A Phase II Dose-ranging Study of Oral RV3-BB Rotavirus Vaccine

NCT ID: NCT03483116

Last Updated: 2023-07-10

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

PHASE2

Total Enrollment

711 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-15

Study Completion Date

2020-01-27

Brief Summary

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The purpose of this study is to determine the serum IgA response of three dose levels of the oral RV3-BB vaccine when administered in a neonatal schedule or when administered as a high dose in an infant schedule.

Detailed Description

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The primary objective of this study is to assess the cumulative anti-rotavirus serum IgA response (defined as a ≥3 fold increase from baseline) 4 weeks after 3 doses of RV3-BB administered in a neonatal schedule at a High, Mid or low vaccine titre. In addition the cumulative anti-rotavirus serum IgA response (defined as a ≥3 fold increase from baseline) 4 weeks after 3 doses of RV3-BB administered in an infant schedule at a high dose of vaccine will be assessed along with cumulative vaccine take and components of vaccine take after 3 doses of RV3-BB administered in a neonatal or infant schedule.

The safety and tolerability of RV3-BB when administered as an infant or as a neonatal schedule will be described.

Conditions

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Rotavirus Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a Phase II, randomised, double-blind, placebo-controlled, four-arm parallel group study of two different dosing schedules of oral RV3-BB
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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High dose RV3-BB neonatal schedule

High dose neonatal RV3-BB vaccine schedule. RV3-BB Vaccine for Investigational product doses 1 (0-5 days), 2 (week 6) and 3 (week 10) and placebo for Investigational product dose 4 (week 14)

Group Type EXPERIMENTAL

RV3-BB

Intervention Type BIOLOGICAL

Oral administration

Placebo

Intervention Type BIOLOGICAL

Oral administration

Mid dose RV3-BB neonatal schedule

Mid dose neonatal RV3-BB vaccine schedule. RV3-BB Vaccine for Investigational product doses 1 (0-5 days), 2 (week 6) and 3 (week 10) and placebo for Investigational product dose 4 (week 14)

Group Type EXPERIMENTAL

RV3-BB

Intervention Type BIOLOGICAL

Oral administration

Placebo

Intervention Type BIOLOGICAL

Oral administration

Low dose RV3-BB neonatal schedule

Low dose neonatal RV3-BB vaccine schedule. RV3-BB Vaccine for Investigational product doses 1 (0-5 days), 2 (week 6) and 3 (week 10) and placebo for Investigational product dose 4 (week 14)

Group Type EXPERIMENTAL

RV3-BB

Intervention Type BIOLOGICAL

Oral administration

Placebo

Intervention Type BIOLOGICAL

Oral administration

High dose RV3-BB infant schedule

High dose infant RV3-BB vaccine schedule. Placebo for Investigational product dose 1 (0-5 days) and RV3-BB Vaccine for Investigational product doses 2 (week 6) 3 (week 10) and dose 4 (week 14)

Group Type EXPERIMENTAL

RV3-BB

Intervention Type BIOLOGICAL

Oral administration

Placebo

Intervention Type BIOLOGICAL

Oral administration

Interventions

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RV3-BB

Oral administration

Intervention Type BIOLOGICAL

Placebo

Oral administration

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Neonate is less than 6 days (≤144 hours) of age at the time of first dose.
* Neonate is in good health as determined by clinical judgment, including a medical history and physical exam, which confirms the absence of a current or past disease state considered significant by the investigator.
* Neonate birth weight 2500-4000g inclusive.
* Neonate's parents/guardians expect to be available for the duration of the study, and agree to adhere to all protocol requirements.
* Neonate's parents/guardians have provided written informed consent prior to study-related procedures being performed.

Exclusion Criteria

* Any medical, psychiatric, or social condition of a parent/guardian that in the opinion of the investigator would prevent the neonate's parents/guardians from giving proper informed consent or from complying with the study protocol.
* Neonates with known or suspected major congenital malformations or genetically determined disease.
* Neonates with intussusception.
* Neonates with a known or suspected bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
* Neonates who have ever received any blood products, including immunoglobulin, or for whom receipt of any blood product during the course of the study is anticipated.
* Neonates in whom Essential Programme Immunisation (EPI) vaccines or components are contraindicated.
* Neonates who have received or who expect to receive during the study period, any rotavirus vaccine other than those which will be administered as part of this study.
* Neonates who have ever received, or who are anticipated to receive during the study period, any investigational agent other than those which will be administered as part of this study.
* Neonates with a previous anaphylactic reaction to any drug, vaccine or vaccine component.
* Neonates with a significant evolving neurological disorder.
* Neonates whose parents/guardians are site team employees with direct involvement with the investigators, or who are working on the study.
* Neonates who have been exposed to immunosuppressive courses of glucocorticosteroids, cytotoxic drugs or blood products through prenatal exposure and/or breast milk in the four weeks prior to randomization.
* Neonates with diarrhoea or vomiting in the 24 hours preceding randomisation.
* Neonates with any moderate or severe illness, and/or who have a temperature of ≥37.5˚C axillary/oral or ≥38˚C rectal/tympanic within the 48 hours preceding randomization.
Minimum Eligible Age

0 Days

Maximum Eligible Age

18 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Murdoch Childrens Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Desiree Witte, MD MTropPaed

Role: PRINCIPAL_INVESTIGATOR

Malawi-Liverpool-Wellcome Trust Clinical Research Programme

Locations

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Malawi-Liverpool-Wellcome Trust Clinical Research Programme

Blantyre, , Malawi

Site Status

Countries

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Malawi

References

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Witte D, Handley A, Jere KC, Bogandovic-Sakran N, Mpakiza A, Turner A, Pavlic D, Boniface K, Mandolo J, Ong DS, Bonnici R, Justice F, Bar-Zeev N, Iturriza-Gomara M, Ackland J, Donato CM, Cowley D, Barnes G, Cunliffe NA, Bines JE. Neonatal rotavirus vaccine (RV3-BB) immunogenicity and safety in a neonatal and infant administration schedule in Malawi: a randomised, double-blind, four-arm parallel group dose-ranging study. Lancet Infect Dis. 2022 May;22(5):668-678. doi: 10.1016/S1473-3099(21)00473-4. Epub 2022 Jan 20.

Reference Type BACKGROUND
PMID: 35065683 (View on PubMed)

Morgan B, Lyons EA, Handley A, Bogdanovic-Sakran N, Pavlic D, Witte D, Mandolo J, Turner A, Jere KC, Justice F, Ong DS, Bonnici R, Boniface K, Donato CM, Mpakiza A, Meyer A, Bar-Zeev N, Iturriza-Gomara M, Cunliffe NA, Danchin M, Bines JE. Rotavirus-Specific Maternal Serum Antibodies and Vaccine Responses to RV3-BB Rotavirus Vaccine Administered in a Neonatal or Infant Schedule in Malawi. Viruses. 2024 Sep 19;16(9):1488. doi: 10.3390/v16091488.

Reference Type DERIVED
PMID: 39339964 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MCRI-RV3-BB-004

Identifier Type: -

Identifier Source: org_study_id

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