A Randomized, Open-label Study Comparing Two Different Rabies Vaccine Schedules in Chinese Children and Older Adults

NCT ID: NCT01680016

Last Updated: 2014-05-20

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

644 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2013-01-31

Brief Summary

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This study was designed to evaluate the safety and immunogenicity of two simulated postexposure rabies vaccination schedules (Zagreb 2-1-1 and Essen 1-1-1-1-1) in Chinese children and older adults.

Detailed Description

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This study was designed to evaluate the safety and immunogenicity of Rabipur Zagreb (2-1-1) and Rabipur Essen (1-1-1-1-1) simulated post exposure vaccination schedules in Chinese children and older adults. Subjects randomized to Group 1 (Zagreb) will receive 4 doses of rabies vaccine Day 1 (2 doses), and on Day 8 and Day 22. Subjects randomized to Group 2 (Essen) will receive 5 doses of rabies vaccine on Days 1, 4, 8, 15, and 29. First vaccine will be administered on study Day 1.

240 children and 400 older adults, a total of 640, is planned to be enrolled into the study. Subjects will be divided further into age subsets of equal numbers within each age cohort (children: 6 to 11 years of age and 12 to 17 years of age; older adults: 51 to 60 years of age and 61 years of age and older. Within each age subset, subjects will be assigned randomly in a 1:1 ratio.

The primary objective is to establish the non-inferiority of the Rabipur Zagreb (2-1-1) schedule relative to the conventional Rabipur Essen (1-1-1-1-1) schedule based on geometric mean titers (GMC), and the secondary objective is to assess the percent of subjects with rabies virus neutralizing titer ≥ 0.5 IU/mL 14 days after the first vaccinations (study Day 15) for each schedule and age cohort

Conditions

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Rabies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Zagreb(≥6 to ≤17 Years)

Group Type EXPERIMENTAL

Zagreb

Intervention Type BIOLOGICAL

Subjects received Zagreb schedule (2-1-1) i.e. 4 vaccinations of Rabipur at days 1 , 8 and 22

Zagreb(≥51 Years)

Group Type EXPERIMENTAL

Zagreb

Intervention Type BIOLOGICAL

Subjects received Zagreb schedule (2-1-1) i.e. 4 vaccinations of Rabipur at days 1 , 8 and 22

Essen(≥6 to ≤17 Years)

Group Type ACTIVE_COMPARATOR

Essen

Intervention Type BIOLOGICAL

Subjects received Essen schedule (1-1-1-1-1) i.e. 5 vaccinations of Rabipur at days 1, 4, 8, 15 and 29

Essen(≥51 Years)

Group Type ACTIVE_COMPARATOR

Essen

Intervention Type BIOLOGICAL

Subjects received Essen schedule (1-1-1-1-1) i.e. 5 vaccinations of Rabipur at days 1, 4, 8, 15 and 29

Interventions

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Zagreb

Subjects received Zagreb schedule (2-1-1) i.e. 4 vaccinations of Rabipur at days 1 , 8 and 22

Intervention Type BIOLOGICAL

Essen

Subjects received Essen schedule (1-1-1-1-1) i.e. 5 vaccinations of Rabipur at days 1, 4, 8, 15 and 29

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Individuals between 6-17 years of age and 51 years of age or older
* Individuals who were in good health
* Provided consent, complied with study procedures and duration of follow-up

Exclusion Criteria

* Contraindications to vaccination with rabies vaccine
* Body temperature ≥37.5◦C (axillary) within 3 days of intended study vaccination
* Known hypersensitivity to the components of the vaccine
* Previously received any rabies vaccine or immune globulin
* Previous or planned treatment with antimalarial medications
* History of psychiatric disease, immune disorder, bleeding disorder, drug/alcohol abuse within the past 2 years, malignancy
* Female subjects who were pregnant or unwilling to practice acceptable birth control methods
* Individuals enrolled or plans to enroll in another investigational trial
Minimum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Novartis Vaccines

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Vaccines

Role: STUDY_CHAIR

Novartis Vaccines

Locations

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Mengshan Center for Disease Prevention and Control (CDC)

Mengshan, Guangxi, China

Site Status

Countries

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China

References

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Li R, Li Y, Wen S, Wen H, Nong Y, Mo Z, Xie F, Pellegrini M. Immunogenicity and safety of purified chick-embryo cell rabies vaccine under Zagreb 2-1-1 or 5-dose Essen regimen in Chinese children 6 to 17 years old and adults over 50 years: a randomized open-label study. Hum Vaccin Immunother. 2015;11(2):435-42. doi: 10.4161/21645515.2014.994460.

Reference Type DERIVED
PMID: 25692350 (View on PubMed)

Other Identifiers

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V49_24

Identifier Type: -

Identifier Source: org_study_id

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