Clinical trial • Phase IV • Infectious Disease
Rabies virus (inactivated) strain Flury LEP for Viral infections
Phase IV trial of Rabies virus (inactivated) strain Flury LEP for Viral infections.
Overview
- Trial Therapeutic Area
- Infectious Disease
- Trial Disease
- Viral infections
- Trial Stage
- Phase IV
- Drug Modality
- Vaccine
Key dates
- Initial CTIS Submission Date
- 05-09-2024
- First CTIS Authorization Date
- 19-09-2024
Trial design
Reference/comparator group: subjects who received primary vaccination with two-visit, single-dose pre-exposure rabies vaccination (two-visit single-dose PrEP). Investigational regimen: single-visit single-dose intramuscular rabies PrEP (single 1.0 mL intramuscular dose).-controlled Phase IV trial across 1 site in Netherlands.
- Comparator
- Reference/comparator group: subjects who received primary vaccination with two-visit, single-dose pre-exposure rabies vaccination (two-visit single-dose PrEP). Investigational regimen: single-visit single-dose intramuscular rabies PrEP (single 1.0 mL intramuscular dose).
- Target Sample Size
- 240
- Trial Duration For Participant
- 1825
Eligibility
Recruits 240 Vulnerable populations are not selected for this trial. Participants must be able to provide informed consent (inclusion criterion: "Able to provide informed consent"); only adults (age 18-40) are eligible. No assent process or enrolment of minors indicated..
- Pregnancy Exclusion
- Pregnancy or breastfeeding during study visits in which the participant is vaccinated
- Vulnerable Population
- Vulnerable populations are not selected for this trial. Participants must be able to provide informed consent (inclusion criterion: "Able to provide informed consent"); only adults (age 18-40) are eligible. No assent process or enrolment of minors indicated.
Inclusion criteria
- {"criterion_text":"- Age between 18 and 40 years\n- Good health according to investigator\n- Willingness and ability to adhere to the study regimen\n- Able to provide informed consent\n- Naïve to rabies exposure or vaccination\n- Willing to comply to a follow-up of 5 years\n- Unlikely to require rabies PrEP in next 5 years"}
Exclusion criteria
- {"criterion_text":"- History of previous rabies vaccination\n- History of any neurological disorder including epilepsy\n- Pregnancy or breastfeeding during study visits in which the participant is vaccinated\n- Any current infectious disease other than seasonal cold\n- Bleeding disorders or use of anticoagulants\n- Suspected previous vaccination against rabies\n- Known or suspected severe allergy against egg protein\n- Known or suspected allergy against any of the other vaccine components\n- History of unusual or severe reactions to any previous vaccination\n- History of (pre)syncope associated with medical procedures involving n\n- Immunocompromized state due to illness or medication\n- Administration of plasma or blood products three months prior to inclusion\n- (hydroxy)chloroquine or mefloquine use"}
Endpoints
Primary endpoints
- {"endpoint_text":"- The primary endpoint is the rate of increase of geometric mean concentrations (GMC) of neutralizing antibodies between day 1 and day 8 after revaccination","definition_or_measurement_approach":"Rate of increase of geometric mean concentrations (GMC) of neutralizing antibodies measured between day 1 and day 8 after revaccination (GMC of RVNA)."}
Secondary endpoints
- {"endpoint_text":"- Percentage of subjects with RVNA titer >0.5 IU/mL at D1, D57 or D64, Y1, Y2 and Y5 after primary vaccination.","definition_or_measurement_approach":"Proportion of subjects with rabies virus neutralizing antibody (RVNA) titer >0.5 IU/mL measured at the specified time points."}
- {"endpoint_text":"- Percentage of subjects with RVNA titer >0.5 IU/mL at D1, D8 and D15 after the simulated post-exposure vaccination","definition_or_measurement_approach":"Proportion of subjects with RVNA titer >0.5 IU/mL measured at D1, D8 and D15 after simulated post-exposure vaccination."}
- {"endpoint_text":"- Percentage of subjects with RVNA titer >3 IU/mL, and percentage of subjects with RVNA titers >5 IU/mL at day 8 after simulated PEP.","definition_or_measurement_approach":"Proportion of subjects with RVNA titers exceeding 3 IU/mL and 5 IU/mL at day 8 after simulated post-exposure prophylaxis (PEP)."}
- {"endpoint_text":"- GMCs at D1, D57 or D64, Y1, Y2 and Y5 after primary vaccination, and at D1, D8 and D15 after the simulated post-exposure vaccination","definition_or_measurement_approach":"Geometric mean concentrations (GMCs) of RVNA measured at the listed time points after primary vaccination and after simulated post-exposure vaccination."}
Recruitment
- Planned Sample Size
- 240
- Recruitment Window Months
- 72
- Consent Approach
- Participants must provide informed consent (inclusion criterion: "Able to provide informed consent"). Only adults aged 18-40 are eligible. A subject information sheet and informed consent form document is listed (L1_SIS and ICF), but specific languages or age-specific consent/assent procedures are not specified in the provided source.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 240
Netherlands
- Latest Decision Or Authorization Date
- 19-09-2024
- Processing Time Days
- 14
- Number Of Sites
- 1
- Number Of Participants
- 240
Sites
- Site Name
- Leids Universitair Medisch Centrum (LUMC)
- Department Name
- Infectious Diseases
- Principal Investigator Name
- Leo Visser
- Principal Investigator Email
- l.g.visser@lumc.nl
- Contact Person Name
- Leo Visser
- Contact Person Email
- l.g.visser@lumc.nl
Sponsor
Primary sponsor
- Full Name
- Academisch Ziekenhuis Leiden
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Netherlands
Investigational products
- Investigational Product Name
- Rabipur poeder en oplosmiddel voor oplossing voor injectie in een voorgevulde spuit.Rabiësvaccin (geïnactiveerd).
- Active Substance
- Rabies virus (inactivated) strain Flury LEP
- Modality
- Vaccine
- Routes Of Administration
- Intramuscular injection
- Route
- Intramuscular injection
- Authorisation Status
- Authorised (marketing authorisation RVG 117796, NL)
- Starting Dose
- 1.0 mL
- Dose Levels
- 1.0 mL (single-dose primary vaccination)
- Frequency
- Single intramuscular dose (primary vaccination); revaccination/simulated PEP timepoints per protocol
- Maximum Dose
- 3 ml (maxTotalDoseAmount = 3)
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