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OpenTrials
Completed

NCT Number: NCT01960725

An Alternate Dosing Schedule for Pentavalent Rotavirus Vaccine (RotaTeq)

This is a pilot study to assess the safety and immunogenicity of pentavalent rotavirus vaccine (RV5) when administered according to an alternate dosing schedule (2-5 weeks, 2 months and 4 months). In this interventional, open-label study, infants 2 through 5 weeks of age (14 to 41 days) will be enrolled and vaccinated with RV5 according to a 2-5 week, 2 and 4 month schedule and infants 2 months of age (56 to 83 days) will be vaccinated according to the standard recommended schedule (2, 4, and 6 months of age). Sera will be obtained from subjects one month following the final dose of vaccine and will be assayed for anti-rotavirus IgA and rotavirus neutralizing antibody responses against the G1, G2, G3, G4 and P[8] serotypes. Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titers (GMTs) will be compared between children receiving pentavalent rotavirus vaccine (RV5) according to the alternate dosing schedule versus the standard recommended schedule. Likewise, post dose 3 G2, G3, G4 and P[8] SNA and serum rotavirus IgA GMTs will be compared between children receiving RV5 according to the alternate dosing schedule and the standard recommended schedule. The safety and tolerability of RV5 in children receiving vaccine according to the alternate dosing schedule will be described.

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Key information

Age range

14 day–83 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Duke University Health System

Durham, North Carolina, 27710, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male or female infants who are 14 through 41 or 56 through 83 days of age at Visit 1 (Day of initial vaccination)
  • Parent / legal guardian has read and signed the informed consent document
  • Child and parent / legal guardian is available for the entire study period and can be reached by telephone
  • Healthy infant as determined by medical history and by a baseline physical examination
  • Infant weight at time of enrollment must exceed birth weight

Exclusion criteria

  • History of hypersensitivity to the vaccine or any component of the vaccine
  • History of Severe Combined Immunodeficiency Disease (SCID)
  • History of immunocompromise ( infant is known to be HIV positive, to have hypogammaglobulinemia or to have an underlying malignancy)
  • History of intussusception
  • Any clinically significant history of gastrointestinal disease including active acute gastrointestinal illness, chronic diarrhea, failure to thrive, congenital abdominal disorders, abdominal surgery or liver disease
  • Prior receipt of a rotavirus vaccine
  • Less than 37 weeks gestation
  • The subject has participated in a study with an experimental agent within one month of enrollment in the study or anticipated receipt of an experimental agent during participation in the study
  • Receipt of blood products within 4 weeks of study vaccination
  • Receipt of a live virus vaccine within 4 weeks of study vaccination or an inactivated vaccine within 2 weeks. Concomitant administration of routinely recommended vaccines is allowed. A dose of hepatitis B vaccine administered in the birthing hospital is permitted. Planned routine use of inactivated influenza vaccine for children over 6 months of age is permitted.
  • Acute illness within 48 hours of vaccination (axillary temperature of 100.4°F or higher, 3 or more grossly watery stools, vomiting). (Infants with stable unchanged gastroesophageal reflux may be enrolled).
  • Insufficient weight gain requiring future weight checks in addition to routine scheduled well child visits
  • The subject has any condition that the investigator believes would put the subject at an increased risk of injury or would render the subject unable to complete the trial or fulfill the requirements of the study protocol.
  • Household contact who is immunodeficient (any malignancies or otherwise immunocompromised, primary immunodeficiency, receiving immunosuppressive therapy)

Treatment and study plan

RV5 (Pentavalent Rotavirus Vaccine)

Biological

Other names: RotaTeq

Primary outcomes

  1. G1 Serum-neutralizing Antibody

    Time frame: 1 month following vaccine series completion

    Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titer (GMT)

Secondary outcomes

  1. G2 Serum-neutralizing Antibody

    Time frame: 1 month following vaccine series completion

    Post dose 3 G2 serum-neutralizing antibody(SNA) geometric mean titer (GMT)

  2. G3 Serum-neutralizing Antibody

    Time frame: 1 month following vaccine series completion

    Post dose 3 G3 serum-neutralizing antibody(SNA) geometric mean titer (GMT)

  3. G4 Serum-neutralizing Antibody

    Time frame: 1 month following vaccine series completion

    Post dose 3 G4 serum-neutralizing antibody(SNA) geometric mean titer (GMT)

  4. P1 Serum-neutralizing Antibody

    Time frame: 1 month following vaccine series completion

    Post dose 3 P1 serum-neutralizing antibody(SNA) geometric mean titer (GMT)

Other outcomes

  1. Serum Rotavirus Immunoglobulin A

    Time frame: 1 month following vaccine series completion

    Post dose 3 serum rotavirus Immunoglobulin A geometric mean titer (GMT)

  2. Reactogenicity Assessment

    Time frame: 7 days after each dose, up to 10 months post-vaccination

    Proportions of subjects in each vaccine group reporting a reactogenicity event in the period following each dose and any dose of RV5 will be determined

  3. Adverse Event Assessment

    Time frame: 28 days after each dose, up to 10 months post-vaccination

    Proportions of subjects in each vaccine group reporting an adverse event in the period following each dose and any dose of RV5 will be determined

  4. Serious Adverse Event Assessment

    Time frame: After each dose and up to 10 months post-vaccination

    Proportions of subjects in each vaccine group reporting an adverse event in the period following each dose and any dose of RV5 will be determined

Sponsors and collaborators

Lead sponsor

Dennis Clements

Other

Collaborators

  • Merck Sharp & Dohme LLC

Registry information

Official study title

An Open-label, Pilot Study to Compare the Safety and Immunogenicity of an Alternate Dosing Schedule (2-5 Weeks, 2 Months, and 4 Months) for Pentavalent Rotavirus Vaccine (RotaTeq) to the Standard Recommended Schedule (2, 4, and 6 Months)

Important dates

Study start
2014
Primary completion
2015
Study completion
2016
First posted
Oct 11, 2013
Registry last updated
Apr 21, 2017

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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