Safety and Immunogenicity of 2 Different Vaccination Schedules of Rabies and Japanese Encephalitis Vaccines in Healthy Adult Subjects
2 de diciembre de 2014 actualizado por: Novartis Vaccines
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.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
661
Fase
- Fase 3
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Hamburg
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Bernhard-Nocht-Strasse 74, Hamburg, Alemania, D-20359
- Bernhard Nocht Institute for Tropical Medicine
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Vienna
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Kinderspitalgasse 15, Vienna, Austria, A-1090
- Institute of Specific Prophylaxis and Tropical Medicine Center for Pathophysiology, Infectious Diseases and Immunology Medical University of Vienna
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Zürich
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Rämistrasse 71, Zürich, Suiza, CH-8006
- The University of Zurich
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años a 65 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
Sí
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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.
- 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.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Cuadruplicar
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Comparador activo: R/JE - Conv
Subjects 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.
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Subjects received three doses of Rabies, whole virus vaccine (inactivated, Germany).
Subjects received two doses of Japanese Encephalitis vaccine.
Subjects received either two, three, four or five doses of normal saline, 0.9% w/v sodium chloride depending on the vaccine group.
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Experimental: R/JE - Acc
Subjects 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.
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Subjects received three doses of Rabies, whole virus vaccine (inactivated, Germany).
Subjects received two doses of Japanese Encephalitis vaccine.
Subjects received either two, three, four or five doses of normal saline, 0.9% w/v sodium chloride depending on the vaccine group.
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Comparador activo: R - Conv
Subjects 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.
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Subjects received three doses of Rabies, whole virus vaccine (inactivated, Germany).
Subjects received either two, three, four or five doses of normal saline, 0.9% w/v sodium chloride depending on the vaccine group.
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Comparador activo: JE - Conv
Subjects 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.
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Subjects received two doses of Japanese Encephalitis vaccine.
Subjects received either two, three, four or five doses of normal saline, 0.9% w/v sodium chloride depending on the vaccine group.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Percentages of Subjects With RVNA Concentrations ≥0.5 IU/mL At 7 Days After Last Active Vaccination
Periodo de tiempo: Day 7 after last active vaccination (day 15 - group that received accelerated schedule, day 36 - group that received conventional schedule)
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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. |
Day 7 after last active vaccination (day 15 - group that received accelerated schedule, day 36 - group that received conventional schedule)
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Percentages of Subjects With PRNT50 Titer ≥1:10 At 28 Days After Last Active Vaccination
Periodo de tiempo: Day 28 after last active vaccination (day 36 - group that received accelerated schedule, day 57 - group that received conventional schedule)
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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. |
Day 28 after last active vaccination (day 36 - group that received accelerated schedule, day 57 - group that received conventional schedule)
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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RVNA Geometric Mean Concentrations (GMCs) At 28 Days After Last Active Vaccination
Periodo de tiempo: Day 57 (28 days after last active vaccination)
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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. |
Day 57 (28 days after last active vaccination)
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PRNT50 Geometric Mean Titers (GMTs) At 28 Days After Last Active Vaccination
Periodo de tiempo: Day 57 (28 days after last active vaccination)
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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. |
Day 57 (28 days after last active vaccination)
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Percentages of Subjects With RVNA Concentrations ≥0.5 IU/mL At 28 Days After Last Active Vaccination
Periodo de tiempo: Day 36 and day 57 (28 days after last active vaccination)
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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. |
Day 36 and day 57 (28 days after last active vaccination)
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Percentage of Subjects With PRNT50 Titer ≥1:10 At 7 Days After Last Active Vaccination
Periodo de tiempo: Day 15 and day 36 (28 after last active vaccination)
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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. |
Day 15 and day 36 (28 after last active vaccination)
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Kinetics of Rabies Immune Response Measured as Percentage of Subjects With RVNA Concentration ≥0.5 IU/mL
Periodo de tiempo: Day 1, 8, 15, 36, 57, 91, 181 and Day 366
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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.
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Day 1, 8, 15, 36, 57, 91, 181 and Day 366
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Kinetics of Rabies Immune Response Measured as the RVNA GMCs
Periodo de tiempo: Day 1, 8, 15, 36, 57, 91, 181, and 366
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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.
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Day 1, 8, 15, 36, 57, 91, 181, and 366
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Kinetics of JE Immune Response Measured as Percentage of Subjects With PRNT50 Titers ≥1:10
Periodo de tiempo: Days 1, 15, 22, 36, 57, 91, 181 and 366
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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).
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Days 1, 15, 22, 36, 57, 91, 181 and 366
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Kinetics of JE Immune Response Measured as PRNT50 GMTs
Periodo de tiempo: Day 1, 15, 22, 36, 57, 91, 181, and 366 (accelerated schedule) and day 1, 36, 57, 181, and 366 (conventional schedule)
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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).
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Day 1, 15, 22, 36, 57, 91, 181, and 366 (accelerated schedule) and day 1, 36, 57, 181, and 366 (conventional schedule)
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Number of Subjects Who Reported Solicited Local Adverse Events After Each Rabies Vaccination
Periodo de tiempo: Day 1 through day 7 after each vaccination (on day 1, 4, 8 and 29)
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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).
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Day 1 through day 7 after each vaccination (on day 1, 4, 8 and 29)
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Number of Subjects Who Reported Solicited Local AEs After Each JE Vaccination
Periodo de tiempo: Day 1 through day 7 after each vaccination (on day 1, 8 and 29)
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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).
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Day 1 through day 7 after each vaccination (on day 1, 8 and 29)
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Number of Subjects Who Reported Solicited Local AEs After Each Placebo Injection
Periodo de tiempo: Day 1 through day 7 after each injection (day 1, 4, 8 and 29)
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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).
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Day 1 through day 7 after each injection (day 1, 4, 8 and 29)
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Number of Subjects Who Reported Solicited Systemic AEs and Other Indicators of Reactogenicity After Each Vaccination
Periodo de tiempo: Day 1 through day 7 after each vaccination (day 1, 4, 8 and 29)
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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.
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Day 1 through day 7 after each vaccination (day 1, 4, 8 and 29)
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Numbers of Subjects Reporting Unsolicited AEs After Any Vaccination From Day 1 Through Day 57
Periodo de tiempo: Day 1 through Day 57
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Safety was assessed as the number of subjects who reported unsolicited AEs after any vaccination given according to accelerated and conventional schedule.
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Day 1 through Day 57
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- 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.
- 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.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de agosto de 2012
Finalización primaria (Actual)
1 de diciembre de 2012
Finalización del estudio (Actual)
1 de octubre de 2013
Fechas de registro del estudio
Enviado por primera vez
2 de agosto de 2012
Primero enviado que cumplió con los criterios de control de calidad
7 de agosto de 2012
Publicado por primera vez (Estimar)
10 de agosto de 2012
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
8 de diciembre de 2014
Última actualización enviada que cumplió con los criterios de control de calidad
2 de diciembre de 2014
Última verificación
1 de diciembre de 2014
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades Cerebrales
- Enfermedades del Sistema Nervioso Central
- Enfermedades del Sistema Nervioso
- Infecciones por virus de ARN
- Enfermedades virales
- Infecciones
- Encefalitis, Arbovirus
- Encefalitis Viral
- Enfermedades Virales del Sistema Nervioso Central
- Infecciones del Sistema Nervioso Central
- Encefalitis infecciosa
- Infecciones por arbovirus
- Enfermedades transmitidas por vectores
- Infecciones por Flavivirus
- Infecciones por Flaviviridae
- Infecciones Mononegavirales
- Infecciones por rabdoviridae
- Encefalitis Japonesa
- Encefalitis
- Rabia
Otros números de identificación del estudio
- V49_23
- 2011-005173-23 (Número EudraCT)
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .