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Rotarix

Phase 3

Infections, Rotavirus | Monoclonal antibody | Other |GSK plc|Last Updated: Nov 23, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials11
Total Enrollment14,586
FDA Designations
No designations recorded
Clinical Trials (11)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00480324Efficacy, Safety, Reactogenicity & Immunogenicity of the Rotarix Vaccine in Japanese InfantsPHASE3 COMPLETED 765Jun 19, 2007Nov 21, 2009Jan 2, 202020 Japan
NCT00420745To Assess Safety, Reactogenicity & Immunogenicity of 2 Doses of GSK's Oral Human Rotavirus Vaccine in Pre-Term InfantsPHASE3 COMPLETED 1,009Jan 25, 2007Mar 25, 2008Jun 8, 201831 France, Poland +2
NCT00396630A Study to Explore the Existence of Horizontal Transmission of the RIX4414 Vaccine Strain Between Twins Within a Family.PHASE3 COMPLETED 200Jan 23, 2007Feb 13, 2008Feb 6, 20181 Dominican Republic
NCT00329745Year 3 Extension for Efficacy Follow-up in Subjects Vaccinated in Studies Rota-028, 029 or 030 (NCT00197210)PHASE3 COMPLETED 8,687Jan 1, 2007Jul 1, 2008Dec 9, 20164 Singapore
NCT00241644Vaccine Efficacy Against Rotavirus Diarrhea; Vaccine Given With Routine Childhood Vaccinations in Healthy African InfantsPHASE3 COMPLETED 2,089Oct 1, 2005Jun 1, 2008Dec 9, 201613 Malawi, South Africa
NCT00757770Assessment of Clinical Consistency of Three Production Lots of GSK Biologicals' HRV VaccinePHASE3 COMPLETED 854Aug 1, 2003Jan 1, 2004Sep 7, 20164 Colombia, Mexico +2
NCT00432380A Study to Evaluate Immune Response and Safety of Two Doses of GSK Biologicals' HRV Liquid Vaccine in Healthy Infants.PHASE2 COMPLETED 375Mar 9, 2007Sep 4, 2007Jan 2, 20201 Philippines
NCT00263666A Study of Safety, Reactogenicity and Immunogenicity of HRV Vaccine in HIV Infected Infants in South AfricaPHASE2 COMPLETED 100Mar 16, 2005Feb 13, 2008Nov 23, 20206 South Africa
NCT00425737Assess Efficacy, Immune Response & Safety of 2 Doses of Oral Live Attenuated HRV Vaccine in Healthy InfantsPHASE2 COMPLETED 405Aug 1, 2000Jul 1, 2001Sep 16, 2016 -
NCT01086436Study to Evaluate the Safety of Rotarix™ in Chinese ChildrenPHASE1 COMPLETED 50Mar 13, 2010Apr 16, 2010May 19, 20171 China
NCT01162590Study to Evaluate the Reactogenicity and Safety of Rotarix™ in Chinese AdultsPHASE1 COMPLETED 52Mar 1, 2010Mar 31, 2010May 19, 20171 China
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Study Endpoints
Primary Endpoints
Number of Subjects Reporting Any Rotavirus (RV) Gastroenteritis (GE) Leading to Medical Intervention and Caused by the Circulating Wild-type RV Strains
From 2 weeks after Dose 2 up to 2 years of age

Rotavirus (RV) gastroenteritis (GE) was defined as an episode of any severity GE leading to a medical intervention occurring at least two weeks after dose 2 in which rotavirus other than vaccine strain is identified in a stool sample collected as soon as possible but preferably not later than 7 days after the start of the episode.

Number of Subjects Reporting Any Serious Adverse Events (SAEs).
From Day 0 up to 1 month after Dose 2 of Rotarix vaccine/Placebo

An SAE is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

Presence of Rotavirus Vaccine Strain in Any Stool Sample From Twin Receiving Placebo.
On the day of each vaccine/placebo dose, then three times weekly for 6 consecutive weeks starting after each vaccine/placebo dose and on the day of Visit 3.

Number of subjects in the Placebo Group with rotavirus vaccine strain in at least one stool sample.

Number of Subjects With Severe Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strains
From Year 2 up to Year 3

Severe RV GE is an episode of severe GE in which rotavirus other than vaccine strain was identified in a GE stool sample. Note that this outcome measure is secondary in the study protocol. We have reported it here as primary outcome measure, since none of the primary outcome measures in the study protocol pertain to the time point (Year 3 follow-up) presented in this summary.

Number of Subjects With Severe Rotavirus Gastroenteritis (RV GE) Caused by the Circulating Wild-type Rotavirus Strain
From 2 weeks after the last vaccine or placebo dose up to 1 year of age

Number of subjects presenting with three or more looser than normal stools or watery stools within a day, occurring after administration of dose 1 of study vaccine in which rotavirus other than vaccine strain was identified in a stool sample with a score ≥ 11 on the 20-point Vesikari scoring system.

Serum anti-rotavirus Immunoglobulin A (IgA) antibody concentration expressed as Geometric Mean Concentrations (GMCs).
Two months after Dose 2.
Number of Seroconverted Subjects for Anti-rotavirus (Anti-RV) Immunoglobulin A (IgA) Antibody
At Month 3

Seroconversion was defined as the appearance of anti-RV IgA antibody concentrations greater than or equal to (≥) 20 units per milliliter (U/mL) in subjects initially (i.e. prior to the first dose of Rotarix™ vaccine or placebo) seronegative, when administered concomitantly with the second and third routine EPI immunization. This outcome measure only concerns subjects in the Placebo-Rotarix-Rotarix Group.

Number of Subjects Reporting Grade "2" or Grade "3" Fever, Vomiting or Diarrhea
Within the 15-day solicited follow-up period after any dose

Symptoms reported in the table include: Fever: temperature (axillary route) \> 38.0 degree Celsius (°C); Diarrhea: ≥ 4 looser than normal stools/day; Vomiting: ≥ 2 episodes of vomiting/day.

Occurrence of RV GE
Occurrence of each solicited symptom
Within the 8-day (Day 0 - Day 7) follow-up period after the vaccine dose.
Secondary Endpoints
Number of Subjects Reporting Severe Rotavirus (RV) Gastroenteritis (GE) Leading to Medical Intervention and Caused by the Circulating Wild-type RV Strains
From 2 weeks after Dose 2 up to 2 years of age
Number of Subjects Reporting Any Rotavirus (RV) Gastroenteritis (GE) and Severe RV GE Leading to Medical Intervention and Caused by the Circulating Wild-type RV Strains of G1 Type
From 2 weeks after Dose 2 up to 2 years of age
Number of Subjects Reporting Any Rotavirus (RV) Gastroenteritis (GE) and Severe RV GE Leading to Medical Intervention and Caused by the Circulating Wild-type RV Strains of Non-G1 Types
From 2 weeks after Dose 2 up to 2 years of age
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Rotarix GroupEXPERIMENTALSubjects received 2 oral doses of Rotarix according to a 0, 1 month schedule.
Placebo GroupPLACEBO_COMPARATORSubjects received 2 oral doses of placebo according to a 0, 1 month schedule.
Rotarix 3-Dose GroupEXPERIMENTALSubjects received 3 doses of Rotarix™ vaccine given concomitantly with routine EPI vaccines.
Rotarix 2-Dose GroupEXPERIMENTALSubjects received 1 dose of placebo followed by 2 doses of Rotarix™ vaccine given concomitantly with routine EPI vaccines.
Group HRV Lot AEXPERIMENTAL -
Group HRV Lot BEXPERIMENTAL -
Group HRV Lot CEXPERIMENTAL -
Group PlaceboACTIVE_COMPARATOR -
PLACEBO-ROTARIX-ROTARIX GROUPEXPERIMENTALHealthy male or female infants between, and including, 5 to 10 weeks of age, were administered 2 oral doses of Rotarix™ liquid vaccine at Month 1 and Month 2, and a single oral dose of placebo at Day 0. Subjects also received routine infant vaccinations according to the Expanded Program of Immunization (EPI) recommendations in Philippines.
ROTARIX-PLACEBO-ROTARIX GROUPEXPERIMENTALHealthy male or female infants between, and including, 5 to 10 weeks of age, were administered 2 oral doses of Rotarix™ liquid vaccine at Day 0 and Month 2, and a single oral dose of placebo at Month 1. Subjects also received routine infant vaccinations according to the Expanded Program of Immunization (EPI) recommendations in Philippines.
Rotavirus GroupEXPERIMENTALSubjects will receive Rotarix™
Interventions
NameTypeDescription
RotarixBIOLOGICALTwo-dose oral vaccination.
PlaceboBIOLOGICALTwo-dose oral administration.
Rotarix™BIOLOGICALTwo-dose oral vaccination.
Tritanrix-HB+HibBIOLOGICALConcomitant routine vaccination, IM administration
Polio SabinBIOLOGICALOral administration, concomitant routine vaccination
Rotarix ™BIOLOGICALOral, single dose
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Eligibility Criteria
Age Range6 Weeks — 14 Weeks
SexALL
Healthy VolunteersYes
Study Sites20

Inclusion Criteria: * Healthy male or female infant between, and including, 6 and 14 weeks (42-104 days) of age at the time of the first vaccination. * Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in...

Countries:JapanFrancePolandPortugalSpainDominican RepublicSingaporeMalawiSouth AfricaColombiaMexicoPeruPhilippinesChina
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