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Phase 2 N=840 Randomized Quadruple-blind Prevention

Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-Like Particle (VLP) Vaccine in Children

Norovirus

Enrolled (actual)
840
Serious AEs
7.8%
Results posted
Apr 2019
Primary outcome: Primary: Percentage of Participants With a Seroresponse (Pan-Ig ELISA) in Cohort 1 — 77.4; 63.5; 74.5; 85.7 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
GI.1/GII.4 (15/15) (Biological); GI.1/GII.4 (15/50) (Biological); GI.1/GII.4 (50/50) (Biological); GI.1/GII.4 (50/150) (Biological); Placebo (Drug)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
Takeda
Primary completion
Jun 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With a Seroresponse (Pan-Ig ELISA) in Cohort 1
77.4; 63.5; 74.5; 85.7; 53.2; 70.4
PRIMARY
Percentage of Participants With a Seroresponse (Pan-Ig ELISA) in Cohort 2
57.3; 84.9
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 1
52.5; 66.1; 34.4; 45.8; 26.7; 30.0
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 2
41.0; 44.1; 8.2; 25.4; 13.3; 15.0
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 3
13.1; 15.3; 4.9; 20.3; 10.0; 10.0
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 4
6.6; 6.8; 1.6; 11.9; 6.7; 10.0
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 5
0; 5.1; 1.6; 5.1; 3.3; 1.7
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 6
3.3; 3.4; 0; 3.4; 1.7; 1.7
PRIMARY
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination on Day 7
1.6; 3.4; 0; 1.7; 1.7; 1.7
PRIMARY
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary-Recorded) Following Either Vaccination
50.8; 61.0; 44.3; 54.2; 41.7; 43.3
PRIMARY
Body Temperature Through Day 7 Following Either Vaccination
2; 6; 7; 5; 6; 8
PRIMARY
Percentage of Participants With at Least One Unsolicited AE Following Either Vaccination Dose
55.7; 55.9; 67.2; 69.5; 55.0; 46.7
PRIMARY
Percentage of Participants With Serious Adverse Events (SAEs)
1.6; 3.4; 1.6; 3.4; 10.0; 1.7
SECONDARY
Percentage of Participants With a Seroresponse for GI.1 Virus-Like Particle (VLP) (Pan-Ig ELISA)
88.7; 82.7; 92.2; 92.9; 78.7; 94.4
SECONDARY
Percentage of Participants With a Seroresponse for GII.4 Virus-Like Particle (VLP) (Pan-Ig ELISA)
81.1; 69.2; 76.5; 87.5; 63.8; 72.2
SECONDARY
Geometric Mean Titer (GMT) of GI.1 VLP Antibody Titers (Pan-Ig ELISA)
6039.1; 12907.6; 2856.2; 7350.8; 3892.1; 12623.8
SECONDARY
Geometric Mean Titer (GMT) of GII.4 VLP Antibody Titers (Pan-Ig ELISA)
11057.9; 10228.3; 3293.0; 7955.2; 5950.6; 10896.5
SECONDARY
Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (Pan-Ig ELISA)
19.22; 43.55; 44.11; 89.95; 13.01; 43.99
SECONDARY
Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (Pan-Ig ELISA)
7.46; 10.00; 10.87; 19.20; 5.62; 11.93
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum Antibody Titers for GI.1 VLP and GII.4 VLP (HBGA)
75.0; 91.5; 50.0; 95.9; 51.2; 89.4
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GI.1 VLP Antibody Titers (HBGA)
94.2; 98.0; 81.6; 100.0; 74.4; 98.0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GII.4 VLP Antibody Titers (HBGA)
81.6; 93.8; 64.4; 95.9; 68.1; 90.2
SECONDARY
Blocking Titers 50 (BT50) of Anti-Norovirus GI.1 VLP Antibody Titers (HBGA)
166.4; 491.4; 135.2; 346.0; 145.0; 531.1
SECONDARY
Blocking Titers 50 (BT50) of Anti-Norovirus GII.4 VLP Antibody Titers (HBGA)
982.1; 933.6; 197.1; 514.8; 444.6; 721.8
SECONDARY
Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (HBGA)
8.93; 23.07; 7.22; 22.15; 6.10; 24.21
SECONDARY
Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (HBGA)
9.31; 12.73; 5.35; 15.95; 8.34; 15.36
SECONDARY
Percentage of Participants With Any Adverse Event (AE) Leading to Withdrawal From the Study
0; 0; 1.6; 0; 0; 0

Summary

The purpose of this study is to select the optimal formulation of the norovirus vaccine from different concentrations of virus-like particles (VLP) combined with aluminum hydroxide for further development in children.

Eligibility Criteria

Inclusion Criteria

  • Male and female participants aged between 6 weeks and less than 9 years at the time of enrollment.
  • Are in good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs) and clinical judgment of the investigator.
  • Participants legally authorized representative (LAR) signs and dates a written, informed consent form (ICF) and any required privacy authorization prior to the initiation of any trial procedures, after the nature of the trial has been explained according to local regulatory requirements. An assent will also be obtained according to age-appropriate country-specific regulations.
  • Participants who can comply with trial procedures and are available for the duration of the trial.

Exclusion Criteria

  • Participants with a clinically significant active infection (as assessed by the investigator) or body temperature 38.0°C (100.4°F) or higher within 3 days of the intended date of vaccination.
  • Have received antipyretic/analgesic medications within 24 hours prior to the intended vaccine administration.
  • Known hypersensitivity or allergy to investigational vaccine (including excipients of the investigational vaccines).
  • Participants with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the ability to participate in the trial.
  • Has a history of any progressive or severe neurologic disorder, seizure disorder, or neuroinflammatory disease (eg, Guillain-Barré syndrome).
  • Known or suspected impairment/alteration of immune function, including the following:
  • Children <18 months of age with history of repeated episodes of acute otitis media (AOM) in the first 6 months of life (AOM defined as a bulging tympanic membrane) and not to be confused with otitis media with effusion (OME).
  • Chronic use of oral steroids (equivalent to 20 mg/day prednisone for ≥12 weeks/≥2 mg/kg body weight/day for ≥2 weeks) within 60 days prior to Day 1 (use of inhaled, intranasal, or topical corticosteroids is allowed).
  • Receipt of parenteral steroids (equivalent to 20 mg/day prednisone ≥12 weeks/≥2 mg/kg body weight/day for ≥2 weeks) within 60 days prior to Day 1.
  • Receipt of immunostimulants within 60 days prior to Day 1.
  • Receipt of parenteral, epidural, or intra-articular immunoglobulin preparation, blood products, and/or plasma derivatives within 3 months prior to Day 1 or planned during the full length of the trial.
  • Receipt of immunosuppressive therapy within 6 months prior to Day 1.
  • Human immunodeficiency virus (HIV) infection or HIV-related disease.
  • Chronic Hepatitis B or C infection.
  • Heritable immunodeficiency.
  • Abnormalities of splenic or thymic function.
  • Has a known bleeding diathesis or any condition that may be associated with a prolonged bleeding time.
  • Has any serious chronic or progressive disease according to judgment of the investigator (e.g., neoplasm, insulin dependent diabetes, cardiac, renal, or hepatic disease).
  • Is participating in any clinical trial with another investigational product 30 days prior to first trial visit or intent to participate in another clinical trial at any time during the conduct of this trial.
  • Has received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this trial.
  • Are first degree relatives of individuals involved in trial conduct.
  • Has a history of autoimmune disease.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02153112). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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