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

Comparison 2. RV5 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) 9 10048 Risk Ratio (M‐H, Fixed, 95% CI) 0.31 [0.22, 0.44]
1.1 Low‐mortality countries (WHO strata A & B) 5 4132 Risk Ratio (M‐H, Fixed, 95% CI) 0.08 [0.03, 0.22]
1.2 High‐mortality countries (WHO strata D & E) 4 5916 Risk Ratio (M‐H, Fixed, 95% CI) 0.43 [0.29, 0.62]
2 Rotavirus diarrhoea: severe (up to 2 years follow‐up) 8 13203 Risk Ratio (M‐H, Random, 95% CI) 0.37 [0.23, 0.60]
2.1 Low‐mortality countries (WHO strata A & B) 4 7318 Risk Ratio (M‐H, Random, 95% CI) 0.18 [0.08, 0.39]
2.2 High‐mortality countries (WHO strata D & E) 4 5885 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.43, 0.82]
3 All‐cause diarrhoea: severe cases (up to 1 year follow‐up) 3 4085 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.58, 1.11]
3.1 Low‐mortality countries (WHO stratum A) 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.2 High‐mortality countries (WHO strata D & E) 3 4085 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.58, 1.11]
4 All‐cause diarrhoea: severe cases (up to 2 years follow‐up) 4 5977 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.75, 0.98]
4.1 Low‐mortality countries (WHO strata A & B) 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.2 High‐mortality countries (WHO strata D & E) 4 5977 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.75, 0.98]
5 All‐cause death 14 84448 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.74, 1.25]
5.1 Low‐mortality countries (WHO strata A & B) 9 77642 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.65, 1.96]
5.2 High‐mortality countries (WHO strata D & E) 5 6806 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.68, 1.24]
6 All serious adverse events 14 82502 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.86, 1.01]
6.1 Low‐mortality countries (WHO strata A & B) 8 75672 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.86, 1.02]
6.2 High‐mortality countries (WHO strata D & E) 6 6830 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.66, 1.28]
7 Serious adverse events: intussusception 16 85495 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.41, 1.45]
7.1 Low‐mortality countries (WHO strata A & B) 12 78907 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.41, 1.45]
7.2 High‐mortality countries (WHO strata D & E) 4 6588 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Rotavirus diarrhoea: of any severity (up to 1 year follow‐up) 8 13450 Risk Ratio (M‐H, Random, 95% CI) 0.37 [0.28, 0.50]
8.1 Low‐mortality countries (WHO strata A & B) 5 8644 Risk Ratio (M‐H, Random, 95% CI) 0.30 [0.25, 0.37]
8.2 High‐mortality countries (WHO strata D & E) 3 4806 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.28, 0.94]
9 Rotavirus diarrhoea: of any severity (up to 2 years follow‐up) 7 12888 Risk Ratio (M‐H, Random, 95% CI) 0.46 [0.33, 0.65]
9.1 Low‐mortality countries (WHO strata A & B) 3 6144 Risk Ratio (M‐H, Random, 95% CI) 0.34 [0.26, 0.43]
9.2 High‐mortality countries (WHO strata D & E) 4 6744 Risk Ratio (M‐H, Random, 95% CI) 0.61 [0.45, 0.83]
10 All‐cause diarrhoea: of any severity (up to 1 year follow‐up) 1 1059 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.61, 1.11]
10.1 Low‐mortality countries (WHO strata A & B) 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.2 High‐mortality countries (WHO stratum E) 1 1059 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.61, 1.11]
11 All‐cause diarrhoea: of any severity (up to 2 years follow‐up) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11.1 High‐mortality countries (WHO stratum E) 1 1059 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.68, 1.16]
12 All‐cause hospitalizations (up to 2 years follow‐up) 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
12.1 High‐mortality countries (WHO strata D & E) 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
13 Rotavirus diarrhoea: requiring hospitalization 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
13.1 Up to 1 year of follow‐up 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
14 Rotavirus diarrhoea: requiring medical attention 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
14.1 Up to 1 year of follow‐up 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
15 Reactogenicity: fever 12   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
15.1 After dose 1 4 7124 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.91, 1.45]
15.2 After dose 2 2 4322 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.69, 1.01]
15.3 After dose 3 2 4294 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.90, 1.27]
15.4 End of follow‐up 11 18391 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.94, 1.09]
16 Reactogenicity: diarrhoea 10   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
16.1 After dose 1 2 4745 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.95, 1.32]
16.2 After dose 2 1 3905 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.72, 1.10]
16.3 End of follow‐up 10 17087 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.98, 1.10]
17 Reactogenicity: vomiting 9   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
17.1 After dose 1 2 4745 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.63, 1.12]
17.2 After dose 2 1 3905 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.32, 1.49]
17.3 After dose 3 1 3878 Risk Ratio (M‐H, Fixed, 95% CI) 0.46 [0.16, 1.32]
17.4 End of follow‐up 9 16294 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.90, 1.06]
18 Adverse events requiring discontinuation (end of follow‐up) 10 15471 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.57, 1.39]
19 Immunogenicity: rotavirus vaccine shedding (after dose 3) 5   Risk Ratio (M‐H, Random, 95% CI) Totals not selected
20 Immunogenicity: seroconversion 10   Risk Ratio (M‐H, Random, 95% CI) Totals not selected
20.1 After dose 3 10   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
21 Dropouts before the end of the trial 13 85855 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.90, 1.08]
22 Subgroup analysis: rotavirus diarrhoea of any severity (by G type) 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
22.1 G1 4 11022 Risk Ratio (M‐H, Random, 95% CI) 0.26 [0.21, 0.32]
22.2 G2 3 9907 Risk Ratio (M‐H, Random, 95% CI) 0.35 [0.16, 0.78]
22.3 G3 4 11022 Risk Ratio (M‐H, Random, 95% CI) 0.40 [0.08, 2.02]
22.4 G4 3 9907 Risk Ratio (M‐H, Random, 95% CI) 0.41 [0.13, 1.33]
22.5 G9 2 9537 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.20, 0.54]
23 Subgroup analysis: severe cases of rotavirus diarrhoea (by G type) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
23.1 G1 3 76606 Risk Ratio (M‐H, Random, 95% CI) 0.23 [0.03, 1.74]
23.2 G2 3 76606 Risk Ratio (M‐H, Random, 95% CI) 0.41 [0.13, 1.37]
23.3 G3 3 76606 Risk Ratio (M‐H, Random, 95% CI) 0.38 [0.05, 2.74]
23.4 G4 3 76606 Risk Ratio (M‐H, Random, 95% CI) 0.12 [0.03, 0.46]
23.5 G9 3 76606 Risk Ratio (M‐H, Random, 95% CI) 0.13 [0.05, 0.34]
24 Subgroup analysis: HIV‐infected children 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
24.1 Rotavirus diarrhoea: severe (up to two years follow‐up) 1 38 Risk Ratio (M‐H, Fixed, 95% CI) 2.45 [0.11, 56.68]
24.2 All‐cause diarrhoea: severe (up to two years follow‐up) 1 38 Risk Ratio (M‐H, Fixed, 95% CI) 4.05 [0.52, 31.43]
24.3 All‐cause death 2 114 Risk Ratio (M‐H, Fixed, 95% CI) 1.29 [0.51, 3.21]
24.4 Serious adverse events (up to 24 weeks) 2 113 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.59, 3.97]