
n=649 participants at risk
Three doses of RotaTeq™ (Rotavirus vaccine, live, oral, pentavalent) administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination, and follow-up for acute gastrointestinal episodes (AGEs) through the first rotavirus season post vaccination.
Placebo Matching RotaTeq™
n=658 participants at risk
Placebo matching RotaTeq™ administered 28 to 70 days apart, with up to 42 days of safety follow-up after each vaccination and follow-up for AGEs through the first rotavirus season post vaccination.
Eye disorders
Conjunctivitis
7.7%
50/649 • Number of events 56
7.0%
46/658 • Number of events 53
Gastrointestinal disorders
Constipation
5.4%
35/649 • Number of events 39
5.2%
34/658 • Number of events 38
Gastrointestinal disorders
Diarrhoea
15.9%
103/649 • Number of events 160
16.7%
110/658 • Number of events 177
Gastrointestinal disorders
Flatulence
8.0%
52/649 • Number of events 72
7.4%
49/658 • Number of events 78
Gastrointestinal disorders
Regurgitation of food
6.8%
44/649 • Number of events 54
6.2%
41/658 • Number of events 55
Gastrointestinal disorders
Vomiting
12.5%
81/649 • Number of events 112
11.7%
77/658 • Number of events 116
General disorders
Injection site pain
9.4%
61/649 • Number of events 82
9.4%
62/658 • Number of events 81
General disorders
Pyrexia
43.6%
283/649 • Number of events 450
40.3%
265/658 • Number of events 438
Infections and infestations
Gastroenteritis
14.0%
91/649 • Number of events 103
16.1%
106/658 • Number of events 132
Infections and infestations
Otitis media
18.3%
119/649 • Number of events 143
16.9%
111/658 • Number of events 144
Infections and infestations
Respiratory tract infection
6.3%
41/649 • Number of events 46
4.3%
28/658 • Number of events 32
Infections and infestations
Rhinitis
10.6%
69/649 • Number of events 84
12.3%
81/658 • Number of events 110
Infections and infestations
Upper respiratory tract infection
23.1%
150/649 • Number of events 192
21.7%
143/658 • Number of events 172
Psychiatric disorders
Agitation
15.7%
102/649 • Number of events 145
15.0%
99/658 • Number of events 145
Psychiatric disorders
Crying
8.2%
53/649 • Number of events 82
7.9%
52/658 • Number of events 79
Psychiatric disorders
Irritability
23.9%
155/649 • Number of events 248
26.1%
172/658 • Number of events 299
Respiratory, thoracic and mediastinal disorders
Cough
14.6%
95/649 • Number of events 111
13.7%
90/658 • Number of events 106
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.0%
39/649 • Number of events 47
8.1%
53/658 • Number of events 68
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
9.1%
59/649 • Number of events 73
6.4%
42/658 • Number of events 50

Additional Information

Vice President, Late Stage Development Group Leader

Merck Sharp & Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER