PMID- 24047799 OWN - NLM STAT- MEDLINE DCOM- 20150105 LR - 20211021 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 10 IP - 1 DP - 2014 TI - The human rotavirus vaccine Rotarix in infants: an integrated analysis of safety and reactogenicity. PG - 19-24 LID - 10.4161/hv.26476 [doi] AB - An integrated analysis of safety and reactogenicity data was undertaken for 28 randomized, placebo-controlled, double-blind Phase II and III trials (DBRCTs) of the oral live-attenuated human rotavirus vaccine, Rotarix (GlaxoSmithKline Vaccines). Healthy infants aged 6-20 wk received 2 or 3 doses of vaccine (n=56562) or placebo (n=45512) at 4- to 8-wk intervals. Solicited adverse events (AEs) were recorded for 8 d after each dose of vaccine or placebo. Unsolicited AEs, serious AEs (SAEs), and deaths were evaluated over 31-d post-vaccination follow-up periods. 95% confidence intervals (CIs) for the relative risk (RR) across studies excluding "1.0" signified potential imbalances between the 2 groups. The incidence of each solicited AE of any or Grade 3 severity was similar between groups. The incidence of all unsolicited AEs of any (RR=0.99 [95% CI: 0.94-1.04]; P=0.72) or Grade 3 severity (RR=0.91 [95% CI: 0.77-1.08]; P=0.31) was similar between groups. A significantly higher proportion of SAEs were reported in the placebo group compared with the vaccine group (RR=0.9 [95% CI: 0.82-0.98]; P=0.01). The incidence of death was low and similar between the 2 groups (0.13% in the vaccine group and 0.11% in the placebo group; RR=1.14 [95% CI: 0.78-1.68]; P=0.54). Very few cases of intussusception were reported (11 and 7 in the vaccine and placebo groups, respectively; RR=1.39 [95% CI: 0.49-4.27]; P=0.66). In conclusion, results of this analysis of DBRCTs show that the human rotavirus vaccine Rotarix has a reactogenicity and safety profile similar to placebo. FAU - Buyse, Hubert AU - Buyse H AD - GlaxoSmithKline Vaccines; Wavre, Belgium. FAU - Vinals, Carlota AU - Vinals C AD - GlaxoSmithKline Vaccines; Wavre, Belgium. FAU - Karkada, Naveen AU - Karkada N AD - GlaxoSmithKline Vaccines; Bangalore, India. FAU - Han, Htay Htay AU - Han HH AD - GlaxoSmithKline Vaccines; King of Prussia, PA USA. LA - eng PT - Clinical Trial, Phase II PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20131008 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (RIX4414 vaccine) RN - 0 (Rotavirus Vaccines) RN - 0 (Vaccines, Attenuated) SB - IM MH - Double-Blind Method MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Female MH - Humans MH - Incidence MH - Infant MH - Male MH - Rotavirus Infections/*prevention & control MH - Rotavirus Vaccines/administration & dosage/*adverse effects/*immunology MH - Survival Analysis MH - Vaccination/*adverse effects/*methods MH - Vaccines, Attenuated/administration & dosage/adverse effects/immunology PMC - PMC4181014 OTO - NOTNLM OT - Rotarix OT - human rotavirus vaccine OT - intussusceptions OT - reactogenicity OT - rotavirus gastroenteritis OT - vaccine safety EDAT- 2013/09/21 06:00 MHDA- 2015/01/06 06:00 PMCR- 2015/01/01 CRDT- 2013/09/20 06:00 PHST- 2013/09/20 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2015/01/06 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 26476 [pii] AID - 2013HV0257R [pii] AID - 10.4161/hv.26476 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2014;10(1):19-24. doi: 10.4161/hv.26476. Epub 2013 Oct 8.