The primary objective of this study is to determine if the GSK Biologicals' HRV vaccine (pooled HRV groups) given concomitantly with routine EPI vaccinations can prevent severe rotavirus gastroenteritis (≥11 on the 20-point Vesikari scoring system [Ruuska, 1990]) caused by the circulating wild-type RV strains during the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 5.
The primary objective will be reached if the lower limit of the 95% confidence interval (CI) on vaccine efficacy is >0%.
The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Primary Outcome Measures:
- Occurrence of severe rotavirus (RV) gastroenteritis (GE) (score >= 11 on a 20-point Vesikari scoring system [Ruuska, 1990]) caused by the circulating wild-type RV strains in pooled HRV groups versus the placebo group. [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 6 ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Occurrence of severe RV GE caused by the circulating wild-type RV strains of G1 serotype. [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 6 ] [ Designated as safety issue: Yes ]
- Occurrence of severe RV GE caused by the circulating wild-type RV strains of non-G1 serotype [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 6 ] [ Designated as safety issue: Yes ]
- Occurrence of any RV GE caused by the circulating wild-type RV strains [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 6. ] [ Designated as safety issue: Yes ]
- Occurrence of severe RV GE caused by the circulating wild-type RV strains. [ Time Frame: During the period starting from Dose 1 of the study vaccine until Visit 6 ] [ Designated as safety issue: Yes ]
- In South Africa, occurrence of severe RV GE caused by the circulating wild-type RV strains for the subset of subjects who were fully vaccinated (at least 2 weeks post HRV dose 2 or 3) before the beginning of the RV season. [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 6. ] [ Designated as safety issue: Yes ]
- Occurrence of severe GE. [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 6 ] [ Designated as safety issue: Yes ]
- For subjects in Cohort 2 South Africa and the cohort in Malawi:Occurrence of severe RV GE caused by the circulating wild-type RV strains [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 7, and from Visit 6 to Visit 7. ] [ Designated as safety issue: Yes ]
- For subjects in Cohort 2 South Africa and the cohort in Malawi: Occurrence of hospitalisation and/or supervised re-hydration therapy in a medical facility for RV GE caused by the circulating wild-type RV strains [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 7, and from Visit 6 to Visit 7. ] [ Designated as safety issue: Yes ]
- For subjects in Cohort 2 South Africa and the cohort in Malawi: Occurrence of severe RV GE caused by the circulating wild-type RV strains of G1 serotype [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 7, and from Visit 6 to Visit 7. ] [ Designated as safety issue: Yes ]
- For subjects in Cohort 2 South Africa and the cohort in Malawi: Occurrence of severe RV GE caused by the circulating wild-type RV strains of non-G1 serotype [ Time Frame: During the period from 2 weeks after the last dose of HRV vaccine or placebo until Visit 7, and from Visit 6 to Visit 7 ] [ Designated as safety issue: Yes ]
- For all subjects, occurrence of adverse events (AEs)/serious adverse events (SAEs) leading to drop-out [ Time Frame: Throughout the entire study period. ] [ Designated as safety issue: Yes ]
- For all subjects, occurrence of SAEs. [ Time Frame: Throughout the entire study period ] [ Designated as safety issue: Yes ]
- In a subset of subjects, seroconversion rate and Geometric Mean concentration (GMC) to anti-rotavirus immunoglobulin A (IgA) antibody. [ Time Frame: At Visit 4 ] [ Designated as safety issue: No ]
- In all subjects, seropositivity rate and GMC to anti-rotavirus IgA antibody [ Time Frame: At Visit 4 ] [ Designated as safety issue: No ]
- Occurrence of hospitalisation and/or supervised re-hydration therapy (equivalent to WHO plan B or C) in a medical facility for RV GE caused by the circulating wild-type RV strains [ Time Frame: During the period from 2 weeks after the last dose of human rotavirus vaccine (HRV) vaccine or placebo until Visit 6. ] [ Designated as safety issue: Yes ]
Enrollment: |
4941 |
Study Start Date: |
October 2005 |
Study Completion Date: |
June 2008 |
Primary Completion Date: |
June 2008 (Final data collection date for primary outcome measure) |
Group HRV 2-Dose: Experimental
Subjects received 1 dose of placebo followed by 2 doses of HRV vaccine given concomitantly with routine EPI vaccines and one dose of placebo
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Biological: GSK Biologicals' HRV vaccine
Two or Three doses, oral administration
Biological: Placebo
One or three doses, oral administration.
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Group Placebo: Placebo Comparator
Subjects received 3 doses of placebo given concomitantly with routine EPI vaccines
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Biological: Placebo
One or three doses, oral administration.
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Group HRV 3-Dose: Experimental
Subjects received 3 doses of HRV vaccine given concomitantly with routine Expanded Program of Immunisation (EPI) vaccines
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Biological: GSK Biologicals' HRV vaccine
Two or Three doses, oral administration
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The study will have three groups: Group HRV 3-Dose, Group HRV 2-Dose and Group Placebo. Three-dose immunisation will be administered in healthy infants at approximately 6, 10, and 14 weeks of age. Routine EPI vaccinations will be administered concomitantly with the study vaccines. This study will also evaluate immunogenicity and safety relative to the placebo.