Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
12705 participants
OBSERVATIONAL
2010-12-31
2013-07-31
Brief Summary
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Detailed Description
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1. To evaluate vaccine efficacy against rotavirus gastroenteritis of any severity in children under one - three year(s) of age following 2 oral doses of Rotarix.
2. To evaluate the burden of illness (hospitalization) associated with rotavirus infection in children less than 12 months - 3 years of age.
3. To monitor the incidence of severe side effects associated with uptake of Rotarix vaccine in program participants.
4. To provide data that is required to estimate costs associated with managing rotavirus in a hospital setting and at home.
The objectives for the universal rotavirus immunization program evaluation are:
1. To examine and compare the effectiveness of two program delivery systems (physician administered and public health administered) in providing the rotavirus vaccination to infants.
2. To evaluate the logistics of program implementation using the Rotarix vaccine in a cohort of infants.
3. To evaluate the acceptability of a universal rotavirus vaccination program by parents, physicians and nurses by measuring parent, nurse, and physician Knowledge Attitudes and Beliefs about rotavirus gastroenteritis.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Evaluation of Rotarix Program
All infants in Nova Scotia DHA 9 and PEI born after October1, 2010 until September 30, 2012 will be eligible for Rotarix immunization as part of the publicly funded immunization program. New Brunswick will serve as the non-intervention control location.
No interventions assigned to this group
Retrospective Surveillance
All laboratory- confirmed cases of rotavirus gastroenteritis and all cause diarrhea admitted to the trial hospitals from 2008-2010 will be entered in the database.
No interventions assigned to this group
Prospective Surveillance
Will begin on December 1, 2010. Data will be collected to identify hospitalizations for all cause diarrhea and rotavirus gastroenteritis at all 3 sites through the first two consecutive rotavirus seasons following vaccination.
No interventions assigned to this group
Safety Intussusception
Each trial hospital will identify cases of severe diarrhea and intussusception in Rotarix vaccine recipients through the first two consecutive rotavirus seasons following vaccination.
No interventions assigned to this group
ED Rotavirus Snap Shot Study
During rotavirus peak season, a prospective study of a sample of children under the age of 2 years presenting with diarrhea with or without vomiting to the ER of participating trial centers will be conducted in year one. In year 2 and 3 of the project:, systematic stool sampling will be carried out for cases of gastroenteritis in children \< 5 years of age presenting to the ED departments.
No interventions assigned to this group
KAB Questionnaire for HCP and Parents
Data will be collected by a validated survey given to Parents, Healthcare providers and Program organizers throughout the 2 year program.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
Exclusion:
* Infants who are hypersensitive to this drug or to any ingredient in the formulation or component of the container.
* Infants who experienced hypersensitivity after previous administration of rotavirus vaccines.
* Infants with uncorrected congenital malformation (such as Meckel's diverticulum) of the gastrointestinal tract that would predispose for intussusception.
Retrospective Surveillance (2008-2010)
* Confirmed rotavirus case in stool specimen taken within 14 days after the onset of gastrointestinal symptoms. Cases identified by autopsy must have had gastrointestinal symptoms before death.
* Rotavirus identified during 2008-2010
* Children less than 2 years of age
* Inpatient at site hospital
* Any patient who has a documented rotavirus hospital acquired infection
* Referred confirmed cases from another institution.
* Children less than 2 years of age presenting to the study site hospital (inpatients and outpatients)
* Radiologic or surgical diagnosis of intussusception and based on the Level 1 Brighton criteria:
1.Invagination of the intestine (intussusception) demonstrated at surgery /2 demonstrated using air or liquid contrast enema 3.An intra-abdominal mass demonstrated using ultrasound or CT scan and was proven to be reduced by hydrostatic enema on a post-reduction imaging 4.Invagination of the intestine (intussusception) demonstrated at autopsy
* Presentation to hospital from December 1, 2010 - November 30. 2012
* All children less than 2 years-old presenting with gastroenteritis who have a positive confirmed test for rotavirus, stool specimen taken within 14 days after the onset of symptoms.
* Telephone informed consent obtained from the parent or legal guardian.
* Parent or legal guardian can read and write English and can understand the informed consent documents and the study instructions and are mentally competent to give consent.
* Parents of healthy newborns eligible for the Rotarix vaccination program
* Parents who have a good understanding of English.
* Providers who were registered with the College of Registered Nurses of Nova Scotia, the Association of Registered Nurses of Prince Edward Island, the Nurses Association of New Brunswick, the Nova Scotia College of Family Physicians, the Prince Edward Island College of Family Physicians, or the New Brunswick College of Family Physicians for at least one year.
* Program managers responsible for immunization programs in PEI and NS DHA 9
Exclusion Criteria
* Cases which do not have clinical data accessible by the nurse monitors
Prospective surveillance
Same as listed above for retrospective surveillance except the time period of surveillance will be December 1, 2010 - November 30, 2013.
Safety monitoring Intussusception Surveillance:
* Children 2 years of age or older
* Children with intussusception which is a direct complication of a surgical procedure.
* Year 3 will include children less than 3 years of age
Emergency Department Rotavirus Snap Shot Study
* No stool sample
* Authorization not obtained
In year 2 and 3 of the project:, systematic stool sampling will be carried out for cases of gastroenteritis in children \< 5 years of age presenting to the ED departments.
KAB Questionnaire for Health Care Providers and Parents
•Parents of newborns with a debilitating disease
6 Weeks
ALL
Yes
Sponsors
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IWK Health Centre
OTHER
University of Prince Edward Island
OTHER
Horizon Health Care New Brunswick
UNKNOWN
GlaxoSmithKline
INDUSTRY
Nova Scotia Health Authority
OTHER
Dalhousie University
OTHER
Responsible Party
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Scott Halperin
Dr. Scott Halperin
Principal Investigators
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Donna MacDougall, PhD, RN
Role: PRINCIPAL_INVESTIGATOR
Canadian Center for Vaccinology
Locations
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Canadian Center for Vaccinology, IWK Health Centre
Halifax, Nova Scotia, Canada
Countries
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References
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Zelman M, Sanford C, Neatby A, Halperin BA, MacDougall D, Rowswell C, Langley JM, Halperin SA; Maritime Universal Rotavirus Vaccination Program (MURVP). Implementation of a universal rotavirus vaccination program: comparison of two delivery systems. BMC Public Health. 2014 Sep 2;14:908. doi: 10.1186/1471-2458-14-908.
Sanford C, Langley JM, Halperin SA, Zelman M, Mvrvp. A universal infant rotavirus vaccine program in two delivery models: Effectiveness and adverse events following immunization. Hum Vaccin Immunother. 2015;11(4):870-4. doi: 10.1080/21645515.2015.1012028.
MacDougall DM, Halperin BA, Langley JM, MacKinnon-Cameron D, Li L, Halperin SA; Maritime Universal Rotavirus Vaccination Program (MURVP). Knowledge, attitudes, beliefs, and behaviors of parents and healthcare providers before and after implementation of a universal rotavirus vaccination program. Vaccine. 2016 Jan 27;34(5):687-695. doi: 10.1016/j.vaccine.2015.09.089. Epub 2015 Oct 14.
Related Links
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Canadian Center for Vaccinology
BMC Public Health.2014, 14:908
Other Identifiers
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REB 4997
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
GS1001
Identifier Type: -
Identifier Source: org_study_id
NCT01401686
Identifier Type: -
Identifier Source: nct_alias
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