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The investigators aim to establish the non-inferiority of concomitant administration of measles-rubella and rotavirus vaccines to measles-rubella vaccine given alone in terms of measles seroconversion rates. The primary study hypothesis is the measles seroconversion rate as defined by the percentage of children seroconverting to measles with a measles serum antibody concentration of >=1:120 at 8 weeks post vaccination after the concomitant administration of measles-rubella and rotavirus vaccines is non-inferior to that obtained when measles-rubella vaccine is given alone in children 9 months of age who have received a primary rotavirus vaccine series with the first dose between 6 and 10 weeks and the second at least 4 weeks later and are seronegative for measles antibody in the pre-vaccination sample.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| measles-rubella and rotavirus vaccines | Experimental | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine and one 1.0 ml dose of oral Rotarix vaccine at 9 months of age |
|
| measles-rubella vaccine | Active Comparator | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rotarix vaccine | Biological | one 1.0 ml dose of oral rotavirus vaccine at 9 months of age |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies | Detected by plaque reduction neutralization test (PRNT). Seroprotection defined as measles serum antibody concentration >=1:120 8 weeks post vaccination. Assays were standardized using WHO Second International Standard for measles antibody containing 5000 mIU/ml, which enables the 50% neutralizing antibody end-point dose (titer, ND50) of test samples to be transformed to antibody concentrations in terms of mIU/ml. The analytical cut-off value in this assay was ND50 < 1/8; this was the lowest dilution at which sera were tested. | 8 weeks post vaccination |
| Percentage/Number of Subjects With Seroprotection for Anti-measles Virus Immunoglobulin G (IgG) | Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for measles virus. All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia). | 8 weeks post vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage/Number of Subjects With Seroconversion for Anti-rubella Virus Immunoglobulin G (IgG) | Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia). |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric Mean Concentration (GMC) for Measles Virus Serum Neutralization Antibodies | Sera were analyzed for the presence of measles virus serum neutralizing antibodies (SNAs), using a standardized plaque reduction neutralization (PRN) assay, in which PRN titers, defined as the serum dilutions that reduced the number of plaques by 50%, were calculated using the Kärber method [12]. A 1:100 dilution of World Health Organization (WHO) Second International Standard Anti-Measles Serum (IS, coded 66/202, supplied by the National Institute for Biological Standards and Control, South Mimms, United Kingdom) was tested in parallel with each serum specimen to calculate the reciprocal of the 50% end point titer determined by the PRN test. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| K Zaman, PhD, MPH | International Centre for Diarrhoeal Disease Research, Bangladesh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ICDDR,B | Dhaka | Bangladesh |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26823338 | Derived | Zaman K, Fleming JA, Victor JC, Yunus M, Bari TI, Azim T, Rahman M, Mowla SM, Bellini WJ, McNeal M, Icenogle JP, Lopman B, Parashar U, Cortese MM, Steele AD, Neuzil KM. Noninterference of Rotavirus Vaccine With Measles-Rubella Vaccine at 9 Months of Age and Improvements in Antirotavirus Immunity: A Randomized Trial. J Infect Dis. 2016 Jun 1;213(11):1686-93. doi: 10.1093/infdis/jiw024. Epub 2016 Jan 27. |
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Recruitment concurrently conducted at a number of health sites in the study area, which resulted in two additional infants being enrolled but subsequently not vaccinated with withdrawn from the study.
Study population was drawn from participants living in the International Center for Diarrheal Disease Research, Bangladesh (icddr,b) service area of Matlab, Bangladesh.
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| ID | Title | Description |
|---|---|---|
| FG000 | Measles-rubella and Rotavirus Vaccines | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine and one 1.0 ml dose of oral Rotarix vaccine at 9 months of age Rotarix vaccine: one 1.0 ml dose of oral rotavirus vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
| FG001 | Measles-rubella Vaccine | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Received Study Vaccines |
| |||||||||||||
| Analyzed for Immunogenicity |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Measles-rubella and Rotavirus Vaccines | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine and one 1.0 ml dose of oral Rotarix vaccine at 9 months of age Rotarix vaccine: one 1.0 ml dose of oral rotavirus vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage/Number of Subjects With Seroprotection for Measles Virus Serum Neutralization Antibodies | Detected by plaque reduction neutralization test (PRNT). Seroprotection defined as measles serum antibody concentration >=1:120 8 weeks post vaccination. Assays were standardized using WHO Second International Standard for measles antibody containing 5000 mIU/ml, which enables the 50% neutralizing antibody end-point dose (titer, ND50) of test samples to be transformed to antibody concentrations in terms of mIU/ml. The analytical cut-off value in this assay was ND50 < 1/8; this was the lowest dilution at which sera were tested. | Posted | Count of Participants | Participants | 8 weeks post vaccination |
|
2 months after vaccination
Local and systemic adverse events were assessed on days 4, 7, 11, 14, and 28 after vaccination through home visits by trained field workers. Solicited adverse events includes diarrhea, fever, vomiting, loss of appetite, irritability, and signs of intussusception (colicky abdominal pain or paroxysms of crying/screaming, abdominal distension or mass, intermittent irritability or lethargy with behavioral changes, stool with blood or "red currant jelly," and/or vomiting ≥2 episodes/day).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Measles-rubella and Rotavirus Vaccines | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine and one 1.0 ml dose of oral Rotarix vaccine at 9 months of age Rotarix vaccine: one 1.0 ml dose of oral rotavirus vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute bronchiolitis | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distension | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jorge Flores | PATH | (202) 822-0033 | jeflores@path.org |
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| ID | Term |
|---|---|
| C492457 | RIX4414 vaccine |
| D022243 | Rotavirus Vaccines |
| ID | Term |
|---|---|
| D014765 | Viral Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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| measles-rubella vaccine | Biological | one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
|
|
| 8 weeks post vaccination |
| Geometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG) | Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia). | 8 weeks post vaccination |
| Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin A (IgA) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
| Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin A (IgA) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of <20 U/mL are converted to 10 U/mL for calculation purposes. | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
| Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin G (IgG) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
| Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin G (IgG) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of <20 U/mL are converted to 10 U/mL for calculation purposes. | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
| Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin A (IgA) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | 8 weeks post vaccination |
| Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin G (IgG) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | 8 weeks post vaccination |
| Number/Percentage of Subjects Experiencing Immediate Post-vaccination Reactions Following Administration of Vaccine | Immediate reactogenicity was defined as local or systemic reactions occurring directly and up to 30 minutes after vaccine receipt, with an emphasis on allergic reactions. | 30 minutes post-vaccination |
| Number/Percentage of Subjects Experiencing Solicited Adverse Events | Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. They included diarrhea, fever, vomiting, loss of appetite, irritability, and intussusception. Adverse events were graded for severity and relationship to vaccine. | 14 days post-vaccination |
| Number/Percentage of Subjects Experiencing Unsolicited Non-serious Adverse Events | Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. Adverse events were graded for severity and relationship to vaccine. | 14 days post-vaccination |
| Number/Percentage of Subjects Experiencing Serious Adverse Events | An adverse event (AE) or suspected AE was considered "serious" if it resulted in any of the following outcomes:
Important medical events that may not result in death, be life threatening, or require hospitalization would have been considered severe adverse events when, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed in this definition. | 2 months after vaccination |
| 8 weeks post vaccination |
| Number of Participants With Rotavirus Vaccine Shedding | Based on 5 grams of stool sample. Vaccine shedding defined as presence of vaccine-type rotavirus in stool at 4 (+/-1) and/or 7 (+/-1) days post rotavirus vaccination detected by enzyme-linked immunosorbent assay (ELISA) and typed by reverse-transcriptase polymerase chain reaction (RT-PCR). | Day 0, Day 4 and Day 7 |
| NOT COMPLETED |
|
|
| BG001 |
| Measles-rubella Vaccine |
receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
| BG002 | Total | Total of all reporting groups |
| months |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Currently breastfed | Count of Participants | Participants |
|
| Length | Mean | Standard Deviation | cm |
|
| Weight | Mean | Standard Deviation | kilograms |
|
| Mother's age | Mean | Standard Deviation | years |
|
| OG001 | Measles-rubella Vaccine | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine |
|
|
|
| Primary | Percentage/Number of Subjects With Seroprotection for Anti-measles Virus Immunoglobulin G (IgG) | Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for measles virus. All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia). | All children meeting inclusion/exclusion criteria with a valid sample. | Posted | Count of Participants | Participants | 8 weeks post vaccination |
|
|
|
| Secondary | Percentage/Number of Subjects With Seroconversion for Anti-rubella Virus Immunoglobulin G (IgG) | Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia). | All children meeting inclusion and exclusion criteria with valid samples. | Posted | Count of Participants | Participants | 8 weeks post vaccination |
|
|
|
| Secondary | Geometric Mean Concentration (GMC) for Anti-rubella Virus Immunoglobulin G (IgG) | Used commercially available indirect enzyme-linked IgG immunoassays (EIAs; Wampole Laboratories, Princeton, New Jersey). An index standard ratio (ISR) of ≥1.10 on both runs of the respective assay was considered evidence of seropositivity for rubella virus. An ISR of at least 1.10 represents 10 IU/mL of rubella virus antibody, consistent with a protective level.All measles virus and rubella virus assays were performed at the National Measles and Rubella Reference Laboratories, Measles, Mumps, Rubella, and Herpesviruses Branch, Division of Viral Diseases, Centers for Disease Control and Prevention (Atlanta, Georgia). | Posted | Geometric Mean | 95% Confidence Interval | IU/mL | 8 weeks post vaccination |
|
|
|
| Secondary | Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin A (IgA) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | All participants meeting inclusion/exclusion criteria and with valid samples. | Posted | Count of Participants | Participants | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
|
|
|
| Secondary | Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin A (IgA) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of <20 U/mL are converted to 10 U/mL for calculation purposes. | All participants meeting inclusion/exclusion criteria and with valid samples. | Posted | Geometric Mean | 95% Confidence Interval | U/mL | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
|
|
|
| Secondary | Percentage/Number of Subjects Seropositive for Anti-rotavirus Immunoglobulin G (IgG) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | All participants meeting inclusion/exclusion criteria and with valid samples. | Posted | Count of Participants | Participants | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
|
|
|
| Secondary | Geometric Mean Titer (GMT) of Anti-rotavirus Immunoglobulin G (IgG) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. Rotavirus IgA and IgG values of <20 U/mL are converted to 10 U/mL for calculation purposes. | All participants meeting inclusion/exclusion criteria and with valid samples. | Posted | Geometric Mean | 95% Confidence Interval | U/mL | Visit 1 (pre-vaccination) and 8 weeks post vaccination |
|
|
|
| Secondary | Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin A (IgA) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | All subjects that met inclusion and exclusion criteria with valid samples and were not seropositive prior to the intervention | Posted | Count of Participants | Participants | 8 weeks post vaccination |
|
|
|
| Secondary | Percentage/Number of Subjects With Seroconversion for Anti-rotavirus Immunoglobulin G (IgG) | Antirotavirus immunoglobulin A (IgA) and IgG were measured by enzyme-linked immunosorbent assay at the Laboratory of Specialized Clinical Studies at the Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio). A standard serum pool was used to determine arbitrary units of rotavirus IgA or IgG in each sample. A subject was considered seropositive if the IgA or IgG rotavirus antibody concentration was ≥20 U/mL. | Posted | Count of Participants | Participants | 8 weeks post vaccination |
|
|
|
| Secondary | Number/Percentage of Subjects Experiencing Immediate Post-vaccination Reactions Following Administration of Vaccine | Immediate reactogenicity was defined as local or systemic reactions occurring directly and up to 30 minutes after vaccine receipt, with an emphasis on allergic reactions. | Posted | Count of Participants | Participants | 30 minutes post-vaccination |
|
|
|
| Secondary | Number/Percentage of Subjects Experiencing Solicited Adverse Events | Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. They included diarrhea, fever, vomiting, loss of appetite, irritability, and intussusception. Adverse events were graded for severity and relationship to vaccine. | Posted | Count of Participants | Participants | 14 days post-vaccination |
|
|
|
| Secondary | Number/Percentage of Subjects Experiencing Unsolicited Non-serious Adverse Events | Solicited non-serious adverse events were collected based on recall at study visits 2 (Day 4) through 5 (Day 14) following administration of Rotarix® vaccine. Adverse events were graded for severity and relationship to vaccine. | Posted | Count of Participants | Participants | 14 days post-vaccination |
|
|
|
| Secondary | Number/Percentage of Subjects Experiencing Serious Adverse Events | An adverse event (AE) or suspected AE was considered "serious" if it resulted in any of the following outcomes:
Important medical events that may not result in death, be life threatening, or require hospitalization would have been considered severe adverse events when, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed in this definition. | Posted | Count of Participants | Participants | 2 months after vaccination |
|
|
|
| Other Pre-specified | Geometric Mean Concentration (GMC) for Measles Virus Serum Neutralization Antibodies | Sera were analyzed for the presence of measles virus serum neutralizing antibodies (SNAs), using a standardized plaque reduction neutralization (PRN) assay, in which PRN titers, defined as the serum dilutions that reduced the number of plaques by 50%, were calculated using the Kärber method [12]. A 1:100 dilution of World Health Organization (WHO) Second International Standard Anti-Measles Serum (IS, coded 66/202, supplied by the National Institute for Biological Standards and Control, South Mimms, United Kingdom) was tested in parallel with each serum specimen to calculate the reciprocal of the 50% end point titer determined by the PRN test. | Posted | Geometric Mean | 95% Confidence Interval | mIU/mL | 8 weeks post vaccination |
|
|
|
| Other Pre-specified | Number of Participants With Rotavirus Vaccine Shedding | Based on 5 grams of stool sample. Vaccine shedding defined as presence of vaccine-type rotavirus in stool at 4 (+/-1) and/or 7 (+/-1) days post rotavirus vaccination detected by enzyme-linked immunosorbent assay (ELISA) and typed by reverse-transcriptase polymerase chain reaction (RT-PCR). | Posted | Count of Participants | Participants | Day 0, Day 4 and Day 7 |
|
|
|
| 0 |
| 240 |
| 10 |
| 240 |
| 63 |
| 240 |
| EG001 | Measles-rubella Vaccine | receive one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine at 9 months of age measles-rubella vaccine: one 0.5 ml subcutaneous dose of live attenuated measles-rubella vaccine | 0 | 240 | 6 | 240 | 68 | 240 |
| Acute nasopharyngitis | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Acute watery diarrhea | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Febrile convulsion | Nervous system disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Pneumonia with UTI | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Severe pneumonia | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Conjunctivitis | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Dysentery | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Fungal infection | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Mouth ulceration | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Nasopharyngitis | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Oral candidiasis | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Otitis media chronic | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Respiratory tract infection | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
| Varicella | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
|
Not provided
Not provided
| Not seropositive |
|
| Post-vaccination |
|
|
| Not seropositive |
|
| Post-vaccination |
|
|
| Grade 3: unrelated to vaccine |
|
| None |
|
| No unsolicited non-serious adverse event |
|
| Day 4 |
|
| Day 7 |
|