Evidence map›Paper›PMID 25091663›Full record

Trial reportVaccine2014

Efficacy of a monovalent human-bovine (116E) rotavirus vaccine in Indian children in the second year of life.

Nita Bhandari, Temsunaro Rongsen-Chandola, Ashish Bavdekar, Jacob John, Kalpana Antony, Sunita Taneja, Nidhi Goyal, Anand Kawade, Gagandeep Kang, Sudeep Singh Rathore and 19 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Vaccine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01305109 phase3unknown statusnot on this map

A Phase III, Randomized, Double Blind, Placebo Controlled Trial to Evaluate the Protective Efficacy of Three Doses of Oral Rotavirus Vaccine (ORV) 116E, Against Severe Rotavirus Gastroenteritis in Infants

TypeinterventionalSponsorBharat Biotech International LimitedRan2011 to 2014Enrolled6,800ConditionsViral Gastroenteritis Due to RotavirusArmsORV 116E, Placebo
NCT03602053 phase2 / phase3completednot on this mapstarted 2019, after this paper: background citation

An Open-label, Randomized, Controlled, Single Centre, Phase IIb Study to Assess the Immunogenicity, Reactogenicity and Safety of Three Live Oral Rotavirus Vaccines, ROTAVAC® , ROTAVAC 5CM and Rotarix® in Healthy Zambian Infants

TypeinterventionalSponsorCentre for Infectious Disease Research in ZambiaRan2019 to 2019Enrolled450ConditionsDiarrhea, Diarrhea RotavirusArmsROTAVAC®, ROTAVAC 5D, Rotarix®
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2019
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 10 institutions in 2 countries.

Nita BhandariCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Temsunaro Rongsen-ChandolaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Ashish BavdekarKEM Hospital Research Centre, Pune, Maharashtra, India.
Jacob JohnChristian Medical College, Vellore, Tamil Nadu, India.
Kalpana AntonyPATH-India, India.
Sunita TanejaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Nidhi GoyalCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Anand KawadeKEM Hospital Research Centre, Pune, Maharashtra, India.
Gagandeep KangChristian Medical College, Vellore, Tamil Nadu, India.
Sudeep Singh RathoreCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Sanjay JuvekarKEM Hospital Research Centre, Pune, Maharashtra, India.
Jayaprakash MuliyilChristian Medical College, Vellore, Tamil Nadu, India.
Alok AryaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Hanif ShaikhKEM Hospital Research Centre, Pune, Maharashtra, India.
Vinod AbrahamChristian Medical College, Vellore, Tamil Nadu, India.
Sudhanshu VratiTranslational Health Science and Technology Institute, Gurgaon, Haryana, India; National Institute of Immunology, New Delhi, India.
Michael ProschanNational Institutes of Health, Bethesda, MD, USA.
Robert KohbergerBlair & Co, Greenwich, CT, USA.
Georges ThiryAdvancing Rotavirus Vaccines Development Project, PATH, France.
Roger GlassNational Institutes of Health, Bethesda, MD, USA.
Harry B GreenbergStanford University School of Medicine, USA.
George CurlinNational Institutes of Health, Bethesda, MD, USA.
Krishna MohanBharat Biotech International Limited, Genome Valley, Andhra Pradesh, India.
G V J A HarshavardhanBharat Biotech International Limited, Genome Valley, Andhra Pradesh, India.
Sai PrasadBharat Biotech International Limited, Genome Valley, Andhra Pradesh, India.
T S RaoDepartment of Biotechnology, Ministry of Science and Technology, Government of India, India.
John BoslegoVaccine Development Global Program, PATH, USA.
Maharaj Kishan BhanMinistry of Science and Technology, Government of India, India. Electronic address: rajkbhan@gmail.com.
India Rotavirus Vaccine Group
Society for Applied Studies · INChristian Medical College & Hospital · INBharat Biotech (India) · INNational Institutes of Health · USGovernment of India · INMinistry of Science and Technology · INProgram for Appropriate Technology in Health · INProgram for Appropriate Technology in Health · USStanford University · USTranslational Health Science and Technology Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledRotavirus gastroenteritis is one of the leading causes of diarrhea in Indian children less than 2 years of age. The 116E rotavirus strain was developed as part of the Indo-US Vaccine Action Program and has undergone efficacy trials. This paper reports the efficacy and additional safety data in children up to 2 years of age. In a double-blind placebo controlled multicenter trial, 6799 infants aged 6-7 weeks were randomized to receive three doses of an oral human-bovine natural reassortant vaccine (116E) or placebo at ages 6, 10, and 14 weeks. The primary outcome was severe (≥11 on the Vesikari scale) rotavirus gastroenteritis. Efficacy outcomes and adverse events were ascertained through active surveillance. We randomly assigned 4532 and 2267 subjects to receive vaccine and placebo, respectively, with over 96% subjects receiving all three doses of the vaccine or placebo. The per protocol analyses included 4354 subjects in the vaccine and 2187 subjects in the placebo group. The overall incidence of severe RVGE per 100 person years was 1.3 in the vaccine group and 2.9 in the placebo recipients. Vaccine efficacy against severe rotavirus gastroenteritis in children up to 2 years of age was 55.1% (95% CI 39.9 to 66.4; p<0.0001); vaccine efficacy in the second year of life of 48.9% (95% CI 17.4 to 68.4; p=0.0056) was only marginally less than in the first year of life [56.3% (95% CI 36.7 to 69.9; p<0.0001)]. The number of infants needed to be immunized to prevent one episode of severe RVGE in the first 2 years of life was 40 (95% CI 28.0 to 63.0) and for RVGE of any severity, it was 21 (95% CI 16.0 to 32.0). Serious adverse events were observed at the same rates in the two groups. None of the eight intussusception events occurred within 30 days of a vaccine dose and all were reported only after the third dose. The sustained efficacy of the 116E in the second year of life is reassuring. CLINICAL TRIAL REGISTRY: The trial is registered with Clinical Trial Registry-India (# CTRI/2010/091/000102) and Clinicaltrials.gov (# NCT01305109).

Indexed as

AnimalsCattleDouble-Blind MethodGastroenteritisHumansImmunization ScheduleIndiaInfantIntussusceptionReassortant VirusesRotavirusRotavirus InfectionsRotavirus VaccinesRotavirus VaccinesGastroenteritisRotavirusVaccine efficacy

Identifiers

PMID25091663
OpenAlexW2054534586

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.