This phase III trial aims to assess the efficacy, safety and immunogenicity of Rotavirus RV3 Vaccine (Bio Farma) in neonates, lot-to-lot consistency, and antigen interference with co-administered EPI vaccines
This study is a randomized, double-blind, placebo-controlled study to investigate the efficacy, safety and immunogenicity following three doses of rotavirus RV3 vaccine (Bio Farma) administered as a neonatal schedule
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
1,400
Each 1 mL dose of the final product of oral liquid rotavirus vaccine contains \> 5x10\^6 fcfu/mL rotavirus vaccine strain RV3
Each 1 mL dose of placebo contains 30% of sucrose in DMEM
Dr. Moewardi District Hospital
Surakarta, Indonesia
Gajahan Primary Health Center
Surakarta, Indonesia
Efficacy of three doses against severe acute rotavirus gastroenteritis
Episodes of severe rotavirus gastroenteritis (defined as a modified Vesikari score ≥ 11 and rotavirus antigen detected in stool by ELISA)
Time frame: 2 weeks after three doses to 18 months of age
Efficacy of three doses against rotavirus gastroenteritis of any severity and all-cause gastroenteritis
Episodes of rotavirus gastroenteritis of any severity (based on modified Vesikari score and rotavirus antigen detected in stool by ELISA) and all-cause gastroenteritis
Time frame: 2 weeks after three doses to 18 months of age
Serum immune response (sIgA) after third dose
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the third dose
Time frame: 28 days after the third dose
Stool excretion following each dose
Detectable RV3 excretion in stool (by PCR) any day from day 3 to day 5 following each dose
Time frame: 3-5 days after each dose
Cumulative serum immune response
Cumulative serum anti-rotavirus IgA (sIgA) following each dose
Time frame: 28 days after each dose
Lot to lot consistency
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the third dose
Time frame: 28 days after the third dose
Solicited and unsolicited adverse events (AE)
Number of solicited and unsolicited Adverse Events (AE), from randomization to 28 days following last dose
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Gambirsari Primary Health Center
Surakarta, Indonesia
Pajang Primary Health Center
Surakarta, Indonesia
Sangkrah Primary Health Center
Surakarta, Indonesia
Sibela Primary Health Center
Surakarta, Indonesia
Bayat Primary Health Center
Yogyakarta, Indonesia
dr. Soeradji Tirtonegoro General Hospital
Yogyakarta, Indonesia
Gantiwarno Primary Health Center
Yogyakarta, Indonesia
Jogonalan 1 Primary Health Center
Yogyakarta, Indonesia
...and 11 more locations
Time frame: Up to 28 days after the third dose
Serious adverse events (SAE)
Number of Serious Adverse Events (SAE), from randomization to 28 days following last dose
Time frame: Up to 28 days after the third dose
Serum immune response (sIgA) after the first dose
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the first dose
Time frame: 28 days after the first dose
Serum immune response (sIgA) after the second dose
Percentage of subjects with ≥ 3 times increase in serum anti-rotavirus IgA (sIgA) from baseline to 28 days after the second dose
Time frame: 28 days after the second dose
Abnormality of ALT and AST levels
Abnormality of ALT and AST levels measured 28 days following first dose, assessed as probably or definitely related to the dosing
Time frame: 28 days after the first dose
Immune interference
Percentage of subjects with reciprocal titre ≥ 1:8 against poliovirus strains 1-3 measured 28 days after bOPV4+ IPV and Pentabio 3 vaccination
Time frame: 28 days after non-EPI vaccination
Geometric Mean Titre (GMT)
Geometric Mean Titre (GMT) of serum IgA 28 days after each dose
Time frame: 28 days after each dose
Serum neutralizing antibodies (SNA) after the third dose
Percentage of subjects with positive SNA (≥ 100), two-fold and three-fold increasing antibodies from baseline to 28 days after the third dose
Time frame: 28 days after the third dose