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Rabies InfectionPhase 3NCT02177032

Safety and Immunogenicity of Two Intradermal Rabies Vaccine Regimens Administered With and Without Human Rabies Immunoglobulin in Subjects ≥ 1 Years of Age

A Phase 3 study testing Rabies vaccine and Rabies vaccines + Rabies immunoglobulins in people with Rabies Infection, run by Novartis at 6 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Demonstrate non-inferiority of the immune response between new versus the currently recommended intradermal regimens of rabies vaccine when administered with or without rabies immunoglobulins in healthy subjects ≥ 1 years of age. Read more about this study

Who is it for?
Ages 1 year and olderHealthy volunteers can take part
Conditions the study is for
Rabies Infection
What is being tested?
Rabies vaccine and Rabies vaccines + Rabies immunoglobulins
Could I receive a placebo?
No, everyone receives an active treatment
How many people
885 participants
Where
6 sitesin 2 countries
Study dates
Jun 2014to Aug 2015
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Healthy males and females ≥ 1 years of age
  • Individuals/ individual's parents or legal guardians who have given written consent
  • Individuals in good health
  • Individuals who can comply with study procedures

Who cannot join

  • Behavioral or cognitive impairment or psychiatric disease.
  • Unable to comprehend and to follow all required study procedures for the whole period of the study.
  • History of illness or with an ongoing illness that may pose additional risk to the individual if he/she participates in the study.
  • Individuals ≥ 1 to ≤ 17 years of age, who have or ever had a malignancy.
  • Individuals ≥ 18 years of age, who have or who within the last 5 years, have had a malignancy (excluding nonmelanotic skin cancer) or lymphoproliferative disorder.
  • Known or suspected impairment of the immune system (including but not limited to HIV, autoimmune disorders, immunosuppressive therapy as applicable).
Show all 21Show fewer
  • Female of childbearing potential who has not used any of the "acceptable contraceptive methods" for at least 2 months prior to study entry.
  • Female of childbearing potential, refusal to use an "acceptable birth control method" through day 50.
  • Female of childbearing potential, with a positive pregnancy test prior to enrollment.
  • Received blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation in the previous 12 weeks.
  • Allergic to any of the vaccine components.
  • Allergic to any of the human rabies immunoglobulin components.
  • Contraindication or precaution against rabies vaccination.
  • Contraindication or precaution against man rabies immunoglobulin administration.
  • Planning to receive anti-malaria medications (e.g. Mefloquine) 14 days prior to day 1 vaccination through day 50.
  • Participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
  • Received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or who are planning to receive any vaccine within 28 days from the study vaccines.
  • Body temperature ≥ 38.0°C (≥ 100.4°F) within 3 days of intended study vaccination.
  • Received rabies vaccines or rabies immunoglobulin or have been exposed to rabies.
  • Part of the study personnel or immediate family members of study personnel conducting this study.
  • Current or history of drug or alcohol abuse within the past 2 years.

Trial locations and contacts

6 sites in 2 countries.

6 sites in 2 countries

Philippines4 sites
  • 4, De La Salle Health Sciences Institute

    Cavite, 4114

  • 1, Research Institute for Tropical Medicine

    City of Muntinlupa, 1781

  • 2, Asian Hospital and Medical Center

    City of Muntinlupa, 1781

  • 3, Research Institute for Tropical Medicine

    City of Muntinlupa

Other trials in Philippines

Thailand2 sites
  • 11, Infectious Diseases Unit, Department of Pediatrics, Phramongkutklao hospital

    Bangkok, Bangkok, 10400

  • 12, Department of Tropical Pediatrics, Faculty of Tropical Medicine, Mahidol University

    Bangkok, Bangkok, 10400

Other trials in Thailand

About this study

Official title: Phase 3, Randomized, Stratified, Open Label, Multicenter, Controlled Clinical Study to Evaluate Safety and Immunogenicity of a Rabies Vaccine Administered, With and Without Human Rabies Immunoglobulin, Using the New "4-sites, 1-week" Intradermal Regimen for Postexposure Prophylaxis Compared to the Currently Recommended "2-sites, TRC" Intradermal Regimen in Children and Adults Subjects.

Demonstrate non-inferiority of the immune response between new versus the currently recommended intradermal regimens of rabies vaccine when administered with or without rabies immunoglobulins in healthy subjects ≥ 1 years of age.

Being tested
Rabies vaccine, Rabies vaccines + Rabies immunoglobulins
Keywords
Rabies vaccines, intradermal, human rabies immunoglobulins

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Rabies vaccineBiological

    12 doses of the PCEC rabies vaccine, administered ID (0.1mL for each injection) according to the "4-sites, 1-week" regimen (i.e. 4 doses of vaccine; in both deltoids and anterolateral thigh areas, administered on days 1, 4, and 8).

  • Rabies vaccines + Rabies immunoglobulinsBiological

    12 doses of the PCEC rabies vaccine, administered ID (0.1mL for each injection) to adults only, according to the "4-sites, 1-week" regimen (i.e. 4 doses of vaccine; in both deltoids and anterolateral thigh areas, administered on days 1, 4, and 8). HRIG will be administered on day 1 (before the first dose of the vaccine) in a dose of 20 IU/kg body weight intramuscularly into the gluteal muscle.

  • Rabies vaccineBiological

    8 doses of the PCEC rabies vaccine, administered ID (0.1ml for each injection) according to the "2-sites, TRC", updated Thai Red Cross regimen (i.e. 2 doses of vaccine; in both deltoids, administered on days 1, 4, 8, and 29).

  • Rabies vaccines + Rabies immunoglobulinsBiological

    8 doses of the PCEC rabies vaccine, administered ID (0.1ml for each injection) to adults only, according to the "2-sites, TRC", updated Thai Red Cross regimen (i.e. 2 doses of vaccine; in both deltoids, administered on days 1, 4, 8, and 29). HRIG will be administered on day 1 (before the first dose of the vaccine) in a dose of 20 IU/kg body weight intramuscularly into the gluteal muscle.

Study groups in NCT02177032
Study groupRoleWhat they receive
4-sites, 1-week without HRIGExperimentalPCEC rabies vaccine, administered ID according to the "4-sites, 1-week" regimen
Receives: Biological: Rabies vaccine
4-sites, 1-week with HRIGExperimentalPCEC rabies vaccine, administered ID to adults, according to the "4-sites, 1-week" regimen plus HRIG
Receives: Biological: Rabies vaccines + Rabies immunoglobulins
2-sites, TRC without HRIGActive comparatorPCEC rabies vaccine, administered ID according to the "2-sites, TRC" regimen
Receives: Biological: Rabies vaccine
2-sites, TRC with HRIGActive comparatorPCEC rabies vaccine, administered ID to adults , according to the "2-sites, TRC" regimen plus HRIG
Receives: Biological: Rabies vaccines + Rabies immunoglobulins

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentages of Subjects With RVNA Titer >= 0.5 and Vaccine Group Differences ("4-sites, 1-week" to That of "2-sites, TRC" ID PEP Regimen of the PCEC Rabies Vaccine With or Without HRIG Administration)

    Vaccine group differences are calculated assuming a binomial distribution and the associated confidence interval for the differences in percentage was based on M-N method.

    Non-inferiority of the immune response of the new "4-sites, 1-week" ID PEP regimen of the PCEC vaccine, with or without HRIG administration, to that of the currently recommended "2-sites, TRC" ID PEP regimen of the PCEC rabies vaccine with or without HRIG administration, as measured by the percentage of subjects with RVNA titer ≥ 0.5 IU/ml at day 50 in the whole study population.

    Measured: Study day 50 (D50)

Secondary outcomes (11)
  1. Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration and Between-group (2 ID Rabies Vaccine Regimens (4-sites, 1-week and 2-sites, TRC) With or Without HRIG) Ratio of GMCs

    Immunogenicity was assessed in terms of Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration in Children and Adult Subjects, ≥ 1 Years of Age at day 50 The GMCs, GMRs (i.e., within group ratio) and associated two sided 95% confidence intervals for each group were computed by exponentiating (base 10) of the least square means of the logarithmically transformed (base 10) concentration (and their differences) and the 95% CIs obtained from an Analysis of variance (ANOVA) with vaccine regimen, age strata and center as factors.

    Non-inferiority of the immune response between the 2 ID rabies vaccine regimens (4-sites, 1-week and 2-sites, TRC) with or without HRIG administration as measured by RVNA GMCs at day 50 in the whole study population.

    Measured: Study Day 50

  2. Geometric Mean Rabies Virus Neutralizing Antibody Concentration at Days 8, 15, 91, 181 and 366 & Between-group (2 ID Rabies Vaccine Regimens (4-sites,1-week & 2-sites, TRC) With or Without HRIG) Ratio of GMCs in Children & Adult Subjects,≥ 1 Years of Age

    Immunogenicity was assessed in terms of the Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration at Days 8, 15, 91, 181 and 366 in Children and Adult Subjects, ≥ 1 Years of Age The GMCs, GMRs (i.e., within group ratio) and associated two sided 95% confidence intervals for each group were computed by exponentiating (base 10) of the least square means of the logarithmically transformed (base 10) concentration (and their differences) and the 95% CIs obtained from an Analysis of variance (ANOVA) with vaccine regimen, age strata and center as factors.

    Non-inferiority of the immune response between the 2 ID rabies vaccine regimens (4-sites, 1-week and 2-sites, TRC) with or without HRIG administration as measured by RVNA GMCs at day 50 in the whole study population.

    Measured: At Days 8, 15, 91, 181 and 366

  3. Percentages of Subjects With Anti-RVNA Titer ≥0.5 IU/mL at Days 8, 15, 91, 181 and 366 in Children and Adult Subjects and Vaccine Group Differences (2 ID Rabies Vaccine Regimens (4-sites, 1-week and 2-sites, TRC), With or Without HRIG), ≥ 1 Years of Age

    Vaccine group differences are calculated assuming a binomial distribution and the associated confidence interval for the differences in percentage was based on M-N method.

    RVNA percentage of subjects with RVNA titer ≥ 0.5 IU/mL at study days 8, 15, 91, 181, and 366 following administration of the 2 ID rabies vaccine regimens (4-sites, 1-week and 2-sites, TRC), with or without HRIG, in the whole study population.

    Measured: At Days 8, 15, 91, 181 and 366

  4. Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration and Vaccine Group Differences in Adult Subjects, ≥ 18 Years of Age

    Immunogenicity was assessed in terms of the Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration at Days 8, 15, 50,91, 181 and 366 in Adult Subjects, ≥ 18 Years of Age.

    RVNA GMCs with RVNA titer ≥ 0.5 IU/mL at days 8, 15, 50, 91, 181 and 366 and group differences (4-sites,1-week without HRIG versus 4-sites,1-week with HRIG; 4-sites,1-week with HRIG versus 2-sites,TRC with HRIG; 4-sites,1-week without HRIG versus 2-sites, TRC without HRIG)

    Measured: At Days 8, 15, 50, 91, 181 and 366

  5. Percentages of Subjects With Anti-RVNA Titer ≥0.5 IU/mL in Adult Subjects, ≥ 18 Years of Age

    Immunogenicity was assessed in terms of the Percentages of Subjects With Anti-RVNA concentration ≥0.5 IU/mL at Days 8, 15, 50, 91, 181 and 366 in Adult Subjects, ≥ 18 Years of Age.

    Percentage of subjects with RVNA titer ≥ 0.5 IU/mL at days 8, 15, 50, 91, 181 and 366 and group differences (4-sites,1-week without HRIG versus 4-sites,1-week with HRIG; 4-sites,1-week with HRIG versus 2-sites,TRC with HRIG; 4-sites,1-week without HRIG versus 2-sites, TRC without HRIG)

    Measured: At Days 8, 15,50, 91, 181 and 366

  6. Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration in Children and Adult Subjects, ≥ 1 Years of Age

    Immunogenicity was assessed in terms of the Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration at Days 8, 15, 50, 91, 181 and 366 in Children and Adult Subjects, ≥ 1 Years of Age

    Measured: At Days 8, 15, 50, 91, 181 and 366

  7. Percentages of Subjects With Anti-RVNA Titer ≥0.5 IU/mL in Children and Adult Subjects, ≥ 1 Years of Age

    Immunogenicity was assessed in terms of the Percentages of Subjects With Anti-RVNA concentration ≥0.5 IU/mL at Days 8, 15, 50, 91, 181 and 366 in Children and Adult Subjects, ≥ 1 Years of Age

    Measured: At Days 8, 15, 50, 91, 181 and 366

  8. Number of Subjects Who Reported Solicited Local and Systemic Adverse Events After Any Vaccination

    Number of subjects Who Reported Solicited Local and Systemic Adverse Events After Any Vaccination

    Measured: From day 1 to day 3; from day 4 to day 7; from day 8 to day 14; from day 29 to day 35(2-sites, TRC PEP, ID regimen)

  9. Number of Subjects Reporting Unsolicited Adverse Events (AEs)

    Safety was assessed in terms of the Number of Subjects Reporting Unsolicited Adverse Events (AEs)

    Measured: Day 1 to Day 366

  10. Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration ≥0.5 IU/mL and Vaccine Group Differences in Adult Subjects, ≥ 18 Years of Age

    Immunogenicity was assessed in terms of the Geometric Mean Rabies Virus Neutralizing Antibody (RVNA) Concentration ≥0.5 IU/mL at Days 8, 15, 50,91, 181 and 366 in Adult Subjects, ≥ 18 Years of Age

    Measured: At Days 8, 15, 50, 91, 181 and 366

  11. Percentages of Subjects With Anti-RVNA Titer ≥0.5 IU/mL in Adult Subjects, ≥ 18 Years of Age

    Immunogenicity was assessed in terms of the number of subjects With Anti-RVNA concentration ≥0.5 IU/mL at Days 8, 15, 50, 91, 181 and 366 in Adult Subjects, ≥ 18 Years of Age

    Measured: At Days 8, 15,50, 91, 181 and 366

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jun 2014 (estimated)
  2. Study startJun 2014
  3. Primary completionOct 2014
  4. Study completionAug 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
885 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02177032
Sponsor's protocol ID
V49_30
Other IDs
2013-CT0191
Status last verified
Feb 2017
First submitted
24 Jun 2014
Last updated
7 Apr 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rabies vaccine and Rabies vaccines + Rabies immunoglobulins in people with Rabies Infection, run by Novartis at 6 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Philippines, Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Apr 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentages of Subjects With RVNA Titer >= 0.5 and Vaccine Group Differences ("4-sites, 1-week" to That of "2-sites, TRC" ID PEP Regimen of the PCEC Rabies Vaccine With or Without HRIG Administration) (time frame: Study day 50 (D50)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Apr 2017.

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