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Completed

NCT Number: NCT00263666

A Study of Safety, Reactogenicity and Immunogenicity of HRV Vaccine in HIV Infected Infants in South Africa

The aim of this study is to evaluate the reactogenicity, safety and immunogenicity of GSK Biologicals' human rotavirus (HRV) vaccine given concomitantly with routine vaccines including OPV in HIV positive infants. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

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Key information

Age range

6 week–10 week

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

GSK Investigational Site, Attridgerville, Gauteng, South Africa

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About this study

HIV infected infants as determined prior to study entry (screening) and asymptomatic or mildly symptomatic (WHO stages I and II) of disease will be enrolled. The study will have two groups: Group HRV and Group Placebo. Three-dose immunisation will be administered at approximately 6, 10, and 14 weeks of age. Routine EPI (Expanded Program on Immunisation) vaccinations will be administered concomitantly with the study vaccines. At the time of first dose, subjects will be aged 6 to 10 weeks. This study will evaluate safety, reactogenicity and immunogenicity of the HRV vaccine relative to the placebo.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study.
  • A male or female between, and including 6 and 10 weeks of age at the time of the first vaccination.
  • Written informed consent obtained from the parents or guardians of the subject
  • Documented HIV status of the subject as confirmed by PCR.
  • HIV asymptomatic and HIV mildly symptomatic; Stages I and II disease according to WHO's most recent classification for HIV stages in infants and children.
  • Born after a gestation period of 36 to 42 weeks.

Exclusion criteria

  • Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Previous routine vaccination except OPV, BCG and HBV vaccination at birth
  • Any clinically significant history of chronic gastrointestinal disease including any uncorrected congenital malformation of the GI tract or other serious medical condition as determined by the investigator.
  • History of allergic disease or reaction likely to be exacerbated by any component of the vaccine.
  • Acute disease at time of enrolment.
  • Gastroenteritis within 7 days preceding the study vaccine administration.
  • Previous confirmed occurrence of RV gastroenteritis.
  • Other conditions which in the opinion of the investigator may potentially interfere with interpretation of study outcomes.
  • HIV moderately and severely symptomatic: stages III and IV according to WHO's recent classification.
  • Administration of immunoglobulins and/or blood products since birth or planned administration during the study period.

Treatment and study plan

Rotarix

Biological

Oral vaccination

Placebo

Biological

Oral administration

Tritanrix-HB+Hib

Biological

Concomitant routine vaccination, IM administration

Polio Sabin

Biological

Oral administration, concomitant routine vaccination

Primary outcomes

  1. Number of Subjects Reporting Grade "2" or Grade "3" Fever, Vomiting or Diarrhea

    Time frame: Within the 15-day solicited follow-up period after any dose

    Symptoms reported in the table include: Fever: temperature (axillary route) > 38.0 degree Celsius (°C); Diarrhea: ≥ 4 looser than normal stools/day; Vomiting: ≥ 2 episodes of vomiting/day.

Secondary outcomes

  1. Number of Subjects Reporting Any Unsolicited Symptoms

    Time frame: Within 30 days after any dose

    An unsolicited symptom was any spontaneously reported untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

  2. Number of Subjects Reporting Any Serious Adverse Events

    Time frame: Until 2 months after dose 3 (for subjects RV negative at Day 42 post-dose 3) or until end of RV shedding (for subjects who shed RV at Day 42 post-dose 3)

    A serious adverse event (SAE) is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

  3. Number of Subjects Reporting Each Type of Solicited Symptom

    Time frame: Within the 15-day solicited follow-up period after each dose

    Solicited symptoms included Cough, Diarrhea (3 or more looser than normal stools/day), Fever (axillary temperature ≥ 37.5°C), Irritability, Loss of appetite, and Vomiting.

  4. The Number of Subjects With no Evidence of Immunosuppression and Moderate/ Severe Suppression, Based on CD4+ Absolute Cell Count and CD4+ Percent

    Time frame: At the screening visit and 2 months after dose 3 (Visit 4)

    Severe suppression: CD4+ cells/microliter (μl) < 750 and CD4+ percent < 15 percent (%); No evidence of suppression: CD4+ cells/μl ≥ 1500 and CD4+ percent ≥ 25%; Moderate suppression = all other CD4+ cell count and CD4+ % combinations.

  5. Human Immunodeficiency Virus (HIV) Viral Load

    Time frame: At the screening visit and 2 months after dose 3

    The HIV viral load was expressed as mean and standard deviation of the base-10 logarithm of HIV-1 ribonucleic acid (RNA) copies per milliliter (mL).

  6. Number of Subjects Who Seroconverted Against Rotavirus

    Time frame: Two months after dose 3

    A subject with anti-rotavirus Immunoglobulin (IgA) antibody concentration < 20 units/milliliter (U/mL) before vaccination and ≥ 20 U/mL after vaccination is considered as seroconverted.

  7. Number of Subjects With Vaccine Take

    Time frame: Two months after dose 3

    Vaccine take: appearance of serum IgA to rotavirus at a concentration of ≥ 20 U/ml or rotavirus shedding in any stool sample collected from the Screening Visit to 2 months after dose 3 for subjects initially negative for rotavirus.

  8. Serum Rotavirus Immunoglobulin A (IgA) Antibody Concentrations

    Time frame: Two months after dose 3

    Concentrations are given as geometric mean concentrations (GMC) for anti-rotavirus IgA antibodies.

  9. Number of Subjects With Anti-polyribosyl Ribitol Phosphate (PRP) Antibody Concentrations More Than or Equal to the Cut-off Value

    Time frame: Two months after dose 3

    Cut-off values for anti-PRP antibody concentrations were ≥ 0.15 and ≥ 1.0 microgram/milliliter (µg/mL).

  10. Geometric Mean Concentration for Anti-PRP Antibodies

    Time frame: Two months after dose 3

    Anti-PRP antibody concentrations are presented as geometric mean concentrations, expressed in microgram/milliliter (μg/mL).

  11. Number of Subjects With Anti-diphtheria and Anti-tetanus Toxoids Antibody Concentrations More Than or Equal to the Cut-off Value

    Time frame: Two months after dose 3

    The cut-off value was ≥ 0.1 International Units/milliliter (IU/mL).

  12. Geometric Mean Concentration for Anti-diphtheria and Anti-tetanus Toxoids Antibodies

    Time frame: Two months after dose 3

    Anti-diphteria and anti-tetanus toxoids antibody concentrations are presented as geometric mean concentrations, expressed in international units/milliliter (IU/mL).

  13. Number of Subjects With Anti-hepatitis B (HBs) Antibody Concentrations More Than or Equal to the Cut-off Value

    Time frame: Two months after dose 3

    The cut-off value was ≥ 10 milli international units/milliliter (mIU/mL).

  14. Geometric Mean Concentration for Anti-HBs Antibodies

    Time frame: Two months after dose 3

    Anti-HBs antibody concentrations are presented as geometric mean concentrations, expressed in milli international units/milliliter (mIU/mL).

  15. Number of Subjects With Anti-Bordetella Pertussis (BPT) Antibody Concentrations More Than or Equal to the Cut-off Value

    Time frame: Two months after dose 3

    The cut-off value was ≥ 15 Enzyme Linked Immunosorbent Assay Unit/milliliter (EL.U/mL).

  16. Geometric Mean Concentration for Anti-BPT Antibodies

    Time frame: Two months after dose 3

    Anti-BPT antibody concentrations are presented as geometric mean concentrations, expressed in ELISA units/milliliter (EL.U/mL).

  17. Number of Subjects With Anti-polio Types 1, 2 and 3 Antibody Titers More Than or Equal to the Cut-off Value

    Time frame: Two months after dose 3

    The cut-off value was ≥ 1:8. The lowest dilution at which serum samples were tested was 1:8, from which a test was considered positive.

  18. Geometric Mean Titer for Anti-polio Types 1, 2 and 3 Antibodies.

    Time frame: Two months after dose 3

    Anti-polio types 1, 2 and 3 antibody titers are presented as geometric mean titers.

  19. Rotavirus Antigen Excretion in Stool Samples

    Time frame: At day of each vaccination and at planned days following each vaccine dose until 2 months after dose 3 or until end of RV shedding

    Number of subjects with rotavirus detected by Enzyme Linked Immunosorbent Assay (ELISA) in stool samples collected from Dose 1 until study end.

  20. Rotavirus in Diarrheal Stool Samples

    Time frame: From Dose 1 until 2 months after dose 3 or until end of RV shedding

    Number of subjects reporting at least one rotavirus (vaccine strain or wild type rotavirus) gastroenteritis episode.

  21. Rotavirus Vaccine Strain Identification

    Time frame: From dose 1 until 2 months after dose 3 or until end of RV shedding

    Number of gastroenteritis (GE) episodes classified by rotavirus vaccine strain/serotype. Unknown: These samples were typed post hoc and found "G1P8" vaccine type for one subject in HRV group, "G3P8" and "G2P4" for subjects in placebo group.

  22. Enteric Pathogens Identification

    Time frame: From Dose 1 until 2 months after dose 3 or until end of RV shedding

    Number of subjects reporting gastroenteritis (GE) episodes classified by enteric pathogen tests results.

  23. Number of Subjects With the RV in Stool Samples

    Time frame: From Dose 1 until post Dose 3

    Number of subjects with presence of RV in stool samples (shedding) collected at pre-determined time points by RV type (Yes, No, Mixed type = G1V+G1WT+G2+G3+P4+P8V+P8WT and results not available [NA]).

Sponsors and collaborators

Lead sponsor

GlaxoSmithKline

Industry

Registry information

Official study title

A Phase II, Double-blind, Randomized, Placebo-controlled Study to Assess the Safety, Reactogenicity and Immunogenicity of Three Doses of GlaxoSmithKline (GSK) Biologicals' Oral Live Attenuated Human Rotavirus (HRV) Vaccine

Important dates

Study start
2005
Primary completion
2008
Study completion
2008
First posted
Dec 9, 2005
Registry last updated
Nov 23, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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