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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 1 | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) batch 1; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
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| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 2 | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) batch 2; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
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| Immunogenicity Group - RV3 Vaccine (Bio Farma) Batch 3 | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) batch 3; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
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| Immunogenicity Group - Placebo | Placebo Comparator | 3 oral doses of Placebo; administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
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| Other Efficacy Group - RV3 Vaccine (Bio Farma) | Experimental | 3 oral doses of RV3 vaccine (Bio Farma) administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rotavirus RV3 Vaccine (Bio Farma) | Biological | Each 1 mL dose of the final product of oral liquid rotavirus vaccine contains > 5x10^6 fcfu/mL rotavirus vaccine strain RV3 |
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| Measure | Description | Time Frame |
|---|---|---|
| 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) | 2 weeks after three doses to 18 months of age |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 2 weeks after three doses to 18 months of age |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Titis Widowati | Center for Child Health Universitas Gadjah Mada (CCH-PRO UGM | Principal Investigator |
| Hari Wahyu N. | Pediatric Research Center Universitas Sebelas Maret (PRC UNS) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Moewardi District Hospital | Surakarta | Indonesia | ||||
| Gajahan Primary Health Center |
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| Other Efficacy Group - Placebo | Placebo Comparator | 3 oral doses of Placebo administered at 0-5 days, 8-10 weeks, and 12-14 weeks of age. |
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| Placebo | Other | Each 1 mL dose of placebo contains 30% of sucrose in DMEM |
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| 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 |
| 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 | 3-5 days after each dose |
| Cumulative serum immune response | Cumulative serum anti-rotavirus IgA (sIgA) following each dose | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 28 days after non-EPI vaccination |
| Geometric Mean Titre (GMT) | Geometric Mean Titre (GMT) of serum IgA 28 days after each dose | 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 | 28 days after the third dose |
| Surakarta |
| Indonesia |
| 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 |
| Jogonalan 2 Primary Health Center | Yogyakarta | Indonesia |
| Karanganom Primary Health Center | Yogyakarta | Indonesia |
| Kebonarum Primary Health Center | Yogyakarta | Indonesia |
| Kebondalem Lor Primary Health Center | Yogyakarta | Indonesia |
| Klaten Selatan Primary Health Center | Yogyakarta | Indonesia |
| Ngawen Primary Health Center | Yogyakarta | Indonesia |
| Pedan Primary Health Center | Yogyakarta | Indonesia |
| Prambanan Primary Health Center | Yogyakarta | Indonesia |
| Trucuk 1 Primary Health Center | Yogyakarta | Indonesia |
| Trucuk 2 Primary Health Center | Yogyakarta | Indonesia |
| Wedi Primary Health Center | Yogyakarta | Indonesia |
| ID | Term |
|---|---|
| C109545 | RV3 rotavirus vaccine |
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