Evidence map›Paper›PMID 30420116›Full record

Trial reportVaccine2018

A Phase III open-label, randomized, active controlled clinical study to assess safety, immunogenicity and lot-to-lot consistency of a bovine-human reassortant pentavalent rotavirus vaccine in Indian infants.

Niraj Rathi, Sajjad Desai, Anand Kawade, Padmasani Venkatramanan, Ritabrata Kundu, Sanjay K Lalwani, A P Dubey, J Venkateswara Rao, D Narayanappa, Radha Ghildiyal and 23 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02584816 (A Phase III, Multicenter, Open Label, Randomized Study of Bovine Rotavirus Pentavalent Vaccine), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT02584816 phase3completednot on this map

A Phase III, Multicenter, Open Label, Randomized Study of Bovine Rotavirus Pentavalent Vaccine (BRV-PV) to Evaluate Lot-To-Lot Consistency and to Investigate Potential Interference With Routine UIP Vaccinations in Healthy Infants in India.

TypeinterventionalSponsorSerum Institute of India Pvt. Ltd.Ran2015 to 2017Enrolled1,500ConditionsRotavirus GastroenteritisArmsBRV-PV Lot A + DPT-HepB-Hib + OPV, BRV-PV Lot B + DPT-HepB-Hib + OPV, BRV-PV Lot C + DPT-HepB-Hib + OPV, ROTARIX + DPT-HepB-Hib + OPV
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Vaccines for preventing rotavirus diarrhoea: vaccines in use.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
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  4. Observational
  5. Review
  6. Article
  7. Article
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  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 14 institutions in 2 countries.

Niraj RathiPATH, India.
Sajjad DesaiSerum Institute of India Pvt. Ltd., Pune, India.
Anand KawadeVadu Rural Health Program KEM Hospital Research Centre, Vadu, Pune, India.
Padmasani VenkatramananSri Ramachandra Medical Centre, Chennai, India.
Ritabrata KunduInstitute of Child Health, Kolkata, India.
Sanjay K LalwaniBharati Vidyapeeth Medical College & Hospital, Pune, India.
A P DubeyMaulana Azad Medical College, New Delhi, India.
J Venkateswara RaoGandhi Medical College & Gandhi Hospital, Secunderabad, India.
D NarayanappaJSS Medical College & Hospital, Mysore, India.
Radha GhildiyalT.N. Medical College & B.Y.L. Nair Charitable Hospital, Mumbai, India.
Nithya GogtaySeth GS Medical College & KEM Hospital, Mumbai, India.
P VenugopalAndhra Medical College, Visakhapatnam, India.
Sonali PalkarBharati Vidyapeeth Medical College & Hospital, Pune, India.
Renuka MunshiT.N. Medical College & B.Y.L. Nair Charitable Hospital, Mumbai, India.
Gagandeep KangThe Wellcome Trust Research Laboratory Christian Medical College, Vellore, India.
Sudhir BabjiThe Wellcome Trust Research Laboratory Christian Medical College, Vellore, India.
Ashish BavdekarVadu Rural Health Program KEM Hospital Research Centre, Vadu, Pune, India.
Sanjay JuvekarVadu Rural Health Program KEM Hospital Research Centre, Vadu, Pune, India.
Nupur GangulyInstitute of Child Health, Kolkata, India.
Prabal NiyogiInstitute of Child Health, Kolkata, India.
Kheya Ghosh UttamInstitute of Child Health, Kolkata, India.
H S RajaniJSS Medical College & Hospital, Mysore, India.
Alpana KondekarT.N. Medical College & B.Y.L. Nair Charitable Hospital, Mumbai, India.
Dipti KumbharT.N. Medical College & B.Y.L. Nair Charitable Hospital, Mumbai, India.
Smilu MohanlalT.N. Medical College & B.Y.L. Nair Charitable Hospital, Mumbai, India.
Mukesh C AgarwalSeth GS Medical College & KEM Hospital, Mumbai, India.
Parvan ShettySeth GS Medical College & KEM Hospital, Mumbai, India.
Kalpana AntonyPATH, India.
Bhagwat GunaleSerum Institute of India Pvt. Ltd., Pune, India.
Abhijeet DharmadhikariSerum Institute of India Pvt. Ltd., Pune, India.
Yuxiao TangPATH, USA.
Prasad S KulkarniSerum Institute of India Pvt. Ltd., Pune, India. Electronic address: drpsk@seruminstitute.com.
Jorge FloresPATH, USA.
Topiwala National Medical College & BYL Nair Charitable Hospital · INInstitute of Child Health · INSerum Institute of India (India) · INDr. D. Y. Patil Medical College, Hospital and Research Centre · INKing Edward Memorial Hospital and Seth G.S. Medical College · INBharati Vidyapeeth Deemed University · INChristian Medical College, Vellore · INJSS Medical College and Hospital · INProgram for Appropriate Technology in Health · USProgram for Appropriate Technology in Health · INAndhra University · INGandhi Medical College & Hospital · INMaulana Azad Medical College · INSri Ramachandra Medical Centre · IN

Funding

Multi-disciplinary research training in enteric infectionsD43TW007392 · FIC · CHRISTIAN MEDICAL COLLEGE · PI KANG, GAGANDEEP · 2005 to 2020
$2.9M
FIC NIH HHS D43 TW007392
6 · The paper itself

Abstract

backgroundA heat-stable bovine-human rotavirus reassortant pentavalent vaccine (BRV-PV, ROTASIIL®) was developed in India. In this study, the vaccine was tested for safety, immunogenicity and clinical lot-to-lot consistency.

methodsThis was a Phase III, open label, randomized, equivalence design study. The primary objective was to demonstrate lot-to-lot consistency of BRV-PV. Subjects were randomized into four arms, three arms received Lots A, B, and C of BRV-PV and the control arm, received Rotarix®. Three doses of BRV-PV or two doses of Rotarix® and one dose of placebo were given at 6, 10, and 14 weeks of age. Blood samples were collected four weeks after the third dose to assess rotavirus IgA antibody levels. The three lots of BRV-PV were equivalent if the 95% Confidence Intervals (CIs) of the geometric mean concentration (GMC) ratios were between 0.5 and 2. Solicited reactions were collected by using diary cards.

resultsThe study was conducted in 1500 randomized infants, of which 1341 infants completed the study. The IgA GMC ratios among the three lots were around 1 (Lot A versus Lot B: 1.07; Lot A versus Lot C: 1.06; and Lot B versus Lot C: 0.99). The 95% CIs for the GMC ratios were between 0.78 and 1.36. The IgA GMCs were: BRV-PV group 19.16 (95% CI 17.37-21.14) and Rotarix® group 10.92 (95% CI 9.36-12.74) (GMC ratio 1.75; 90% CI 1.51-2.04). Seropositivity rates were 46.98% (95% CI 43.86-50.11) and 31.12% (95% CI 26.17-36.41). The incidence of solicited reactions was comparable across the four arms. No serious adverse events were associated with the study vaccines, except two gastroenteritis events in the BRV-PV groups.

conclusionLot-to-lot consistency of BRV-PV was demonstrated in terms of GMC ratios of IgA antibodies. The vaccine safety and immunogenicity profiles were similar to those of Rotarix®. Clinical Trials.Gov [NCT02584816] and Clinical Trial Registry of India [CTRI/2015/07/006034].

Indexed as

Immunogenicity, VaccineAnimalsAntibodies, ViralCattleDrug StabilityFemaleGastroenteritisHumansImmunization ScheduleInfantMaleReassortant VirusesRotavirusRotavirus InfectionsRotavirus VaccinesVaccinationAntibodies, ViralRIX4414 vaccineRotavirus VaccinesVaccines, AttenuatedBovine-Human Reassortant Pentavalent Rotavirus Vaccine (BRV-PV)ImmunogenicityLot-to-Lot ConsistencySafety

Identifiers

PMID30420116
PMCPMC6288065
OpenAlexW2900081613

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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.