Evidence map›Paper›PMID 37968237›Full record

Trial reportHuman vaccines & immunotherapeutics2023

Phase III randomized clinical studies to evaluate the immunogenicity, lot-to-lot consistency, and safety of ROTAVAC® liquid formulations (ROTAVAC 5C & 5D) and non-inferiority comparisons with licensed ROTAVAC® (frozen formulation) in healthy infants.

Krishna Kumari P, Siddharth Reddy Chiteti, Vinay K Aileni, Sudhir Babji, William C Blackwelder, Ashok Kumar, Jayant Vagha, Uma Nayak, Monjori Mitra, Narayanaappa D and 13 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Diverse processes in rotavirus vaccine development.Human vaccines & immunotherapeutics · 2025
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 16 institutions in 6 countries.

Krishna Kumari PMedical Affairs Department, Bharat Biotech International Limited, Hyderabad, India.
Siddharth Reddy ChitetiMedical Affairs Department, Bharat Biotech International Limited, Hyderabad, India.
Vinay K AileniMedical Affairs Department, Bharat Biotech International Limited, Hyderabad, India.
Sudhir BabjiDivision of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
William C BlackwelderStatistics, Independent Clinical Development Consultant, Bethesda, MD, USA.
Ashok KumarDepartment of Paediatrics, Banaras Hindu University, Varanasi, India.
Jayant VaghaDepartment of Paediatrics, Datta Megha Institute of Medical Sciences, Wardha, India.
Uma NayakDepartment of Paediatrics, GMERS Medical College, Vadodara, India.
Monjori MitraDepartment of Paediatrics, Institute of Child Health, Kolkata, India.
Narayanaappa DDepartment of Paediatrics, Jagadguru Shivarathreeshwara Medical College, Mysore, India.
Sonali KarDepartment of Community Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, India.
Sangeeta YadavDepartment of Paediatrics, Maulana Azad Medical College, New Delhi, India.
Swamy NaiduDepartment of Paediatrics, King George Hospital, Vishakapatnam, India.
Niranjan MahantshettiDepartment of Paediatrics, Dr. Prabhakar Kore Medical College & Hospital, Belgaum, India.
Vasant KhalatkarDepartment of Paediatrics, Khalatkar Hospital, Nagpur, India.
Satyajit MohapatraDepartment of Pharmacology, SRM Medical College, Chennai, India.
P K PurthiDepartment of Paediatrics, Sri Ganga Ram Hospital, New Delhi, India.
Pawan SharmaDepartment of Paediatrics, Maharshi Hospital & Research Centre, Jaipur, India.
A KannanDepartment of Paediatrics, Meenakshi Mission Hospital, Chennai, India.
Ramchandra Keshav DhongadeDepartment of Paediatrics, Sant Dnyaneshwar Medical Education Research Center, Pune, India.
Sai D PrasadMedical Affairs Department, Bharat Biotech International Limited, Hyderabad, India.
Raches EllaMedical Affairs Department, Bharat Biotech International Limited, Hyderabad, India.
Krishna Mohan VadrevuMedical Affairs Department, Bharat Biotech International Limited, Hyderabad, India.
Bharat Biotech (India) · INAga Khan Hospital, Kisumu · KEBanaras Hindu University · INChristian Medical College, Vellore · INDatta Meghe Institute of Higher Education and Research · INInstitute of Child Health · INJSS Dental College and Hospital · INKalinga University · INKing George Hospital · INKLE Society Hospital · INMaulana Azad Medical College · INMeenakshi Mission Hospital and Research Centre · INOldham Council · GBResearch Medical Center · USSir Ganga Ram Hospital · INSparsh Hospital · IN

Funding

Wellcome Trust
6 · The paper itself

Abstract

The WHO pre-qualified rotavirus vaccine, ROTAVAC®, is derived naturally from the neonatal 116E rotavirus strain, and stored at -20°C. As refrigerator storage is preferable, immunogenicity and safety of liquid formulations kept at 2-8°C, having excipients to stabilize the rotavirus, with or without buffers, were compared with ROTAVAC® in different clinical studies. Study-1, the pivotal trial for this entire product development work, was a randomized, single-blind trial with two operationally seamless phases: (i) an exploratory phase involving 675 infants in which two formulations, ROTAVAC 5C (LnHRV-1.5 mL and LnHRV-2.0 mL) containing buffer and excipients to stabilize the virus against gastric acidity and temperature, were compared with ROTAVAC®. As the immune response of ROTAVAC 5C (LnHRV-2.0 mL) was non-inferior to ROTAVAC®, it was selected for (ii) confirmatory phase, involving 1,302 infants randomized 1:1:1:1 to receive three lots of LnHRV-2.0 mL, or ROTAVAC®. Primary objectives were the evaluation of non-inferiority and lot-to-lot consistency. The secondary objectives were to assess the safety and interference with the concomitant pentavalent vaccine. As it was separately established that buffers are not required for ROTAVAC®, in Study-2, the safety and immunogenicity of ROTAVAC 5D® (with excipients) were compared with ROTAVAC® and lot-to-lot consistency was assessed in another study. All lots elicited consistent immune responses, did not interfere with UIP vaccines, and had reactogenicity similar to ROTAVAC®. ROTAVAC 5C and ROTAVAC 5D® were immunogenic and well tolerated as ROTAVAC®. ROTAVAC 5D® had comparable immunogenicity and safety profiles with ROTAVAC® and can be stored at 2-8°C, leading to WHO pre-qualification.

Indexed as

RotavirusRotavirus InfectionsRotavirus VaccinesAntibodies, ViralExcipientsHumansImmunogenicity, VaccineInfantInfant, NewbornSingle-Blind MethodAntibodies, ViralExcipientsRotavirus VaccinesdiarrhoeagastroenteritisROTAVACROTAVAC 5DRotavirus vaccine

Identifiers

PMID37968237
PMCPMC10760372
OpenAlexW4388712295

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.