Immune protection of infants against rotavirus gastroenteritis by a serotype 1 reassortant of bovine rotavirus WC3

J Infect Dis. 1990 Jun;161(6):1099-104. doi: 10.1093/infdis/161.6.1099.

Abstract

The safety and protective efficacy of a serotype 1 reassortant of bovine rotavirus WC3, disignated strain WI79-9, was evaluated in a double-blind placebo-controlled trial. Rotavirus reassortant WI79-9 contains a gene segment 9 coding for the surface structural protein vp7 of a human serotype 1 rotavirus, with all other gene segments derived from WC3 rotavirus, which had previously been shown to be safe and immunogenic in infants. Infants 2-11 months of age were given two doses of vaccine (10(7.3) plaque-forming units/dose) or of placebo 28 days apart. Adverse reactions to the vaccine were not detected. The incidence of serum plaque reduction neutralization antibody responses to two doses of vaccine was serotype 6, 97%; serotype 3, 68%; and serotype 1, 22%. Active surveillance during the subsequent rotavirus season revealed 8 cases of rotavirus gastroenteritis in 39 placebo control infants and no cases in 38 WI79-9 vaccine recipients (protection = 100%, P = .003). Six cases of rotavirus gastroenteritis were caused by type 1 and two by type 3 virus. Although vaccination with WI79-9 affected only the incidence of rotavirus gastroenteritis, the vaccinated infants exhibited a significantly reduced incidence of total days of diarrhea, fever, and illness associated with gastroenteritis in general.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibodies, Viral / biosynthesis
  • Cohort Studies
  • Diarrhea / prevention & control*
  • Double-Blind Method
  • Feces / analysis
  • Gastroenteritis / prevention & control*
  • Humans
  • Immunoglobulin A / analysis
  • Infant
  • Neutralization Tests
  • Randomized Controlled Trials as Topic
  • Rotavirus / classification
  • Rotavirus / immunology*
  • Rotavirus Infections / prevention & control*
  • Rotavirus Vaccines*
  • Viral Vaccines* / immunology

Substances

  • Antibodies, Viral
  • Immunoglobulin A
  • Rotavirus Vaccines
  • Viral Vaccines
  • WC3 rotavirus vaccine