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RabiesPhase 3NCT01662440

Safety and Immunogenicity of 2 Different Vaccination Schedules of Rabies and Japanese Encephalitis Vaccines in Healthy Adult Subjects

A Phase 3 study testing Rabies and Japanese Encephalitis in people with Rabies and Japanese Encephalitis, run by Novartis Vaccines at 3 sites in 3 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

Establish non-inferiority of the immune response and evaluate the safety and tolerability of Rabies and Japanese Encephalitis (JE) vaccines given concomitantly or alone and according to either of 2 schedules for preexposure prophylaxis. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Rabies, Japanese Encephalitis
What is being tested?
Rabies and Japanese Encephalitis
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
661 participants
Where
3 sitesin 3 countries
Study dates
Aug 2012to Oct 2013
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 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Males and females between 18 and 65 years of age (inclusive).
  • Subjects who have given written consent.
  • Individuals in good health as per investigator judgement.

Who cannot join

  • If female, pregnancy or unwillingness to practice acceptable contraception.
  • If female, pregnant or breast-feeding or any positive/indeterminate pregnancy test.
  • Contraindication or precaution against Rabies and Japanese Encephalitis vaccination.
  • Unable to comprehend and to follow all required study procedures for the whole period of the study.
  • Participating in any other clinical trial 30 days prior to first study visit.
  • History of previous rabies/rabies immunoglobulin and/or Japanese Encephalitis immunization.
Show all 12Show fewer
  • Receiving or planning to receive anti-malarial medications (e.g. Mefloquine) 14 days prior to Day 1 vaccination through Day 43.
  • Received any other vaccines within 2 weeks prior to enrollment in this study or plan to receive any vaccine within 4 weeks from the study vaccines.
  • Ever received blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation in the past 12 weeks.
  • Individuals who are part of study personnel or close family members conducting this study.
  • Body temperature ≥38 degrees Celsius (≥ 100.4° F) within 3 days of intended study vaccination.
  • Plans to travel within the next year to areas where Rabies and/or Japanese Encephalitis vaccine may be considered or offered. This includes but is not limited to India, Asia, Pacific-Rim, African countries.

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Austria1 site
  • Institute of Specific Prophylaxis and Tropical Medicine Center for Pathophysiology, Infectious Diseases and Immunology Medical University of Vienna

    Kinderspitalgasse 15, State of Vienna, A-1090

Other trials in Austria

Germany1 site
  • Bernhard Nocht Institute for Tropical Medicine

    Bernhard-Nocht-Strasse 74, Free and Hanseatic City of Hamburg, D-20359

Other trials in Germany

Switzerland1 site
  • The University of Zurich

    Rämistrasse 71, Canton of Zurich, CH-8006

Other trials in Switzerland

About this study

Official title: A Phase III, Multicenter, Observer-blind, Safety and Immunogenicity Study of Rabies Vaccine and Japanese Encephalitis Vaccine Administered Concomitantly and/or Separately According to 1 of 2 Different Preexposure Prophylaxis Schedules to Healthy Adult Subjects.

Establish non-inferiority of the immune response and evaluate the safety and tolerability of Rabies and Japanese Encephalitis (JE) vaccines given concomitantly or alone and according to either of 2 schedules for preexposure prophylaxis.

Being tested
Rabies, Japanese Encephalitis, Placebo
Keywords
Rabies, JE, accelerated schedule
Medical subject headings
Rabies, Encephalitis, Japanese

What participants receive

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

  • RabiesBiological

    Subjects received three doses of Rabies, whole virus vaccine (inactivated, Germany).

  • Japanese EncephalitisBiological

    Subjects received two doses of Japanese Encephalitis vaccine.

  • PlaceboOther

    Subjects received either two, three, four or five doses of normal saline, 0.9% w/v sodium chloride depending on the vaccine group.

Study groups in NCT01662440
Study groupRoleWhat they receive
R/JE - ConvActive comparatorSubjects received Rabies and Japanese Encephalitis (JE) vaccines following the conventional schedule, ie, Rabies vaccination on days 1, 8, and 29, and placebo on day 4 in the right arm or leg; and JE vaccination on day 1 and 29, and placebo on day 8 in the left arm.
Receives: Biological: Rabies; Biological: Japanese Encephalitis; Other: Placebo
R/JE - AccExperimentalSubjects received Rabies and JE vaccines following the accelerated schedule, ie, Rabies vaccination on days 1, 4, and 8, and placebo on day 29 in the right arm or leg; and JE vaccination on days 1 and 8, and placebo on day 29 in the left arm.
Receives: Biological: Rabies; Biological: Japanese Encephalitis; Other: Placebo
R - ConvActive comparatorSubjects received Rabies vaccine following the conventional schedule, ie, Rabies vaccination on days 1, 8, and 29, and placebo on day 4 in the right arm or leg; and placebo on days 1, 8 and 29 in the left arm.
Receives: Biological: Rabies; Other: Placebo
JE - ConvActive comparatorSubjects received JE vaccine following the conventional schedule, ie, placebo on days 1, 4, 8 and 29 in the right arm or leg; and JE vaccination on days 1 and 29 and placebo injection on day 8 in the left arm.
Receives: Biological: Japanese Encephalitis; Other: Placebo

What is being measured

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

  1. Percentages of Subjects With RVNA Concentrations ≥0.5 IU/mL At 7 Days After Last Active Vaccination

    Immune response was measured as the percentage of subjects with rabies virus neutralizing antibody (RVNA) concentrations ≥0.5 IU/mL, evaluated using the rapid fluorescent focus inhibition test at day 7 after last active vaccination, i.e. the third out of four vaccinations given in the accelerated Rabies vaccine schedule and the fourth out of four vaccinations given in the conventional Rabies vaccine schedule.

    As per study design, this primary immunogenicity outcome measure aimed to demonstrate non-inferiority of R/JE - Acc Vs R - Conv.

    Measured: Day 7 after last active vaccination (day 15 - group that received accelerated schedule, day 36 - group that received conventional schedule)

  2. Percentages of Subjects With PRNT50 Titer ≥1:10 At 28 Days After Last Active Vaccination

    Immune response was measured as the percentages of subjects with a titer of ≥1:10 in a 50% plaque reduction neutralization test (PRNT50) 28 days after last active vaccination, ie, the second out of three vaccinations given in the accelerated JE vaccine schedule and the third out of three vaccinations given in the conventional JE vaccine schedule.

    As per study design, this primary immunogenicity outcome measure aimed to demonstrate non-inferiority of R/JE - Acc Vs JE - Conv.

    Measured: Day 28 after last active vaccination (day 36 - group that received accelerated schedule, day 57 - group that received conventional schedule)

Secondary outcomes (13)
  1. RVNA Geometric Mean Concentrations (GMCs) At 28 Days After Last Active Vaccination

    Immune response was measured as the RVNA GMCs 28 days after last active vaccination, ie, day 57 for all groups that received the conventional schedule.

    Data were adjusted using ANOVA model, as per protocol specification.

    Measured: Day 57 (28 days after last active vaccination)

  2. PRNT50 Geometric Mean Titers (GMTs) At 28 Days After Last Active Vaccination

    Immune response was measured as the PRNT50 GMTs 28 days after last active vaccination, ie, day 57 for all groups that received the conventional schedule.

    Data were adjusted using ANOVA model, as per protocol specifications.

    Measured: Day 57 (28 days after last active vaccination)

  3. Percentages of Subjects With RVNA Concentrations ≥0.5 IU/mL At 28 Days After Last Active Vaccination

    Immune response was measured as the percentages of subjects with RVNA concentration ≥0.5 IU/mL 28 days after last active vaccination, ie, day 36 for the group that received the accelerated schedule and day 57 for the group that received the conventional schedule.

    As per study design, this secondary immunogenicity outcome measure aimed to demonstrate non-inferiority of R/JE - Acc Vs R - Conv.

    Measured: Day 36 and day 57 (28 days after last active vaccination)

  4. Percentage of Subjects With PRNT50 Titer ≥1:10 At 7 Days After Last Active Vaccination

    Immune response was measured as the percentage of subjects with PRNT50 titer of ≥1:10 7 days after last active vaccination, ie, day 15 for the group that received the accelerated schedule and day 36 for the group that received the conventional schedule.

    As per study design, this secondary immunogenicity outcome measure aimed to demonstrate non-inferiority of R/JE - Acc Vs JE - Conv.

    Measured: Day 15 and day 36 (28 after last active vaccination)

  5. Kinetics of Rabies Immune Response Measured as Percentage of Subjects With RVNA Concentration ≥0.5 IU/mL

    To evaluate the kinetics of antibody response to Rabies vaccine, the immunogenicity was measured as the percentage of subjects with RVNA concentrations ≥0.5 IU/mL on days 1, 8, 15, 36, 57, 91, 181, and 366.

    Measured: Day 1, 8, 15, 36, 57, 91, 181 and Day 366

  6. Kinetics of Rabies Immune Response Measured as the RVNA GMCs

    To evaluate the kinetics of antibody response to Rabies vaccine, the immunogenicity was measured as the RVNA GMCs on days 1, 8, 15, 36, 57, 91, 181, and 366.

    Measured: Day 1, 8, 15, 36, 57, 91, 181, and 366

  7. Kinetics of JE Immune Response Measured as Percentage of Subjects With PRNT50 Titers ≥1:10

    To evaluate the kinetics of antibody response to JE vaccine, the immunogenicity was measured as the percentage of subjects with PRNT50 titer ≥1:10 on days 1, 15, 22, 36, 57, 91, 181, and 366 (group that received JE vaccine as an accelerated schedule) and days 1, 36, 57, 181, and 366 (group that received JE vaccine as a conventional schedule).

    Measured: Days 1, 15, 22, 36, 57, 91, 181 and 366

  8. Kinetics of JE Immune Response Measured as PRNT50 GMTs

    To evaluate the kinetics of antibody response to JE vaccine, the immunogenicity was measured as the PRNT50 GMTs on days 1, 15, 22, 36, 57, 91, 181, and 366 (group that received JE vaccine as an accelerated schedule) and days 1, 36, 57, 181, and 366 (group that received JE vaccine as a conventional schedule).

    Measured: Day 1, 15, 22, 36, 57, 91, 181, and 366 (accelerated schedule) and day 1, 36, 57, 181, and 366 (conventional schedule)

  9. Number of Subjects Who Reported Solicited Local Adverse Events After Each Rabies Vaccination

    Safety was assessed as the number of subjects who reported solicited local adverse events (AEs) after each rabies vaccination given according to accelerated or conventional schedule as follows: from day 1 through day 7 (vaccination on day 1; all Rabies groups), day 4 through day 10 (vaccination on day 4; in R/JE - Acc group only), day 8 through day 14 (vaccination on day 8; all Rabies groups), or day 29 through day 35 (vaccination on day 29; R/JE - Conv and R - Conv groups).

    Measured: Day 1 through day 7 after each vaccination (on day 1, 4, 8 and 29)

  10. Number of Subjects Who Reported Solicited Local AEs After Each JE Vaccination

    Safety was assessed as the number of subjects who reported solicited local AEs after each JE vaccination given according to accelerated or conventional schedule as follow: from day 1 through day 7 (vaccination on day 1; all JE groups), day 8 through day 14 (vaccination on day 8; R/JE - Acc group only), or day 29 through day 35 (vaccination on day 29; R/JE - Con and JE - Conv groups).

    Measured: Day 1 through day 7 after each vaccination (on day 1, 8 and 29)

  11. Number of Subjects Who Reported Solicited Local AEs After Each Placebo Injection

    Safety was assessed as the number of subjects who reported solicited local AEs after each placebo injection given according to accelerated and conventional schedule as follow: from day 1 through day 7 (injection on day 1; R - Conv and JE - Conv groups), day 4 through day 10 (injection on day 4; in R/JE - Conv, R - Conv and JE - Conv groups), day 8 through day 14 (injection on day 8; in R/JE - Conv, R - Conv and JE - Conv groups), and day 29 through day 35 (injection on day 29; R/JE - Acc, R - Con and JE - Conv groups).

    Measured: Day 1 through day 7 after each injection (day 1, 4, 8 and 29)

  12. Number of Subjects Who Reported Solicited Systemic AEs and Other Indicators of Reactogenicity After Each Vaccination

    Safety was assessed as the number of subjects who reported solicited systemic AEs and other indicators of reactogenicity after each vaccination given according to accelerated and conventional schedule.

    Measured: Day 1 through day 7 after each vaccination (day 1, 4, 8 and 29)

  13. Numbers of Subjects Reporting Unsolicited AEs After Any Vaccination From Day 1 Through Day 57

    Safety was assessed as the number of subjects who reported unsolicited AEs after any vaccination given according to accelerated and conventional schedule.

    Measured: Day 1 through Day 57

Timeline

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

  1. First posted10 Aug 2012 (estimated)
  2. Study startAug 2012
  3. Primary completionDec 2012
  4. Study completionOct 2013

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
661 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01662440
Sponsor's protocol ID
V49_23
Other IDs
2011-005173-23
Status last verified
Dec 2014
First submitted
2 Aug 2012
Last updated
8 Dec 2014
Data monitoring committee
No

Publications

  • Cramer JP, Jelinek T, Paulke-Korinek M, Reisinger EC, Dieckmann S, Alberer M, Buhler S, Bosse D, Meyer S, Fragapane E, Costantini M, Pellegrini M, Lattanzi M, Dovali C. One-year immunogenicity kinetics and safety of a purified chick embryo cell rabies vaccine and an inactivated Vero cell-derived Japanese encephalitis vaccine administered concomitantly according to a new, 1-week, accelerated primary series. J Travel Med. 2016 Mar 19;23(3):taw011. doi: 10.1093/jtm/taw011. Print 2016 Mar.

    PubMed 26994987
  • Jelinek T, Cramer JP, Dieckmann S, Hatz C, Paulke-Korinek M, Alberer M, Reisinger EC, Costantini M, Gniel D, Bosse D, Lattanzi M. Evaluation of rabies immunogenicity and tolerability following a purified chick embryo cell rabies vaccine administered concomitantly with a Japanese encephalitis vaccine. Travel Med Infect Dis. 2015 May-Jun;13(3):241-50. doi: 10.1016/j.tmaid.2015.05.008. Epub 2015 May 18.

    PubMed 26005163

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rabies and Japanese Encephalitis in people with Rabies and Japanese Encephalitis, run by Novartis Vaccines at 3 sites in 3 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 3 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 8 Dec 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Austria, Germany, Switzerland. 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 8 Dec 2014). 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 Concentrations ≥0.5 IU/mL At 7 Days After Last Active Vaccination (time frame: Day 7 after last active vaccination (day 15 - group that received accelerated schedule, day 36 - group that received conventional schedule)). The study lists 2 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 NCT01662440, which also lists 2 linked publications.

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 8 Dec 2014.

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