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Rabies Post-exposure ProphylaxisPhase 3NCT05846568

Study to Evaluate GR1801's Efficacy and Safety

A Phase 3 study testing GR1801, Human Rabies Immunoglobulin(HRIG) and Rabies Vaccine in people with Rabies Post-exposure Prophylaxis, run by Genrix (Shanghai) Biopharmaceutical Co., Ltd. at 1 site in China.

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

The goal of this clinical trial is to compare the efficacy and safety of GR1801 injection with Human Rabies Immunoglobulin(HRIG) in patients with WHO Category 3 rabies exposure. Patients will receive GR1801 injection or HRIG. Each group will receive rabies vaccine as the WHO Essen regime after Study Drug. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rabies Post-exposure Prophylaxis
What is being tested?
GR1801, Human Rabies Immunoglobulin(HRIG) and Rabies Vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,200 participants
Where
1 siteChina
Study dates
21 Oct 2022to 6 Sep 2024
Phase
Phase 3
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Chinese males or females aged 18 years or above on Study Day 0 with legal identification documents and plan to live in the local area during the study;
  • WHO Category III rabies exposure;
  • Those who have an armpit temperature ≤ 37.0 °C;
  • Completed written informed consent process, signed the informed consent forms and Agreed to complete all follow-ups.

Who cannot join

  • WHO Category III rabies exposure but received wound suture treatment;
  • WHO Category III rabies exposure over 72 hours;
  • Previous receipt of rabies vaccination or rabies passive immunization;
  • History of bitten by animals such as dogs, cats, bats etc. within the 6 months before the Study Day 0;
  • History of any severe allergy for vaccination;
  • Had fever (armpit temperature ≥ 38.5 °C) or received any antipyretic, analgesic or anti-allergic drug within 3 days before Study Day 0;
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  • History of severe autoimmune diseases;
  • History of any severe neurological disease;
  • History of receiving any immunoglobulin or vaccine within 30 days before Study Day 0, or plan to use any such product during the study;
  • History of addiction to any narcotic, alcohol or drugs;
  • Previous receipt of any study product (drug, vaccine, biological product or device) within 6 months before Study Day 0, or plan to participate in any other clinical study during this study period;
  • Females who are pregnant or with urine pregnancy test positive.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Center for Disease Control and Prevention (CDC)

    Kunming, Yunnan, 650000

Other trials in China

About this study

Official title: A Phase III Clinical Trail to Evaluate the Efficacy,safety,pharmacokinetics and Immunogenicity Characteristics of GR1801 Injection for the Post-exposure Prophylaxis (PEP) of WHO Category 3 Rabies Exposure Patients.

The goal of this clinical trial is to compare the efficacy and safety of GR1801 injection with Human Rabies Immunoglobulin(HRIG) in patients with WHO Category 3 rabies exposure.

Patients will receive GR1801 injection or HRIG. Each group will receive rabies vaccine as the WHO Essen regime after Study Drug.

Read the detailed description

This is a randomized, double-blind, Human Rabies Immunoglobulin(HRIG) controlled Phase III clinical trial evaluating the efficacy, safety, pharmacokinetic and immunogenicity of GR1801 injection as a part of post-exposure prophylaxis (PEP) in patients with WHO Category 3 rabies exposure who have met all inclusion/exclusion criteria for their treatment group.

1200 patients aged 18 and above with WHO Category III rabies exposure should be enrolled as planned and randomly assigned to the experimental group and the control group based on a ratio of 3: 1. The random stratification factors include time of exposure (within or beyond 24 hours), bite location (above or below the neck), and number of bites (1 or more).

All the patients should receive wound infiltration injection of GR1801 or HRIG on Study Day 0 (wound conditions should be described and recorded both before and post injection by photos, including diameter, depth, expansion treatment, etc.), and should also receive intramuscular injection of one dose of the freeze-dried rabies vaccine for human use (Vero cells) into the deltoid muscle after the infiltration injection. Patients should also be given one dose of the freeze-dried rabies vaccine for human use (Vero cells) on Study Days 3, 7, 14, and 28 respectively according to the WHO Essen regime.

Rabies virus neutralizing antibodies (RVNA) should be collected 9 times from each subject prior to administration and on Study Day1, 3, 5, 7, 14, 42, 90, 365 post administration of Study Drug. RVNA should be assayed through rapid fluorescence focus inhibition test (RFFIT). The occurrence of rabies and survival conditions should be collected through every follow-up visit.

Adverse events should be classified in accordance with solicited adverse events and unsolicited adverse events. Solicited adverse events include local adverse events (such as injection sites pain, induration, swelling, redness, rash and pruritus) and systemic adverse events (such as fever, hypersensitivity, headache, fatigue, nausea, vomiting, arthralgia and myalgia). Unsolicited adverse events are those except solicited adverse events or solicited adverse events beyond 7 days after the first administration.

Solicited adverse events should be collected 7 days after the first administration. Unsolicited adverse events should be collected in 3 months after the first administration and serious adverse events(SAE) should be collected throughout the trial.

Being tested
GR1801, Human Rabies Immunoglobulin(HRIG), Rabies Vaccine
Keywords
Rabies, Rabies virus neutralizing antibodies, Post-exposure prophylaxis
Medical subject headings
Rabies

What participants receive

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

  • GR1801Biological

    The injection solution GR1801 does not contain preservatives. The excipients include histidine/histidine hydrochloride (20mM), trehalose (90 mg/mL), disodium EDTA (0.372mg/mL) and polysorbate 80 (0.5 mg/mL). The pH value is 5.8 and each bottle contains 2mg of GR1801 protein. The packaging material is a borosilicate glass tube injection bottle (2mL) with a halogenated butyl rubber stopper for injection and an aluminum-plastic composite cap for antibiotic bottles.

  • Human Rabies Immunoglobulin(HRIG)Biological

    The HRIG is a Chinese licensed Human Rabies Immunoglobulin produced by BOYA-BIO, which are derived from human plasma, and then purified and filled in the injectable vial form.

  • Rabies VaccineBiological

    The Chinese licensed freeze-dried rabies vaccine produced by CHENGDA PHARMACEUTICALS for human use (Vero Cells) which is indicated for the rabies Post-exposure Prophylaxis (PEP) .

Study groups in NCT05846568
Study groupRoleWhat they receive
Experimental Group: GR1801+Rabies vaccine(CHENGDA PHARMACEUTICALS)ExperimentalGR1801 injections are administered by wound infiltration injection or by intramuscular injection.GR1801 injections are a bispecific monoclonal antibody that exhibit a wide spectrum of activity against various wild-type rabies strains in vitro. Dosage form:2mg/1mL/vial, liquid, Dosage: 0.05mg/kg of GR1801 Frequency/duration: at Day 0. Rabies vaccine should be administered in deltoid muscle Dosage form: >=2.5 IU, freeze-dried vaccine, 0.5 mL after reconstitution, Frequency/duration: at Day 0, 3, 7, 14, 28.
Receives: Biological: GR1801; Biological: Rabies Vaccine
Control Group:HRIG(BOYA-BIO)+Rabies vaccine(CHENGDA PHARMACEUTICALS)Active comparatorHRIG is administered by wound infiltration injection or by intramuscular injection. Dosage form: 200 IU/2mL/vial, liquid, Dosage: 20 IU/kg, Frequency/duration: at Day 0. Rabies vaccine should be administered in deltoid muscle Dosage form: >=2.5 IU, freeze-dried vaccine, 0.5 mL after reconstitution, Frequency/duration: at Day 0, 3, 7, 14, 28.
Receives: Biological: Human Rabies Immunoglobulin(HRIG); Biological: Rabies Vaccine

What is being measured

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

  1. To evaluate the Geometric mean RVNA Concentration (accessd by Rapid Fluorescent Foci Inhibition Test(RIFFIT)) for GR1801 recipients is non-inferior to the Geometric mean RVNA Concentration for HRIG recipients on Study Day 7.

    RVNA(Rabies Virus Neutralizing Antibodies) geometric mean concentration of GR1801 recipients and HRIG recipients in combination with rabies vaccines.

    Measured: 7 days

  2. To evaluate the percentage of subjects with RVNA concentration ≥ 0.5 IU/mL on Study Day 14 in GR1801 recipients is non-inferior to the percentage of subjects with RVNA concentration ≥ 0.5 IU/mL for HRIG.

    The percentage of subjects with the RVNA geometric mean concentration ≥ 0.5 IU/mL in GR1801 recipients and HRIG recipients in combination with rabies vaccines.

    Measured: 14 days

  3. To evaluate the rabies post-exposure protection rate for GR1801 recipients is non-inferior to the protection rate for HRIG recipients on Study Day 365.

    The percentage of subjects with no case of rabies death in GR1801 recipients and HRIG recipients in combination with rabies vaccines.

    Measured: 365 days

Secondary outcomes (10)
  1. To evaluate the rabies post-exposure morbidity of GR1801 compared to HRIG within 90 days and 365 days after administration.

    The percentage of subjects with probable or confirmed cases of rabies.

    Measured: 365 days

  2. To evaluate the rabies post-exposure mortality of GR1801 compared to HRIG within 90 days and 365 days after administration.

    The percentage of subjects with cases of rabies death.

    Measured: 365 days

  3. To evaluate the rabies post-exposure survival rate of GR1801 compared to HRIG within 90 days and 365 days after administration.

    The percentage of subjects with rabies-free survival.

    Measured: 365 days

  4. To evaluate the Geometric mean RVNA Concentration of GR1801 compared to HRIG within 1,3,5,14,42,90 and 365 days after administration.

    RVNA geometric mean concentration.

    Measured: 365 days

  5. To evaluate the percentage of subjects with RVNA concentration ≥ 0.5 IU/mL of GR1801 compared to HRIG within 1,3,5,7,42,90 and 365 days after administration.

    The percentage of subjects with RVNA geometric mean concentration ≥ 0.5 IU/mL.

    Measured: 365 days

  6. To evaluate the detection rate of RVNA concentration of GR1801 compared to HRIG within 1,3,5,7,14,42,90 and 365 days after administration.

    The percentage of subjects whose RVNA geometric mean concentration are below the quantization limit.

    Measured: 365 days

  7. To evaluate the safety of GR1801 compared to HRIG within 365 days.

    Number of participants with treatment-related adverse events or serious adverse events as assessed by CTCAE v5.0

    Measured: 365 days

  8. To evaluate the peak plasma concentration(Cmax) of GR1801 within 365 days.

    The peak plasma concentration of GR1801 will be estimated at D3,D7,D14 and D42,using non compartmental analysis.

    Measured: 365 days

  9. To evaluate the Area under the plasma concentration versus time curve (AUC0-last,AUC0-inf) of GR1801 within 365 days.

    The Area under the plasma concentration versus time curve (AUC0-last,AUC0-inf) of GR1801 will be estimated at D3,D7,D14 and D42,using non compartmental analysis.

    Measured: 365 days

  10. To evaluate the immunogenicity of GR1801 within 365 days.

    To assess the anti-drug-antibodies (ADA) and neutralizing antibodies (NAb) of GR1801.

    Measured: 365 days

Timeline

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

  1. First posted6 May 2023
  2. Study start21 Oct 2022
  3. Primary completion6 Sep 2023
  4. Study completion6 Sep 2024

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
Model description
1200 patients aged 18 and above with WHO Category III rabies exposure should be enrolled as planned and randomly assigned to the GR1801 injection group and the HRIG group based on a ratio of 3: 1. The random stratification factors include time of exposure (within or beyond 24 hours), bite location (above or below the neck), and number of bites (1 or more).
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05846568
Sponsor's protocol ID
GR1801-003
Status last verified
Sep 2023
First submitted
6 Apr 2023
Last updated
25 Sep 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wang X, He J, Zha Y, Jiang Y, Tan S, Li Q, Zhao R, Su H, Shi Y, Yang Z, Zhang S, Zhou Y, Yi X, Pu R, He X, Chang R, Ma Y, Chen Y, Yang G, Zhang Y, Yang Y, Li X, Li M, Li S, Bao W, Li T, Liu X. Comparison of Silevimig, a Novel Bispecific Anti-Rabies Monoclonal Antibody, with Human Rabies Immunoglobulin for Post-Exposure Prophylaxis: A Phase III, Randomized, Double-Blind, Non-Inferiority Trial. Clin Infect Dis. 2026 Sep 21:ciag551. doi: 10.1093/cid/ciag551. Online ahead of print.

    PubMed 42764163

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GR1801, Human Rabies Immunoglobulin(HRIG) and Rabies Vaccine in people with Rabies Post-exposure Prophylaxis, run by Genrix (Shanghai) Biopharmaceutical Co., Ltd. at 1 site in China.

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 12 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 25 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

To evaluate the Geometric mean RVNA Concentration (accessd by Rapid Fluorescent Foci Inhibition Test(RIFFIT)) for GR1801 recipients is non-inferior to the Geometric mean RVNA Concentration for HRIG recipients on Study Day 7. (time frame: 7 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05846568, which also lists 1 linked publication.

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 25 Sep 2024.

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