CClinicalTrials.gg
CompletedNCT02661490Updated May 18, 2020Results posted

Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-Like Particle Vaccine in an Elderly Population

A Phase 2 interventional study of Norovirus GI.1/GII.4 Bivalent VLP Vaccine and 0.9% sodium chloride (saline) in Norovirus, sponsored by Takeda. Completed at 10 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-05-18.

Sponsored by Takeda · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
320
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to further develop a formulation and dose regimen of the norovirus GI.1/GII.4 bivalent virus-like particle (VLP) vaccine that is immunogenic and safe in an elderly population aged 60 years and above.

Read the detailed description

The vaccine being tested in this study is called norovirus GI.1/GII.4 bivalent virus-like particle (VLP) vaccine adjuvanted with aluminum hydroxide (Formulation A) or adjuvanted with monophosphoryl lipid A (MPL) and aluminum hydroxide (Formulation B). Two norovirus vaccine formulations are being tested to select for further development the formulation that will generate an optimal specific antibody response that may provide protection against norovirus and is safe in a population aged 60 years and above. This study will look at side effects and the level of antibodies to norovirus formed in people who will be injected with different formulations of the norovirus vaccine candidate.

The study will enroll approximately 325 patients. Participants will be randomly assigned (by chance) to one of five treatment groups.

  • Norovirus GI.1/GII.4 bivalent VLP vaccine (Formulation A) 1-dose, participants ≥ 60 years
  • Norovirus GI.1/GII.4 bivalent VLP vaccine (Formulation A) 2-dose, participants ≥ 60 years
  • Norovirus GI.1/GII.4 bivalent VLP vaccine (Formulation B) 1-dose, participants ≥ 60 years
  • Norovirus GI.1/GII.4 bivalent VLP vaccine (Formulation B) 2-dose, participants ≥ 60 years
  • Norovirus GI.1/GII.4 bivalent VLP vaccine (Formulation A) 1-dose, participants 18 to 49 years All participants in the age of 60 years and older will be administered either NoV vaccine (Formulation A or B) or placebo on Day 1 and NoV vaccine (Formulation A or B) on Day 29 of the study. In order to keep the treatment arms undisclosed to the patient and the doctor, those randomized to the one dose groups will receive a dose of placebo (this is a saline solution that has no active ingredient) on Day 1 followed by the NoV vaccine on Day 29. Those randomized to 2 doses with receive the NoV vaccine on Day 1 and Day 29. In case of an urgent medical need a participant can be unblinded.

Adults aged 18 to 49 will receive placebo on Day 1 followed by NoV vaccine Formulation A on Day 29.

Participants will be asked to record any reactions/ symptoms that may be related or not to the vaccine in a diary card for 28 days after each vaccination.

This multi-center trial will be conducted in the United States of America. The overall time to participate in this study is up to 393 days. Participants will make multiple visits to the clinic including a final follow-up visit on Day 393.

02

Conditions studied

  • Norovirus

Keywords

  • Norovirus
03

In context

Lead sponsor

Takeda is the lead sponsor of 1,002 studies on the registry; 92 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 149 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Is aged 18 to 49 years, or 60 years and older at the time of enrollment;
  2. Participants who are in good health, or in stable health status with no exclusionary medical or neuropsychiatric conditions at the time of entry into the trial as determined by medical history, physical examination (including vital signs) and clinical judgment of the Investigator;
  3. Participant signs and dates a written, Informed Consent Form (ICF) and any required privacy authorization prior to the initiation of any trial procedures, after the nature of the trial has been explained according to local regulatory requirements;
  4. Participants who can comply with trial procedures and are available for the duration of follow-up.

Exclusion criteria

Exclusion Criteria:

  1. Has a known hypersensitivity or allergy to any of the Norovirus (NoV) GI.1/GII.4 Bivalent virus-like particle (VLP) Vaccine components;
  2. Has a clinically significant active infection (as assessed by the Investigator) or body temperature ≥38°C/100.4°F within 3 days of the intended date of vaccination;
  3. Participants with the presence of significant acute or chronic, uncontrolled medical or neuropsychiatric illness. Uncontrolled was defined as:

    Requiring institution of new medical or surgical treatment within 3 months prior to immunization, or Requiring a change in medication dosage in the 3 months prior to immunization due to uncontrolled symptoms or drug toxicity (elective dosage adjustments in stable participants were acceptable), or Hospitalization or an event fulfilling the definition of a serious adverse event within 3 months prior immunization.

  4. Has any unstable medical or neuropsychiatric condition, which in the Investigator's opinion poses a risk of unusual magnitude for the participant's age group of hospitalization, death, or an event meeting the definition of a serious adverse event within 2 months of immunization. The intent of this criterion is to recognize and allow for the frequent existence of significant health concerns in this population; but exclude those participants who are experiencing an acute decline in health status;
  5. Has any medical or neuropsychiatric condition, which in the Investigator's opinion, rendered the participant incompetent to provide informed consent or unable to provide valid safety observations and reports;
  6. Has behavioral or cognitive impairment or psychiatric disease that, in the opinion of the Investigator, may interfere with the participant's ability to participate in the trial;
  7. Participants with any history of progressive or severe neurologic disorder, history of seizure, or history of neuro-inflammatory disease (e.g. Guillain-Barre syndrome);
  8. Participants with history or any illness that, in the opinion of the Investigator, might interfere with the results of the trial or pose additional risk to the participants due to participation in the trial;
  9. Has known or suspected autoimmune disease;
  10. Has known or suspected impairment/alteration of immune function, including:

    Chronic use of oral steroids (Equivalent to 20 mg/day prednisone ≥ 12 weeks/≥ 2 mg/kg body weight/day prednisone ≥ 2 weeks) within 60 days prior to Day 1 (use of inhaled, intranasal, or topical corticosteroids is allowed).

    Receipt of parenteral steroids (Equivalent to 20 mg/day prednisone ≥ 12 weeks/≥ 2 mg/kg body weight/day prednisone ≥ 2 weeks) within 60 days prior to Day 1.

    Receipt of immunosuppressive therapy within 3 months prior to Day 1. Receipt of immunostimulants within 60 days prior to Day 1. Receipt of parenteral, epidural or intra-articular immunoglobulin preparation, blood products, and/or plasma derivatives within 3 months prior to Day 1 or planned during the full length of the trial.

    Human Immunodeficiency Virus (HIV) infection or HIV-related disease. Genetic immunodeficiency.

  11. Has abnormalities of splenic or thymic function;
  12. Has any significant disorder of coagulation or treatment with anticoagulant therapy that would increase the risk of intramuscular (IM) injection. Persons receiving prophylactic antiplatelet medication such as low dose of acetylsalicylic acid are eligible;
  13. Has any serious chronic or progressive disease according to judgment of the Investigator: cancer (malignancy other than resolved/excised skin lesion), insulin dependent Type I diabetes (Type II diabetes is accepted), cardiac, renal or hepatic disease;
  14. Has body mass index (BMI) greater than or equal to 35 kg/m\^2 (= weight in kg/[height in meters\^2]);
  15. Is participating in any clinical trial with another investigational product 30 days prior to first trial visit or intent to participate in another clinical trial at any time during the conduct of this trial;
  16. Participants who received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this trial or who are planning to receive any vaccine within 28 days of investigational vaccine administration;
  17. Participants involved in trial conduct or their first degree relatives;
  18. Has history of substance or alcohol abuse within the past 2 years;
  19. Females who are pregnant or breastfeeding;
  20. If female of childbearing potential, sexually active with a male partner who has not been sterilized, and has not used any of the "acceptable contraceptive methods" for at least 2 months prior to trial entry:

    Of childbearing potential is defined as status post onset of menarche and not meeting any of the following conditions: menopausal for at least 2 years, status after bilateral tubal ligation for at least 1 year, status after bilateral oophorectomy, or status after hysterectomy.

    Acceptable birth control methods are defined as one or more of the following: i. Hormonal contraceptive (such as oral, injection, transdermal patch, implant, cervical ring); ii. Barrier (condom with spermicide or diaphragm with spermicide) each and every time during intercourse; iii. Intrauterine device (IUD); iv. Monogamous relationship with vasectomized partner. Partner must have been vasectomized for at least six months prior to the participants' trial entry.

  21. If female of childbearing potential and sexually active, refusal to use an "acceptable contraceptive method" from Day 1 and throughout the duration of the trial. In addition, they must be advised not to donate ova during this period;
  22. Females with any positive or indeterminate pregnancy test.
05

Study design

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

Study arms

  • Experimental
    Arm 1: NoV Vaccine Formulation A _1-Dose

    Participants ≥ 60 years of age, 1-dose regimen: Norovirus bivalent placebo-matching vaccine, intramuscularly (IM), on Day 1, followed by norovirus (NoV) GI.1 (15 μg)/GII.4 (50 μg) bivalent virus-like particle (VLP) vaccine (Formulation A), IM, on Day 29.

    Biological: Norovirus GI.1/GII.4 Bivalent VLP Vaccine · Drug: 0.9% sodium chloride (saline)

  • Experimental
    Arm 2: NoV Vaccine Formulation A _2-Dose

    Participants ≥ 60 years of age, 2-dose regimen: Norovirus GI.1 (15 μg)/GII.4 (50 μg) bivalent VLP vaccine (Formulation A), IM, on Days 1 and 29.

    Biological: Norovirus GI.1/GII.4 Bivalent VLP Vaccine

  • Experimental
    Arm 3: NoV Vaccine Formulation B_1-Dose

    Participants ≥ 60 years of age, 1-dose regimen: Norovirus bivalent placebo-matching vaccine, IM on Day 1, followed by norovirus GI.1 (15 μg)/GII.4 (50 μg) bivalent VLP vaccine with 15 μg monophosphoryl lipid A (MPL) (Formulation B), IM, on Day 29.

    Drug: 0.9% sodium chloride (saline) · Biological: Norovirus GI.1/GII.4 Bivalent VLP Vaccine

  • Experimental
    Arm 4: NoV Vaccine Formulation B_2-Dose

    Participants ≥ 60 years of age, 2-dose regimen: Norovirus GI.1 (15 μg)/GII.4 (50 μg) bivalent VLP vaccine with 15 μg MPL (Formulation B), IM, on Days 1 and 29.

    Biological: Norovirus GI.1/GII.4 Bivalent VLP Vaccine

  • Experimental
    Arm 5: NoV Vaccine Formulation A_1-Dose

    Participants 18 to 49 years of age, 1-dose regimen: Norovirus bivalent placebo-matching vaccine, IM, on Day 1, followed by norovirus GI.1 (15 μg)/GII.4 (50 μg) bivalent VLP vaccine (Formulation A), IM, on Day 29.

    Biological: Norovirus GI.1/GII.4 Bivalent VLP Vaccine · Drug: 0.9% sodium chloride (saline)

Interventions

  • BiologicalNorovirus GI.1/GII.4 Bivalent VLP Vaccine

    Norovirus GI.1/GII.4 bivalent VLP vaccine adjuvanted with aluminum hydroxide, without MPL for IM injection

  • Drug0.9% sodium chloride (saline)

    norovirus bivalent placebo-matching vaccine

  • BiologicalNorovirus GI.1/GII.4 Bivalent VLP Vaccine

    Norovirus GI.1/GII.4 bivalent VLP vaccine adjuvanted with MPL and aluminum hydroxide for IM injection

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 and GII.4 Virus Like Particles (VLP) as Measured by Histoblood Group Antigen (HBGA) Blocking Assay on Day 57

    Time frame: Day 57

  2. Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1

    Solicited local AEs at the injection site that occurred within 7 days after each vaccination were collected using a diary and included pain, erythema swelling and induration.

    Time frame: Within 7 days of first vaccination on Day 1

  3. Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29

    Solicited local AEs at the injection site that occurred within 7 days after each vaccination were collected using a diary and included pain, erythema, swelling and induration.

    Time frame: Within 7 days of second vaccination on Day 29

  4. Percentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1

    Solicited systemic AEs that occurred within 7 days after each vaccination were collected using a diary and included headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea.

    Time frame: Within 7 days of first vaccination on Day 1

  5. Percentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29

    Solicited systemic AEs that occurred within 7 days after each vaccination were collected using a diary and included headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea.

    Time frame: Within 7 days of second vaccination on Day 29

  6. Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1

    The body temperature measurement was performed using the thermometer for 7 days after each vaccination. The highest body temperature observed each day was recorded on the diary card. An elevated temperature is ≥ 38 °C or 100.4°F (considered as fever).

    Time frame: Within 7 days of first vaccination on Day 1

  7. Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29

    The body temperature measurement was performed using the thermometer for 7 days after each vaccination. The highest body temperature observed each day was recorded on the diary card. An elevated temperature is ≥ 38 °C or 100.4°F (considered as fever).

    Time frame: Within 7 days of second vaccination on Day 29

  8. Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After First Vaccination on Day 1

    An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

    Time frame: Within 28 days of first vaccination on Day 1

  9. Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After Second Vaccination on Day 29

    An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

    Time frame: Within 28 days of second vaccination on Day 29

  10. Percentage of Participants With At Least One Serious Adverse Event (SAE)

    An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically important due to other reasons than the above mentioned criteria.

    Time frame: From first vaccination up to Day 393

Secondary outcomes

  1. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by HBGA Blocking Assay

    Time frame: Days 8, 29, 36, 211 and 393

  2. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (HBGA)

    Time frame: Days 8, 29, 36, 57, 211 and 393

  3. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GII.4 VLP Antibody Titers (HBGA)

    Time frame: Days 8, 29, 36, 57, 211 and 393

  4. Geometric Mean Titer (GMT) GI.1 VLP Antibody Titers (HBGA)

    GMT GI.1 VLP antibody titers measured by HBGA blocking assay are reported.

    Time frame: Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393

  5. GMT of Anti-norovirus GII.4 VLP Antibody Titers (HBGA)

    GMT of anti-norovirus GII.4 VLP antibody titers measured by HBGA blocking assay are reported.

    Time frame: Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393

  6. Geometric Mean Fold Rise (GMFR) of Anti-norovirus GI.1 VLP Antibody Titers (HBGA)

    GMFR of anti-norovirus GI.1 VLP antibody titers measured by HBGA blocking assay are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  7. GMFR of Anti-norovirus GII.4 VLP Antibody Titers (HBGA)

    GMFR of anti-norovirus GII.4 VLP antibody titers measured by HBGA blocking assay are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  8. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by Total Immunoglobulin-Enzyme-linked Immunosorbent Assay (Pan-Ig ELISA)

    Percentage of participants with a 4-fold rise or greater in serum anti-norovirus antibody titers for both GI.1 VLP and GII.4 VLP measured by Pan-Ig ELISA are reported.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  9. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)

    Percentage of participants with a 4-Fold rise or greater in serum anti-norovirus GI.1 VLP antibody titers measured by Pan-Ig ELISA are reported.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  10. Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)

    Percentage of participants with a 4-fold rise or greater in serum anti-norovirus GII.4 VLP antibody titers measured by Pan-Ig ELISA are reported.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  11. GMT of Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)

    GMT of anti-norovirus GI.1 VLP antibody titers measured by Pan-Ig ELISA are reported.

    Time frame: Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393

  12. GMT of Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)

    GMT of anti-norovirus GII.4 VLP antibody titers measured by Pan-Ig ELISA are reported.

    Time frame: Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393

  13. GMFR of Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)

    GMFR of anti-norovirus GI.1 VLP antibody titers measured by Pan-Ig ELISA are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  14. GMFR of Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)

    GMFR of anti-norovirus GII.4 VLP antibody titers measured by Pan-Ig ELISA are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

    Time frame: Days 8, 29, 36, 57, 211 and 393

  15. Percentage of Participants With At Least One Adverse Event of Special Interest (AESI)

    AESIs are AEs that are not solicited local or systemic AEs, they are predefined AEs that required close monitoring and prompt reporting to the sponsor. AESI included protocol specified Cardiac Disorders, Gastrointestinal Disorders, Immune System Disorders, Infections and Infestations, Musculoskeletal and Connective Tissue Diseases, Neuroinflammatory Disorders, Renal and Urinary Disorders, Skin Disorders, Thyroid Disorders, Vascular Disorders and Other Disorders.

    Time frame: From first vaccination up to Day 393

  16. Percentage of Participants With At Least One Adverse Event (AE) Leading to Participant's Withdrawal From the Study

    Withdrawal due to an AE will occur if the participant experiences an AE that requires early termination of treatment, because continued participation imposes an unacceptable risk to the participant's health or the participant is unwilling to continue because of the AE.

    Time frame: From first vaccination up to Day 393

07

Results

Posted May 18, 2020

Participant flow

Participants took part in the study at 10 investigative sites in United States from 1 February 2016 to 31 October 2017.

Participant flow — Overall Study
MilestoneArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Started7674727226
Completed7372707123
Not completed32213
Withdrew: Lost to follow-up01002
Withdrew: Withdrawal by subject20200
Withdrew: Death11010
Withdrew: Reason not specified00001

Outcome measures

PrimaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 and GII.4 Virus Like Particles (VLP) as Measured by Histoblood Group Antigen (HBGA) Blocking Assay on Day 57
Time frame:
Day 57
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 and GII.4 Virus Like Particles (VLP) as Measured by Histoblood Group Antigen (HBGA) Blocking Assay on Day 57
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 and GII.4 Virus Like Particles (VLP) as Measured by Histoblood Group Antigen (HBGA) Blocking Assay on Day 5742.3 (30.6 to 54.6)41.5 (29.4 to 54.4)56.5 (43.3 to 69.0)63.6 (50.9 to 75.1)45.8 (25.6 to 67.2)
PrimaryPercentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1

Solicited local AEs at the injection site that occurred within 7 days after each vaccination were collected using a diary and included pain, erythema swelling and induration.

Time frame:
Within 7 days of first vaccination on Day 1
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Any Solicited Local AEs6.626.015.334.74.0
Pain5.323.39.734.74.0
Erythema1.32.74.21.44.0
Swelling0.02.72.81.40.0
Induration0.01.41.41.40.0
PrimaryPercentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29

Solicited local AEs at the injection site that occurred within 7 days after each vaccination were collected using a diary and included pain, erythema, swelling and induration.

Time frame:
Within 7 days of second vaccination on Day 29
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Any Solicited Local AEs37.021.738.239.441.7
Pain32.921.738.237.941.7
Erythema2.70.01.53.00.0
Swelling1.40.01.51.50.0
Induration1.40.01.51.50.0
PrimaryPercentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1

Solicited systemic AEs that occurred within 7 days after each vaccination were collected using a diary and included headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea.

Time frame:
Within 7 days of first vaccination on Day 1
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Any solicited systemic AEs28.934.230.644.436.0
Headache7.92.711.112.520.0
Fatigue18.424.79.727.828.0
Myalgia5.313.711.120.816.0
Arthralgia5.38.26.96.94.0
Vomiting0.01.40.02.80.0
Diarrhea5.36.88.318.18.0
PrimaryPercentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29

Solicited systemic AEs that occurred within 7 days after each vaccination were collected using a diary and included headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea.

Time frame:
Within 7 days of second vaccination on Day 29
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Any solicited systemic AEs19.220.320.628.816.7
Headache8.25.85.96.14.2
Fatigue12.315.913.215.28.3
Myalgia6.85.87.413.64.2
Arthralgia4.17.24.46.14.2
Vomiting0.00.00.01.50.0
Diarrhea1.44.32.94.50.0
PrimaryPercentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1

The body temperature measurement was performed using the thermometer for 7 days after each vaccination. The highest body temperature observed each day was recorded on the diary card. An elevated temperature is ≥ 38 °C or 100.4°F (considered as fever).

Time frame:
Within 7 days of first vaccination on Day 1
Reported as:
Number · percentage of participants
Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 1
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After First Vaccination on Day 10.00.00.00.00.0
PrimaryPercentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29

The body temperature measurement was performed using the thermometer for 7 days after each vaccination. The highest body temperature observed each day was recorded on the diary card. An elevated temperature is ≥ 38 °C or 100.4°F (considered as fever).

Time frame:
Within 7 days of second vaccination on Day 29
Reported as:
Number · percentage of participants
Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 29
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With Elevated Body Temperature ≥38°C (Defined as Fever) for 7-day Period (Including Day of Vaccination) After Second Vaccination on Day 290.00.00.01.50.0
PrimaryPercentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After First Vaccination on Day 1

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Time frame:
Within 28 days of first vaccination on Day 1
Reported as:
Number · percentage of participants
Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After First Vaccination on Day 1
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After First Vaccination on Day 132.928.433.326.420.0
PrimaryPercentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After Second Vaccination on Day 29

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Time frame:
Within 28 days of second vaccination on Day 29
Reported as:
Number · percentage of participants
Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After Second Vaccination on Day 29
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With At Least One Unsolicited Adverse Event (AE) Within 28-days After Second Vaccination on Day 2934.218.825.030.38.3
PrimaryPercentage of Participants With At Least One Serious Adverse Event (SAE)

An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically important due to other reasons than the above mentioned criteria.

Time frame:
From first vaccination up to Day 393
Reported as:
Number · percentage of participants
Percentage of Participants With At Least One Serious Adverse Event (SAE)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With At Least One Serious Adverse Event (SAE)9.212.223.612.50.0
SecondaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by HBGA Blocking Assay
Time frame:
Days 8, 29, 36, 211 and 393
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by HBGA Blocking Assay
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 80.0 (0.0 to 5.0)33.8 (22.6 to 46.6)0.0 (0.0 to 5.4)55.4 (42.5 to 67.7)0.0 (0.0 to 14.8)
Day 290.0 (0.0 to 5.0)40.9 (29.0 to 53.7)0.0 (0.0 to 5.4)54.5 (41.8 to 66.9)0.0 (0.0 to 14.2)
Day 3626.4 (16.7 to 38.1)45.5 (33.1 to 58.2)34.4 (22.9 to 47.3)63.6 (50.9 to 75.1)43.5 (23.2 to 65.5)
Day 21115.5 (8.0 to 26.0)18.2 (9.8 to 29.6)28.1 (17.6 to 40.8)30.3 (19.6 to 42.9)8.7 (1.1 to 28.0)
Day 39312.9 (6.1 to 23.0)10.9 (4.5 to 21.2)19.0 (10.2 to 30.9)16.9 (8.8 to 28.3)13.0 (2.8 to 33.6)
SecondaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (HBGA)
Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (HBGA)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 81.4 (0.0 to 7.5)63.1 (50.2 to 74.7)0.0 (0.0 to 5.4)76.9 (64.8 to 86.5)0.0 (0.0 to 14.8)
Day 290.0 (0.0 to 5.0)72.7 (60.4 to 83.0)0.0 (0.0 to 5.4)77.3 (65.3 to 86.7)0.0 (0.0 to 14.2)
Day 3655.6 (43.4 to 67.3)74.2 (62.0 to 84.2)65.6 (52.7 to 77.1)89.4 (79.4 to 95.6)60.9 (38.5 to 80.3)
Day 5764.8 (52.5 to 75.8)80.0 (68.2 to 88.9)74.2 (61.5 to 84.5)89.4 (79.4 to 95.6)62.5 (40.6 to 81.2)
Day 21133.8 (23.0 to 46.0)57.6 (44.8 to 69.7)54.7 (41.7 to 67.2)57.6 (44.8 to 69.7)26.1 (10.2 to 48.4)
Day 39325.7 (16.0 to 37.6)50.0 (37.2 to 62.8)41.3 (29.0 to 54.4)47.7 (35.1 to 60.5)30.4 (13.2 to 52.9)
SecondaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GII.4 VLP Antibody Titers (HBGA)
Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GII.4 VLP Antibody Titers (HBGA)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 80.0 (0.0 to 5.0)54.5 (41.8 to 66.9)1.5 (0.0 to 8.2)69.2 (56.6 to 80.1)0.0 (0.0 to 14.8)
Day 291.4 (0.0 to 7.5)59.7 (47.0 to 71.5)0.0 (0.0 to 5.4)71.2 (58.7 to 81.7)0.0 (0.0 to 14.2)
Day 3656.9 (44.7 to 68.6)62.7 (50.0 to 74.2)53.1 (40.2 to 65.7)71.2 (58.7 to 81.7)78.3 (56.3 to 92.5)
Day 5767.6 (55.5 to 78.2)57.6 (44.8 to 69.7)74.2 (61.5 to 84.5)71.2 (58.7 to 81.7)66.7 (44.7 to 84.4)
Day 21139.4 (28.0 to 51.7)34.8 (23.5 to 47.6)45.3 (32.8 to 58.3)45.5 (33.1 to 58.2)47.8 (26.8 to 69.4)
Day 39334.3 (23.3 to 46.6)30.8 (19.9 to 43.4)33.3 (22.0 to 46.3)36.9 (25.3 to 49.8)39.1 (19.7 to 61.5)
SecondaryGeometric Mean Titer (GMT) GI.1 VLP Antibody Titers (HBGA)

GMT GI.1 VLP antibody titers measured by HBGA blocking assay are reported.

Time frame:
Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · titer
Geometric Mean Titer (GMT) GI.1 VLP Antibody Titers (HBGA)
titerArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Baseline (Day 1)26.5 (20.9 to 33.6)29.0 (22.3 to 37.7)26.7 (20.9 to 34.2)23.9 (19.8 to 28.8)22.0 (15.4 to 31.6)
Day 826.6 (20.9 to 33.9)282.4 (193.2 to 412.6)26.5 (20.9 to 33.6)332.3 (209.9 to 526.1)21.7 (15.3 to 30.8)
Day 2926.2 (20.8 to 33.0)373.6 (266.9 to 523.0)27.3 (21.4 to 34.8)285.5 (192.9 to 422.6)21.7 (15.3 to 30.9)
Day 36194.2 (130.3 to 289.4)361.1 (266.5 to 489.2)280.1 (184.3 to 425.7)338.9 (247.7 to 463.7)150.8 (75.0 to 303.4)
Day 57177.0 (124.4 to 251.9)353.6 (268.6 to 465.6)262.2 (180.5 to 381.0)317.1 (238.3 to 421.9)117.7 (63.1 to 219.5)
Day 21181.8 (60.4 to 110.6)160.5 (116.5 to 221.1)128.3 (92.7 to 177.7)126.7 (92.7 to 173.3)54.1 (30.1 to 97.0)
Day 39360.2 (43.9 to 82.5)112.2 (80.4 to 156.5)85.7 (61.8 to 118.9)84.6 (60.3 to 118.5)41.0 (23.3 to 72.2)
SecondaryGMT of Anti-norovirus GII.4 VLP Antibody Titers (HBGA)

GMT of anti-norovirus GII.4 VLP antibody titers measured by HBGA blocking assay are reported.

Time frame:
Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · titer
GMT of Anti-norovirus GII.4 VLP Antibody Titers (HBGA)
titerArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Baseline (Day 1)66.5 (48.4 to 91.4)100.3 (70.8 to 142.2)99.5 (67.4 to 146.8)86.1 (60.7 to 122.2)78.7 (43.7 to 141.4)
Day 860.7 (43.8 to 84.2)694.9 (462.6 to 1043.9)94.1 (65.2 to 135.8)994.9 (724.8 to 1365.8)75.2 (41.3 to 137.0)
Day 2958.6 (42.0 to 81.6)787.7 (524.9 to 1182.1)82.8 (57.5 to 119.3)876.1 (648.5 to 1183.6)67.2 (38.0 to 118.8)
Day 36556.5 (354.6 to 873.2)757.1 (526.7 to 1088.4)733.8 (460.0 to 1170.7)799.4 (604.1 to 1057.9)1234.5 (627.3 to 2429.4)
Day 57528.0 (366.2 to 761.2)600.6 (417.3 to 864.5)790.8 (543.4 to 1151.0)613.6 (475.5 to 791.8)742.0 (406.9 to 1352.9)
Day 211222.0 (158.2 to 311.6)298.9 (204.6 to 436.6)318.6 (228.6 to 444.1)315.9 (233.7 to 427.1)280.3 (163.4 to 480.8)
Day 393188.9 (129.7 to 275.1)249.8 (164.4 to 379.8)265.9 (184.4 to 383.6)278.9 (204.9 to 379.7)223.4 (114.5 to 436.0)
SecondaryGeometric Mean Fold Rise (GMFR) of Anti-norovirus GI.1 VLP Antibody Titers (HBGA)

GMFR of anti-norovirus GI.1 VLP antibody titers measured by HBGA blocking assay are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · ratio
Geometric Mean Fold Rise (GMFR) of Anti-norovirus GI.1 VLP Antibody Titers (HBGA)
ratioArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 81.0 (0.9 to 1.1)10.1 (6.6 to 15.6)1.0 (0.9 to 1.0)14.1 (9.2 to 21.6)1.0 (0.9 to 1.0)
Day 291.0 (1.0 to 1.0)13.0 (9.1 to 18.6)1.0 (1.0 to 1.1)12.0 (8.5 to 16.8)1.0 (0.9 to 1.1)
Day 367.3 (4.9 to 10.9)12.6 (9.1 to 17.4)10.6 (7.0 to 15.9)14.2 (10.7 to 18.8)7.5 (3.9 to 14.6)
Day 576.6 (4.8 to 9.1)12.1 (9.1 to 16.2)10.0 (7.1 to 14.0)13.3 (10.3 to 17.1)5.3 (3.0 to 9.6)
Day 2113.2 (2.6 to 4.0)5.5 (4.2 to 7.3)4.8 (3.7 to 6.3)5.3 (4.1 to 6.8)2.4 (1.4 to 4.0)
Day 3932.4 (1.9 to 3.0)3.9 (3.0 to 5.2)3.2 (2.5 to 4.1)3.5 (2.7 to 4.6)1.8 (1.1 to 2.9)
SecondaryGMFR of Anti-norovirus GII.4 VLP Antibody Titers (HBGA)

GMFR of anti-norovirus GII.4 VLP antibody titers measured by HBGA blocking assay are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · ratio
GMFR of Anti-norovirus GII.4 VLP Antibody Titers (HBGA)
ratioArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 80.9 (0.8 to 1.0)6.9 (4.5 to 10.5)0.9 (0.8 to 1.1)11.6 (7.7 to 17.5)0.9 (0.8 to 1.0)
Day 290.9 (0.8 to 1.0)7.9 (5.6 to 11.0)0.8 (0.7 to 1.0)10.2 (7.2 to 14.5)0.9 (0.8 to 1.0)
Day 368.4 (5.4 to 13.0)7.5 (5.5 to 10.4)7.3 (4.8 to 11.2)9.3 (6.6 to 13.0)15.1 (7.1 to 32.2)
Day 578.1 (5.8 to 11.4)5.8 (4.3 to 7.8)8.4 (6.1 to 11.7)7.1 (5.3 to 9.6)9.4 (4.8 to 18.4)
Day 2113.4 (2.6 to 4.5)3.0 (2.2 to 4.1)3.4 (2.5 to 4.5)3.7 (2.8 to 4.8)3.8 (2.2 to 6.5)
Day 3933.0 (2.3 to 3.8)2.6 (2.0 to 3.5)2.7 (2.1 to 3.5)3.2 (2.4 to 4.1)3.0 (1.7 to 5.4)
SecondaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by Total Immunoglobulin-Enzyme-linked Immunosorbent Assay (Pan-Ig ELISA)

Percentage of participants with a 4-fold rise or greater in serum anti-norovirus antibody titers for both GI.1 VLP and GII.4 VLP measured by Pan-Ig ELISA are reported.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus Antibody Titers for Both GI.1 VLP and GII.4 VLP as Measured by Total Immunoglobulin-Enzyme-linked Immunosorbent Assay (Pan-Ig ELISA)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 80.0 (0.0 to 5.0)31.8 (20.9 to 44.4)0.0 (0.0 to 5.4)52.3 (39.5 to 64.9)0.0 (0.0 to 14.8)
Day 291.4 (0.0 to 7.5)47.8 (35.4 to 60.3)0.0 (0.0 to 5.4)62.1 (49.3 to 73.8)0.0 (0.0 to 14.2)
Day 3637.5 (26.4 to 49.7)49.3 (36.8 to 61.8)39.1 (27.1 to 52.1)63.6 (50.9 to 75.1)69.6 (47.1 to 86.8)
Day 5752.1 (39.9 to 64.1)43.9 (31.7 to 56.7)58.1 (44.8 to 70.5)62.1 (49.3 to 73.8)62.5 (40.6 to 81.2)
Day 21140.8 (29.3 to 53.2)37.9 (26.2 to 50.7)40.6 (28.5 to 53.6)42.4 (30.3 to 55.2)47.8 (26.8 to 69.4)
Day 39324.3 (14.8 to 36.0)15.4 (7.6 to 26.5)25.4 (15.3 to 37.9)23.1 (13.5 to 35.2)30.4 (13.2 to 52.9)
SecondaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)

Percentage of participants with a 4-Fold rise or greater in serum anti-norovirus GI.1 VLP antibody titers measured by Pan-Ig ELISA are reported.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 80.0 (0.0 to 5.0)56.1 (43.3 to 68.3)0.0 (0.0 to 5.4)69.2 (56.6 to 80.1)0.0 (0.0 to 14.8)
Day 291.4 (0.0 to 7.5)67.2 (54.6 to 78.2)0.0 (0.0 to 5.4)80.3 (68.7 to 89.1)8.3 (1.0 to 27.0)
Day 3659.7 (47.5 to 71.1)67.2 (54.6 to 78.2)68.8 (55.9 to 79.8)83.3 (72.1 to 91.4)91.3 (72.0 to 98.9)
Day 5773.2 (61.4 to 83.1)65.2 (52.4 to 76.5)83.9 (72.3 to 92.0)84.8 (73.9 to 92.5)87.5 (67.6 to 97.3)
Day 21162.0 (49.7 to 73.2)63.6 (50.9 to 75.1)70.3 (57.6 to 81.1)72.7 (60.4 to 83.0)73.9 (51.6 to 89.8)
Day 39348.6 (36.4 to 60.8)41.5 (29.4 to 54.4)52.4 (39.4 to 65.1)60.0 (47.1 to 72.0)60.9 (38.5 to 80.3)
SecondaryPercentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)

Percentage of participants with a 4-fold rise or greater in serum anti-norovirus GII.4 VLP antibody titers measured by Pan-Ig ELISA are reported.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Number · percentage of participants
Percentage of Participants With a 4-Fold Rise or Greater in Serum Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 80.0 (0.0 to 14.2)50.0 (29.1 to 70.9)0.0 (0.0 to 14.8)62.5 (40.6 to 81.2)0.0 (0.0 to 14.8)
Day 290.0 (0.0 to 14.2)70.8 (48.9 to 87.4)0.0 (0.0 to 14.8)70.8 (48.9 to 87.4)0.0 (0.0 to 14.2)
Day 3652.8 (40.7 to 64.7)68.7 (56.2 to 79.4)48.4 (35.8 to 61.3)71.2 (58.7 to 81.7)73.9 (51.6 to 89.8)
Day 5770.4 (58.4 to 80.7)63.6 (50.9 to 75.1)67.7 (54.7 to 79.1)68.2 (55.6 to 79.1)66.7 (44.7 to 84.4)
Day 21160.6 (48.3 to 72.0)53.0 (40.3 to 65.4)50.0 (37.2 to 62.8)53.0 (40.3 to 65.4)52.2 (30.6 to 73.2)
Day 39334.3 (23.3 to 46.6)32.3 (21.2 to 45.1)34.9 (23.3 to 48.0)36.9 (25.3 to 49.8)34.8 (16.4 to 57.3)
SecondaryGMT of Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)

GMT of anti-norovirus GI.1 VLP antibody titers measured by Pan-Ig ELISA are reported.

Time frame:
Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · titer
GMT of Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)
titerArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Baseline (Day 1)661.8 (508.5 to 861.2)906.1 (622.4 to 1319.3)838.5 (605.8 to 1160.4)619.7 (459.7 to 835.2)460.3 (204.8 to 1034.6)
Day 8678.0 (519.7 to 884.5)4534.9 (3303.2 to 6225.8)829.4 (603.0 to 1140.8)6382.8 (4698.1 to 8671.7)455.2 (192.4 to 1076.7)
Day 29668.2 (520.4 to 857.9)7701.1 (6141.9 to 9656.0)791.9 (585.7 to 1070.9)8951.5 (7127.3 to 11242.6)574.0 (273.1 to 1206.2)
Day 364158.6 (3095.1 to 5587.6)7663.6 (6165.5 to 9525.6)6411.8 (4795.4 to 8573.1)9161.1 (7501.2 to 11188.4)7603.5 (4590.2 to 12595.1)
Day 576183.5 (4929.9 to 7755.8)7235.1 (5945.9 to 8804.0)8838.3 (6928.3 to 11275.0)8182.2 (6751.1 to 9916.8)8165.5 (5659.8 to 11780.6)
Day 2113945.2 (3233.5 to 4813.6)5161.2 (4206.5 to 6332.6)5406.6 (4433.7 to 6593.0)4882.3 (4069.9 to 5856.9)3523.2 (2277.6 to 5449.9)
Day 3932903.4 (2307.1 to 3653.9)3672.1 (2835.7 to 4755.2)3862.9 (3060.2 to 4876.3)3370.0 (2799.0 to 4057.5)2252.6 (1365.3 to 3716.5)
SecondaryGMT of Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)

GMT of anti-norovirus GII.4 VLP antibody titers measured by Pan-Ig ELISA are reported.

Time frame:
Baseline (Day 1), Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · titer
GMT of Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)
titerArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Baseline (Day 1)761.9 (547.9 to 1059.7)1054.9 (707.8 to 1572.4)1066.3 (719.7 to 1580.0)897.4 (612.3 to 1315.3)1023.2 (543.8 to 1925.3)
Day 8766.6 (553.1 to 1062.6)4725.5 (3479.7 to 6417.3)1078.9 (726.6 to 1602.0)5691.9 (4107.9 to 7886.7)1054.6 (550.6 to 2020.2)
Day 29766.8 (553.7 to 1062.0)8105.1 (6053.8 to 10851.6)1017.7 (690.1 to 1500.8)8314.1 (6388.3 to 10820.3)1022.4 (574.4 to 1819.7)
Day 364587.6 (3402.2 to 6186.0)7911.9 (6059.9 to 10329.8)5411.9 (3777.0 to 7754.5)8025.5 (6339.1 to 10160.5)10084.9 (7037.2 to 14452.5)
Day 576564.1 (5151.3 to 8364.5)7489.2 (5788.1 to 9690.4)7877.2 (5878.8 to 10554.9)7028.4 (5611.6 to 8803.0)9507.3 (7110.9 to 12711.2)
Day 2113702.0 (2913.0 to 4704.7)4915.8 (3676.9 to 6572.2)4657.8 (3510.6 to 6179.8)4456.2 (3493.1 to 5684.9)4531.5 (3194.5 to 6428.0)
Day 3932216.7 (1708.9 to 2875.3)3151.5 (2319.8 to 4281.5)2807.4 (2081.9 to 3785.8)2853.9 (2225.5 to 3659.7)2969.5 (1818.4 to 4849.5)
SecondaryGMFR of Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)

GMFR of anti-norovirus GI.1 VLP antibody titers measured by Pan-Ig ELISA are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · ratio
GMFR of Anti-norovirus GI.1 VLP Antibody Titers (Pan-Ig ELISA)
ratioArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 81.0 (1.0 to 1.1)5.1 (3.7 to 7.2)1.0 (0.9 to 1.0)10.3 (7.2 to 14.7)1.0 (0.9 to 1.1)
Day 291.0 (0.9 to 1.1)8.5 (6.2 to 11.7)0.9 (0.9 to 1.0)14.4 (10.7 to 19.5)1.2 (0.9 to 1.8)
Day 366.3 (4.5 to 8.8)8.5 (6.1 to 11.7)7.6 (5.5 to 10.6)14.8 (10.9 to 20.0)17.3 (8.4 to 35.9)
Day 579.0 (6.8 to 11.9)7.9 (5.8 to 10.8)11.4 (8.3 to 15.6)13.2 (9.9 to 17.7)17.7 (8.8 to 35.8)
Day 2116.0 (4.8 to 7.5)5.8 (4.3 to 7.7)6.4 (4.9 to 8.5)7.9 (6.2 to 10.0)8.0 (4.1 to 15.4)
Day 3934.4 (3.6 to 5.5)4.0 (3.1 to 5.3)4.6 (3.6 to 5.9)5.2 (4.2 to 6.5)5.1 (2.6 to 10.1)
SecondaryGMFR of Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)

GMFR of anti-norovirus GII.4 VLP antibody titers measured by Pan-Ig ELISA are reported. The fold rise was calculated as the ratio of the post-vaccination titer level to the pre-vaccination titer level.

Time frame:
Days 8, 29, 36, 57, 211 and 393
Reported as:
Geometric mean · ratio
GMFR of Anti-norovirus GII.4 VLP Antibody Titers (Pan-Ig ELISA)
ratioArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Day 81.0 (1.0 to 1.1)4.5 (3.2 to 6.2)1.0 (1.0 to 1.1)6.3 (4.5 to 9.0)1.0 (0.9 to 1.0)
Day 291.0 (0.9 to 1.1)7.7 (5.7 to 10.4)1.0 (0.9 to 1.0)9.3 (6.7 to 12.8)1.0 (0.9 to 1.1)
Day 366.0 (4.3 to 8.4)7.5 (5.6 to 10.0)5.0 (3.6 to 6.9)8.9 (6.4 to 12.4)9.6 (5.1 to 18.1)
Day 578.7 (6.4 to 11.7)6.9 (5.2 to 9.2)8.3 (6.2 to 11.0)7.8 (5.8 to 10.6)9.3 (5.1 to 16.8)
Day 2114.9 (3.8 to 6.3)4.6 (3.6 to 5.9)4.5 (3.5 to 5.7)5.0 (3.8 to 6.4)4.7 (3.0 to 7.5)
Day 3933.1 (2.4 to 3.8)3.1 (2.4 to 3.9)2.6 (2.1 to 3.3)3.0 (2.4 to 3.8)3.1 (1.9 to 5.0)
SecondaryPercentage of Participants With At Least One Adverse Event of Special Interest (AESI)

AESIs are AEs that are not solicited local or systemic AEs, they are predefined AEs that required close monitoring and prompt reporting to the sponsor. AESI included protocol specified Cardiac Disorders, Gastrointestinal Disorders, Immune System Disorders, Infections and Infestations, Musculoskeletal and Connective Tissue Diseases, Neuroinflammatory Disorders, Renal and Urinary Disorders, Skin Disorders, Thyroid Disorders, Vascular Disorders and Other Disorders.

Time frame:
From first vaccination up to Day 393
Reported as:
Number · percentage of participants
Percentage of Participants With At Least One Adverse Event of Special Interest (AESI)
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With At Least One Adverse Event of Special Interest (AESI)1.32.72.80.00.0
SecondaryPercentage of Participants With At Least One Adverse Event (AE) Leading to Participant's Withdrawal From the Study

Withdrawal due to an AE will occur if the participant experiences an AE that requires early termination of treatment, because continued participation imposes an unacceptable risk to the participant's health or the participant is unwilling to continue because of the AE.

Time frame:
From first vaccination up to Day 393
Reported as:
Number · percentage of participants
Percentage of Participants With At Least One Adverse Event (AE) Leading to Participant's Withdrawal From the Study
percentage of participantsArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Percentage of Participants With At Least One Adverse Event (AE) Leading to Participant's Withdrawal From the Study1.31.40.01.40.0

Adverse events

Collected over All-Cause Mortality and Serious adverse events: From first vaccination (Day 1) through end of study (Day 393); Other adverse events: From any vaccination (Day 1 and Day 29) up to 28 days post vaccination.. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm 1: NoV Vaccine Formulation A_1-Dose1/76 (1.3%)7/76 (9.2%)28/76 (36.8%)
Arm 2: NoV Vaccine Formulation A_2-Dose1/74 (1.4%)9/74 (12.2%)25/74 (33.8%)
Arm 3: NoV Vaccine Formulation B_1-Dose0/72 (0%)17/72 (23.6%)23/72 (31.9%)
Arm 4: NoV Vaccine Formulation B_2-Dose1/72 (1.4%)9/72 (12.5%)21/72 (29.2%)
Arm 5: NoV Vaccine Formulation A_1-Dose0/25 (0%)0/25 (0%)7/25 (28%)
Most frequent serious events
Showing 10 of 61
Most frequent serious events
EventArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Atrial fibrillationCardiac disorders1/760/742/721/720/25
Hip fractureInjury, poisoning and procedural complications0/761/742/720/720/25
Haemorrhagic anaemiaBlood and lymphatic system disorders0/760/741/720/720/25
Aortic valve stenosisCardiac disorders1/760/741/720/720/25
Cardiac failure congestiveCardiac disorders0/761/741/720/720/25
Acute coronary syndromeCardiac disorders0/760/741/720/720/25
Acute myocardial infarctionCardiac disorders0/760/740/721/720/25
Aortic valve incompetenceCardiac disorders0/760/741/720/720/25
Atrial flutterCardiac disorders0/760/741/720/720/25
Atrioventricular block second degreeCardiac disorders0/760/741/720/720/25
Most frequent other events
Showing 10 of 29
Most frequent other events
EventArm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-Dose
Upper respiratory tract infectionInfections and infestations8/768/745/723/721/25
Viral upper respiratory tract infectionInfections and infestations2/764/740/721/722/25
FatigueGeneral disorders3/763/741/723/722/25
Injection site bruisingGeneral disorders4/761/744/722/720/25
DiarrhoeaGastrointestinal disorders4/763/742/720/720/25
MyalgiaMusculoskeletal and connective tissue disorders1/760/743/721/720/25
HeadacheNervous system disorders2/762/743/721/721/25
DizzinessNervous system disorders1/761/743/720/720/25
ConjunctivitisInfections and infestations0/760/740/720/721/25
NauseaGastrointestinal disorders1/761/741/720/721/25

Baseline characteristics

Randomized Set included all randomized participants regardless of whether any study vaccine (NoV VLP vaccine or placebo) was received.

Age, Continuous
Age, Continuous(years)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
Mean78.0 ± 9.1477.4 ± 9.3276.7 ± 9.2277.7 ± 9.07—77.4 ± 9.15
Age, Continuous
Age, Continuous(years)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
Mean————34.6 ± 8.4634.6 ± 8.46
Sex: Female, Male
Sex: Female, Male(Participants)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
Female4441404016181
Male3233323210139
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
Hispanic or Latino4634219
Not Hispanic or Latino7268696824301
Unknown or Not Reported000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
American Indian or Alaska Native000000
Asian201227
Native Hawaiian or Other Pacific Islander001012
Black or African American2520211
White7269687020299
More than one race000011
Unknown or Not Reported000000
Region of Enrollment
Region of Enrollment(Participants)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
United States7674727226320
Height
Height(cm)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
Mean166.8 ± 9.95167.3 ± 9.52168.0 ± 9.17167.4 ± 10.26—167.3 ± 9.69
Height
Height(cm)Arm 1: NoV Vaccine Formulation A_1-DoseArm 2: NoV Vaccine Formulation A_2-DoseArm 3: NoV Vaccine Formulation B_1-DoseArm 4: NoV Vaccine Formulation B_2-DoseArm 5: NoV Vaccine Formulation A_1-DoseTotal
Mean————169.4 ± 11.42169.4 ± 11.42

4 further baseline measures are reported on the registry.

08

Study locations

10 sites
  • Simon Williamson Clinic
    Birmingham, Alabama 35211, United States
  • Fountain Hills Family Practice, P.C.
    Fountain Hills, Arizona 85268, United States
  • Southwest Family Medicine
    Littleton, Colorado 80127, United States
  • Miami Research Associates
    Miami, Florida 33143, United States
  • Johnson County Clin-Trials
    Lenexa, Kansas 66219, United States
  • St. Louis University, School of Medicine
    Saint Louis, Missouri 63104, United States
  • Regional Clinical Research Inc.
    Endwell, New York 13760, United States
  • University of Rochester
    Rochester, New York 14642, United States
  • Cincinnati Childrens Hospital Medical Center
    Cincinnati, Ohio 45229-3039, United States
  • Group Health Research Institute
    Seattle, Washington 98101, United States
09

References and documents

Study documents

  • Statistical analysis plan · Feb 2, 2017
  • Study protocol · Nov 16, 2015

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02661490
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Jan 22, 2016
Start date
Feb 1, 2016
Primary completion
Oct 28, 2016
Completion
Sep 29, 2017
Results posted
May 18, 2020
Last update
May 18, 2020

Study contacts

Medical Director Clinical Science
study director · Takeda

Oversight

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

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This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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