Study to Compare the Efficacy and Safety of Passive Immunization With TNM002 Injection and Human Tetanus Immunoglobulin as Prophylaxis Against Tetanus

NCT ID: NCT05664750

Last Updated: 2024-03-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

675 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-22

Study Completion Date

2023-07-07

Brief Summary

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TNM002 Injection is a recombinant fully human native monoclonal antibody (mAb) against tetanus toxin and is currently under development for indication of prophylaxis against tetanus.

Detailed Description

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Conditions

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Tetanus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomized and receive a single intramuscular injection (IM) gluteal injection of TNM002 or human tetanus immunoglobulin (HTIG).
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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TNM002

If randomized to TNM002, participant will receive a single IM gluteal injection of TNM002

Group Type EXPERIMENTAL

TNM002

Intervention Type DRUG

Dosage Form: Injection, solution

Route of administration: IM gluteal injection

Human tetanus immunoglobulin (HTIG)

If randomized to HTIG, participant will receive a single IM gluteal injection of HTIG

Group Type ACTIVE_COMPARATOR

Human tetanus immunoglobulin (HTIG)

Intervention Type DRUG

Dosage Form: Injection, solution

Route of administration: IM gluteal injection

Interventions

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TNM002

Dosage Form: Injection, solution

Route of administration: IM gluteal injection

Intervention Type DRUG

Human tetanus immunoglobulin (HTIG)

Dosage Form: Injection, solution

Route of administration: IM gluteal injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Chinese male or female adults aged ≥ 18 years;
2. Participants with dirty or contaminated wounds caused by various injury who require passive immunization as prophylaxis against tetanus;
3. Participants who provide signed written informed consent form.

Exclusion Criteria

1. Known or suspected allergy to the investigational product or its excipients, or have a history of allergy to human immunoglobulin products or other therapeutic monoclonal immunoglobulins;
2. Suspect or diagnosed as tetanus;
3. Previously diagnosed as Immunoglobulin A (IgA) deficiency with anti-IgA antibodies
4. Prior vaccination history of ≥ 3 doses of tetanus toxoid or tetanus toxoid- containing vaccine;
5. Current alcohol abuse, drug abuse or drug addiction
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhuhai Trinomab Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chuanlin Wang, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University People's Hospital

Shengyi Wang

Role: STUDY_DIRECTOR

Zhuhai Trinomab Pharmaceutical Co., Ltd.

Locations

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Hefei First People's Hospital

Hefei, Anhui, China

Site Status

The Second Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Tiantan Hospital Affiliated to Capital Medical University

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Guangdong Provincial Hospital of Chinese Medicine

Guangzhou, Guangdong, China

Site Status

The Third Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

Guangzhou First People's Hospital

Guangzhou, Guangdong, China

Site Status

Nanfang Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

Shenzhen Second People's Hospital

Shenzhen, Guangdong, China

Site Status

Liuzhou Worker's Hospital - Fourth Affiliated Hospital of Guangxi Medical University

Liuzhou, Guangxi, China

Site Status

Affiliated Hospital of Zunyi Medical College

Zunyi, Guizhou, China

Site Status

Hainan General Hospital

Haikou, Hainan, China

Site Status

Zhejiang Provincial People's Hospital

Hangzhou, Hangzhou, China

Site Status

The Central Hospital of Wuhan, Tongji Medical College Huazhong University of Science&Technology

Wuhan, Hubei, China

Site Status

Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Affiliated Nanhua Hospital, University of South China

Hengyang, Hunan, China

Site Status

The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status

PKUCare Luzhong Hospital

Zibo, Shandong, China

Site Status

The First People's Hospital of Jinzhong

Jinzhong, Shanxi, China

Site Status

Shanxi Academy of Medical Sciences - Shanxi Bethune Hospital (Shanxi Dayi Hospital)

Taiyuan, Shanxi, China

Site Status

Yuncheng Central Hospital - East Campus

Yuncheng, Shanxi, China

Site Status

Countries

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China

References

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Wang CL, Liu S, Shao ZJ, Yin ZD, Chen QJ, Ma X, Ma C, Wang Q, Wang LH, Deng JK, Li YX, Zhao ZX, Wu D, Wu J, Zhang L, Yao KH, Gao Y, Xie X. [Guidelines for the use of post-traumatic tetanus vaccines and passive immune preparation]. Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Dec 6;53(12):1212-1217. doi: 10.3760/cma.j.issn.0253-9624.2019.12.005. Chinese.

Reference Type BACKGROUND
PMID: 31795577 (View on PubMed)

Roper MH, Vandelaer JH, Gasse FL. Maternal and neonatal tetanus. Lancet. 2007 Dec 8;370(9603):1947-59. doi: 10.1016/S0140-6736(07)61261-6.

Reference Type BACKGROUND
PMID: 17854885 (View on PubMed)

Tetanus vaccines: WHO position paper - February 2017. Wkly Epidemiol Rec. 2017 Feb 10;92(6):53-76. No abstract available. English, French.

Reference Type BACKGROUND
PMID: 28185446 (View on PubMed)

Yu Chao, Xu Yuming, Xu Jin, et al. Progress of clinical application and safety of tetanus antitoxin. Chinese Journal of Pharmacovigilance, 2016, 13 (1): 36-41.

Reference Type BACKGROUND

Perey BJ. Progress in tetanus prophylaxis: the advent of human antitoxin. Can Med Assoc J. 1966 Feb 26;94(9):437-41.

Reference Type BACKGROUND
PMID: 5902706 (View on PubMed)

Plotkin, S.A., W.A. Orenstein and P.A. Offit, Plotkin's vaccines. Seventh edition. ed. 2018. 1691.

Reference Type BACKGROUND

Ortiz JR, Hombach J. Announcing the publication of the WHO immunological basis for immunization series module on influenza vaccines. Vaccine. 2018 Sep 5;36(37):5504-5505. doi: 10.1016/j.vaccine.2017.09.010. Epub 2017 Oct 16.

Reference Type BACKGROUND
PMID: 29042200 (View on PubMed)

Forrat R, Dumas R, Seiberling M, Merz M, Lutsch C, Lang J. Evaluation of the safety and pharmacokinetic profile of a new, pasteurized, human tetanus immunoglobulin administered as sham, postexposure prophylaxis of tetanus. Antimicrob Agents Chemother. 1998 Feb;42(2):298-305. doi: 10.1128/AAC.42.2.298.

Reference Type BACKGROUND
PMID: 9527776 (View on PubMed)

Liang Z, Liu S, Guo W, Deng Z, Bin W, Yu A, Hu J, Wu L, Li Z, Huang W, Li H, Cheng D, Li S, Guo Q, Zhang D, Yan X, Wang C, Cai W, Ding B, Li W, Li X, Xu B, He L, Ouyang Y, Zhan H, Wang J, Zhao Y, Liu X, Xiang W, Zhang M, Zhang Z, Ding J, Kuang X, Zheng W, Liao H, Wang W, Wang C. Recombinant monoclonal antibody siltartoxatug versus plasma-derived human tetanus immunoglobulin for tetanus: a randomized, double-blind, active-controlled, phase 3 trial. Nat Med. 2025 Aug;31(8):2673-2681. doi: 10.1038/s41591-025-03791-8. Epub 2025 Jul 8.

Reference Type DERIVED
PMID: 40628965 (View on PubMed)

Related Links

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http://cdc.confex.com/cdc/nic2005/techprogram/paper_7813.htm

Srivastava P, B.K.C.J., Trends in tetanus epidemiology in the United States, 1972-2001. 39th National Immunization Conference Workshop 27, 2005. Available at: \<http://cdc.confex.com/cdc/nic2005/techprogram/paper\_7813.htm\>. 2005.

Other Identifiers

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TNM002-301

Identifier Type: -

Identifier Source: org_study_id

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