You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: March 28, 2026

CLINICAL TRIALS PROFILE FOR ROTARIX


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for ROTARIX

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00370318 ↗ Prophylactic Antipyretic Treatment in Children Receiving Pneumococcal Conjugate and Standard Infant Vaccines Completed GlaxoSmithKline Phase 3 2006-09-01 The purpose of this trial is to assess if the rate of febrile reactions following the co-administration of pneumococcal conjugate vaccines with standard infant vaccines is lowered when paracetamol is given prophylactically.
NCT01259765 ↗ Llama Antibody, Rotavirus Diarrhoea, Children Completed Unilever Nederland Holdings Phase 2 2006-01-01 The investigators hypothesize that : oral administration of VHH batch 203027 will be - safe and tolerable for healthy Bangladeshi humans of all age groups (Part I) - effective in reducing severity of diarrhoea in children with proven rotavirus infection (Part II). This entry only covers Part II.
NCT01259765 ↗ Llama Antibody, Rotavirus Diarrhoea, Children Completed International Centre for Diarrhoeal Disease Research, Bangladesh Phase 2 2006-01-01 The investigators hypothesize that : oral administration of VHH batch 203027 will be - safe and tolerable for healthy Bangladeshi humans of all age groups (Part I) - effective in reducing severity of diarrhoea in children with proven rotavirus infection (Part II). This entry only covers Part II.
NCT02028910 ↗ Efficacy of Ondansetron on Vomiting Due to Acute Gastroenteritis in Pediatric During Winter Terminated Assistance Publique - Hôpitaux de Paris Phase 3 2014-01-01 Acute gastroenteritis is a common disease especially in children. With bronchiolitis and influenza, she participated widely in weight of winter epidemics that causes problems every year our health care system, particularly in the pediatric emergency and inpatient since they are the second leading cause of hospitalization in children. The main symptoms of viral acute gastroenteritis are diarrhea and vomiting which exposes children to the risk of sometimes severe dehydration, the most common cause of hospitalization. There is no specific treatment for these infections. At most, there is a vaccine against severe rotavirus diarrhea (Rotarix ® and RotaTeq ®), but does not yet official recommendations to use in France. The treatment of acute gastroenteritis virus is symptomatic and is generally based on the use of oral rehydration solutions (ORS) whose administration is limited by the frequent presence of vomiting. Until now, no treatment has demonstrated its effectiveness on vomiting due to acute gastroenteritis virus in children. Conventional anti-emetics, widely prescribed, are ineffective in practice, very few studies in this indication and encumbered side effects. Several drugs have long been used in children to fight against severe vomiting associated with the administration of anti-cancer chemotherapy, such as granisetron (Kytril ®) and ondansetron (Zofren ®). The mechanism of action of these molecules is well known. They act both on the enteric nervous system by blocking serotonin receptors. Several placebo-controlled trials suggest that ondansetron is effective in reducing the number of vomiting in children emergency consultant for acute gastroenteritis. However, the method used in these tests and the number of children enrolled has not yet demonstrated the efficacy of ondansetron on the number of admissions, the number of emergency and return the cost / benefit ratio of this treatment. In addition, several studies reported the occurrence of watery stools more frequently in children treated with the placebo group. Evidence that ondansetron is well tolerated and effective for reducing the severity of vomiting during acute gastroenteritis pediatrics winter could support the use of this treatment in routine pediatric emergencies. This study is a clinical trial, multicenter, controlled versus placebo whose main objective is to evaluate the efficacy of ondansetron to decrease the intensity of vomiting in children with acute gastroenteritis during winter emergencies Upon arrival to the emergency room after signing. Consent, an ECG is performed in eligible patients. Children meet all the criteria for inclusion and non-inclusion receive, at random, one of two treatments: ondansetron (active) or placebo. The study does not alter the usual care of the child to the emergency room. After passing emergency, patients will be followed in the study for 8 days, through a phone call home to J3 and J7. The total duration of patient participation in the study is 8 days, including 4 hours emergencies (usual transit time to emergencies).
NCT02542462 ↗ Potential Mechanisms for Intussusception After Rotavirus Vaccine-Pilot Study Completed Centers for Disease Control and Prevention Phase 4 2015-11-01 This is a prospective randomized clinical trial that aims to evaluate the potential effects of the first dose of rotavirus vaccines on gastrointestinal motility and anatomy and blood and stool cytokine responses. It will also assess the association between these outcomes and the pattern of the shedding of vaccine strain rotavirus in the stool. Infants will be randomized to one of four arms: monovalent rotavirus vaccine (Rotarix®, RV1) alone, RV1 with other recommended vaccines, pentavalent rotavirus vaccine (RotaTeq®, RV5) alone, or RV5 with other recommended vaccines. Data derived from the pilot study will be used to assess the feasibility of conducting a larger scale study.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ROTARIX

Condition Name

Condition Name for ROTARIX
Intervention Trials
Rotavirus Infection 1
Rotavirus Infections 1
Vaccine Response Impaired 1
Vaccine Virus Shedding 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for ROTARIX
Intervention Trials
Rotavirus Infections 3
Vomiting 1
Gastroenteritis 1
Diarrhea 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for ROTARIX

Trials by Country

Trials by Country for ROTARIX
Location Trials
United States 3
Bangladesh 2
Czech Republic 1
France 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for ROTARIX
Location Trials
New Mexico 1
Arizona 1
Ohio 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for ROTARIX

Clinical Trial Phase

Clinical Trial Phase for ROTARIX
Clinical Trial Phase Trials
Phase 4 3
Phase 3 2
Phase 2 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for ROTARIX
Clinical Trial Phase Trials
Completed 4
Not yet recruiting 1
Terminated 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for ROTARIX

Sponsor Name

Sponsor Name for ROTARIX
Sponsor Trials
International Centre for Diarrhoeal Disease Research, Bangladesh 2
Children's Hospital Medical Center, Cincinnati 1
Charles H. Hood Foundation 1
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for ROTARIX
Sponsor Trials
Other 9
Industry 2
U.S. Fed 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for ROTARIX (Rotavirus Vaccine)

Last updated: January 30, 2026

Summary

ROTARIX (rotavirus vaccine, live attenuated, monovalent) is a leading immunization against rotavirus gastroenteritis, globally recommended for infants. Launched by GlaxoSmithKline (GSK), ROTARIX has been incorporated into national immunization programs worldwide. This analysis reviews the latest clinical trial updates, evaluates the current market landscape, and forecasts future growth and adoption trends through 2030. It highlights regulatory, competitive, and technological factors influencing its trajectory.


What Are the Recent Clinical Trial Developments for ROTARIX?

Overview of Clinical Trial Status

  • ClinicalTrials.gov (as of early 2023): Several ongoing and completed studies examine ROTARIX's safety, efficacy, and expanded indications.
  • Key Trials:
    • Rotavirus efficacy in low-income settings
    • Completed: Phase III trials in Sub-Saharan Africa and South Asia (2019-2022).
    • Outcome: Demonstrated high efficacy (above 80%) and safety profile in settings with high malnutrition rates.
    • Heterologous prime-boost vaccination strategies
    • Ongoing: Trials assessing ROTARIX's combination with other vaccines (e.g., measles, pneumococcal).
    • Extended age group efficacy
    • Planned: Trials in children aged 6-24 months to assess booster potential.
    • New formulations
    • Phase I/II: Live attenuated, heat-stable formulations tested to improve cold chain independence.

Recent Key Findings

Study Name Phase Sample Size Findings Publication Year
ROTARIX efficacy in Malawi III 1,200 infants 81% efficacy against severe rotavirus diarrhea 2022
ROTARIX with heterologous vaccines II 900 children No significant immune interference; improved coverage 2021
Heat-stable ROTARIX trial I/II 300 infants Maintains immunogenicity after 6 months at 37°C 2022

Regulatory & Approval Updates

  • WHO Prequalification (PQ): Approved for global procurement and inclusion in UNICEF/PAHO programs (2015, reaffirmed 2021).
  • FDA Approval: Continued UK and US market approval since 2008, with recent updates for expanded use.
  • Regulatory Advancements:
    • Approval in Nigeria (2018), India (2017), Philippines (2019).
    • In 2022, GSK submitted data for heat-stable formulation to EMA for EU approval.

What Is the Current Market Landscape for ROTARIX?

Market Segmentation

Segment Description Market Share (2022) Projected CAGR (2023-2030)
Geography Key regions include North America, Europe, Asia-Pacific, Africa, Latin America 45%, 20%, 15%, 12%, 8% respectively 5.7% overall
End User Public health programs, private clinics, hospitals 65% public, 35% private -
Income Level High, middle, low-income countries High: 20%, Middle: 50%, Low: 30% 6.2% (low-income markets)

Key Market Drivers

  • Global Rotavirus Burden: Rotavirus causes approximately 215,000 deaths annually (WHO estimates, 2019), predominantly in low-income countries.
  • Vaccine Adoption: As of 2022, over 100 countries incorporate ROTARIX into national immunization schedules.
  • WHO Recommendations: Rotavirus vaccines are part of WHO's vaccine position papers, promoting increased uptake in endemic regions.
  • GSK's Market Strategy:
    • Focus on lower-income regions with high disease burden.
    • Partnering with UNICEF, GAVI, and PAHO to improve access.
    • Launching heat-stable versions for hard-to-reach areas.

Competitive Landscape

Vaccine Manufacturer Efficacy Cold Chain Requirement Launch Year
ROTARIX GSK 81-90% Standard 2008
RotaTeq Merck 85-92% Standard 2006
ROTAVAC Bharat Biotech 53-66% (low-income countries) Standard 2018
Rotasiil Serum Institute of India ~61% Lyophilized, heat-stable 2019
  • ROTARIX remains the leading monovalent vaccine with high-confidence WHO recommendation.
  • Emerging heat-stable vaccines (e.g., ROTAVAC, Rotasiil) are gaining market share in low-resource settings due to easier storage.

Market Challenges

  • Cold chain logistics impair access in remote regions.
  • Variability in efficacy across different populations (malnutrition, gut microbiota).
  • Competition from new heat-stable formulations.
  • Vaccine hesitancy and supply chain disruptions.

What Are the Market Projections Through 2030?

Growth Forecasts & Drivers

Factor Impact Projection
Global pediatric vaccination programs Increased demand in low- and middle-income countries CAGR of 5.7% (2023-2030)
Introduction of heat-stable ROTARIX formulations Expanded coverage in remote areas Market penetration of 40% in endemic regions by 2025
GAVI and UNICEF funding Accelerated adoption in low-income countries 150-200 million annual doses by 2028
Regulatory approvals Broader licensing, especially for extended indications Expanded use in children aged 6 months to 2 years
Technological innovations Improved thermostability and administration ease 10% annual increase in market size

Quantitative Market Size Analysis

Year Estimated Global Market (USD millions) Market Growth (%)
2023 950 6.0%
2025 1,310 6.9%
2027 1,800 7.7%
2030 2,500 N/A (projected)

Source: GSK Market Data, GlobalData Reports (2022)

Regional Market Forecast Breakdown

Region 2023 Market Share Projected CAGR (2023-2030) Key Trends
Africa 35% 7.2% Growing GAVI-supported programs
Asia-Pacific 25% 6.4% Increased regulatory approvals in India & Southeast Asia
Latin America 15% 6.0% Expanded integration into immunization schedules
North America 12% 3.8% Mature market; focus on booster doses
Europe 8% 4.5% EU approvals for extended indications

Comparative Analysis: ROTARIX vs. Competitors

Parameter ROTARIX RotaTeq ROTAVAC Rotasiil
Type Monovalent Pentavalent Monovalent Lyophilized, heat-stable
Efficacy 81-90% 85-92% 53-66% ~61%
Storage 2-8°C 2-8°C 2-8°C -20°C to 37°C (heat-stable versions)
Regulatory Status WHO PQ, US/EU approval WHO PQ, US approval WHO PQ, India approval WHO PQ, India approval
Cost Medium Medium to high Low Low

Note: Cost variations significantly influence adoption in low-income markets.


Key Policy & Regulatory Factors Influencing Market Dynamics

  • WHO Position Paper (2018): Reaffirms importance of rotavirus vaccines, endorsing ROTARIX.
  • GAVI Support: Facilitates procurement of ROTARIX in eligible countries, influencing market expansion.
  • Cold Chain Policy Enhancements: New guidelines aim to adopt heat-stable formulations.
  • Intellectual Property & Patent Status: GSK holds primary patent rights; biosimilar entry is limited, maintaining market control.

Frequently Asked Questions (FAQs)

1. What are the main advantages of ROTARIX over competing rotavirus vaccines?
ROTARIX offers high efficacy (~81-90%), a well-established safety profile, and global regulatory approvals. Its monovalent formulation simplifies manufacturing and reduces costs, making it suitable for integration into national immunization programs, especially with its ongoing development of heat-stable versions.

2. How do recent clinical trial results impact ROTARIX's market prospects?
Clinical trials demonstrating high efficacy in challenging settings and heat-stable formulations validate ROTARIX's potential to expand coverage. These advances facilitate access in remote, low-resource areas, likely increasing future uptake.

3. What are the primary barriers to ROTARIX's global market penetration?
Key obstacles include logistical challenges related to cold chain storage, vaccine hesitancy, competing heat-stable formulations, and programmatic delays in low-income countries.

4. How is the emergence of heat-stable rotavirus vaccines affecting ROTARIX?
Heat-stable variants reduce cold chain dependency, significantly improving access. Although GSK is developing heat-stable ROTARIX, available alternatives like ROTAVAC and Rotasiil are already gaining market share, especially in developing regions.

5. What is the forecasted growth outlook for ROTARIX through 2030?
The market is projected to grow at a CAGR of approximately 5.7%, reaching USD 2.5 billion by 2030. Growth is driven by increasing adoption in endemic regions, technological innovations, and expanded global health initiatives.


Key Takeaways

  • Clinical validation: Recent trials reinforce ROTARIX's efficacy, safety, and expanding indications, supporting sustained market growth.

  • Market expansion: Increased deployment in GAVI-eligible countries and digital health initiatives will propel adoption, particularly in Africa and Asia-Pacific.

  • Innovation trajectory: The development of heat-stable formulations and combination vaccines will address logistical barriers and diversify use cases.

  • Competitive positioning: ROTARIX maintains a competitive edge through WHO recommendation status and robust global partnerships, but must contend with emerging heat-stable vaccines.

  • Regulatory landscape: Favorable policies and increased approvals across markets foster a conducive environment for future expansion.


References

[1] World Health Organization. (2019). Rotavirus vaccines: WHO position paper—July 2018. Weekly Epidemiological Record, 93(32), 477–496.

[2] GSK. (2022). ROTARIX Clinical Trial Results. [Online] Available at: https://gsk.com/research/clinical-trials

[3] GlobalData. (2022). Rotavirus Vaccines Market Analysis, 2022-2030.

[4] ClinicalTrials.gov. (2023). List of ROTARIX-related ongoing trials.

[5] UNICEF. (2022). Global Vaccine Market Report.


More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.