Abstract

BackgroundA newly developed bovine-human reassortant pentavalent vaccine (BRV-PV, ROTASIIL®) was tested for its potential effect on the immunogenicity of concomitantly administered EPI vaccines in infants in a randomized controlled study in India. MethodsIn this Phase III, multicenter, open label, randomized, controlled study, three doses of BRV-PV or two doses of Rotarix® and one dose of placebo were given to healthy infants at 6, 10, and 14 weeks of age. Subjects also received three doses of DTwP-HepB-Hib (diphtheria, tetanus, whole-cell pertussis, hepatitis B, and haemophilus influenzae type b conjugate – pentavalent vaccine) and oral polio vaccine concomitantly at 6, 10, and 14 weeks of age and a single dose of inactivated polio vaccine at 14 weeks of age. Blood samples were collected four weeks after the final vaccination to assess immune responses to all the vaccines administered. For diphtheria, tetanus, hepatitis B, Hib, polio type 1, and polio type 3 antibodies, non-interference was to be supported if the lower limit of the two-sided 90% confidence interval (CI) for the seroprotection rate difference for the BRV-PV group minus the Rotarix® group was >10.0%. For pertussis antibodies, non-interference was to be supported if the lower limit of the two-sided 90% CI for the ratio of geometric mean concentrations (GMCs) was >0.5. ResultsA total of 1500 infants were randomized to either BRV-PV (1125 infants) or Rotarix® (375 infants), of which 1341 completed the study as per the protocol. More than 97% of subjects achieved seroprotective antibody titres against diphtheria, tetanus, hepatitis B, Hib, polio type 1, and polio type 3 in both groups. The difference in seroprotection rates between the BRV-PV group and the Rotarix® group for all these antibodies was less than 1%. The ratio of GMCs of anti-pertussis IgG concentrations for the BRV-PV group versus Rotarix® was 1.04 [90% CI: 0.90; 1.19]. ConclusionBRV-PV does not interfere with the immunogenicity of concomitantly administered routine infants vaccines.

Highlights

  • Considering that rotavirus gastroenteritis is a significant public health problem, especially in low-resource countries [1], the World Health Organization (WHO) recommends universal immunization with rotavirus vaccines [2]

  • The full analysis (FA) population included all subjects in the enrolled population who were randomized and received at least one dose of study vaccination and had post-vaccination immunogenicity results

  • The GMTs for both type 1 and type 3 polioviruses were higher with bivalent OPV (bOPV) alone as compared to Trivalent OPV (tOPV) alone in both the groups. In this Phase III study we evaluated the potential interference of SIIPL’s BRV-PV with routine Universal Immunisation Programme (UIP) vaccinations in healthy infants

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Summary

Background

A newly developed bovine-human reassortant pentavalent vaccine (BRV-PV, ROTASIILÒ) was tested for its potential effect on the immunogenicity of concomitantly administered EPI vaccines in infants in a randomized controlled study in India. Tetanus, hepatitis B, Hib, polio type 1, and polio type 3 antibodies, non-interference was to be supported if the lower limit of the two-sided 90% confidence interval (CI) for the seroprotection rate difference for the BRV-PV group minus the RotarixÒ group was >10.0%. More than 97% of subjects achieved seroprotective antibody titres against diphtheria, tetanus, hepatitis B, Hib, polio type 1, and polio type 3 in q Trial registration number: Clinical Trials.Gov [NCT02584816] and Clinical Trial Registry of India [CTRI/2015/07/006034].

Introduction
Ethics
Study design
Selection criteria
Investigational products
Randomization and blinding
Immunogenicity assessment
Results
Data on vaccines used
Discussion

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