A Clinical Trial to Evaluate the Safety and Immunogenicity of Norovirus Bivalent Vaccine

National Vaccine and Serum Institute

Status and phase: Completed; Phase 1

Conditions: Norovirus Infections; Norwalk Gastroenteritis

Treatments: Biological: Norovirus Bivalent (GI.1 / GII.4) Vaccine（middle）; Biological: Aluminum adjuvant; Biological: Norovirus Bivalent (GI.1 / GII.4) Vaccine（low）; Biological: Normal saline; Biological: Norovirus Bivalent (GI.1 / GII.4) Vaccine（high）

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT04188691

CXSL1700011-I

Details and patient eligibility

About

A total of 450 subjects were enrolled, divided into four age groups, including 18-59 years, 6-17 years, 3-5 years, and 6-35 months. There are three types of the test vaccine component in each age group. A total of 30 people in each dose group were vaccinated with the test vaccine or placebo 1 or placebo 2, respectively, in a ratio of 3: 1: 1.

The 18-59-year-old, 6-17-year-old, and 3-5-year-old age groups were vaccinated 2 times at a time interval of 28 days. The 6-35 month age group is divided into two groups, Group 1 is inoculated with 2 doses interval of 28 days each, and Group 2 is inoculated with 3 doses interval of 28 days.

Full description

From January to April 2020, this study was affected by the COVID-19 epidemic, which caused the two groups（6-17-year-old，3-5-year-old） of subjects to vaccinate beyond the window and deviate from the experimental plan. After communication between the researcher, the sponsor and the statistician, it was decided to restart the Phase I clinical trials of these two groups.

Enrollment: 510 patients

Sex: All

Ages: 6 months to 59 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged 6 months to 59 years old, can provide legal identification of Chinese population;
• Based on medical history and physical examination, determined by the researcher as healthy;
• Volunteer legal guardians or trustees have the ability to understand (non-illiterate) research procedures, sign informed consent voluntarily with informed consent, and be able to comply with the requirements of clinical research protocols;
• Female subjects of childbearing age were not pregnant at the time of enrollment (negative urine pregnancy test), were not breastfeeding, and had no birth plan within the first 3 months after enrollment; effective contraceptive measures were taken within 2 weeks before enrollment.

Exclusion criteria

• Axillary body temperature before inoculation on the day of entry> 37.0 ℃;
• Congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc .;
• Have a history of epilepsy, convulsions or convulsions, or a family history of mental illness;
• Those who received immunoenhancement or inhibitor therapy within months (continuous oral or instillation for more than 14 days);
• Have been diagnosed with congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia or other autoimmune diseases;
• No spleen or spleen function defect caused by any situation;
• Severe liver and kidney disease, drug-uncontrollable hypertension (systolic blood pressure> 140mmHg, diastolic blood pressure> 90mmHg), diabetic complications, malignant tumors, various acute diseases or chronic attacks of acute diseases;
• Have a history of chronic gastrointestinal diseases, diarrhea or other digestive system diseases, and have had gastroenteritis requiring treatment in the past 7 days;.
• Have a history of abnormal coagulation function (such as coagulation factor deficiency, coagulopathy);
• Have a history of severe allergic reactions to vaccination; are allergic to any component of the test vaccine;
• Live attenuated vaccine within14 days; other vaccines received within 7 days;
• Participating in other clinical trials in the near future;
• The investigator judges other circumstances that are not suitable for participation in this clinical trial.

In addition to the general exclusion criteria, specific populations should also adhere to the following exclusion criteria:

• Premature birth (delivery before the 37th week of pregnancy), low weight (birth <2300g) infants under 24 months of age;
• History of salvage, birth apnea, or other causes of salvage, neurological damage, severe chronic disease (such as Down syndrome, sickle cell anemia, or neurological disorders) in children under 24 months of age.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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510 participants in 5 patient groups, including a placebo group

vaccine group 1

Experimental group

Description:

vaccine produced by NVSI , Specification: GI.1 / GII.4 (low), 0.5ml / dose

Treatment:

Biological: Norovirus Bivalent (GI.1 / GII.4) Vaccine（low）

vaccine group 2

Experimental group

Description:

vaccine produced by NVSI , Specification: GI.1 / GII.4 (middle), 0.5ml / dose

Treatment:

Biological: Norovirus Bivalent (GI.1 / GII.4) Vaccine（middle）

vaccine group 3

Experimental group

Description:

vaccine produced by NVSI , Specification: GI.1 / GII.4 (high), 0.5ml / dose

Treatment:

Biological: Norovirus Bivalent (GI.1 / GII.4) Vaccine（high）

Normal saline

Placebo Comparator group

Description:

（0.5ml / dose）produced by NVSI

Treatment:

Biological: Normal saline

Aluminum adjuvant

Placebo Comparator group

Description:

（0.5ml / dose）produced by NVSI

Treatment:

Biological: Aluminum adjuvant