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| Name | Class |
|---|---|
| Henan Provincal Center for Disease Control and Prevention | UNKNOWN |
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This study is a randomized, double-blinded, placebo-controlled, Phase 1, dose-escalation study to evaluate the safety, reactogenicity and immunogenicity of Inactivated Rotavirus Vaccine (IRV) performed in healthy adult (aged 18-49 years), adolescent (aged 6-17 years) and infant subjects (aged 2-71 months). Primary objectives of the clinical trial include assessing the safety and tolerability of IRV given at two and three dose levels and comparing the safety and tolerability of IRV after each vaccination, between dosage groups, and by pre-vaccination rotavirus immune status. Secondary objective of the clinical trial is immunogenicity evaluation after each vaccination, between dosage groups, and by pre-vaccination rotavirus immune status.
This clinical trial aimed to evaluate safety and immunogenicity effect of IRV(Vero cell)in Chinese healthy adults, adolescents and infants. The subjects were divided into 5 groups. Two dose and three dose levels will be evaluated. Adult (aged 18-49 years), adolescents (aged 6-17 years), infant subjects (aged 7-71 months) and infant subjects (aged 2-6 months) will receive intramuscular (IM) injection on Days 0 and 28. Infant subjects (aged 2-6 months) subjects will receive intramuscular (IM) injection on Days 0 , 28 and 56. Three dose subgroups (low dose, medium dose and high dose were included in each age group. To maintain blindness in the trial, subjects were randomized in a 3:1 ratio to receive different dosages of the vaccine group or placebo group. In the analysis, the placebo subjects of the same age group were combined to ensure that the analysis ratio of the experimental vaccine group to the placebo group is 1:1. Therefore, 24 subjects in the experimental vaccine group and 8 subjects in the placebo group were chose in each dose group. Subjects were randomized to receive different dosages of the vaccine or placebo. Vaccination was performed in the adult group first, then on the adolescents, and on the infants last. Within each age group, dose-escalation with the principle from low to high dosage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dosage in adults | Experimental | Low dosage Inactivated Rotavirus vaccine (Vero cell) in adults aged 18-49 years old on day 0, 28 |
|
| Medium dosage in adults | Experimental | Medium dosage Inactivated Rotavirus vaccine (Vero cell) in adults aged 18-49 years old on day 0, 28 |
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| High dosage in adults | Experimental | High dosage Inactivated Rotavirus vaccine (Vero cell) in adults aged 18-49 years old on day 0, 28 |
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| Low dosage in adolescents | Experimental | Low dosage Inactivated Rotavirus vaccine (Vero cell) in adolescents aged 6-17 years old on day 0, 28 |
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| Medium dosage in adolescents | Experimental | Medium dosage Inactivated Rotavirus vaccine (Vero cell) in adolescents aged 6-17 years old on day 0, 28 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 80EU/0.5ml on day 0, 28 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the first dose vaccination. | 0-30 minutes after the first dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the second dose vaccination. | 0-30 minutes after the second dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the third dose vaccination. | 0-30 minutes after the third dose vaccination |
| Safety index-incidence of abnormal blood biochemistry assessment | Incidence of abnormal blood biochemistry assessment at Day 4 after the first dose vaccination, except children aged Month 2-71 | Day 4 after the first dose vaccination |
| Safety index-incidence of abnormal blood routine assessment | Incidence of abnormal blood routine assessment at Day 4 after the first dose vaccination, except children aged Month 2-71 | Day 4 after the first dose vaccination |
| Safety index-incidence of abnormal urine routine assessment | Incidence of abnormal urine routine assessment at Day 4 after the first dose vaccination, except children aged Month 2-71 | Day 4 after the first dose vaccination |
| Safety index-incidence of abnormal blood biochemistry assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity index-seroconversion rates of neutralizing antibody | Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4-fold increase from baseline. | Day 28 after the second dose vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity index-seroconversion rates of IgA antibody | IgA antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4-fold increase from baseline. | Day 28 after the second vaccination |
| Immunogenicity index-seroconversion rates of IgA antibody |
Inclusion Criteria:
2 months old to 49 years old, healthy resident, excluding the following:
I and/or my guardian voluntarily participate and sign an informed consent form, and can follow the requirements of the clinical trial protocol;
Have never received oral rotavirus live attenuated vaccine.
Exclusion Criteria:
First dose exclusion criteria:
Armpit temperature >37.0℃ before vaccination;
Subjects with history of intussusception or suffering from intussusception;
Subjects with history of convulsions and convulsions; history of epilepsy, mental illness and their family history;
Subjects with history of allergy to vaccination;
Acute attacks of various acute diseases (fever) or chronic diseases within 3 days before receiving the study vaccine;
Subjects receiving immune enhancement or immunosuppressive therapy within 3 months (continuous oral or infusion for more than 14 days);
Subjects vaccinated with live attenuated vaccine within 14 days and other vaccines within 7 days before vaccination;
Subjects with history of coagulation dysfunction (e.g. Coagulation factor deficiency, coagulation disease);
Subjects with primary and secondary immunocompromised (history of thyroid, pancreas, liver, spleen resection, or need for treatment for thyroid disease in the past 12 months);
Subjects with abnormal blood biochemistry, blood routine, and urine routine related indicators that have clinical significance* before vaccination;
Subjects who are currently or plan to participate in other clinical studies;
According to the investigator's judgment, the subject has any other factors that are not suitable for participating in the clinical trial.
Note*: The criterion of no clinical significance is "the laboratory test value between the upper limit (ULN) or lower limit (LLN) of the reference value range and the grade 1 adverse event" as judged by the doctor to have no clinical significance.
In addition to the general exclusion criteria, specific subjects should also follow the following exclusion criteria.
(1)18-49-year-old women who have plans to become pregnant within the past 2 months or are pregnant or are breastfeeding; (2)Positive pregnancy test of female subjects of childbearing age; (3)18-49-year-old adults with hypertension that cannot be controlled by drugs (on site measurement: systolic blood pressure ≥140mmHg or diastolic blood pressure ≥90mmHg); (4)24-month-old infant subjects with a history of dystocia, suffocation rescue, neurological damage; (5)24-month-old baby subjects are born prematurely (delivered after the 37th week of pregnancy), low weight (birth weight for girls <2300g, boys <2500g).
-Exclusion criteria for follow-up needle:
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| Name | Affiliation | Role |
|---|---|---|
| Hongjun Li, Ph.D | Chinese Academy of Medical Sciences | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Henan Provincial Center for Disease Control and Prevention | Zhenzhou | Henan | 450016 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38796326 | Derived | Wu JY, Zhang W, Pu J, Liu Y, Huang LL, Zhou Y, Gao JM, Tan JB, Liu XL, Yang J, Lin XC, Feng GW, Yin N, Chen R, Hu XQ, Yi S, Ye J, Kuang XJ, Wang Y, Zhang GM, Sun MS, Wang YX, Hu ZY, Yang JS, Li HJ. A randomized, double-blind, placebo-controlled phase I clinical trial of rotavirus inactivated vaccine (Vero cell) in a healthy adult population aged 18-49 years to assess safety and preliminary observation of immunogenicity. Vaccine. 2024 Jul 25;42(19):4030-4039. doi: 10.1016/j.vaccine.2024.05.014. Epub 2024 May 24. |
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| High dosage in adolescents | Experimental | High dosage Inactivated Rotavirus vaccine (Vero cell) in adolescents aged 6-17 years old on day 0, 28 |
|
| Low dosage in infants (7-71 months old) | Experimental | Low dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 7-71 months old on day 0, 28 |
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| Medium dosage in infants (7-71 months old) | Experimental | Medium dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 7-71 months old on day 0, 28 |
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| High dosage in infants (7-71 months old) | Experimental | High dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 7-71 months old on day 0, 28 |
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| Low dosage in infants (2-6 months old, two-dose) | Experimental | Low dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on day 0, 28 |
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| Medium dosage in infants (2-6 months old, two-dose) | Experimental | Medium dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on day 0, 28 |
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| High dosage in infants (2-6 months old, two-dose) | Experimental | High dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on day 0, 28 |
|
| Low dosage in infants (2-6 months old, three-dose) | Experimental | Low dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on day 0, 28, 56 |
|
| Medium dosage in infants (2-6 months old, three-dose) | Experimental | Medium dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on day 0, 28, 56 |
|
| High dosage in infants (2-6 months old, three-dose) | Experimental | High dosage Inactivated Rotavirus vaccine (Vero cell) in infants aged 2-6 months old on day 0, 28, 56 |
|
| Placebo on day 0, 28 | Placebo Comparator | Two doses of placebo at the vaccination schedule of day 0,28 |
|
| Placebo on day 0, 28, 56 | Placebo Comparator | Three doses of placebo at the vaccination schedule of day 0, 28,56 |
|
| Medium dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 160EU/0.5ml on day 0, 28 |
|
| High dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 320EU/0.5ml on day 0,28 |
|
| Low dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 80EU/0.5ml on day 0,28 |
|
| Medium dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 160EU/0.5ml on day 0,28 |
|
| High dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 320EU/0.5ml on day 0,28 |
|
| Low dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 80EU/0.5ml on day 0,28 |
|
| Medium dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 160EU/0.5ml on day 0,28 |
|
| High dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 320EU/0.5ml on day 0,28 |
|
| Low dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 80EU/0.5ml on day 0,28 |
|
| Medium dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 160EU/0.5ml on day 0,28 |
|
| High dosage IRV on a 0- and 28-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 320EU/0.5ml on day 0,28 |
|
| Low dosage IRV on a 0- , 28- and 56-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 80EU/0.5ml on day 0,28,56 |
|
| Medium dosage IRV on a 0- , 28- and 56-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 160EU/0.5ml on day 0,28,56 |
|
| High dosage IRV on a 0- , 28- and 56-day schedule | Biological | Inactivated Rotavirus vaccine (Vero cell) of 320EU/0.5ml on day 0,28,56 |
|
| Placebo on day 0, 28 | Biological | Two doses of placebo at the vaccination schedule of day 0,28 |
|
| Placebo on day 0, 28, 56 | Biological | Three doses of placebo at the vaccination schedule of day 0, 28,56 |
|
Incidence of abnormal blood biochemistry assessment at Day 4 after the second dose vaccination, except children aged Month 2-71 |
| Day 4 after the second dose vaccination |
| Safety index-incidence of abnormal blood routine assessment | Incidence of abnormal blood routine assessment at Day 4 after the second dose vaccination, except children aged Month 2-71 | Day 4 after the second dose vaccination |
| Safety index-incidence of abnormal urine routine assessment | Incidence of abnormal urine routine assessment at Day 4 after the second dose vaccination, except children aged Month 2-71 | Day 4 after the second dose vaccination |
| Safety index-incidence of abnormal blood biochemistry assessment | Incidence of abnormal blood biochemistry assessment at Day 4 after the third dose vaccination, except children aged Month 2-71 | Day 4 after the third dose vaccination |
| Safety index-incidence of abnormal blood routine assessment | Incidence of abnormal blood routine assessment at Day 4 after the third dose vaccination, except children aged Month 2-71 | Day 4 after the third dose vaccination |
| Safety index-incidence of abnormal urine routine assessment | Incidence of abnormal urine routine assessment at Day 4 after the third dose vaccination, except children aged Month 2-71 | Day 4 after the third dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the first dose vaccination. | Day 0 to7 after the first dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the first dose vaccination. | Day 8 to30 after the first dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the second dose vaccination. | Day 0 to7 after the second dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the second dose vaccination. | Day 8 to30 after the second dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the third dose vaccination. | Day 0 to7 after the third dose vaccination |
| Safety index-incidence of adverse reactions/events | Incidence of adverse reactions/events after the third dose vaccination. | Day 8 to30 after the third dose vaccination |
| Safety index-incidence of serious adverse events | Occurrence of serious adverse reactions/events after vaccination. | From the beginning of the vaccination to 6 months after the last vaccination completed |
| Immunogenicity index-seroconversion rates of neutralizing antibody |
Neutralizing antibody assay will be performed using the neutralization and ELISA method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4-fold increase from baseline. |
| Day 28 after the third dose vaccination |
| Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody | Neutralizing antibody assay will be performed using the neutralization and ELISA method. | Day 28, 90, 180 after the second dose vaccination |
| Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody | Neutralizing antibody assay will be performed using the neutralization and ELISA method. | Day 28, 90, 180 after the third dose vaccination |
IgA antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4-fold increase from baseline. |
| Day 28 after the third dose vaccination |
| Immunogenicity index-geometric mean titer (GMT) of IgA antibody | IgA antibody assay will be performed using the ELISA method. | Day 28, 90, 180 after the second dose vaccination |
| Immunogenicity index-geometric mean titer (GMT) of IgA antibody | IgA antibody assay will be performed using the ELISA method. | Day 28, 90, 180 after the third dose vaccination |
| Immunogenicity index-seroconversion rates of IgG antibody | IgG antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4-fold increase from baseline. | Day 28 after the second dose vaccination |
| Immunogenicity index-seroconversion rates of IgG antibody | IgG antibody assay will be performed using the ELISA method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4-fold increase from baseline. | Day 28 after the third dose vaccination |
| Immunogenicity index-geometric mean titer (GMT) of IgG antibody | IgG antibody assay will be performed using the ELISA method. | Day 28, 90, 180 after the second dose vaccination |
| Immunogenicity index-geometric mean titer (GMT) of IgG antibody | IgG antibody assay will be performed using the ELISA method. | Day 28, 90, 180 after the third dose vaccination |
| Cellular immune responses of lymphocytes | Lymphocytes (NK cells, B lymphocytes and T lymphocyte) responses of children aged 7-71 months will be measured using Flow cytometry. | Day 14 after the second vaccination |
| Cellular immune responses of cytokines | Cytokines (IL-2, IL-4, IL-6, IL-10, TNF - α and IFN - γ) responses of children aged 7-71 months will be measured using ELISA method. | Day 14 after the second vaccination |
| ID | Term |
|---|---|
| D012400 | Rotavirus Infections |
| ID | Term |
|---|---|
| D012088 | Reoviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D001071 | Appointments and Schedules |
| ID | Term |
|---|---|
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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