ClinicalTrials.gg
CompletedNCT01377571Updated Jul 4, 2016

A Dose-escalating Study to Evaluate the Immunogenicity and Safety of Rotavin-M1 Vaccine in Healthy Infants

A Phase 2 interventional study of Rotarix in Diarrhea, Fever and Nausea, sponsored by National Institute of Hygiene and Epidemiology, Vietnam. Completed at 1 site in Vietnam. Open to participants aged 6 Weeks to 12 Weeks, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-07-04.

Sponsored by National Institute of Hygiene and Epidemiology, Vietnam · Phase 2 and Interventional

Phase
Phase 2
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
6 Weeks to 12 Weeks
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and immunogenicity of Rotavin-M1 produced by the Center for Research and Production of Vaccines and Biologicals (POLYVAC) in infants in Vietnam. In addition, we evaluate different dosages and schedules to determine the best regimen to test in a clinical trial.

Read the detailed description

Rotavirus (RV) is the most important cause of acute gastroenteritis in children worldwide. In Vietnam rotavirus causes an estimated 122,000-140,000 hospitalizations and 2900-5400 deaths per year among children under 5 years of age (1). Over the past 13 years, sentinel hospital surveillance identified rotavirus in 44%-62% of children admitted for the treatment of acute diarrhea in Vietnam (2-4). Such a high burden of disease justified accelerated development of a new and locally manufactured vaccine against rotavirus in Vietnam. It is estimated that if a vaccine was introduced in the current childhood immunization schedule, it could reduce severe rotavirus disease by about 60% or more given current vaccine efficacies and coverage (5).

The Government of Vietnam has pursued a policy to encourage local vaccine production so the country could be self-reliant with affordable vaccines for its population (6). Over the past decades, several locally produced vaccines for poliomyelitis, cholera, Japanese encephalitis, and Diphtheria-Pertussis-Tetanus have contributed to the reduction in the prevalence of these diseases and to the eradication of polio over the past decade. While two commercial rotavirus vaccines, RotarixTM (GSK, Belgium) and RotaTeq® (Merck), have both been tested in Vietnam, neither is currently available at an affordable cost for the national program. Therefore, the candidate vaccine, Rotavin-M1, was developed in order to fill this need for a more affordable vaccine for Vietnamese children (6). This vaccine is similar to RotarixTM, and was developed by selecting a common G1P[8] strain and attenuating it through serial passages and plaque purification in qualified Vero cells under GLP conditions.

02

Conditions studied

  • Diarrhea
  • Fever
  • Nausea
  • Vomit
  • Irritability

Keywords

  • diarrhea
  • fever
  • nausea
  • vomit
  • irritability
03

In context

Diarrhea

877 studies on the registry are indexed under Diarrhea; 76 are open to participants now.

This study's enrollment of 200 is above the median of 137 across 738 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

National Institute of Hygiene and Epidemiology, Vietnam is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Weeks to 12 Weeks
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • At dose 1

    1. A healthy male or female, 6 to 12 weeks of age (42 days to 84 days of age).
    2. Full term gestation (>=37 weeks).
    3. Birth weight of the subject should be >=2.5 kg.
    4. Healthy subjects as established by medical history and clinical examination before entering into the study.
    5. Did not use any dose of Rota virus vaccine.
    6. Written obtained from the parent or guardian of the subject.
  • At dose 2

    1. Received dose 1.
    2. Oral informed consent obtained from the parent or guardian of the subject for continuing participate the study.
  • At dose 3

    1. Received both dose 1 and dose 2.
    2. Oral informed consent obtained from the parent or guardian of the subject for continuing participate the study.

Exclusion criteria

Exclusion Criteria:

  • At dose 1

    1. Has a chronic disease (cardiovascular, liver, kidney disease).
    2. Acute disease at the time of enrolment.
    3. Administering (> 1mg/kg/day).
    4. Received any therapy within 4 week before vaccination (Administration of immunoglobulins and/or any blood product or corticosteroids for >2 weeks).
    5. Immunosuppressive or immunodeficient condition.
    6. Family has immunosuppressive or immunodeficient condition medical history.
    7. History of high fever convulsion.
    8. Allergic or reaction with any component of vaccine, includes anaphylactic shock with any antibiotic.
    9. Preterm of gestation delivery (gestation period \< 37 weeks).
    10. Low birth weight (\<2.5 kg).
    11. Fever (axillary temperature >38oC) within 3 days before or on the day of vaccination.
    12. Malnutrition.
    13. Has any type of blood disorder, leukemia, or malignant tumor which can affect the bone marrow or lymph system.
    14. Use of any or non-registered product (unlicensed drug or vaccine) other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • At dose 2

    1. Acute disease at the time of 2nd dose.
    2. Administering corticosteroids (> 1mg/kg/day).
    3. Received any immunosuppressive therapy within 4 week before vaccination (Administration of immunoglobulins and/or any blood product or corticosteroids for >2 weeks).
    4. History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine.
    5. Fever (axillary temperature >38oC) within 3 days before or on the day of vaccination.
    6. Has any type of blood disorder, leukemia, or malignant tumor which can affect the bone marrow or lymph system.
    7. Use of any investigational or non-registered product (unlicensed drug or vaccine) other than the study vaccine during the study period.
  • At dose 3

    1. Acute disease at the time of 3rd dose.
    2. Administering corticosteroids (> 1mg/kg/day).
    3. Received any immunosuppressive therapy within 4 week before vaccination (Administration of immunoglobulins and/or any blood product or corticosteroids for >2 weeks).
    4. History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine.
    5. Fever (axillary temperature >38oC) within 3 days before or on the day of vaccination.
    6. Has any type of blood disorder, leukemia, or malignant tumor which can affect the bone marrow or lymph system.
    7. Use of any investigational or non-registered product (unlicensed drug or vaccine) other than the study vaccine during the study period.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    Rotavin2H

    2 doses of Rotavin-M1 vaccine, 106.3FFU/dose, 2-month separation between doses

    Biological: Rotarix

  • Experimental
    Rotavin2L

    2 doses of Rotavin-M1 vaccine, 106.0FFU/dose, 2-month interval between doses

    Biological: Rotarix

  • Experimental
    Rotavin3H

    3 doses of Rotavin-M1 vaccine, 106.3FFU/dose, 1-month interval between doses

    Biological: Rotarix

  • Experimental
    Rotavin3L

    3 doses of Rotavin-M1, 106.0FFU/dose, 1-month interval between doses

    Biological: Rotarix

Interventions

  • BiologicalRotarix

    2 doses of Rotarix vaccine, 106.5CID/dose, 1-month interval between doses

    Also known as: RotarixTM, GSK biologicals

06

What researchers measure

Primary outcomes

  1. To assess immunogenicity of a new rotavirus vaccine Rotavin-M1 in terms of anti-rotavirus IgA antibody seroconversion 1 month after complete the vaccination schedule

    To assess immunogenicity of Rotavin-M1 of 2 titers (10e6.0 and 10e6.3FFU/dose) and 2 schedules (3 doses and 1-month interval between vs 2 doses and 2-month interval between doses), compared with 2 doses GSK's lyophilized Rotarix (10e6.5 CID50/dose).

    Time frame: up to 7 months

Secondary outcomes

  1. To assess immunogenicity of Rotavin-M1 vaccine versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody seroconversion at Month 2 in the group receiving the vaccines.

    To assess immunogenicity of Rotavin-M1 vaccine (of different dosages and schedules) versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody seroconversion at Month 2 in the group receiving the vaccines.

    Time frame: up to 7 months

  2. To assess immunogenicity of Rotavin-M1 vaccine versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 2 in the group receiving the vaccines.

    To assess immunogenicity of Rotavin-M1 vaccine (of different dosages and schedules) versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 2 in the group receiving the vaccines.

    Time frame: up to 7 months

  3. To assess immunogenicity of Rotavin-M1 vaccine versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 3 in the group receiving the vaccines.

    To assess immunogenicity of Rotavin-M1 vaccine (of different dosages and schedules) versus GSK Biologicals' HRV vaccine in terms of anti-rotavirus IgA antibody GMT at Month 3 in the group receiving the vaccines.

    Time frame: up to 7 months

  4. To assess the safety and reactogenicity of each dose of Rotavin-M1 versus GSK's biologicals Rotarix

    To assess immediate reactions (30minutes) after administration of each dose To assess adverse events 30 days after each dose To assess change in blood cell counts (red blood cells, white blood cells, platelets), blood urea nitrogen concentration, transaminase concentration (ALT, AST)

    Time frame: up to 7 months

  5. To assess the presence of rotavirus (RV) in GE stools collected after administration of first dose of the study vaccine up to 1 month after the last dose.

    To assess the presence of rotavirus (RV) in GE stools collected after administration of the first dose of the study vaccine up to 1 month after the last dose.

    Time frame: up to 7 months

  6. To assess the shedding of rotavirus (RV) in stools collected daily for 7 days after administration of each dose of the study vaccine.

    To assess the shedding of rotavirus (RV) in stools collected daily for 7 days after administration of each dose of the study vaccine

    Time frame: up to 7 months

  7. To compare the RV antibody titers 1 year after the first doses between one Rotavin-M1 group and Rotarix

    To assess the RV antibody titers 1 year after the 1st dose between Rotavin-M1 group (106.3FFU/dose, 2 doses, 2-month interval) and Rotarix group (106.0CID/dose, 2 doses, 1-month interval between doses).

    Time frame: up to 15 months

07

Study locations

1 site
  • Preventive Medicine center
    Thanh Son, Phu Tho, Vietnam
08

References and documents

Publications

  • Anh DD, Thiem VD, Fischer TK, Canh DG, Minh TT, Tho le H, Van Man N, Luan le T, Kilgore P, von Seidlein L, Glass RI. The burden of rotavirus diarrhea in Khanh Hoa Province, Vietnam: baseline assessment for a rotavirus vaccine trial. Pediatr Infect Dis J. 2006 Jan;25(1):37-40. doi: 10.1097/01.inf.0000195635.05186.52. PubMed 16395100 ↗
  • Van Man N, Luan le T, Trach DD, Thanh NT, Van Tu P, Long NT, Anh DD, Fischer TK, Ivanoff B, Gentsch JR, Glass RI; Vietnam Rotavirus Surveillance Network. Epidemiological profile and burden of rotavirus diarrhea in Vietnam: 5 years of sentinel hospital surveillance, 1998-2003. J Infect Dis. 2005 Sep 1;192 Suppl 1:S127-32. doi: 10.1086/431501. PubMed 16088796 ↗
  • Ngo TC, Nguyen BM, Dang DA, Nguyen HT, Nguyen TT, Tran VN, Vu TT, Ogino M, Alam MM, Nakagomi T, Nakagomi O, Yamashiro T. Molecular epidemiology of rotavirus diarrhoea among children in Haiphong, Vietnam: the emergence of G3 rotavirus. Vaccine. 2009 Nov 20;27 Suppl 5:F75-80. doi: 10.1016/j.vaccine.2009.08.074. PubMed 19931725 ↗
  • Nguyen TA, Yagyu F, Okame M, Phan TG, Trinh QD, Yan H, Hoang KT, Cao AT, Le Hoang P, Okitsu S, Ushijima H. Diversity of viruses associated with acute gastroenteritis in children hospitalized with diarrhea in Ho Chi Minh City, Vietnam. J Med Virol. 2007 May;79(5):582-90. doi: 10.1002/jmv.20857. PubMed 17385670 ↗
  • Kim SY, Goldie SJ, Salomon JA. Cost-effectiveness of Rotavirus vaccination in Vietnam. BMC Public Health. 2009 Jan 21;9:29. doi: 10.1186/1471-2458-9-29. PubMed 19159483 ↗
  • Luan le T, Trang NV, Phuong NM, Nguyen HT, Ngo HT, Nguyen HT, Tran HB, Dang HN, Dang AD, Gentsch JR, Wang Y, Esona MD, Glass RI, Steele AD, Kilgore PE, Nguyen MV, Jiang B, Nguyen HD. Development and characterization of candidate rotavirus vaccine strains derived from children with diarrhoea in Vietnam. Vaccine. 2009 Nov 20;27 Suppl 5:F130-8. doi: 10.1016/j.vaccine.2009.08.086. PubMed 19931712 ↗
  • Dang DA, Nguyen VT, Vu DT, Nguyen TH, Nguyen DM, Yuhuan W, Baoming J, Nguyen DH, Le TL; Rotavin-M1 Vaccine Trial Group. A dose-escalation safety and immunogenicity study of a new live attenuated human rotavirus vaccine (Rotavin-M1) in Vietnamese children. Vaccine. 2012 Apr 27;30 Suppl 1:A114-21. doi: 10.1016/j.vaccine.2011.07.118. PubMed 22520120 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01377571
Lead sponsor
National Institute of Hygiene and Epidemiology, Vietnam
Collaborators
Center for Research and Production of Vaccines and Biologicals, Vietnam
Responsible party
Dang Duc Anh (Director, National Institute of Hygiene and Epidemiology, Vietnam) — Principal investigator
First posted
Jun 21, 2011
Start date
Oct 2009
Primary completion
Mar 2010
Completion
Apr 2010
Last update
Jul 4, 2016

Study contacts

Anh D Dang, PhD.
principal investigator · The National Institute of Hygiene and Epidemiology
Thiem D Vu, MD., PhD.
principal investigator · The National Institute of Hygiene and Epidemiology

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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