ClinicalTrials.gg
CompletedNCT01700621Updated Mar 13, 2019Results posted

Coadministration of Measles-rubella and Rotavirus Vaccines

A Phase 4 interventional study of Rotarix vaccine and measles-rubella vaccine in Measles Antibody Seroconversion, Rubella Antibody Seroconversion and Rotavirus Geometric Mean Titer (GMT), sponsored by PATH. Completed at 1 site in Bangladesh. Open to participants aged 9 Months to 11 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-13.

Sponsored by PATH · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
482
Allocation
Randomized
Ages
9 Months to 11 Months
Sex
All
01

Study summary

The investigators aim to establish the non-inferiority of concomitant administration of measles-rubella and rotavirus vaccines to measles-rubella vaccine given alone in terms of measles seroconversion rates. The primary study hypothesis is the measles seroconversion rate as defined by the percentage of children seroconverting to measles with a measles serum antibody concentration of >=1:120 at 8 weeks post vaccination after the concomitant administration of measles-rubella and rotavirus vaccines is non-inferior to that obtained when measles-rubella vaccine is given alone in children 9 months of age who have received a primary rotavirus vaccine series with the first dose between 6 and 10 weeks and the second at least 4 weeks later and are seronegative for measles antibody in the pre-vaccination sample.

02

Conditions studied

  • Measles Antibody Seroconversion
  • Rubella Antibody Seroconversion
  • Rotavirus Geometric Mean Titer (GMT)
  • Rotavirus Immunoglobulin A (IgA) Seropositivity

Browse trials for

Keywords

  • rotavirus
03

In context

Measles

134 studies on the registry are indexed under Measles; 17 are open to participants now.

This study's enrollment of 482 is below the median of 852 across 105 interventional studies indexed under Measles.

Browse Measles studies →

Lead sponsor

PATH is the lead sponsor of 113 studies on the registry; 7 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 10 (100%) have results posted.

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

04

Who can participate

Ages eligible
9 Months to 11 Months
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

  • Child 9 months of age eligible for measles-rubella vaccination
  • documented evidence of a primary rotavirus vaccine series with first dose between 6 and 10 weeks of age and second dose at least 4 weeks after first dose
  • healthy infants free of chronic or serious medical condition as determined by history and physical examination at time of study enrollment
  • parents/guardians of each participant are able to understand and follow study procedures and agree to participate in study by providing signed

Exclusion criteria

Exclusion Criteria:

  • to any component of measles-rubella or Rotarix vaccine which would preclude administration of the vaccine
  • history of intussusception, intestinal malformations, or abdominal surgery
  • known history of measles and/or rubella disease
  • history of previous receipt of measles and/or rubella vaccine
  • use of any drugs or immunoglobulin and/or blood products since birth or anticipated during study period
  • current enrolment in any other intervention trial or use of any drug or vaccine throughout the study period
  • any participant who reports planning to leave the study area before the completion of the study
  • acute diarrhea (defined as ≥3 loose stools within a 24-hour period) or vomiting (defined as projectile vomiting or any vomiting at the discretion of the clinician) at the time of enrollment or within the last 24 hours
  • acute febrile illness (defined as a temperature of ≥38°C) at the time of enrollment.
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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
482 participants (actual)

Study arms

  • Experimental
    measles-rubella and rotavirus vaccines

    receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine and one 1.0 ml dose of oral Rotarix vaccine at 9 months of age

    Biological: Rotarix vaccine · Biological: measles-rubella vaccine

  • Active comparator
    measles-rubella vaccine

    receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age

    Biological: measles-rubella vaccine

Interventions

  • BiologicalRotarix vaccine

    one 1.0 ml dose of oral rotavirus vaccine at 9 months of age

    Also known as: rotavirus vaccine

  • Biologicalmeasles-rubella vaccine

    one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine

    Also known as: Measles-Rubella Virus Vaccine Live US Pharmacopeia (USP)

06

What researchers measure

Primary outcomes

  1. Percentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies

    Detected by plaque reduction neutralization test (PRNT). Seroprotection defined as measles serum antibody concentration \>=1:120 8 weeks post vaccination. Assays were standardized using WHO Second International Standard for measles antibody containing 5000 mIU/ml, which enables the 50% neutralizing antibody end-point dose (titer, ND50) of test samples to be transformed to antibody concentrations in terms of mIU/ml. The analytical cut-off value in this assay was ND50 \< 1/8; this was the lowest dilution at which sera were tested.

    Time frame: 8 weeks post vaccination

  2. Percentage/Number of Subjects With Seroprotection for Anti-measles Virus Immunoglobulin G (IgG)

    Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for measles virus. All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

    Time frame: 8 weeks post vaccination

Secondary outcomes

  1. Percentage/Number of Subjects With Seroconversion for Anti-rubella Virus Immunoglobulin G (IgG)

    Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

    Time frame: 8 weeks post vaccination

  2. Geometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG)

    Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

    Time frame: 8 weeks post vaccination

  3. Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin A (IgA)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Time frame: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  4. Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin A (IgA)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of \<20 U/mL are converted to 10 U/mL for calculation purposes.

    Time frame: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  5. Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin G (IgG)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Time frame: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  6. Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin G (IgG)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of \<20 U/mL are converted to 10 U/mL for calculation purposes.

    Time frame: Visit 1 (pre-vaccination) and 8 weeks post vaccination

  7. Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin A (IgA)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Time frame: 8 weeks post vaccination

  8. Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin G (IgG)

    Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

    Time frame: 8 weeks post vaccination

  9. Number/Percentage of Subjects Experiencing Immediate Post-vaccination Reactions Following Administration of Vaccine

    Immediate reactogenicity was defined as local or systemic reactions occurring directly and up to 30 minutes after vaccine receipt, with an emphasis on allergic reactions.

    Time frame: 30 minutes post-vaccination

  10. Number/Percentage of Subjects Experiencing Solicited Adverse Events

    Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. They included diarrhea, fever, vomiting, loss of appetite, irritability, and intussusception. Adverse events were graded for severity and relationship to vaccine.

    Time frame: 14 days post-vaccination

  11. Number/Percentage of Subjects Experiencing Unsolicited Non-serious Adverse Events

    Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. Adverse events were graded for severity and relationship to vaccine.

    Time frame: 14 days post-vaccination

  12. Number/Percentage of Subjects Experiencing Serious Adverse Events

    An adverse event (AE) or suspected AE was considered "serious" if it resulted in any of the following outcomes: * Death * A life-threatening AE (the term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe) * Inpatient hospitalization or prolongation of existing hospitalization * A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions Important medical events that may not result in death, be life threatening, or require hospitalization would have been considered severe adverse events when, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed in this definition.

    Time frame: 2 months after vaccination

Other outcomes

  1. Geometric Mean Concentration (GMC) for Measles Virus Serum Neutralization Antibodies

    Sera were analyzed for the presence of measles virus serum neutralizing antibodies (SNAs), using a standardized plaque reduction neutralization (PRN) assay, in which PRN titers, defined as the serum dilutions that reduced the number of plaques by 50%, were calculated using the Kärber method \[12\]. A 1:100 dilution of World Health Organization (WHO) Second International Standard Anti-Measles Serum (IS, coded 66/202, supplied by the National Institute for Biological Standards and Control, South Mimms, United Kingdom) was tested in parallel with each serum specimen to calculate the reciprocal of the 50% end point titer determined by the PRN test.

    Time frame: 8 weeks post vaccination

  2. Number of Participants With Rotavirus Vaccine Shedding

    Based on 5 grams of stool sample. Vaccine shedding defined as presence of vaccine-type rotavirus in stool at 4 (+/-1) and/or 7 (+/-1) days post rotavirus vaccination detected by enzyme-linked immunosorbent assay (ELISA) and typed by reverse-transcriptase polymerase chain reaction (RT-PCR).

    Time frame: Day 0, Day 4 and Day 7

07

Results

Posted Feb 18, 2019

Participant flow

Study population was drawn from participants living in the International Center for Diarrheal Disease Research, Bangladesh (icddr,b) service area of Matlab, Bangladesh.

Received Study Vaccines
Participant flow — Received Study Vaccines
MilestoneMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Started240240
Completed240240
Not completed00
Analyzed for Immunogenicity
Participant flow — Analyzed for Immunogenicity
MilestoneMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Started240240
Completed227233
Not completed137
Withdrew: Lost to follow-up74
Withdrew: Protocol violation51
Withdrew: Baseline measles measure high12

Outcome measures

PrimaryPercentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies

Detected by plaque reduction neutralization test (PRNT). Seroprotection defined as measles serum antibody concentration \>=1:120 8 weeks post vaccination. Assays were standardized using WHO Second International Standard for measles antibody containing 5000 mIU/ml, which enables the 50% neutralizing antibody end-point dose (titer, ND50) of test samples to be transformed to antibody concentrations in terms of mIU/ml. The analytical cut-off value in this assay was ND50 \< 1/8; this was the lowest dilution at which sera were tested.

Time frame:
8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Seroprotection171173
No seroprotection5660
Statistical analysis
  • Measles-rubella and Rotavirus Vaccines vs Measles-rubella Vaccine · Seroconversion proportion difference: 1.1 · 95% CI -6.9 to 9.0
PrimaryPercentage/Number of Subjects With Seroprotection for Anti-measles Virus Immunoglobulin G (IgG)

Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for measles virus. All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

Time frame:
8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects With Seroprotection for Anti-measles Virus Immunoglobulin G (IgG)
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Seroprotection219227
No seroprotection85
SecondaryPercentage/Number of Subjects With Seroconversion for Anti-rubella Virus Immunoglobulin G (IgG)

Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

Time frame:
8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects With Seroconversion for Anti-rubella Virus Immunoglobulin G (IgG)
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Seroprotection228233
No seroprotection01
SecondaryGeometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG)

Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia).

Time frame:
8 weeks post vaccination
Reported as:
Geometric mean · IU/mL
Geometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG)
IU/mLMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Geometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG)191.9 (174.8 to 210.7)177.8 (161.8 to 195.4)
SecondaryPercentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin A (IgA)

Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

Time frame:
Visit 1 (pre-vaccination) and 8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin A (IgA)
ParticipantsMeasles-rubella and Rotavirus VaccineMeasles-rubella Vaccine
Pre-vaccination — Seropositive126113
Pre-vaccination — Not seropositive113127
Post-vaccination — Seropositive160110
Post-vaccination — Not seropositive70130
SecondaryGeometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin A (IgA)

Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of \<20 U/mL are converted to 10 U/mL for calculation purposes.

Time frame:
Visit 1 (pre-vaccination) and 8 weeks post vaccination
Reported as:
Geometric mean · U/mL
Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin A (IgA)
U/mLMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Pre-vaccination43.6 (34.8 to 54.5)39.2 (31.3 to 49.1)
Post-vaccination60.6 (49.4 to 74.2)38.1 (30.5 to 47.6)
SecondaryPercentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin G (IgG)

Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

Time frame:
Visit 1 (pre-vaccination) and 8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin G (IgG)
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Pre-vaccination — Seropositive159140
Pre-vaccination — Not seropositive81100
Post-vaccination — Seropositive204135
Post-vaccination — Not seropositive27101
SecondaryGeometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin G (IgG)

Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of \<20 U/mL are converted to 10 U/mL for calculation purposes.

Time frame:
Visit 1 (pre-vaccination) and 8 weeks post vaccination
Reported as:
Geometric mean · U/mL
Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin G (IgG)
U/mLMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Pre-vaccination79.2 (61.4 to 102.1)63.2 (49.1 to 81.4)
Post-vaccination168.6 (137.3 to 207.2)60.1 (46.7 to 77.5)
SecondaryPercentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin A (IgA)

Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

Time frame:
8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin A (IgA)
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Seroconversion488
No seroconversion62118
SecondaryPercentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin G (IgG)

Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL.

Time frame:
8 weeks post vaccination
Reported as:
Count of participants · Participants
Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin G (IgG)
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Seroconversion557
No seroconversion2592
SecondaryNumber/Percentage of Subjects Experiencing Immediate Post-vaccination Reactions Following Administration of Vaccine

Immediate reactogenicity was defined as local or systemic reactions occurring directly and up to 30 minutes after vaccine receipt, with an emphasis on allergic reactions.

Time frame:
30 minutes post-vaccination
Reported as:
Count of participants · Participants
Number/Percentage of Subjects Experiencing Immediate Post-vaccination Reactions Following Administration of Vaccine
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Any immediate reaction00
No immediate reaction240240
SecondaryNumber/Percentage of Subjects Experiencing Solicited Adverse Events

Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. They included diarrhea, fever, vomiting, loss of appetite, irritability, and intussusception. Adverse events were graded for severity and relationship to vaccine.

Time frame:
14 days post-vaccination
Reported as:
Count of participants · Participants
Number/Percentage of Subjects Experiencing Solicited Adverse Events
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Grade 1: unrelated to vaccine2534
Grade 2: unrelated to vaccine44
Grade 3: unrelated to vaccine20
None209202
SecondaryNumber/Percentage of Subjects Experiencing Unsolicited Non-serious Adverse Events

Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. Adverse events were graded for severity and relationship to vaccine.

Time frame:
14 days post-vaccination
Reported as:
Count of participants · Participants
Number/Percentage of Subjects Experiencing Unsolicited Non-serious Adverse Events
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Related to vaccine00
Unrelated to vaccine6368
No unsolicited non-serious adverse event177172
SecondaryNumber/Percentage of Subjects Experiencing Serious Adverse Events

An adverse event (AE) or suspected AE was considered "serious" if it resulted in any of the following outcomes: * Death * A life-threatening AE (the term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe) * Inpatient hospitalization or prolongation of existing hospitalization * A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions Important medical events that may not result in death, be life threatening, or require hospitalization would have been considered severe adverse events when, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed in this definition.

Time frame:
2 months after vaccination
Reported as:
Count of participants · Participants
Number/Percentage of Subjects Experiencing Serious Adverse Events
ParticipantsMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Any serious adverse event, unrelated to vaccine106
No serious adverse event230234
Other pre-specifiedGeometric Mean Concentration (GMC) for Measles Virus Serum Neutralization Antibodies

Sera were analyzed for the presence of measles virus serum neutralizing antibodies (SNAs), using a standardized plaque reduction neutralization (PRN) assay, in which PRN titers, defined as the serum dilutions that reduced the number of plaques by 50%, were calculated using the Kärber method \[12\]. A 1:100 dilution of World Health Organization (WHO) Second International Standard Anti-Measles Serum (IS, coded 66/202, supplied by the National Institute for Biological Standards and Control, South Mimms, United Kingdom) was tested in parallel with each serum specimen to calculate the reciprocal of the 50% end point titer determined by the PRN test.

Time frame:
8 weeks post vaccination
Reported as:
Geometric mean · mIU/mL
Geometric Mean Concentration (GMC) for Measles Virus Serum Neutralization Antibodies
mIU/mLMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Geometric Mean Concentration (GMC) for Measles Virus Serum Neutralization Antibodies196.3 (175.3 to 219.7)194.2 (174.0 to 216.7)
Other pre-specifiedNumber of Participants With Rotavirus Vaccine Shedding

Based on 5 grams of stool sample. Vaccine shedding defined as presence of vaccine-type rotavirus in stool at 4 (+/-1) and/or 7 (+/-1) days post rotavirus vaccination detected by enzyme-linked immunosorbent assay (ELISA) and typed by reverse-transcriptase polymerase chain reaction (RT-PCR).

Time frame:
Day 0, Day 4 and Day 7
Reported as:
Count of participants · Participants
Number of Participants With Rotavirus Vaccine Shedding
ParticipantsMeasles-rubella and Rotavirus Vaccines
Day 0 — Negative140
Day 0 — Positive0
Day 0 — No stool100
Day 4 — Negative234
Day 4 — Positive4
Day 4 — No stool2
Day 7 — Negative234
Day 7 — Positive6
Day 7 — No stool0

Adverse events

Collected over 2 months after vaccination. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Measles-rubella and Rotavirus Vaccines0/240 (0%)10/240 (4.2%)63/240 (26.3%)
Measles-rubella Vaccine0/240 (0%)6/240 (2.5%)68/240 (28.3%)
Most frequent serious events
Most frequent serious events
EventMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
Acute watery diarrheaGastrointestinal disorders4/2403/240
Urinary tract infectionInfections and infestations2/2400/240
Acute bronchiolitisInfections and infestations1/2401/240
Acute nasopharyngitisRespiratory, thoracic and mediastinal disorders1/2400/240
Febrile convulsionNervous system disorders0/2401/240
PneumoniaInfections and infestations1/2400/240
Pneumonia with UTIInfections and infestations1/2400/240
Severe pneumoniaInfections and infestations0/2401/240
Most frequent other events
Showing 10 of 16
Most frequent other events
EventMeasles-rubella and Rotavirus VaccinesMeasles-rubella Vaccine
NasopharyngitisRespiratory, thoracic and mediastinal disorders32/24038/240
Respiratory tract infectionInfections and infestations16/24013/240
DysenteryGastrointestinal disorders9/24012/240
CoughRespiratory, thoracic and mediastinal disorders5/2404/240
Otitis media chronicInfections and infestations3/2400/240
Fungal infectionInfections and infestations2/2401/240
Abdominal distensionGastrointestinal disorders0/2401/240
ConjunctivitisInfections and infestations0/2401/240
Ear painEar and labyrinth disorders1/2400/240
Mouth ulcerationGastrointestinal disorders1/2400/240

Baseline characteristics

Age, Continuous
Age, Continuous(months)Measles-rubella and Rotavirus VaccinesMeasles-rubella VaccineTotal
Mean9.38 ± 0.2529.39 ± 0.2549.38 ± 0.253
Sex: Female, Male
Sex: Female, Male(Participants)Measles-rubella and Rotavirus VaccinesMeasles-rubella VaccineTotal
Female110123233
Male130117247
Currently breastfed
Currently breastfed(Participants)Measles-rubella and Rotavirus VaccinesMeasles-rubella VaccineTotal
Yes236238474
No426
Length
Length(cm)Measles-rubella and Rotavirus VaccinesMeasles-rubella VaccineTotal
Mean69.56 ± 2.48869.81 ± 2.78669.68 ± 2.642
Weight
Weight(kilograms)Measles-rubella and Rotavirus VaccinesMeasles-rubella VaccineTotal
Mean8.01 ± 1.1017.97 ± 0.9337.99 ± 1.047
Mother's age
Mother's age(years)Measles-rubella and Rotavirus VaccinesMeasles-rubella VaccineTotal
Mean27.1 ± 5.8426.7 ± 5.9026.9 ± 5.87
08

Study locations

1 site
  • ICDDR,B
    Dhaka, Bangladesh
09

References and documents

Publications

  • Zaman K, Fleming JA, Victor JC, Yunus M, Bari TI, Azim T, Rahman M, Mowla SM, Bellini WJ, McNeal M, Icenogle JP, Lopman B, Parashar U, Cortese MM, Steele AD, Neuzil KM. Noninterference of Rotavirus Vaccine With Measles-Rubella Vaccine at 9 Months of Age and Improvements in Antirotavirus Immunity: A Randomized Trial. J Infect Dis. 2016 Jun 1;213(11):1686-93. doi: 10.1093/infdis/jiw024. Epub 2016 Jan 27. PubMed 26823338 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01700621
Lead sponsor
PATH
Responsible party
Sponsor
First posted
Oct 4, 2012
Start date
Jan 2013
Primary completion
Sep 2013
Completion
Sep 2013
Results posted
Feb 18, 2019
Last update
Mar 13, 2019

Study contacts

K Zaman, PhD, MPH
principal investigator · International Centre for Diarrhoeal Disease Research, Bangladesh

Oversight

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

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