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Published on: January 28, 2019
Immunogenicity, reactogenicity and safety of human rotavirus vaccine (RIX4414) in Indian infants
Anil Narang1, Anuradha Bose, Anand Nilkanth Pandit
1Post-Graduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Two doses of the oral rotavirus vaccine RIX4414 (Rotarix()) demonstrated strong immunogenicity and a favorable safety profile in Indian infants. This live-attenuated vaccine is well-tolerated and effective in this population.
Area of Science:
- Pediatric infectious diseases
- Vaccinology
- Immunology
Background:
- Rotavirus is a leading cause of severe diarrheal disease in infants globally.
- Developing effective vaccines is crucial for reducing rotavirus-related morbidity and mortality.
- The RIX4414 (Rotarix()) oral live-attenuated vaccine has shown promise in clinical trials.
Purpose of the Study:
- To evaluate the immunogenicity of two doses of RIX4414 (Rotarix()) in Indian infants.
- To assess the reactogenicity and safety of the RIX4414 vaccine in the study population.
- To compare the immune response and safety of RIX4414 against a placebo.
Main Methods:
- A randomized, placebo-controlled trial involving 363 healthy infants aged approximately eight weeks.
- Participants received two doses of RIX4414 vaccine or placebo, one month apart.
- Immune response was measured by seroconversion rates one month post-dose 2; safety and reactogenicity were monitored throughout the study.
Main Results:
- The seroconversion rate in the RIX4414 group was 58.3%, significantly higher than the 6.3% in the placebo group.
- The vaccine demonstrated a favorable safety profile, with similar reactogenicity and adverse events between the vaccine and placebo groups.
- RIX4414 was well-tolerated by the healthy Indian infants.
Conclusions:
- Two doses of RIX4414 (Rotarix()) are immunogenic in healthy Indian infants.
- The vaccine exhibits a good safety profile and is well-tolerated.
- RIX4414 represents a potentially valuable tool for rotavirus prevention in India.
Aim:
This study was undertaken to assess the immunogenicity, reactogenicity and safety of two doses of an oral live-attenuated human rotavirus vaccine, strain RIX4414 (Rotarix()) in an Indian setting.
Results:
The seroconversion rate observed one month post-dose 2 in the RIX4414 group 58.3% [95% CI: 48.7; 67.4] was significantly higher when compared to the placebo group 6.3%; [95% CI: 2.5; 12.5]. The reactogenicity and safety profile was similar for both groups.
Patients And Methods:
Healthy infants (N = 363), approximately eight weeks of age were enrolled to receive two doses of RIX4414 vaccine (n = 182) or placebo (n = 181) separated by one month. To assess the immune response, blood samples were taken before vaccination and one month post-dose 2 of RIX4414/placebo. Solicited symptoms were collected for eight-days post each dose and safety data was collected throughout the study.
Conclusions:
Two doses of RIX4414 (Rotarix()) were immunogenic, had a good safety profile and were well-tolerated when administered to healthy Indian infants.
Clinical Trials Registration:
ClinicalTrials.gov; NCT00289172; eTrack 103792.
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