ClinicalTrials.gg
CompletedNCT02145000ROSEUpdated Sep 22, 2023

Efficacy and Safety of a Pentavalent Rotavirus Vaccine (BRV-PV) Against Severe Rotavirus Gastroenteritis in Niger

A Phase 3 interventional study of Rotavirus vaccine (BRV-PV) and Placebo in Severe Rotavirus Gastroenteritis, sponsored by Epicentre. Completed at 1 site in Niger. Open to participants aged 6 Weeks to 2 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-22.

Sponsored by Epicentre · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
6,586
Allocation
Randomized
Ages
6 Weeks to 2 Years
Sex
All
01

Study summary

The study is a double-blinded, randomized, placebo-controlled, trial with two groups of infants receiving vaccine or placebo to assess the efficacy and safety of BRV-PV. Three doses of BRV-PV containing ≥ Log10 5.6 FFU/Dose of each serotype G1, G2, G3, G4 and G9 will be administered at 4 week intervals between doses. The first administration will occur at 6-8 weeks of age.

We hypothesize a difference in vaccine efficacy of three doses of BRV-PV vaccine vs. placebo against severe rotavirus gastroenteritis in healthy infants in Niger.

Active surveillance for gastroenteritis episodes will be conducted throughout the trial. Surveillance for adverse events will be carried out among all children from the time of first vaccination and 28 days post-Dose 3. Surveillance for all serious adverse events, including intussusception and death, will be conducted on all participants until they each reach two years of age.

To assess the effect of prenatal nutrition supplementation on infant immune response to the BRV-PV vaccine, study villages in the immunogenicity sub-cohort will be randomized in a 1:1:1 ratio to provide pregnant women with daily iron-folate, multiple micronutrients or a lipid-based nutrition supplement. Infants of participating women, if eligible at 6-8 weeks of age, will be randomized in a 1:1 ratio to receive three doses of vaccine or placebo and enter the main trial as part of the immunogenicity sub-cohort.

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Conditions studied

  • Severe Rotavirus Gastroenteritis

Keywords

  • Rotavirus
  • Gastroenteritis
  • Diarrhea
  • Vaccine
  • Niger
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In context

Gastroenteritis

237 studies on the registry are indexed under Gastroenteritis; 16 are open to participants now.

This study's enrollment of 6,586 is above the median of 136 across 164 interventional studies indexed under Gastroenteritis.

Browse Gastroenteritis studies →

Lead sponsor

Epicentre is the lead sponsor of 49 studies on the registry; 6 are open to participants now.

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

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Who can participate

Ages eligible
6 Weeks to 2 Years
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

  1. aged 6-8 weeks at the time of inclusion
  2. able to swallow and no history of vomiting within 24 hours
  3. resident in Madarounfa Health District and within the catchment area of the central health facility
  4. intending to remain in the study area for 2 years
  5. parent/guardian providing written

Exclusion criteria

Exclusion Criteria:

Any of the following will exclude an infant from randomization in the study:

  1. known history of congenital abdominal disorders, intussusception, or abdominal surgery
  2. receipt of intramuscular, oral, or intravenous treatment within 2 wks
  3. receipt or planned administration of a blood transfusion or blood products, including immunoglobulins
  4. any known immunodeficiency condition
  5. any serious medical condition
  6. any other condition in which, in the judgment of the investigator, would interfere with or serves as a to protocol adherence or the parent/guardian's ability to give
Terms in these criteria, in plain language(3)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
6,586 participants (actual)

Study arms

  • Experimental
    Rotavirus vaccine (BRV-PV)

    Live attenuated bovine-human \[UK\] reassortant rotavirus vaccine manufactured by the Serum Institute of India, Limited (SIIL). The pentavalent vaccine (BRV-PV) contains rotavirus serotypes G1, G2, G3, G4, and G9 (≥5.6 log10 FFU/serotype/dose). The vaccine is in lyophilized form and supplied with 2.5 ml of citrate bicarbonate buffer that is added for reconstitution just before oral administration.

    Biological: Rotavirus vaccine (BRV-PV)

  • Placebo comparator
    Placebo

    Same constituents as the active vaccine but without the viral antigens; manufactured by SIIL.

    Biological: Placebo

Interventions

  • BiologicalRotavirus vaccine (BRV-PV)

    Three doses of BRV-PV containing ≥ Log10 5.6 FFU/Dose of each serotype G1, G2, G3, G4 and G9, or placebo, will be administered at 4 week intervals between doses (with a window of -1 to +4 weeks). The first administration will occur at 6-8 weeks of age.

  • BiologicalPlacebo
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What researchers measure

Primary outcomes

  1. Laboratory-confirmed episode of severe rotavirus gastroenteritis

    Time frame: From 28 days post-Dose 3 until 117 cases are accrued or when all participating infants reach 2 years of age if 117 cases are not attained

Secondary outcomes

  1. Laboratory-confirmed episode of rotavirus gastroenteritis of any severity

    Time frame: From 28 days post-Dose 3 to 1 year of age, from 1 to 2 years of age, and from 28 days post-Dose 3 to 2 years of age

  2. Laboratory-confirmed episode of rotavirus gastroenteritis with a Vesikari score of ≥ 17

    Time frame: From 28 days post-Dose 3 to 1 year of age, from 1 to 2 years of age, and from 28 days post-Dose 3 to 2 years of age

  3. Laboratory-confirmed episode of severe rotavirus gastroenteritis due to rotavirus serotypes G1, G2, G3, G4 and G9

    Time frame: From 28 days post-Dose 3 to 1 year of age, from 1 to 2 years of age, and from 28 days post-Dose 3 to 2 years of age

  4. Episode of gastroenteritis of any cause

    Time frame: From 28 days post-Dose 3 to 1 year of age, from 1 to 2 years of age, and from 28 days post-Dose 3 to 2 years of age

  5. Hospitalization due to laboratory-confirmed cases of rotavirus gastroenteritis of any cause

    Time frame: From 28 days post-Dose 3 to 1 year of age, from 1 to 2 years of age, and from 28 days post-Dose 3 to 2 years of age

  6. Hospitalization of any cause

    Time frame: From 28 days post-Dose 3 to 1 year of age, from 1 to 2 years of age, and from 28 days post-Dose 3 to 2 years of age

  7. Any adverse health event

    Time frame: From the time of Dose 1 to 28 days post-Dose 3

  8. Serious adverse events

    Time frame: From the time of Dose 1 until 2 years of age

  9. Anti-rotavirus IgA sero-response rate

    Time frame: 28 days post-Dose 3

  10. Anti-rotavirus IgA geometric mean titres

    Time frame: 28 days post-Dose 3

07

Study locations

1 site
  • Madarounfa Health District
    Madarounfa, Maradi, Niger
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References and documents

Publications

  • Sudfeld CR, Bliznashka L, Salifou A, Guindo O, Soumana I, Adehossi I, Langendorf C, Grais RF, Isanaka S. Evaluation of multiple micronutrient supplementation and medium-quantity lipid-based nutrient supplementation in pregnancy on child development in rural Niger: A secondary analysis of a cluster randomized controlled trial. PLoS Med. 2022 May 2;19(5):e1003984. doi: 10.1371/journal.pmed.1003984. eCollection 2022 May. PubMed 35500028 ↗
  • Kohlmann K, Sudfeld CR, Garba S, Guindo O, Grais RF, Isanaka S. Exploring the relationships between wasting and stunting among a cohort of children under two years of age in Niger. BMC Public Health. 2021 Sep 21;21(1):1713. doi: 10.1186/s12889-021-11689-6. PubMed 34548050 ↗
  • Isanaka S, Garba S, Plikaytis B, Malone McNeal M, Guindo O, Langendorf C, Adehossi E, Ciglenecki I, Grais RF. Immunogenicity of an oral rotavirus vaccine administered with prenatal nutritional support in Niger: A cluster randomized clinical trial. PLoS Med. 2021 Aug 10;18(8):e1003720. doi: 10.1371/journal.pmed.1003720. eCollection 2021 Aug. Erratum In: PLoS Med. 2021 Oct 15;18(10):e1003776. doi: 10.1371/journal.pmed.1003776. PubMed 34375336 ↗
  • Isanaka S, Langendorf C, McNeal MM, Meyer N, Plikaytis B, Garba S, Sayinzoga-Makombe N, Soumana I, Guindo O, Makarimi R, Scherrer MF, Adehossi E, Ciglenecki I, Grais RF. Rotavirus vaccine efficacy up to 2 years of age and against diverse circulating rotavirus strains in Niger: Extended follow-up of a randomized controlled trial. PLoS Med. 2021 Jul 2;18(7):e1003655. doi: 10.1371/journal.pmed.1003655. eCollection 2021 Jul. PubMed 34214095 ↗
  • Isanaka S, Kodish SR, Mamaty AA, Guindo O, Zeilani M, Grais RF. Acceptability and utilization of a lipid-based nutrient supplement formulated for pregnant women in rural Niger: a multi-methods study. BMC Nutr. 2019 Jul 1;5:34. doi: 10.1186/s40795-019-0298-3. eCollection 2019. PubMed 32153947 ↗
  • Coldiron ME, Guindo O, Makarimi R, Soumana I, Matar Seck A, Garba S, Macher E, Isanaka S, Grais RF. Safety of a heat-stable rotavirus vaccine among children in Niger: Data from a phase 3, randomized, double-blind, placebo-controlled trial. Vaccine. 2018 Jun 14;36(25):3674-3680. doi: 10.1016/j.vaccine.2018.05.023. Epub 2018 May 8. PubMed 29752026 ↗
  • Isanaka S, Guindo O, Langendorf C, Matar Seck A, Plikaytis BD, Sayinzoga-Makombe N, McNeal MM, Meyer N, Adehossi E, Djibo A, Jochum B, Grais RF. Efficacy of a Low-Cost, Heat-Stable Oral Rotavirus Vaccine in Niger. N Engl J Med. 2017 Mar 23;376(12):1121-1130. doi: 10.1056/NEJMoa1609462. PubMed 28328346 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2014 to primary completion in Dec 2015, 18 months.

Of 25 phase 3 interventional studies under Gastroenteritis, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 36. This study's 18 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
May 20, 2014
First posted
May 22, 2014
StartActual
Jun 2014
Primary completionActual
Dec 2015
CompletionActual
Dec 31, 2020
Last update
Sep 22, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2023, 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
NCT02145000
Lead sponsor
Epicentre
Collaborators
Medecins Sans Frontieres, Netherlands, Serum Institute of India Pvt. Ltd., FORSANI (Forum Santé Niger), Ministère de la Santé Publique, Niger, Children's Hospital Medical Center, Cincinnati
Responsible party
Sponsor
First posted
May 22, 2014
Start date
Jun 2014
Primary completion
Dec 2015
Completion
Dec 31, 2020
Last update
Sep 22, 2023

Study contacts

Sheila Isanaka, ScD
principal investigator · Epicentre
Rebecca Grais, PhD
study director · Epicentre

Oversight

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

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This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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