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. 2019 Oct 28;2019(10):CD008521. doi: 10.1002/14651858.CD008521.pub5

Comparison 1. RV1 versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Rotavirus diarrhoea: severe (up to 1 year follow‐up) 11 49893 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.14, 0.34]
1.1 Low‐mortality countries (WHO strata A & B) 7 43779 Risk Ratio (M‐H, Random, 95% CI) 0.16 [0.09, 0.26]
1.2 High‐mortality countries (WHO strata D & E) 4 6114 Risk Ratio (M‐H, Random, 95% CI) 0.37 [0.23, 0.60]
2 Rotavirus diarrhoea: severe (up to 2 years follow‐up) 12   Risk Ratio (Fixed, 95% CI) 0.34 [0.29, 0.41]
2.1 Low‐mortality countries (WHO strata A & B) 9   Risk Ratio (Fixed, 95% CI) 0.18 [0.14, 0.23]
2.2 High‐mortality countries (WHO strata D & E) 3   Risk Ratio (Fixed, 95% CI) 0.65 [0.51, 0.83]
3 All‐cause diarrhoea: severe cases (up to 1 year follow‐up) 6 33690 Risk Ratio (M‐H, Random, 95% CI) 0.66 [0.54, 0.80]
3.1 Low‐mortality countries (WHO strata A & B) 3 28051 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.47, 0.74]
3.2 High‐mortality countries (WHO strata D & E) 3 5639 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.56, 0.95]
4 All‐cause diarrhoea: severe cases (up to 2 years follow‐up) 5 12181 Risk Ratio (M‐H, Random, 95% CI) 0.70 [0.54, 0.92]
4.1 Low‐mortality countries (WHO strata A & B) 3 9417 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.36, 1.02]
4.2 High‐mortality countries (WHO strata D & E) 2 2764 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.72, 0.96]
5 All‐cause diarrhoea: severe episodes (up to 1 year follow‐up) 1   Rate Ratio (Fixed, 95% CI) Totals not selected
5.1 Low‐mortality countries (WHO strata A & B) 1   Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
6 All‐cause diarrhoea: severe episodes (up to 2 years follow‐up) 2   Rate Ratio (Fixed, 95% CI) Subtotals only
6.1 Low‐mortality countries (WHO strata A & B) 2   Rate Ratio (Fixed, 95% CI) 0.63 [0.56, 0.71]
7 All‐cause death 30 105778 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.82, 1.30]
7.1 Low‐mortality countries (WHO strata A & B) 22 97597 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [0.87, 1.71]
7.2 High‐mortality countries (WHO strata D & E) 8 8181 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.64, 1.22]
8 All serious adverse events 31 103714 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.83, 0.93]
8.1 Low‐mortality countries (WHO strata A & B) 24 96233 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.83, 0.93]
8.2 High‐mortality countries (WHO strata D & E) 7 7481 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.76, 1.04]
9 Serious adverse events: intussusception 21   Risk Ratio (Fixed, 95% CI) 0.70 [0.46, 1.05]
9.1 Low‐mortality countries (WHO strata A & B) 17   Risk Ratio (Fixed, 95% CI) 0.69 [0.45, 1.04]
9.2 High‐mortality countries (WHO stratum E) 4   Risk Ratio (Fixed, 95% CI) 1.49 [0.06, 36.63]
10 Serious adverse events: Kawasaki disease 3 13117 Risk Ratio (M‐H, Fixed, 95% CI) 1.79 [0.30, 10.61]
11 Serious adverse events requiring hospitalization 2 63675 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.81, 0.96]
12 Rotavirus diarrhoea: of any severity (up to 2 months follow‐up) 12 4294 Risk Ratio (M‐H, Fixed, 95% CI) 1.17 [0.69, 2.00]
12.1 Low‐mortality countries (WHO strata A & B) 9 3537 Risk Ratio (M‐H, Fixed, 95% CI) 1.28 [0.66, 2.50]
12.2 High‐mortality countries (WHO strata D & E) 3 757 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.41, 2.41]
13 Rotavirus diarrhoea: of any severity (up to 1 year follow‐up) 8 15197 Risk Ratio (M‐H, Random, 95% CI) 0.34 [0.23, 0.50]
13.1 Low‐mortality countries (WHO strata A & B) 4 9083 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.13, 0.40]
13.2 High‐mortality countries (WHO stratum E) 4 6114 Risk Ratio (M‐H, Random, 95% CI) 0.49 [0.35, 0.68]
14 Rotavirus diarrhoea: of any severity (up to 2 years follow‐up) 7 11692 Risk Ratio (M‐H, Random, 95% CI) 0.36 [0.28, 0.47]
14.1 Low‐mortality countries (WHO strata A & B) 6 10441 Risk Ratio (M‐H, Random, 95% CI) 0.35 [0.25, 0.48]
14.2 High‐mortality countries (WHO stratum E) 1 1251 Risk Ratio (M‐H, Random, 95% CI) 0.41 [0.28, 0.62]
15 All‐cause diarrhoea: all cases (up to 2 months follow‐up) 7 3132 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.72, 1.10]
15.1 Low‐mortality countries (WHO strata A & B) 6 3032 Risk Ratio (M‐H, Fixed, 95% CI) 0.86 [0.67, 1.09]
15.2 High‐mortality countries (WHO stratum E) 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.69, 1.58]
16 All‐cause diarrhoea: all cases (up to 1 year follow‐up) 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
16.1 Low‐mortality countries (WHO strata A & B) 2 2204 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.82, 1.03]
16.2 High‐mortality countries (WHO strata D & E) 1 700 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.93, 1.05]
17 All‐cause diarrhoea: all cases (up to 2 years follow‐up) 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
17.1 Low‐mortality countries (WHO strata A & B) 3 5937 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.87, 1.00]
18 All‐cause diarrhoea: all episodes (up to 1 year follow‐up) 2   Rate Ratio (Fixed, 95% CI) Subtotals only
18.1 Low‐mortality countries (WHO strata A & B) 2   Rate Ratio (Fixed, 95% CI) 0.98 [0.88, 1.10]
19 All‐cause diarrhoea: all episodes (up to 2 years follow‐up) 1   Rate Ratio (Fixed, 95% CI) Totals not selected
19.1 Low‐mortality countries (WHO strata A & B) 1   Rate Ratio (Fixed, 95% CI) 0.0 [0.0, 0.0]
20 All‐cause hospitalizations (up to 2 years follow‐up) 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
20.1 Low‐mortality countries (WHO strata A & B) 2 65646 Risk Ratio (M‐H, Random, 95% CI) 0.63 [0.27, 1.47]
21 Rotavirus diarrhoea: requiring hospitalization 11   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
21.1 Up to 1 year follow‐up (at least 1 rotavirus season) 8 48718 Risk Ratio (M‐H, Random, 95% CI) 0.18 [0.09, 0.33]
21.2 Second year follow‐up (at least 2 rotavirus seasons) 7 35331 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.11, 0.22]
22 Rotavirus diarrhoea: requiring medical attention 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
22.1 Up to 1 year follow‐up (at least 1 rotavirus season) 1 3874 Risk Ratio (M‐H, Fixed, 95% CI) 0.08 [0.04, 0.16]
22.2 Second year follow‐up (at least 2 rotavirus seasons) 3 7017 Risk Ratio (M‐H, Fixed, 95% CI) 0.22 [0.16, 0.31]
23 All‐cause diarrhoea: cases requiring hospitalization 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
23.1 Up to one year of follow‐up (at least 1 rotavirus season) 2 14393 Risk Ratio (M‐H, Random, 95% CI) 0.43 [0.17, 1.11]
23.2 Second year of follow‐up (at least 2 rotavirus seasons) 2 14367 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.27, 0.99]
24 All‐cause diarrhoea: episodes requiring hospitalization 1   Rate Ratio (Fixed, 95% CI) Subtotals only
24.1 Up to 1 year of follow‐up (at least 1 rotavirus season) 1   Rate Ratio (Fixed, 95% CI) 0.58 [0.47, 0.71]
24.2 Second year of follow‐up (at least 2 rotavirus seasons) 1   Rate Ratio (Fixed, 95% CI) 0.53 [0.46, 0.61]
25 Reactogenicity: fever 28   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
25.1 After dose 1 25 16192 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.97, 1.17]
25.2 After dose 2 24 15630 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.92, 1.06]
25.3 After dose 3 4 1390 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.86, 1.13]
25.4 End of follow‐up 18 11926 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.93, 1.01]
26 Reactogenicity: diarrhoea 27   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
26.1 After dose 1 25 18732 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.88, 1.17]
26.2 After dose 2 24 15630 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.86, 1.21]
26.3 After dose 3 4 1390 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.35, 1.36]
26.4 End of follow‐up 17 14305 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.84, 1.08]
27 Reactogenicity: vomiting 27   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
27.1 After dose 1 25 18732 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.94, 1.12]
27.2 After dose 2 24 15630 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.81, 1.05]
27.3 After dose 3 4 1390 Risk Ratio (M‐H, Random, 95% CI) 1.34 [0.71, 2.50]
27.4 End of follow‐up 17 14305 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.84, 1.04]
28 Adverse events requiring discontinuation (end of follow‐up) 26 94980 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.83, 1.26]
29 Immunogenicity: rotavirus vaccine shedding (end of follow‐up) 16 2638 Risk Ratio (M‐H, Random, 95% CI) 10.94 [4.90, 24.43]
30 Immunogenicity: seroconversion 31   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
30.1 After dose 1 9 2537 Risk Ratio (M‐H, Random, 95% CI) 20.39 [8.48, 49.01]
30.2 After dose 2 27 8742 Risk Ratio (M‐H, Random, 95% CI) 11.44 [8.01, 16.32]
30.3 After dose 3 5 1137 Risk Ratio (M‐H, Random, 95% CI) 6.89 [3.59, 13.24]
31 Dropouts before the end of the trial 28 93106 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.90, 1.00]
32 Subgroup analysis: rotavirus diarrhoea of any severity (by G type) 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
32.1 G1 6 27583 Risk Ratio (M‐H, Random, 95% CI) 0.21 [0.10, 0.44]
32.2 G2 5 26835 Risk Ratio (M‐H, Random, 95% CI) 0.41 [0.31, 0.56]
32.3 G3 4 8968 Risk Ratio (M‐H, Random, 95% CI) 0.14 [0.05, 0.39]
32.4 G4 2 5720 Risk Ratio (M‐H, Random, 95% CI) 0.20 [0.07, 0.59]
32.5 G9 3 8868 Risk Ratio (M‐H, Random, 95% CI) 0.37 [0.18, 0.75]
33 Subgroup analysis: severe cases of rotavirus diarrhoea (by G type) 8   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
33.1 G1 7 39428 Risk Ratio (M‐H, Random, 95% CI) 0.24 [0.16, 0.38]
33.2 G2 7 44682 Risk Ratio (M‐H, Random, 95% CI) 0.30 [0.18, 0.50]
33.3 G3 5 20505 Risk Ratio (M‐H, Random, 95% CI) 0.17 [0.05, 0.56]
33.4 G4 1 2421 Risk Ratio (M‐H, Random, 95% CI) 0.12 [0.00, 2.95]
33.5 G8 2 4417 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.02, 2.37]
33.6 G9 6 26815 Risk Ratio (M‐H, Random, 95% CI) 0.23 [0.13, 0.40]
33.7 G12 2 4417 Risk Ratio (M‐H, Random, 95% CI) 0.47 [0.23, 0.97]
34 Subgroup analysis: rotavirus diarrhoea in malnourished children 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
34.1 Up to 1 year of follow‐up (at least 1 rotavirus season) 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
35 Subgroup analysis: rotavirus diarrhoea in HIV‐infected children 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.26, 3.78]