Safety Study of GSK Biologicals' Rotavirus Vaccine (Rotarix®) Administered to Children Aged <1 Year in the United States
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Purpose
This observational cohort study, conducted through two existing large administrative health databases in the US (outside the Vaccine Safety Datalink) is planned to confirm the safety profile regarding lack of any association of intussusception with Rotarix within 60 days of vaccination in a real life setting (routine use) in the US. This study will also include monitoring of Kawasaki disease, convulsions, hospitalizations due to acute lower respiratory tract infections and all-cause deaths within 60-days of vaccination.
This study involves three cohorts, one exposed and two control cohorts: infants who receive Rotarix (Exposed cohort) and infants who receive IPV vaccination (Unexposed cohort A and B).
This is a combined prospective and retrospective cohort study. Prospective component of the study identifies and compares study outcomes following Rotarix and IPV vaccination in the Exposed cohort and Unexposed cohort A, respectively.
Retrospective component of the study identifies and compares study outcomes following IPV vaccination in the Unexposed cohort B.
| Condition | Intervention |
|---|---|
|
Medically-attended Intussusception |
Procedure: Health Insurance Database |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort |
| Official Title: | Safety Study of GSK Biologicals' Rotarix® (Rotavirus Vaccine, Live, Oral) Administered to a Birth Cohort in United States Health Insurance Plans |
- Occurrence of medically-attended definite IS as identified from claims database and confirmed through medical record review. [ Time Frame: 60 days following vaccination. ] [ Designated as safety issue: No ]
- Occurrence of medically-attended Kawasaki disease as identified from claims database and confirmed through medical record review [ Time Frame: 60 days following vaccination ] [ Designated as safety issue: No ]
- Occurrence of medically-attended convulsions identified from claims database and confirmed through medical record review [ Time Frame: 60 days following vaccination ] [ Designated as safety issue: No ]
- Occurrence of medically-attended acute LRTI hospitalizations identified from claims database [ Time Frame: 60 days following vaccination ] [ Designated as safety issue: No ]
- Occurrence of all-cause deaths identified from claims database [ Time Frame: 60 days following vaccination ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 389900 |
| Study Start Date: | April 2009 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Exposed cohort
Infants aged less than 1 year who are eligible for rotavirus vaccination and receive at least one dose of Rotarix according to routine recommendations.
|
Procedure: Health Insurance Database
Review of two health insurance databases in the US to determine the safety outcomes among infants who have received Rotarix or IPV vaccination.
|
|
Unexposed cohort A
Infants aged less than 1 year who receive at least one dose of IPV (but NO dose of Rotarix) after 1 August 2008. The infants may or may not receive RotaTeq. All vaccines are provided according to routine recommendations.
|
Procedure: Health Insurance Database
Review of two health insurance databases in the US to determine the safety outcomes among infants who have received Rotarix or IPV vaccination.
|
|
Unexposed cohort B
Infants aged less than 1 year who receive at least one dose of IPV between 1 January 2006 and 31 July 2008. All vaccines are provided according to routine recommendations.
|
Procedure: Health Insurance Database
Review of two health insurance databases in the US to determine the safety outcomes among infants who have received Rotarix or IPV vaccination.
|
Eligibility| Ages Eligible for Study: | up to 1 Year |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Children affiliated to two participating health insurance plans.
Inclusion Criteria:
For Exposed cohort:
- Infants aged less than 1 year at study entry.
- Infants who are enrolled in one of the two participating health insurance plans databases within 30 days of birth.
- Have complete medical coverage and pharmacy benefits.
- Received at least one dose of Rotarix from 1 August 2008.
- Infants receiving Rotarix liquid formulation will also be eligible.
For Unexposed cohort A:
- Infants aged less than 1 year at study entry.
- Infants who are enrolled in one of the two participating health insurance plans databases within 30 days of birth.
- Have complete medical coverage and pharmacy benefits.
- Received at least one dose of IPV vaccine from 1 August 2008, with or without RotaTeq vaccination.
- Frequency-matched to the Rotarix cohort by gender, age at first vaccination (±1 week) and calendar quarter of vaccination within the same year.
For Unexposed cohort B:
- Infants who are enrolled in one of the two participating health insurance plans databases within 30 days of birth.
- Had complete medical coverage and pharmacy benefits.
- Received at least one dose of IPV vaccine.
- Vaccinated between 1 January 2006 (inclusive) and 31 July 2008 (inclusive).
- Not received any dose of rotavirus vaccination.
- Frequency-matched to the Rotarix cohort by gender, age at first vaccination (±1 week) and calendar quarter of vaccination.
Exclusion Criteria:
For Exposed cohort:
• Subject has received any dose of RotaTeq prior to the first Rotarix vaccine during the study period.
For Unexposed cohort A:
• Subject has received any dose of Rotarix prior to the first IPV vaccine during the study period.
For Unexposed cohort B:
• Subject has received any dose of rotavirus vaccines prior to the first IPV vaccine.
Contacts and Locations| Contact: US GSK Clinical Trials Call Center | 877-379-3718 | GSKClinicalSupportHD@gsk.com |
| United States, Massachusetts | |
| GSK Investigational Site | Recruiting |
| Waltham, Massachusetts, United States, 02451 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT00875641 History of Changes |
| Other Study ID Numbers: | 112229 |
| Study First Received: | April 2, 2009 |
| Last Updated: | October 18, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Intussusception Intestinal Obstruction Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013