Phase I/II Descending Age Study of P2VP8 Subunit Parenteral Rotavirus Vaccine in Healthy Toddlers and Infants

NCT ID: NCT02109484

Last Updated: 2017-12-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2015-11-30

Brief Summary

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This is is a study of a parenteral rotavirus vaccine (P2-VP8 subunit rotavirus vaccine). The study will examine the safety and immunogenicity of this vaccine first in healthy South African toddlers. If the safety profile is deemed appropriate, the study will continue to explore the safety and immunogenicity of the vaccine in healthy South African infants.

The primary safety hypothesis is that the P2-VP8 subunit rotavirus vaccine is safe and well-tolerated in healthy toddlers and infants. The primary immunogenicity hypothesis is that the P2-VP8 subunit rotavirus vaccine is immunogenic in infant participants and will induce an immune response in at least 80% of participants in at least one of the study groups.

Detailed Description

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Conditions

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Evaluation of a Rotavirus Vaccine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cohort A P2-VP8 30 mcg

Cohort A toddlers (24-35 mo) receiving P2-VP8 Subunit Vaccine (30 mcg)

Group Type EXPERIMENTAL

P2-VP8 Subunit Vaccine 30 mcg

Intervention Type BIOLOGICAL

30 mcg

Cohort A Placebo

Cohort A toddlers (24-35 mo)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Cohort A P2-VP8 60 mcg

Cohort A toddlers (24-35 mo) receiving high dose P2-VP8 Subunit Vaccine (60mcg)

Group Type EXPERIMENTAL

P2-VP8 Subunit Vaccine 60mcg

Intervention Type BIOLOGICAL

60 mcg

Cohort B P2-VP8 10mcg

Cohort B infants receiving P2-VP8 Subunit Vaccine (10mcg)

Group Type EXPERIMENTAL

P2-VP8 Subunit Vaccine 10mcg

Intervention Type BIOLOGICAL

10 mcg

Cohort B placebo

Cohort B infants aged 6 to \< 8 weeks receiving placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Cohort B P2-VP8 30mcg

Cohort B infants aged 6 to \< 8 weeks receiving P2-VP8 Subunit Vaccine (30mcg)

Group Type EXPERIMENTAL

P2-VP8 Subunit Vaccine 30 mcg

Intervention Type BIOLOGICAL

30 mcg

Cohort B1 P2-VP8 60mcg

Cohort B1 Infants aged 6 to \< 8 weeks receiving P2-VP8 Subunit Vaccine (60mcg)

Group Type EXPERIMENTAL

P2-VP8 Subunit Vaccine 60mcg

Intervention Type BIOLOGICAL

60 mcg

Cohort A P2-VP8 10mcg

Cohort A toddlers (24-35 mo) receiving P2VP8 Subunit Vaccine (10mcg)

Group Type EXPERIMENTAL

P2-VP8 Subunit Vaccine 10mcg

Intervention Type BIOLOGICAL

10 mcg

Interventions

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P2-VP8 Subunit Vaccine 10mcg

10 mcg

Intervention Type BIOLOGICAL

P2-VP8 Subunit Vaccine 30 mcg

30 mcg

Intervention Type BIOLOGICAL

P2-VP8 Subunit Vaccine 60mcg

60 mcg

Intervention Type BIOLOGICAL

Placebo

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* healthy infants/toddlers as established by medical history and clinical examination before entering study
* age:

* toddler cohort: \> or = 2 and \<3 years old at the time of enrollment
* infant cohort: \> or = 6 and \<8 weeks at the time of enrollment
* parental ability and willingness to provide informed consent
* parental intention to remain in the area with the child during the study period.

Exclusion Criteria

* Presence of fever on the day of enrollment
* Acute disease at the time of enrollment
* Concurrent participation in another clinical trial throughout the entire timeframe for this study
* Presence of malnutrition or any systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer or autoimmune disease) as determined by medical history and/or physical examination that would compromise the participant's health or is likely to result in nonconformance to the protocol
* For infant cohort, history of premature birth (\<37 weeks gestation)
* History of congenital abdominal disorders, intussusception, or abdominal surgery
* Known or suspected impairment of immunological function based on medical history and physical examination
* For infant cohort only, prior receipt of rotavirus vaccine
* A known sensitivity or allergy to any components of the study vaccine
* History of anaphylactic reaction
* Major congenital or genetic defect
* Participant's parents not able, available or willing to accept active weekly follow-up by the study staff
* Has received any immunoglobulin therapy and/or blood products since birth or planned administration during the study period
* History of chronic administration (defined as more than 14 days) of immunosuppressant medications, including corticosteroids. Infants on inhaled or topical steroids may be permitted to participate in the study
* Any medical condition in the parents/infant that, in the judgment of the investigator, would interfere with or serves as a contraindication to protocol adherence or a participant's parents' ability to give informed consent
* HIV infection

* For toddlers, to be assessed by HIV ELISA
* For infants, to be assessed by PCR, if mother is not known to be negative (negative test result between 24 weeks gestation and screening)
Minimum Eligible Age

6 Weeks

Maximum Eligible Age

35 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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PATH

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michelle Groome

Role: PRINCIPAL_INVESTIGATOR

SAMRC Respiratory and Meningeal Pathogen Research Unit

Locations

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Respiratory and Meningeal Pathogens Research Unit (RMPRU)

Johannesburg, Gauteng, South Africa

Site Status

Countries

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South Africa

References

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Koen A, Jose L, Madhi SA, Fix A, Cryz S, Groome MJ. Neutrophil Counts in Healthy South African Infants: Implications for Enrollment and Adverse Event Grading in Clinical Trials in an African Setting. J Pediatr X. 2019 Spring;1:100005. doi: 10.1016/j.ympdx.2019.100005.

Reference Type DERIVED
PMID: 32734176 (View on PubMed)

Groome MJ, Koen A, Fix A, Page N, Jose L, Madhi SA, McNeal M, Dally L, Cho I, Power M, Flores J, Cryz S. Safety and immunogenicity of a parenteral P2-VP8-P[8] subunit rotavirus vaccine in toddlers and infants in South Africa: a randomised, double-blind, placebo-controlled trial. Lancet Infect Dis. 2017 Aug;17(8):843-853. doi: 10.1016/S1473-3099(17)30242-6. Epub 2017 May 5.

Reference Type DERIVED
PMID: 28483414 (View on PubMed)

Other Identifiers

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VAC-013

Identifier Type: -

Identifier Source: org_study_id

NCT02132156

Identifier Type: -

Identifier Source: nct_alias