ClinicalTrials.gg
RecruitingNCT04010448Updated Apr 9, 2021

A Trial to Assess the Safety, Immunogenicity and Efficacy of a Trivalent Rotavirus P2-VP8 Subunit Vaccine in Prevention of Severe Rotavirus Gastroenteritis in Healthy Infants in Africa and India

A Phase 3 interventional study of TV P2-VP8 and Rotarix in Rotavirus Infection of Children, sponsored by PATH. Recruiting at 1 site in Zambia. Open to participants aged 6 Weeks to 8 Weeks, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-09.

Sponsored by PATH · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Oct 2019; still recruiting 7 years 1 month later.
Phase
Phase 3
Study type
Interventional
Enrollment
8,200
Allocation
Randomized
Ages
6 Weeks to 8 Weeks
Sex
All
01

Study summary

The trial will be a multinational, randomized, double-blind, double-dummy, endpoint driven, group-sequential, active comparator-controlled study, in which participating infants will be randomized 1:1 to receive either: 1) 90 µg of the TV P2-VP8 vaccine IM plus oral placebo, or 2) Rotarix® per os (PO) plus IM placebo. Participants will receive three doses of TV P2-VP8/placebo IM and two doses of Rotarix®/placebo PO at monthly intervals starting at ≥6 to \<8 weeks of age, administered concomitantly with EPI/UIP vaccines. To maintain the blind, infants allocated to the TV P2-VP8 vaccine arm will receive both TV P2-VP8 IM as well as oral placebo vaccine, and infants allocated to receive Rotarix® will receive both Rotarix® PO and placebo IM. Active surveillance for episodes of gastroenteritis (GE) will be conducted throughout the study, through weekly contact with participants' parents. Unsolicited AEs grade ≥ 2 through 28 days after the last study vaccination will be recorded in the study database, as will data for SAEs (including intussusception) throughout the study.

02

Conditions studied

  • Rotavirus Infection of Children

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03

In context

Rotavirus Infections

104 studies on the registry are indexed under Rotavirus Infections; 3 are open to participants now.

This study's planned enrollment of 8,200 is above the median of 403 across 69 interventional studies indexed under Rotavirus Infections.

Browse Rotavirus Infections 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
6 Weeks to 8 Weeks
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Inclusion criteria

  • Healthy infants as established by medical history and clinical examination before entering the study
  • Age: ≥6 and \<8 weeks at the time of first study vaccination (42 days through 55 days old, inclusive, with the day after birth considered 1-day old)
  • Parental/legal guardian's ability and willingness to provide written
  • Intention of the participants' parents to remain in the area with the child during the study period

Exclusion criteria

Exclusion Criteria:

  • Acute disease at the time of first study vaccination - temporary exclusion
  • Presence of fever on the day of first study vaccination (axillary temperature >37.6oC) - temporary exclusion
  • Concurrent participation in another clinical trial throughout the entire timeframe for this study (participation in non-interventional observational study is allowed if there is no blood draw)
  • Presence of severe malnutrition (weight-for-height z-score ≤-3SD median, per WHO published child growth standards) or any systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer or disease) as determined by medical history and/or physical examination that would compromise the participant's health or is likely to result in nonconformance to the protocol
  • History of premature birth (\<37 weeks gestation) and/or birth weight of \<2.5 kg
  • History of congenital abdominal disorders, intussusception, or abdominal surgery
  • Prior receipt of rotavirus vaccine
  • Known sensitivity or allergy to any components of the study vaccine
  • to any EPI/UIP vaccine
  • History of anaphylactic reaction
  • Major congenital or genetic defect
  • Parents not able, available or willing to accept active weekly follow-up by the study staff
  • Receipt of any immunoglobulin therapy and/or blood products
  • Nursing infants whose mother are receiving biologicals
  • History of chronic administration (defined as more than 14 days) of immunosuppressant medications, including (those on inhaled or topical steroids may be permitted to participate in the study)
  • Any medical condition in the participant or parents that, in the judgment of the investigator, would interfere with or serves as a contraindication to protocol adherence or a parents' ability to give
Terms in these criteria, in plain language(5)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
8,200 participants (estimated)

Study arms

  • Experimental
    TV P2-VP8

    Biological: TV P2-VP8

  • Active comparator
    Rotarix®

    Biological: Rotarix

Interventions

  • BiologicalTV P2-VP8

    90 µg of the TV P2-VP8 vaccine IM plus oral placebo administered on study days 1, 29 and 57

  • BiologicalRotarix

    Rotarix® PO plus IM placebo administered on study days 1, 29 and 57

06

What researchers measure

Primary outcomes

  1. Number of laboratory confirmed cases of severe rotavirus gastroenteritis (SRVGE; any strain)

    SRVGE is defined by a Vesikari score of \>11 (primary analysis to be performed once \>99 cases are identified with onset at least 2 weeks after receipt of third study vaccination)

    Time frame: For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life

  2. Number of serious adverse events (SAEs), including intussusception

    Time frame: Through 28 days after the last dose of study vaccine

  3. Number of Adverse Events (AEs) > or = to grade 2

    Time frame: Through 28 days after the last dose of study vaccine

Secondary outcomes

  1. Number of laboratory confirmed cases of very severe rotavirus gastroenteritis (VSRVGE; any strain)

    VSRVGE is defined by a Vesikari score of \>15

    Time frame: For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life

  2. Number of P-type specific (P[4], P[6] and P[8]) laboratory confirmed cases of SRVGE and VSRGE

    Time frame: For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life

  3. Number of laboratory confirmed cases of rotavirus gastroenteritis (any strain) of any severity

    Time frame: For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life

  4. Number of laboratory confirmed cases hospitalized for RVGE (any severity)

    Time frame: For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life

  5. Incidence of SRVGE and VSRVGE per 100 children-years

    Time frame: For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life

07

Study locations

1 of 1 sites recruiting
  • Centre for Infectious Disease Research in Zambia (CIDRZ)
    Lusaka, Zambia
    Recruiting
    • Roma Chilengi, MD · Contact
    • Caroline Chisenga, PhD · Contact
08

References and documents

Individual participant data

Plan to share: Yes — Summary results for primary and secondary objectives

Supporting information: Study protocol, Statistical analysis plan

Time frame: Within 12 months of completion of study

Access criteria: Researchers who provide a methodologically sound proposal may be provided access after Sponsor permission.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04010448
Lead sponsor
PATH
Collaborators
Bill and Melinda Gates Foundation, SK Bioscience Co., Ltd.
Responsible party
Sponsor
First posted
Jul 8, 2019
Start date
Oct 10, 2019
Primary completion
Dec 15, 2025 (estimated)
Completion
Dec 15, 2025 (estimated)
Last update
Apr 9, 2021

Study contacts

Joanne Csedrik, RN, MPH
Contact
jcsedrik@path.org
+1-202-540-4496
Tushar Tewari, MD
Contact
ttewari@path.org
+91-11-40640005
George Armah, PhD
principal investigator · Noguchi Memorial Institute for Medical Research, University of Ghana, Legon
Desiree Witte, MD
principal investigator · Malawi-Liverpool-Wellcome Trust (MLW) Clinical Research Programme
Roma Chilengi, MD
principal investigator · Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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