A Phase III, Randomized, Blinded, and Homologous Vaccine-Controlled Clinical Trial to Evaluate the Immunogenicity and Safety of the Rabies Vaccine (Human Diploid Cell), Freeze-dried, Vaccinated With Different Immunization Schedules in a Population Aged 10 to 60 Years
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 3,000
- 试验地点
- 5
- 主要终点
- Seroconversion rate and geometric mean concentration (GMC) of rabies virus neutralizing antibodies in baseline seronegative participants 14 days after the first dose.
研究概览
简要总结
A total of 3,000 participants will be enrolled, stratified by age into two groups: 600 participants aged 10-17 years and 2,400 participants aged 18-60 years. Within each age group, participants will be randomly assigned in a 1:1:1:1:1 ratio to one of five vaccination schedule groups: Essen Control Group (Group A), Essen Experimental Group (Group B), Zagreb Experimental Group (Group C), Simplified Four-Dose Group 1 (Group D), and Simplified Four-Dose Group 2 (Group E).
Among participants in the four experimental groups-Essen Experimental Group, Zagreb Experimental Group, Simplified Four-Dose Group 1, and Simplified Four-Dose Group 2-stratified block randomization will be applied. Within each age group and each vaccination schedule group, participants will be further randomized in a 1:1:1 ratio into three subgroups: those receiving a booster dose at Day 90 after completion of the primary immunization, those receiving a booster dose at Day 180, and those undergoing assessment of immune persistence at Day 360 after completion of the primary immunization.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 10 Years 至 60 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged between 10 and 60 years at the time of enrollment.
- •The participant and/or their legal guardian voluntarily agrees to participate in the trial and signs the informed consent form.
- •The participant and their family are able to comply with the trial follow-up schedule as required by the protocol (no plans for extended absence or relocation from the study site).
- •Female participants are neither pregnant nor lactating (negative urine pregnancy test prior to vaccination), and have no plans to become pregnant within 2 months after enrollment.
排除标准
- •a Exclusion criteria for the first dose:
- •Axillary body temperature ≥37.3°C at screening.
- •History of rabies vaccination or administration of rabies-specific passive immunization products, or history of bites/scratches by dogs or other mammals within the past year.
- •History of severe allergic reactions requiring medical intervention to any vaccine or vaccine components, such as anaphylactic shock, allergic laryngeal edema, allergic purpura, Arthus reaction, severe urticaria, or angioedema.
- •Fever, acute or chronic infectious diseases (e.g., active tuberculosis, viral hepatitis), or acute exacerbation of chronic illness within 3 days before the first vaccine dose.
- •Receipt of blood, blood products, or immunoglobulins within 3 months prior to the first vaccine dose, or planned use of such products within 1 month after the final vaccine dose.
- •Receipt of any other vaccines within 14 days prior to the first vaccine dose.
- •Asplenia or functional asplenia due to any condition (e.g., splenectomy).
- •Diagnosed congenital or acquired immunodeficiency (including HIV infection), or treatment with immunosuppressive agents within the past 3 months (e.g., systemic corticosteroids for ≥14 days at doses ≥2 mg/kg/day or ≥20 mg/day of prednisone or equivalent).
- •Presence of severe congenital malformations, autoimmune (hereditary) diseases, or severe chronic conditions (including but not limited to: thalassemia, heart disease, kidney disease, diabetes, hereditary allergic constitution, Guillain-Barré syndrome, etc.)
- •Personal or family history of convulsions, epilepsy, encephalopathy, or psychiatric disorders.
- •Contraindications to intramuscular injection (e.g., diagnosed thrombocytopenia, any coagulation disorder, or current use of anticoagulant therapy).
- •Uncontrolled hypertension (e.g., systolic BP ≥160 mmHg and/or diastolic BP ≥100 mmHg at screening for adults aged 18 years and above).
- •Currently participating in another clinical trial involving investigational or unregistered products (drugs or vaccines), or planning to participate in another clinical trial before completion of this study.
- •Any condition that, in the opinion of the investigator, may interfere with the evaluation of the study objectives.
- •b Exclusion criteria for subsequent doses:
- •Positive urine pregnancy test;
- •Severe anaphylaxis after the previous dose;
- •Grade 4 adverse events associated with trial vaccination after the previous dose;
- •Exposure during the course (bite or scratch from dogs, cats or other mammals);
- •Participant has any other conditions that warrant discontinuation of vaccination as determined by the investigator.
研究组 & 干预措施
Essen Control Group
干预措施: Rabies Vaccine(Human Diploid Cell)for Human Use,Freeze-dried (Biological)
Essen Experimental Group
干预措施: Rabies Vaccine(Human Diploid Cell)for Human Use,Freeze-dried (Biological)
Zagreb Experimental Group
干预措施: Rabies Vaccine(Human Diploid Cell)for Human Use,Freeze-dried (Biological)
Simplified Four-Dose Group 1
干预措施: Rabies Vaccine(Human Diploid Cell)for Human Use,Freeze-dried (Biological)
Simplified Four-Dose Group 2
干预措施: Rabies Vaccine(Human Diploid Cell)for Human Use,Freeze-dried (Biological)
结局指标
主要结局
Seroconversion rate and geometric mean concentration (GMC) of rabies virus neutralizing antibodies in baseline seronegative participants 14 days after the first dose.
时间窗: Day 14 after the first dose.
Seroconversion rate of rabies virus neutralizing antibodies in baseline seronegative participants 14 days after the last dose.
时间窗: Day 14 after the last dose.
Incidence of adverse events within different timeframes (30 minutes, 0-7 days, 0-30 days) after each vaccine dose.
时间窗: Within 30 minutes, 0-7 days, and 0-30 days after each dose
All serious adverse events (SAEs) occurring from the first dose of primary immunization to 6 months after completion of the primary immunization.
时间窗: From the first dose of primary immunization to 6 months after completion
次要结局
- Geometric mean concentration (GMC) of rabies virus neutralizing antibodies in baseline seronegative participants 14 days after the last dose.(Day 14 after the last dose)
- Comparison of seroconversion rates and GMCs among baseline seronegative participants in the Essen Experimental Group, Simplified Four-Dose Group 1, and Simplified Four-Dose Group 2 at Days 28 and 42 after the first dose.(Days 28 and 42 after the first dose)
- Comparison of seroconversion rates and GMCs in baseline seronegative participants between the Essen Experimental Group and the Zagreb Experimental Group at Day 7 after the first dose.(Day 7 after the first dose)
