A Phase 2 interventional study of IRV on a 0- and 28-day schedule and IRV on a 0-, 28- and 56-day schedule in Rotavirus Infections and Diarrhea, sponsored by Institute of Medical Biology, Chinese Academy of Medical Sciences. Recruiting at 1 site in China. Open to participants aged 2 Months to 71 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-03.
Sponsored by Institute of Medical Biology, Chinese Academy of Medical Sciences · Phase 2, Interventional, and Prevention
This study is a randomized, double-blinded, placebo-controlled phase 2 clinical trial to evaluate the immunogenicity and safety of Inactivated Rotavirus Vaccine (IRV) in children (aged 2-71 months). Primary immunogenicity endpoints in two age groups are the anti-RV neutralizing antibody geometric mean titers (GMTs) 28 days after the final dose, anti-RV neutralizing antibody geometric mean increase (GMI), and seroconversion rates between baseline and 28 days after the final dose. The secondary safety endpoints are the number of adverse events/reactions within 30 minutes after each dose, the number of solicited adverse events/reactions within 7 days after each dose, the number of unsolicited adverse events/reactions within 28/30 days after each dose, and the number of serious adverse events (SAE) between the first dose up to 6 months after the final dose. The exploratory endpoints are the anti-RV IgG and IgA antibody GMT 28 days after the final dose, GMI and seroconversion rates of anti-RV IgG and IgA antibody between baseline and 28 days after the final dose, GMT and seropositive rates of anti-RV neutralizing antibody, IgG antibody and IgA antibody 90, 180, and 360 days after the final dose. Besides, as the exploratory endpoint, the GMT, GMI, and seroconversion rates of cross-neutralizing antibodies against G3 and G9 type of RV, gene transcription differences in peripheral blood mononuclear cells on Day 0 and 28 after the final dose will be assessed.
This is a randomized, double-blinded, placebo-controlled phase 2 clinical trial to evaluate immunogenicity and safety of IRV performed in 600 subjects (aged 2-71 months). Then, 300 toddlers (aged 7-71 months) and 300 infants (aged 2-6 months) will be eligible for parallel enrollment after assessing through medical history and physical examination. Subjects from each age group will be randomly assigned to the vaccine group or placebo group in a ratio of 3:1, that is, 225 subjects of all age groups will be injected with the vaccine while 75 subjects with the placebo.
Toddlers (aged 7-71 months) will receive an injection of the vaccine or placebo in the anterolateral midthigh or deltoid muscle of the upper arm on Day 0 and 28. Infants (aged 2-6 months) will receive an injection of the vaccine or placebo in the anterolateral midthigh or deltoid muscle of the upper arm on Day 0, 28, and 56. There would be 140 subjects in each age group chosen voluntarily for the immune persistence cohort according to the order of enrollment. The duration of toddlers (aged 7-71 months) for intervention is approximately 1 month. Thus, the duration of each subject enrolled in the immune persistence cohort will be approximately 13 months while the duration of the rest of the subjects in the study will be approximately 7 months. The duration of infants (aged 2-6 months) for intervention is approximately 2 months. Thus, the duration of each subject enrolled in the immune persistence cohort will be approximately 14 months while the duration of the rest of the subjects in the study will be approximately 8 months.
For safety assessment, the observation and evaluation of adverse events (AE) from Day 0 to Days 28/30 after each dose, and serious adverse events (SAE) between the first dose up to 6 months after the final dose will be evaluated by diary/contact cards, active reports by subjects' legal guardians, or investigators' phone calls as well as face-to-face visits. Meanwhile, subjects will be observed at the site for at least 30 minutes after each dose. For immunogenicity assessment, neutralizing antibodies against the strain from which the vaccine is based (homologous ZTR-68 strain (G1P[8]), IgG antibodies, IgA antibodies of all subjects, and neutralizing antibodies against the G3 and G9 type RV in 140 subjects of each age group will be assessed. For the exploratory endpoint, the gene transcription level of PBMC will be examined for the preliminary exploration of the possible mechanism of the Inactivated Rotavirus Vaccine (Vero Cells).
104 studies on the registry are indexed under Rotavirus Infections; 3 are open to participants now.
This study's planned enrollment of 600 is above the median of 403 across 69 interventional studies indexed under Rotavirus Infections.
Browse Rotavirus Infections studies →Institute of Medical Biology, Chinese Academy of Medical Sciences is the lead sponsor of 29 studies on the registry; 10 are open to participants now.
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Exclusion Criteria:
First Dose Exclusion Criteria
Subjects meeting any of the following exclusion criteria will be not eligible for enrollment:
of the second and third doses of vaccine
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.
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.
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.
Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
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.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Live vaccines
Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
HIV
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Inactivated Rotavirus vaccine (Vero cell) in toddlers aged 7-71 months old on Day 0, 28
Biological: IRV on a 0- and 28-day schedule
Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on Day 0, 28, 56
Biological: IRV on a 0-, 28- and 56-day schedule
Two doses of placebo at the vaccination schedule of Day 0, 28
Biological: Placebo on Day 0, 28
Three doses of placebo at the vaccination schedule of Day 0, 28, 56
Biological: Placebo on Day 0, 28, 56
Inactivated Rotavirus vaccine (Vero Cells) of 320EU/0.5ml on Day 0, 28
Inactivated Rotavirus vaccine (Vero cell) of 320EU/0.5ml on Day 0, 28, 56
Two doses of placebo at the vaccination schedule of Day 0, 28
Three doses of placebo at the vaccination schedule of Day 0, 28, 56
Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Day 28 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Day 28 after the third vaccination
Immunogenicity index-geometric mean increase (GMI) of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-geometric mean increase (GMI) of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Between baseline and day 28 after the third vaccination
Immunogenicity index-seroconversion rates of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seroconversion will be defined as a change from seronegative (\<1:8) to seropositive (≥1:8), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-seroconversion rates of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seroconversion will be defined as a change from seronegative (\<1:8) to seropositive (≥1:8), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the third vaccination
Safety index-incidence of adverse reactions/events
Incidence of adverse reactions/events after the first dose vaccination.
Time frame: 0-30 minutes after the first dose vaccination
Safety index-incidence of adverse reactions/events
Incidence of adverse reactions/events after the second dose vaccination.
Time frame: 0-30 minutes after the second dose vaccination
Safety index-incidence of adverse reactions/events
Incidence of adverse reactions/events after the third dose vaccination.
Time frame: 0-30 minutes after the third dose vaccination
Safety index-incidence of solicited adverse reactions/events
Incidence of solicited adverse reactions/events after the first dose vaccination.
Time frame: Day 0 to 7 after the first dose vaccination
Safety index-incidence of solicited adverse reactions/events
Incidence of solicited adverse reactions/events after the second dose vaccination.
Time frame: Day 0 to 7 after the second dose vaccination
Safety index-incidence of solicited adverse reactions/events
Incidence of solicited adverse reactions/events after the third dose vaccination.
Time frame: Day 0 to 7 after the third dose vaccination
Safety index-incidence of unsolicited adverse reactions/events
Incidence of unsolicited adverse reactions/events after the first dose vaccination.
Time frame: Day 0 to 28 after the first dose vaccination
Safety index-incidence of unsolicited adverse reactions/events
Incidence of unsolicited adverse reactions/events after the second dose vaccination.
Time frame: Day 0 to 28/30 after the second dose vaccination
Safety index-incidence of unsolicited adverse reactions/events
Incidence of unsolicited adverse reactions/events after the third dose vaccination.
Time frame: Day 0 to 30 after the third dose vaccination
Safety index-incidence of serious adverse events
Occurrence of serious adverse reactions/events after vaccination.
Time frame: From the beginning of the vaccination up to 6 months after the last vaccination completed
Immunogenicity index-geometric mean titer (GMT) of IgG antibody
IgG antibody assay will be performed using the ELISA method.
Time frame: Day 28 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of IgG antibody
IgG antibody assay will be performed using the ELISA method.
Time frame: Day 28 after the third vaccination
Immunogenicity index-geometric mean increase (GMI) of IgG antibody
IgG antibody assay will be performed using the ELISA method.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-geometric mean increase (GMI) of IgG antibody
IgG antibody assay will be performed using the ELISA method.
Time frame: Between baseline and day 28 after the third vaccination
Immunogenicity index-seroconversion rates of IgG antibody
IgG antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (≤1:16) to seropositive (\>1:16), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-seroconversion rates of IgG antibody
IgG antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (≤1:16) to seropositive (\>1:16), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the third vaccination
Immunogenicity index-geometric mean titer (GMT) of IgA antibody
IgA antibody assay will be performed using the ELISA method.
Time frame: Day 28 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of IgA antibody
IgA antibody assay will be performed using the ELISA method.
Time frame: Day 28 after the third vaccination
Immunogenicity index-geometric mean increase (GMI) of IgA antibody
IgA antibody assay will be performed using the ELISA method.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-geometric mean increase (GMI) of IgA antibody
IgA antibody assay will be performed using the ELISA method
Time frame: Between baseline and day 28 after the third vaccination
Immunogenicity index-seroconversion rates of IgA antibody
IgA antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (\<1:8) to seropositive (≥1:8), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-seroconversion rates of IgA antibody
IgA antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (\<1:8) to seropositive (≥1:8), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the third vaccination
Immunogenicity index-geometric mean titer (GMT) of IgG antibody
IgG antibody assay will be performed using the ELISA method.
Time frame: Day 90,180 and 360 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of IgG antibody
IgG antibody assay will be performed using the ELISA method.
Time frame: Day 90,180 and 360 after the third vaccination
Immunogenicity index-seropositive rates of IgG antibody
IgG antibody assay will be performed using the ELISA method. Seropositivity will be defined as the seropositive results (\>1:16).
Time frame: Day 90,180 and 360 after the second vaccination
Immunogenicity index-seropositive rates of IgG antibody
IgG antibody assay will be performed using the ELISA method. Seropositivity will be defined as the seropositive results (\>1:16).
Time frame: Day 90,180 and 360 after the third vaccination
Immunogenicity index-geometric mean titer (GMT) of IgA antibody
IgA antibody assay will be performed using the ELISA method.
Time frame: Day 90,180 and 360 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of IgA antibody
IgA antibody assay will be performed using the ELISA method.
Time frame: Day 90,180 and 360 after the third vaccination
Immunogenicity index-seropositve rates of IgA antibody
IgA antibody assay will be performed using the ELISA method. Seropositivity will be defined as the seropositive results (≥1:8).
Time frame: Day 90,180 and 360 after the second vaccination
Immunogenicity index-seropositive rates of IgA antibody
IgA antibody assay will be performed using the ELISA method. Seropositivity will be defined as the seropositive results (≥1:8).
Time frame: Day 90,180 and 360 after the third vaccination
Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Day 90,180 and 360 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Day 90,180 and 360 after the third vaccination
Immunogenicity index-seropositive rates of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seropositivity will be defined as the seropositive results (≥1:8).
Time frame: Day 90,180 and 360 after the second vaccination
Immunogenicity index-seroconversion rates of neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seropositivity will be defined as the seropositive results (≥1:8).
Time frame: Day 90,180 and 360 after the third vaccination
Immunogenicity index-geometric mean titer (GMT) of cross- neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Day 28 after the second vaccination
Immunogenicity index-geometric mean titer (GMT) of cross-neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Day 28 after the third vaccination
Immunogenicity index-geometric mean increase (GMI) of cross-neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-geometric mean increase (GMI) of cross-neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method.
Time frame: Between baseline and day 28 after the thrid vaccination
Immunogenicity index-seroconversion rates of cross-neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seroconversion will be defined as a change from seronegative (\<1:8) to seropositive (≥1:8), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the second vaccination
Immunogenicity index-seroconversion rates of cross-neutralizing antibody
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seroconversion will be defined as a change from seronegative (\<1:8) to seropositive (≥1:8), or a ≥4-fold increase from baseline.
Time frame: Between baseline and day 28 after the thrid vaccination
mRNA sequencing analysis of peripheral blood monouclear cells(PBMCs)
Differentially expressed genes of infants(2-6 months)between baseline and day 28 after the third vaccination will be measured by mRNA sequencing
Time frame: Between baseline and day 28 after the third vaccination
Plan to share: Undecided
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Institute of Medical Biology, Chinese Academy of Medical Sciences