PMID- 35926726 OWN - NLM STAT- MEDLINE DCOM- 20221018 LR - 20221022 IS - 1995-820X (Electronic) IS - 1674-0769 (Print) IS - 1995-820X (Linking) VI - 37 IP - 5 DP - 2022 Oct TI - Efficacy, safety and immunogenicity of hexavalent rotavirus vaccine in Chinese infants. PG - 724-730 LID - S1995-820X(22)00135-3 [pii] LID - 10.1016/j.virs.2022.07.011 [doi] AB - A randomized, double-blind, placebo-controlled multicenter trial was conducted in healthy Chinese infants to assess the efficacy and safety of a hexavalent live human-bovine reassortant rotavirus vaccine (HRV) against rotavirus gastroenteritis (RVGE). A total of 6400 participants aged 6-12 weeks were enrolled and randomly assigned to either HRV (n ​= ​3200) or placebo (n ​= ​3200) group. All the subjects received three oral doses of vaccine four weeks apart. The vaccine efficacy (VE) against RVGE caused by rotavirus serotypes contained in HRV was evaluated from 14 days after three doses of administration up until the end of the second rotavirus season. VE against severe RVGE, VE against RVGE hospitalization caused by serotypes contained in HRV, and VE against RVGE, severe RVGE, and RVGE hospitalization caused by natural infection of any serotype of rotavirus were also investigated. All adverse events (AEs) were collected for 30 days after each dose. Serious AEs (SAEs) and intussusception cases were collected during the entire study. Our data showed that VE against RVGE caused by serotypes contained in HRV was 69.21% (95%CI: 53.31-79.69). VE against severe RVGE and RVGE hospitalization caused by serotypes contained in HRV were 91.36% (95%CI: 78.45-96.53) and 89.21% (95%CI: 64.51-96.72) respectively. VE against RVGE, severe RVGE, and RVGE hospitalization caused by natural infection of any serotype of rotavirus were 62.88% (95%CI: 49.11-72.92), 85.51% (95%CI: 72.74-92.30) and 83.68% (95%CI: 61.34-93.11). Incidences of AEs from the first dose to one month post the third dose in HRV and placebo groups were comparable. There was no significant difference in incidences of SAEs in HRV and placebo groups. This study shows that this hexavalent reassortant rotavirus vaccine is an effective, well-tolerated, and safe vaccine for Chinese infants. CI - Copyright (c) 2022 The Authors. Publishing services by Elsevier B.V. All rights reserved. FAU - Wu, Zhiwei AU - Wu Z AD - Hebei Center for Disease Control and Prevention, Shijiazhuang, 050021, China. FAU - Li, Qingliang AU - Li Q AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Liu, Yan AU - Liu Y AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Lv, Huakun AU - Lv H AD - Zhejiang Center for Disease Control and Prevention, Hangzhou, 310051, China. FAU - Mo, Zhaojun AU - Mo Z AD - Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, 530028, China. FAU - Li, Fangjun AU - Li F AD - Hunan Center for Disease Control and Prevention, Changsha, 410005, China. FAU - Yu, Qingchuan AU - Yu Q AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Jin, Fei AU - Jin F AD - Hebei Center for Disease Control and Prevention, Shijiazhuang, 050021, China. FAU - Chen, Wei AU - Chen W AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Zhang, Yong AU - Zhang Y AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Huang, Teng AU - Huang T AD - Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, 530028, China. FAU - Hu, Xiaosong AU - Hu X AD - Zhejiang Center for Disease Control and Prevention, Hangzhou, 310051, China. FAU - Xia, Wei AU - Xia W AD - Hunan Center for Disease Control and Prevention, Changsha, 410005, China. FAU - Gao, Jiamei AU - Gao J AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Zhou, Haisong AU - Zhou H AD - Zhengding County Center for Disease Control and Prevention, Shijiazhuang, 050800, China. FAU - Bai, Xuan AU - Bai X AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Liu, Yueyue AU - Liu Y AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Liang, Zhenzhen AU - Liang Z AD - Zhejiang Center for Disease Control and Prevention, Hangzhou, 310051, China. FAU - Jiang, Zhijun AU - Jiang Z AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Chen, Yingping AU - Chen Y AD - Zhejiang Center for Disease Control and Prevention, Hangzhou, 310051, China. FAU - Zhang, Jiuwei AU - Zhang J AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Du, Jialiang AU - Du J AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Yang, Biao AU - Yang B AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Xing, Bo AU - Xing B AD - Zhejiang Center for Disease Control and Prevention, Hangzhou, 310051, China. FAU - Xing, Yantao AU - Xing Y AD - Daming County Center for Disease Control and Prevention, Handan, 056900, China. FAU - Dong, Ben AU - Dong B AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Yang, Qinghai AU - Yang Q AD - Liucheng County Center for Disease Control and Prevention, Liuzhou, 545200, China. FAU - Shi, Chen AU - Shi C AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Yan, Tingdong AU - Yan T AD - Xiangtan County Center for Disease Control and Prevention, Xiangtan, 411228, China. FAU - Ruan, Bo AU - Ruan B AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Shi, Haiyun AU - Shi H AD - Yuhuan County Center for Disease Control and Prevention, Taizhou, 317600, China. FAU - Fan, Xingliang AU - Fan X AD - National Institutes for Food and Drug Control, Beijing, 100050, China. FAU - Feng, Dongyang AU - Feng D AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Lv, Weigang AU - Lv W AD - Yongnian County Center for Disease Control and Prevention, Handan, 056000, China. FAU - Zhang, Dong AU - Zhang D AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Kong, Xiangchu AU - Kong X AD - Rongshui Miao Autonomous County Center for Disease Control and Prevention, Liuzhou, 545300, China. FAU - Zhou, Liuyifan AU - Zhou L AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Que, Dinghong AU - Que D AD - You County Center for Disease Control and Prevention, Zhuzhou, 412315, China. FAU - Chen, Hong AU - Chen H AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Chen, Zhongbing AU - Chen Z AD - Longyou County Center for Disease Control and Prevention, Quzhou, 324400, China. FAU - Guo, Xiang AU - Guo X AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Zhou, Weiwei AU - Zhou W AD - Laishui County Center for Disease Control and Prevention, Baoding 074100, China. FAU - Wu, Cong AU - Wu C AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Zhou, Qingrong AU - Zhou Q AD - Jiangshan County Center for Disease Control and Prevention, Quzhou, 324100, China. FAU - Liu, Yuqing AU - Liu Y AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Qiao, Jian AU - Qiao J AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Wang, Ying AU - Wang Y AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Li, Xinguo AU - Li X AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Duan, Kai AU - Duan K AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. FAU - Zhao, Yuliang AU - Zhao Y AD - Hebei Center for Disease Control and Prevention, Shijiazhuang, 050021, China. Electronic address: yuliang_zh@163.com. FAU - Xu, Gelin AU - Xu G AD - National Engineering Technology Research Center for Combined Vaccines, Wuhan Institute of Biological Product Co., Ltd., Wuhan, 430207, China. Electronic address: gelinxu@qq.com. FAU - Yang, Xiaoming AU - Yang X AD - China National Biotec Group Company Limited, National Engineering Technology Research Center for Combined Vaccines, Wuhan, 430207, China. Electronic address: yangxiaoming@sinopharm.com. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20220801 PL - Netherlands TA - Virol Sin JT - Virologica Sinica JID - 101514185 RN - 0 (Rotavirus Vaccines) RN - 0 (Vaccines, Attenuated) RN - 0 (Vaccines, Combined) SB - IM MH - Administration, Oral MH - Animals MH - Cattle MH - China MH - *Enterovirus Infections MH - *Gastroenteritis/epidemiology MH - Humans MH - Infant MH - *Rotavirus MH - *Rotavirus Infections/epidemiology/prevention & control MH - *Rotavirus Vaccines/adverse effects MH - Vaccination MH - Vaccines, Attenuated MH - Vaccines, Combined PMC - PMC9583109 OTO - NOTNLM OT - Efficacy OT - Infants OT - Rotavirus gastroenteritis (RVGE) OT - Safety OT - Vaccine EDAT- 2022/08/05 06:00 MHDA- 2022/10/19 06:00 PMCR- 2022/08/01 CRDT- 2022/08/04 19:25 PHST- 2022/04/16 00:00 [received] PHST- 2022/07/19 00:00 [accepted] PHST- 2022/08/05 06:00 [pubmed] PHST- 2022/10/19 06:00 [medline] PHST- 2022/08/04 19:25 [entrez] PHST- 2022/08/01 00:00 [pmc-release] AID - S1995-820X(22)00135-3 [pii] AID - 10.1016/j.virs.2022.07.011 [doi] PST - ppublish SO - Virol Sin. 2022 Oct;37(5):724-730. doi: 10.1016/j.virs.2022.07.011. Epub 2022 Aug 1.