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| ID | Type | Description | Link |
|---|---|---|---|
| MISP-50891 | Other Grant/Funding Number | Merck Investigator Studies Program |
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| Name | Class |
|---|---|
| Merck Sharp & Dohme LLC | INDUSTRY |
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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Dosing Group | Active Comparator | Group will receive RV5 vaccine at 2, 4, and 6 months of age |
|
| Alternate Dosing Group | Experimental | Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RV5 (Pentavalent Rotavirus Vaccine) | Biological |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| G1 Serum-neutralizing Antibody | Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titer (GMT) | 1 month following vaccine series completion |
| Measure | Description | Time Frame |
|---|---|---|
| G2 Serum-neutralizing Antibody | Post dose 3 G2 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | 1 month following vaccine series completion |
| G3 Serum-neutralizing Antibody | Post dose 3 G3 serum-neutralizing antibody(SNA) geometric mean titer (GMT) |
| Measure | Description | Time Frame |
|---|---|---|
| Serum Rotavirus Immunoglobulin A | Post dose 3 serum rotavirus Immunoglobulin A geometric mean titer (GMT) | 1 month following vaccine series completion |
| Reactogenicity Assessment | 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 |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dennis A Clements, MD, PhD | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Health System | Durham | North Carolina | 27710 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Group A: Standard Dosing | Group will receive RV5 vaccine at 2, 4, and 6 months of age RV5 (Pentavalent Rotavirus Vaccine) |
| FG001 | Group B: Alternate Dosing | Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age RV5 (Pentavalent Rotavirus Vaccine) |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Group A: Standard Dosing | Group will receive RV5 vaccine at 2, 4, and 6 months of age RV5 (Pentavalent Rotavirus Vaccine) |
| BG001 | Group B: Alternate Dosing | Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age RV5 (Pentavalent Rotavirus 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 | G1 Serum-neutralizing Antibody | Post dose 3 G1 serum-neutralizing antibody (SNA) geometric mean titer (GMT) | The per protocol analysis population includes participants who met all inclusion and exclusion criteria, received all scheduled study vaccinations, and who contributed post-vaccination blood samples for testing for which valid results were reported. | Posted | Geometric Mean | 95% Confidence Interval | titers | 1 month following vaccine series completion |
|
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.
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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 | Group A: Standard Dosing | Group will receive RV5 vaccine at 2, 4, and 6 months of age RV5 (Pentavalent Rotavirus Vaccine) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastroenteritis | Gastrointestinal disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Otitis Media | Ear and labyrinth disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Dennis Clements | Duke University School of Medicine | 919-684-7790 | dennis.clements@duke.edu |
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| ID | Term |
|---|---|
| D003967 | Diarrhea |
| D005759 | Gastroenteritis |
| D003681 | Dehydration |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005767 | Gastrointestinal Diseases |
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| ID | Term |
|---|---|
| C492535 | RotaTeq |
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Open Label
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| 1 month following vaccine series completion |
| G4 Serum-neutralizing Antibody | Post dose 3 G4 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | 1 month following vaccine series completion |
| P1 Serum-neutralizing Antibody | Post dose 3 P1 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | 1 month following vaccine series completion |
| 7 days after each dose, up to 10 months post-vaccination |
| Adverse Event Assessment | 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 | 28 days after each dose, up to 10 months post-vaccination |
| Serious Adverse Event Assessment | 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 | After each dose and up to 10 months post-vaccination |
| unable to obtain blood sample |
|
| BG002 | Total | Total of all reporting groups |
| days |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
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| Race/Ethnicity, Customized | Number | participants |
|
Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age
RV5 (Pentavalent Rotavirus Vaccine)
|
|
| Secondary | G2 Serum-neutralizing Antibody | Post dose 3 G2 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | The per protocol analysis population includes participants who met all inclusion and exclusion criteria, received all scheduled study vaccinations, and who contributed post-vaccination blood samples for testing for which valid results were reported. | Posted | Geometric Mean | 95% Confidence Interval | titers | 1 month following vaccine series completion |
|
|
|
| Secondary | G3 Serum-neutralizing Antibody | Post dose 3 G3 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | The per protocol analysis population includes participants who met all inclusion and exclusion criteria, received all scheduled study vaccinations, and who contributed post-vaccination blood samples for testing for which valid results were reported. | Posted | Geometric Mean | 95% Confidence Interval | titers | 1 month following vaccine series completion |
|
|
|
| Secondary | G4 Serum-neutralizing Antibody | Post dose 3 G4 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | The per protocol analysis population includes participants who met all inclusion and exclusion criteria, received all scheduled study vaccinations, and who contributed post-vaccination blood samples for testing for which valid results were reported. | Posted | Geometric Mean | 95% Confidence Interval | titers | 1 month following vaccine series completion |
|
|
|
| Secondary | P1 Serum-neutralizing Antibody | Post dose 3 P1 serum-neutralizing antibody(SNA) geometric mean titer (GMT) | The per protocol analysis population includes participants who met all inclusion and exclusion criteria, received all scheduled study vaccinations, and who contributed post-vaccination blood samples for testing for which valid results were reported. | Posted | Geometric Mean | 95% Confidence Interval | titers | 1 month following vaccine series completion |
|
|
|
| Other Pre-specified | Serum Rotavirus Immunoglobulin A | Post dose 3 serum rotavirus Immunoglobulin A geometric mean titer (GMT) | The per protocol analysis population includes participants who met all inclusion and exclusion criteria, received all scheduled study vaccinations, and who contributed post-vaccination blood samples for testing for which valid results were reported. | Posted | Geometric Mean | 95% Confidence Interval | titers | 1 month following vaccine series completion |
|
|
|
| Other Pre-specified | Reactogenicity Assessment | 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 | Proportions of subjects in each vaccine group reporting a reactogenicity event in the period following each dose and any does of RV5 will be determined | Posted | Number | Proportion of participants | 7 days after each dose, up to 10 months post-vaccination |
|
|
|
| Other Pre-specified | Adverse Event Assessment | 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 | Posted | Number | Proportion of participants | 28 days after each dose, up to 10 months post-vaccination |
|
|
|
| Other Pre-specified | Serious Adverse Event Assessment | 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 | Posted | Number | Proportion of participants | After each dose and up to 10 months post-vaccination |
|
|
|
| 1 |
| 33 |
| 10 |
| 33 |
| EG001 | Group B: Alternate Dosing | Group will receive RV5 vaccine at 2-5 weeks, 2 and 4 months of age RV5 (Pentavalent Rotavirus Vaccine) | 0 | 33 | 17 | 33 |
| Ear Drainage | Ear and labyrinth disorders | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
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| Gastroenteritis | Gastrointestinal disorders | Systematic Assessment |
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| Change in stool | Gastrointestinal disorders | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | Systematic Assessment |
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| Gastrointestanal upset | Gastrointestinal disorders | Systematic Assessment |
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| Colic | General disorders | Systematic Assessment |
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| Fever | General disorders | Systematic Assessment |
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| Irritability | General disorders | Systematic Assessment |
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| Poor weight gain | General disorders | Systematic Assessment |
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| Excessive sleepiness | General disorders | Systematic Assessment |
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| Sleeplessness | General disorders | Systematic Assessment |
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| Change in appetite | General disorders | Systematic Assessment |
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| Motor vehicale accident | Injury, poisoning and procedural complications | Systematic Assessment |
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| URI | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Diaper rash | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Macule on chin | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| D004066 | Digestive System Diseases |
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D010335 | Pathologic Processes |
| Diarrhea |
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| Post dose 3 |
|
| Post any dose |
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| Serious Adverse Event-Post dose 3 |
|