While the RotaTeq® trial in Asia was designed and conducted as a multicenter trial in Bangladesh and Vietnam, we also present the estimates for the two sites separately, in order to provide what we hypothesize to be the most relevant comparisons to the ROTAVAC® trial in India. In the RotaTeq®
trial, the point estimates for efficacy against severe rotavirus gastroenteritis in the first year of life were 51.0% (95% CI 12.8–73.3) for the entire cohort, 45.7% (95% CI −1.2 to 71.9) for the Bangladesh cohort and 72.3% (−45.2 to 97.2) for the Vietnam cohort. The ROTAVAC® point estimate of efficacy for the same outcome in the first year of life was 56.4% (95% CI 36.7–69.9). The apparent maintenance of efficacy in the second year Selleckchem Regorafenib of life in the ROTAVAC® trial is encouraging, and similar to what was seen in the RotaTeq® trial in Asia, recognizing that point estimates of efficacy in the second year of life are less precise, given the smaller
number of outcomes. This is indeed an exciting time for rotavirus vaccines. Ultimately, multiple safe and efficacious choices should allow for optimal price and supply conditions, check details resulting in maximal numbers of children vaccinated. Head-to-head comparisons of different vaccines would be the best way to control
for study design and population differences, and may be more common in the future given the global roll-out of rotavirus vaccines. In the meantime, this proposed Rutecarpine framework should be useful in comparing efficacy estimates of new rotavirus vaccines conducted with placebo controls in various settings. We have proposed important design elements to be considered in those comparisons, including age at receipt of vaccine; co-administration of other vaccines, most notably OPV; definition and method of ascertainment of outcome measure; inclusion and exclusion criteria; and the pattern of rotavirus circulation. Ultimately, vaccine choices by individual countries are unlikely to be based on efficacy alone, and will include considerations of rotavirus disease burden, vaccine safety, cost and feasibility. None reported. “
“The publisher would like to apologise for an error with the legend for Table 2 in the original article. The table is reproduced in full here, with the correct legend. “
“A first generation partially effective malaria vaccine, RTS, S/AS01, is scheduled to complete an ongoing Phase 3 trial in 2014. Intense efforts are underway to develop highly effective second generation malaria vaccines in accordance with the malaria vaccine technology roadmap .