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| Name | Class |
|---|---|
| Bill and Melinda Gates Foundation | OTHER |
| SK Bioscience Co., Ltd. | INDUSTRY |
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The trial will be a multinational, randomized, double-blind, double-dummy, endpoint driven, group-sequential, active comparator-controlled study, in which participating infants will be randomized 1:1 to receive either: 1) 90 µg of the TV P2-VP8 vaccine IM plus oral placebo, or 2) Rotarix® per os (PO) plus IM placebo. Participants will receive three doses of TV P2-VP8/placebo IM and two doses of Rotarix®/placebo PO at monthly intervals starting at ≥6 to <8 weeks of age, administered concomitantly with EPI/UIP vaccines. To maintain the blind, infants allocated to the TV P2-VP8 vaccine arm will receive both TV P2-VP8 IM as well as oral placebo vaccine, and infants allocated to receive Rotarix® will receive both Rotarix® PO and placebo IM. Active surveillance for episodes of gastroenteritis (GE) will be conducted throughout the study, through weekly contact with participants' parents. Unsolicited AEs grade ≥ 2 through 28 days after the last study vaccination will be recorded in the study database, as will data for SAEs (including intussusception) throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TV P2-VP8 | Experimental |
| |
| Rotarix® | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TV P2-VP8 | Biological | 90 µg of the TV P2-VP8 vaccine IM plus oral placebo administered on study days 1, 29 and 57 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of laboratory confirmed cases of severe rotavirus gastroenteritis (SRVGE; any strain) | SRVGE is defined by a Vesikari score of >11 (primary analysis to be performed once >99 cases are identified with onset at least 2 weeks after receipt of third study vaccination) | For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life |
| Number of serious adverse events (SAEs), including intussusception | Through 28 days after the last dose of study vaccine | |
| Number of Adverse Events (AEs) > or = to grade 2 | Through 28 days after the last dose of study vaccine |
| Measure | Description | Time Frame |
|---|---|---|
| Number of laboratory confirmed cases of very severe rotavirus gastroenteritis (VSRVGE; any strain) | VSRVGE is defined by a Vesikari score of >15 | For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Joanne Csedrik, RN, MPH | Contact | +1-202-540-4496 | jcsedrik@path.org | |
| Tushar Tewari, MD | Contact | +91-11-40640005 | ttewari@path.org |
| Name | Affiliation | Role |
|---|---|---|
| George Armah, PhD | Noguchi Memorial Institute for Medical Research, University of Ghana, Legon | Principal Investigator |
| Desiree Witte, MD | Malawi-Liverpool-Wellcome Trust (MLW) Clinical Research Programme | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Infectious Disease Research in Zambia (CIDRZ) | Recruiting | Lusaka | Zambia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41319434 | Derived | Tewari T, Armah G, Cunliffe NA, Chisenga CC, Witte D, Kukula V, Jere KC, Simuyandi M, Damanka S, Mwinjiwa E, Kazimbaya K, Atuguba F, Williams J, Chilengi R, Csedrik J, Gast C, Fix A, Cryz S. Safety, immunogenicity, and relative efficacy of a parenteral trivalent rotavirus subunit vaccine candidate (TV P2-VP8) in healthy Ghanaian, Malawian, and Zambian infants. Vaccine. 2026 Jan 5;70:128019. doi: 10.1016/j.vaccine.2025.128019. Epub 2025 Nov 29. |
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Summary results for primary and secondary objectives
Within 12 months of completion of study
Researchers who provide a methodologically sound proposal may be provided access after Sponsor permission.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 5, 2026 | |
| Reset | Feb 25, 2026 |
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Participating infants will be randomized 1:1 to receive either: 1) 90 µg of the TV P2-VP8 vaccine IM plus oral placebo, or 2) Rotarix® PO plus IM placebo.
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To maintain the blind, infants allocated to the TV P2-VP8 vaccine arm will receive both TV P2-VP8 IM as well as oral placebo vaccine, and infants allocated to receive Rotarix® will receive both Rotarix® PO and placebo IM.
| Rotarix | Biological | Rotarix® PO plus IM placebo administered on study days 1, 29 and 57 |
|
| Number of P-type specific (P[4], P[6] and P[8]) laboratory confirmed cases of SRVGE and VSRGE |
| For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life |
| Number of laboratory confirmed cases of rotavirus gastroenteritis (any strain) of any severity | For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life |
| Number of laboratory confirmed cases hospitalized for RVGE (any severity) | For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life |
| Incidence of SRVGE and VSRVGE per 100 children-years | For cases with onset at least 2 weeks after 3rd study vaccination and onset at any time after first vaccination; for all events within the first 2 years of life |
| Roma Chilengi, MD | Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka | Principal Investigator |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 5, 2026 | Feb 25, 2026 |
| ID | Term |
|---|---|
| C492457 | RIX4414 vaccine |
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