This is is a study of a parenteral rotavirus vaccine (P2-VP8 subunit rotavirus vaccine). The study will examine the safety and immunogenicity of this vaccine first in healthy South African toddlers. If the safety profile is deemed appropriate, the study will continue to explore the safety and immunogenicity of the vaccine in healthy South African infants. The primary safety hypothesis is that the P2-VP8 subunit rotavirus vaccine is safe and well-tolerated in healthy toddlers and infants. The primary immunogenicity hypothesis is that the P2-VP8 subunit rotavirus vaccine is immunogenic in infant participants and will induce an immune response in at least 80% of participants in at least one of the study groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
204
10 mcg
30 mcg
60 mcg
Respiratory and Meningeal Pathogens Research Unit (RMPRU)
Johannesburg, Gauteng, South Africa
Number of Participants With Vaccine Induced Reactions
Maximum severity of all local reactions or systemic reactogenicity after any vaccination
Time frame: 7 days following each dose
Number of Participants With Serious Adverse Events
Number of participants experiencing a Serious Adverse Event within 28 days of a vaccination and at any time during the study
Time frame: within 28 days of a study dose and at any time
Number of Participants Reporting Any Non-Serious Adverse Event
all adverse events will be recorded over the duration of the 6 month follow up period.
Time frame: 6 mo following first vaccination
Number/Percentage of Infant Participants With Anti-P2-VP8 IgA to P[8] Seroresponse.
Seroresponse is defined as 4 fold rise in Geometric Mean Titer (GMT) between pre-(baseline) and post vaccination (4 weeks after third vaccination). Confidence intervals are displayed as percentages.
Time frame: Baseline to day 84
Number/Percentage of Infants With Anti-P2-VP8 IgG to P[8] Seroresponses
Seroresponse is defined as 4 fold rise in Geometric Mean Titer (GMT) between pre-(baseline) and post vaccination (4 weeks after third injection).An unadjusted serioresponse was defined as an increase of 4 times or more in titers between baseline and 4 weeks after the 3rd injection. Adjusted IgG and neutralizing antibody post injection titres accounted for the decay in maternal antibodies using the half-life calculated from participants in the placebo group with detectable baseline titers higher than those at the post injection visit.
Time frame: Baseline to day 84
Number/Percentage of Infants With Neutralizing Antibody Response to WA Strain (G1[P8])
Seroresponse is defined as 4 fold rise in Geometric Mean Titer (GMT) between pre-(baseline) and post vaccination (4 weeks after third injection).An unadjusted serioresponse was defined as an increase of 4 times or more in titers between baseline and 4 weeks after the 3rd injection. Adjusted IgG and neutralizing antibody post injection titres accounted for the decay in maternal antibodies using the half-life calculated from participants in the placebo group with detectable baseline titers higher than those at the post injection visit.
Time frame: Baseline to Day 84
Rotavirus Shedding After Administration of Rotarix in Infants Receiving 3 Doses of Vaccine or Placebo.
Percent of infants who shed rotavirus at any timepoint after receiving 3 doses of study vaccine and one dose of Rotarix. Infants received Rotarix vaccination beginning on Day 84. Stool specimens were collected from these infants on the 5th, 7th and 9th day following first administration of Rotarix. This test was performed as a novel functional assessment of the ability to suppress local gut multiplication of the vaccine strain contained in Rotarix.
Time frame: Rotarix vaccination on Day 84 to day 91
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