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The purpose of the research is to evaluate the protective efficacy, immunogenicity, and safety of quadrivalent recombinant norovirus vaccine (Pichia Pastoris) in people aged 6 weeks to 13 years.A total of 6600 infants and children aged 6 weeks to 13 years old were enrolled in this study, which were divided into 3 age groups: 1400 children (6-13 years old), 2200 toddler (2-5 years old), and 3000 infants (6-23 months old).Subjects of all ages were randomly assigned to the test group and the control group in a 1:1 ratio.All subjects received 3 doses of the experimental vaccine at 30 day intervals.
Overall design: A multicenter, randomized, double-blind, placebo-controlled trial was designed.
The purpose of the research is to evaluate the protective efficacy, immunogenicity, and safety of quadrivalent recombinant norovirus vaccine (Pichia Pastoris) in people aged 6 weeks to 13 years.A total of 6600 infants and children aged 6 weeks to 13 years old were enrolled in this study, which were divided into 3 age groups: 1400 children (6-13 years old), 2200 toddler (2-5 years old), and 3000 infants (6-23 months old).Subjects of all ages were randomly assigned to the test group and the control group in a 1:1 ratio.All subjects received 3 doses of the experimental vaccine at 30 day intervals.
Protective effectiveness evaluation:All subjects entered the observation period 7 days after completing the first dose of immunization. Stool and/or vomit samples (if applicable) from all AGE cases occurring during the observation period were collected and AGE caused by Norovirus was identified by PCR.Primary protective efficacy was calculated using data from primary endpoint cases that occurred between 7 days after completion of full immunization and the end of the observation period.
Immunogenicity evaluation:For the immunogenic subgroup of subjects (120 subjects before the study number of each age group in a clinical trial site, a total of 360 subjects), blood samples were collected before the first dose of immunization, 31 days after the second dose of immunization, 31 days, 180 days, 1 year and 2 years after the total immunization, and blood samples were 2.5~3.0ml each time.It is used to detect anti-norovirus IgG antibody, tissue Blood group antigen (HBGA) blocking antibody, and to detect the immunogenicity of anti-norovirus.
Safety evaluation:Adverse events (AE) and serious adverse events (SAE) : All enrolled subjects collected AE 30 minutes after each dose of vaccine, enlisted AE 0-7 days, non-enlisted AE 0-30 days, and SAE from the first dose to 180 days after full immunization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Infant experimental group (6 weeks -23 months) | Experimental | At least 6 weeks old but less than 2 years old. |
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| Infant placebo control group (6 weeks -23 months) | Placebo Comparator | At least 6 weeks old but less than 2 years old. |
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| Toddler experimental group (2-5 years old) | Experimental | At least 2 years old but less than 6 years old. |
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| Toddler placebo control group (2-5 years old) | Placebo Comparator | At least 2 years old but less than 6 years old. |
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| Children experimental group (6-13 years old) | Experimental | At least 6 years of age but under 14 years of age. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| quadrivalent recombinant norovirus vaccine (Pichia pastoris) | Biological | Subjects were given three doses of quadrivalent recombinant norovirus vaccine (Pichia pastoris) at a 30-day interval. Main ingredients: recombinant ReNoV GI.1-VP1 protein, recombinant ReNoV GII.3-VP1 protein, recombinant ReNoVGII.4-VP1 protein, recombinant ReNoV GII.17-VP1 protein, aluminum hydroxide adjuvant, histidine, sodium chloride, tween 80, disodium phosphate, disodium hydrogen phosphate |
| Measure | Description | Time Frame |
|---|---|---|
| Protective efficacy against AGE caused by four genotypes of norovirus | Protective efficacy against AGE caused by the four genotypes included in the prophylactic vaccine (GI.1, GII.3, GII.4, GII.17) (co-infections of rotavirus and adenovirus were excluded) after 7 days of full immunization until the end of the observation period.Protective efficacy = 1 - (person-years of incidence in the vaccine group/person-years of incidence in the placebo group) × 100%; person-years of incidence = (number of cases of AGE (excluding co-infections with rotavirus and adenovirus) caused by the four genotypes included in the vaccine (GI.1, GII.3, GII.4, and GII.17) after 7 days of 3 doses of the vaccine/number of person-years of observation) × 100%. | From 7 days after full immunization to 2 years after 7 days after after full immunization |
| Geometric mean titers (GMT) of IgG antibody | Geometric mean titers of IgG antibodies against norovirus (GI.1, GII.3, GII.4, GII.17) were measured at 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization. | 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization |
| Geometric mean titers (GMT) of HBGA blocking antibody | Geometric mean titers of HBGA blocking antibodies against norovirus (GI.1, GII.3, GII.4, GII.17) were measured at 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization. | at 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization |
| Positive conversion rate of IgG antibodies | Positive conversion rate of IgG antibody against norovirus (GI.1, GII.3, GII.4, GII.17) at 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year and 2 years after full immunization. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| teng huang, master | Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention | Nanning | Guangxi | 530028 | China | ||
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| Children placebo control group (6-13 years old) | Placebo Comparator | At least 6 years of age but under 14 years of age. |
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| quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo | Biological | Subjects were given three doses of quadrivalent recombinant norovirus vaccine (Pichia pastoris) placebo at a 30-day interval. Main ingredients: aluminum hydroxide adjuvant, histidine, sodium chloride, tween 80, disodium phosphate, disodium hydrogen phosphate |
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| 31 days after 2 doses, 31 days after full immunization, 180 days after full immunization, 1 year and 2 years after full immunization |
| Positive conversion rate of HBGA blocking antibody | The positive conversion rate of HBGA blocking antibodies against norovirus (GI.1, GII.3, GII.4, GII.17) was measured at 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization. | 31 days after 2 doses of immunization, 31 days after full immunization, 180 days after full immunization, 1 year, and 2 years after full immunization |
| Geometric mean titers Growth multiplier of IgG antibody | Geometric mean titers Growth multiplier of IgG antibody at 31 days after 2 doses of immunization and at 31 days after full immunization. | at 31 days after 2 doses of immunization and at 31 days after full immunization |
| Geometric mean titers Growth multiplier of HBGA blocking antibody | Geometric mean titers Growth multiplier of HBGA blocking antibody at 31 days after 2 doses of immunization and at 31 days after full immunization. | at 31 days after 2 doses of immunization and at 31 days after full immunization |
| Occurrence of any adverse event | Occurrence of any adverse event within 30 minutes of each dose of vaccination. | within 30 minutes of each dose of vaccination |
| Occurrence of recruited adverse event | Occurrence of recruited adverse event between day 0 and day 7 after each dose of vaccination. | between day 0 and day 7 after each dose of vaccination |
| Occurrence of non-recruited adverse event | Occurrence of non-recruited adverse event between day 0 and day 30 after each dose of vaccination. | between day 0 and day 30 after each dose of vaccination |
| Occurrence of serious adverse event | Occurrence of serious adverse event from the first dose to 180 days after full immunization. | from the first dose to 180 days after full immunization |
| Hunan Center for Disease Control and Prevention |
| Changsha |
| Hunan |
| 410153 |
| China |
| Sichuan Center for Disease Control and Prevention | Chengdu | Sichuan | 610041 | China |