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Rotarix

Phase 3

Pneumococcal Infections | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Jul 28, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,184

FDA Designations

No designations recorded

Clinical trial landscape

Rotarix · 1 trial · 1 indication

Phase 3 1
NCT04031846Safety, Tolerability, and Immunogenicity of V114 in Healthy Infants (V114-025)Pneumococcal Infections
COMPLETED1,184 Analytics
PHASE3COMPLETED
Safety, Tolerability, and Immunogenicity of V114 in Healthy Infants (V114-025)
Pneumococcal InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants That Report at Least 1 Solicited Injection-site Adverse Event (AE)
Up to 14 days post any vaccination (up to approximately study month 13)

An AE is any untoward medical occurrence in a participant temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of a study intervention. Injection-site AEs solicited on the Vaccine Report Card (VRC) consisted of erythema (redness), induration (hard lump), pain (tenderness) and swelling.

Percentage of Participants That Report at Least 1 Solicited Systemic AE
Up to 14 days post any vaccination (up to approximately study month 13)

An AE is any untoward medical occurrence in a participant temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of a study intervention. Systemic AEs solicited on the VRC consisted of decreased appetite (loss of appetite), irritability, somnolence (drowsiness) and urticaria (hive/welts).

Percentage of Participants That Report at Least 1 Vaccine-related Serious Adverse Event (SAE)
Up to 6 months post last vaccination (up to approximately study month 20)

A serious adverse event (SAE) is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, is a cancer, is an overdose, or is another important medical event. The relatedness of a vaccine to a SAE is determined by an investigator who is a qualified physician.

Anti-pneumococcal Polysaccharide (PnPs) Serotype-specific Immunoglobin G (IgG) Geometric Mean Concentrations (GMC) for Each Serotype at 30 Days Post Toddler Dose (PTD)
30 days PTD (Up to approximately study month 14)

Sera from participants was used to measure vaccine-induced anti-PnPs serotype-specific IgG for each serotype using pneumococcal electrochemiluminescence (PnECL). The Geometric Mean Concentration (GMC) for each of the 13 serotypes shared by both V114 and Prevenar 13™ (Serotypes 1 to 23F); and the 2 serotypes unique to V114 (Serotypes 22F and 33F) was assessed. Per protocol, within-group CIs were not calculated.

Percentage of Participants Who Meet Serotype-specific IgG Threshold Value of ≥0.35 μg/mL for Each Serotype at 30 Days PTD
30 days PTD (Up to approximately study month 14)

Sera from participants was used to measure vaccine-induced anti-PnPs serotype-specific IgG for the 15 serotypes using pneumococcal electrochemiluminescence (PnECL). The percentage of participants that achieve the threshold value of ≥0.35 μg/mL for each of the 13 serotypes shared by both V114 and Prevenar 13™ (Serotypes 1 to 23F); and the 2 serotypes unique to V114 (Serotypes 22F and 33F) was assessed.

Secondary Endpoints

Percentage of Participants Who Meet Antigen-Specific Threshold Value for Each Antigen in Infanrix™ Hexa at 30 Days PTD
30 days PTD (Up to approximately study month 14)
Anti-rotavirus Immunoglobulin A (IgA) Geometric Mean Titers (GMTs) at 30 Days Post Primary Series (PPS) of Rotarix™
30 days PPS (Up to approximately study month 3)
Anti-PnPs Serotype-specific IgG GMCs for Each Serotype at 30 Days PPS
30 days PPS (Up to approximately study month 3)
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
V114EXPERIMENTALFull-term infants received a 0.5 mL intramuscular injection of V114 at approximately 2, 4, and 11-15 months of age (Study Day 1, Month 2, and Month 9-13). Preterm infants received a 0.5 mL intramuscular injection of V114 at approximately 2, 3, 4, and 11-15 months of age (Study Day 1, Month 1, Month 2, and Month 9-13). All infants also received intramuscular injection of 0.5 mL Infanrix™ hexa at approximately 2, 3, 4, and 11-15 months of age and 1.5 mL oral dose of Rotarix™ at 2 and 4 months of age.
Prevenar 13™ACTIVE_COMPARATORFull-term infants received a 0.5 mL intramuscular injection of Prevenar 13™ at approximately 2, 4, and 11-15 months of age (Study Day 1, Month 2, and Month 9-13). Preterm infants received a 0.5 mL intramuscular injection of Prevenar 13™ at approximately 2, 3, 4, and 11-15 months of age (Study Day 1, Month 1, Month 2, and Month 9-13). All infants also received intramuscular injection of 0.5 mL Infanrix™ hexa at approximately 2, 3, 4, and 11-15 months of age and 1.5 mL oral dose of Rotarix™ at 2 and 4 months of age.

Interventions

NameTypeDescription
Rotarix™DRUGSingle 1.5 mL oral dose at 2 and 4 months of age (Study Day 1 and Month 2)
Infanrix™ hexaDRUGSingle 0.5 mL intramuscular injection at 2, 3, 4, and 11-15 months of age (Study Day 1, Month 1, Month 2, and Month 9-13)
V114DRUG15-valent pneumococcal conjugate vaccine (PCV) containing 13 serotypes present in Prevenar 13™ (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) and 2 unique serotypes (22F and 33F) in each 0.5 mL intramuscular administration,
Prevenar 13™DRUG13-valent PCV containing 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) in each 0.5 mL intramuscular administration.
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Eligibility Criteria

Age Range42 Days to 90 Days
SexALL
Healthy VolunteersYes
Study Sites60

Inclusion Criteria * Healthy * Has a legally acceptable representative who understands the study procedures, alternate treatments available, and risks involved with the study and voluntarily agrees to participate by giving written informed consent Exclusion Criteria * History of invasive pneumoco...

Countries:AustraliaBelgiumCzechiaEstoniaGermanyGreecePolandRussiaSpain
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Frequently asked questions about Rotarix

What is Rotarix used for?

Rotarix is an investigational small molecule being developed for the prevention of pneumococcal infections. It is currently in Phase 3 clinical development and is being studied in healthy infants. The drug is being evaluated for its safety, tolerability, and immunogenicity in this population.

Who makes Rotarix?

Rotarix is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's potential in preventing pneumococcal infections.

What phase is Rotarix in?

Rotarix is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. One Phase 3 trial has been completed to assess its safety and immunogenicity in healthy infants.

What clinical trials is Rotarix in?

Rotarix has been studied in one completed Phase 3 clinical trial with the identifier NCT04031846. This trial, titled 'Safety, Tolerability, and Immunogenicity of V114 in Healthy Infants (V114-025),' enrolled 1184 participants across multiple countries including Australia, Belgium, Czechia, Estonia, Germany, Greece, Poland, Russia, and Spain.

Is Rotarix the same as V114?

Rotarix is also known as V114, as indicated by the clinical trial title. The trial NCT04031846 refers to the drug as V114, confirming that Rotarix and V114 are alternative names for the same investigational product.