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Study of Two Doses of GSK Biologicals' Live Attenuated HRV Vaccine (Two Different Formulations) in Healthy Infants.

Phase 2
Completed
Conditions
Infections, Rotavirus
Interventions
Biological: Human Rotavirus Vaccine - two different formulations
Biological: Prevnar
Biological: IPOL
Biological: Infanrix
Biological: OmniHIB
Biological: Pentacel
Registration Number
NCT00729001
Lead Sponsor
GlaxoSmithKline
Brief Summary

This is a dose exploration study to assess the safety and immunogenicity of two doses of the candidate HRV vaccine at different virus concentrations in the target age group (infants approximately 2 months of age and previously uninfected with human rotavirus) and receiving concomitant administration of routine vaccinations. The study also aims at exploring the effect of unrestricted feeding on the immunogenicity of the vaccine.

Detailed Description

All subjects enrolled from Eastern United States and Eastern Canada will continue their participation in the pilot efficacy follow-up (pilot efficacy subset).

The third dose of IPV vaccine (IPOL) may be given at visit 3, 4 or another time, at the investigator's discretion.

Comvax may be given in place of OmniHIB/ActHIB at Visit 1 and Visit 2 and the third dose of Comvax administered according to the prescribing information.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
529
Inclusion Criteria
  • A male or female child between, and including 6 and 12 weeks (42-90 days) of age at the time of the first vaccination.
  • Free of obvious health problems as established by medical history and clinical examination before entering into the study.
  • Written informed consent obtained from the parents or guardians of the subject.
  • Born after a normal gestation period (between 36 and 42 weeks).
Exclusion Criteria
  • Use of any investigational or non-registered drug or vaccine other than the study vaccine within 30 days preceding the study vaccine or placebo or planned use during the study period.
  • Planned administration of a vaccine (including routine pediatric vaccines) not foreseen by the study protocol during the period starting from 14 days before each dose of vaccine(s) and ending 14 days after. Hepatitis B vaccine given concomitantly or within 14 days before and after vaccination is not an exclusion criteria.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs since birth.
  • History of diphtheria, tetanus, pertussis, polio, Hib disease and/or invasive pneumococcal infection. History of invasive pneumococcal infection is not an exclusion criteria for Canadian subjects.
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b, and/or Streptococcus pneumoniae. Previous vaccination against Streptococcus pneumoniae is not an exclusion criteria for Canadian subjects.
  • Use of antibiotics within 7 days preceding dose 1.
  • Any clinically significant history of chronic gastrointestinal disease including any uncorrected congenital malformation of the GI tract or other serious medical condition as determined by the investigator.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
  • History of allergic disease or reaction likely to be exacerbated by any component of the vaccine.
  • Acute disease at time of enrollment.
  • Gastroenteritis within 7 days preceding the study vaccine administration.
  • Household contact with an immunosuppressed individual or pregnant women.
  • Administration of immunoglobulins and/or blood products since birth or planned administration during the study period.
  • Previous confirmed occurrence of rotavirus gastroenteritis.
  • Inability to contact parents/guardians of the subject by telephone.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group BPrevnarHuman Rotavirus Vaccine - Formulation 2
Group BPentacelHuman Rotavirus Vaccine - Formulation 2
Group AInfanrixHuman Rotavirus Vaccine - Formulation 1
Group APentacelHuman Rotavirus Vaccine - Formulation 1
Group BHuman Rotavirus Vaccine - two different formulationsHuman Rotavirus Vaccine - Formulation 2
Group BIPOLHuman Rotavirus Vaccine - Formulation 2
Group BInfanrixHuman Rotavirus Vaccine - Formulation 2
Group COmniHIB-
Group AHuman Rotavirus Vaccine - two different formulationsHuman Rotavirus Vaccine - Formulation 1
Group APrevnarHuman Rotavirus Vaccine - Formulation 1
Group AIPOLHuman Rotavirus Vaccine - Formulation 1
Group BOmniHIBHuman Rotavirus Vaccine - Formulation 2
Group CPrevnar-
Group CIPOL-
Group AOmniHIBHuman Rotavirus Vaccine - Formulation 1
Group CInfanrix-
Group CPentacel-
Primary Outcome Measures
NameTimeMethod
Proportion of subjects with vaccine takeTwo months after the second dose
Occurrence of any grade 2 or 3 fever, vomiting or diarrheaWithin the 15-day solicited follow-up period after any dose of study vaccine.
Secondary Outcome Measures
NameTimeMethod
Rotavirus seropositivity statusBefore dose 1 and at the end of the study
Vaccine take (for pilot efficacy subset only)2 months after dose 1
Occurrence of each type of solicited symptomsWithin the 15-day solicited follow-up period after any dose of study vaccine
Occurrence of unsolicited symptoms according to WHO classification.Within 42 days after dose 1 and dose 2
Occurrence of serious adverse eventsThroughout the entire study period
Serum rotavirus immunoglobulin A (IgA) antibody titersAt visits 1, 3 and 4 and at all Visits for pilot efficacy subset
Anti- polyribosyl-ribitol phosphate (PRP), anti-diphtheria and anti-tetanus toxoids, anti- pertussis toxoid (PT), anti- filamentous haemagglutinin (FHA), anti- pertactin (PRN), anti-polio type 1, 2 and 3 antibody concentrationsTwo months after dose 2 and at the end of the study.
Antibody concentrations to pneumococcal serotypes 4, 6B, 9V, 14, 18C, 19F and 23FTwo months after dose 2 and at the end of the study (only in a subset of U.S. subjects)
Anti-PRP, anti-diphtheria, anti-tetanus, anti-polio type 1, 2 and 3 seroprotection status.Two months after dose 2 and at the end of the study.
Anti-PT, anti-FHA, anti-PRN, pneumococcal serotypes 4, 6B, 9V, 14, 18C, 19F and 23F (only in US subjects) seropositivity status.Two months after dose 2 and at the end of the study.
Seropositivity status and Geometric mean titres (GMTs) of rotavirus IgA for breast fed infants compared with formula fed infantsTwo months after dose 2.
Occurrence of rotavirus gastroenteritis (in a pilot efficacy subset of subjects)Two weeks after dose 2 until the end of the rotavirus season following vaccination.
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