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LakeShore Biopharma's Rabies Vaccine Enters Phase III Trial with Simplified Regimen

• LakeShore Biopharma's YSJA rabies vaccine receives approval for a Phase III clinical trial in China to assess simplified four-dose regimens. • The trial will compare two four-dose regimens (Zagreb and Modified Essen) against the standard five-dose Essen regimen for immunogenicity and safety. • The simplified regimens aim to improve patient adherence, reduce healthcare burden, and enhance the vaccine's utility in rabies prevention. • Rabies is almost 100% fatal without treatment, causing approximately 59,000 deaths annually, with 40% occurring in children under 15.

LakeShore Biopharma Co., Ltd (Nasdaq: LSB) has announced the approval of a Phase III clinical trial by China's National Medical Products Administration (NMPA) to evaluate simplified four-dose regimens of its YSJA rabies vaccine. The trial, expected to commence in December 2024, will assess the immunogenicity and safety of these regimens compared to the existing five-dose Essen regimen. This development aims to provide more flexible immunization options, reduce the burden on healthcare systems, and improve patient compliance.
The Phase III trial is designed as a single-center, randomized, double-blind, controlled study. It will compare two distinct four-dose immunization schedules: the Zagreb regimen (2-1-1), involving two shots in the first session followed by one shot in each of the subsequent two sessions, and the Modified Essen regimen (1-1-1-1), consisting of a single shot across four sessions. The primary endpoints will focus on evaluating the immunogenicity and safety profiles of these simplified regimens relative to the conventional Essen regimen (1-1-1-1-1).

Rationale for Simplified Regimens

The conventional five-dose Essen regimen, while effective, can be challenging for patients to complete due to the multiple required visits. Simplified regimens offer the potential to enhance patient adherence, reduce physician workload, and minimize hospital visits, ultimately decreasing the financial burden on patients. According to LakeShore Biopharma, these advantages could significantly improve the vaccine's utility and contribute to the prevention of rabies deaths.

Executive Commentary

"The approval of this Phase III clinical trial for our YSJA rabies vaccine marks a significant milestone in our efforts to expand the regimen profile of our product," said Mr. Xu Wang, Chief Executive Officer of LakeShore Biopharma. "By evaluating simplified immunization schedules, we aim to make our vaccine more competitive in the rapidly expanding rabies vaccine market. We believe that this trial will validate the clinical superiority of the YSJA rabies vaccine and will help attract increased recognition and support from researchers, academics, and industry players around the world."

Rabies: A Global Health Threat

Rabies remains a significant global health concern, with an almost 100% fatality rate upon the emergence of clinical symptoms. The disease claims approximately 59,000 lives annually across more than 150 countries. Transmission primarily occurs through bites from infected dogs, accounting for over 95% of rabies-related fatalities. Notably, 40% of these deaths occur in children under the age of 15. While rabies is typically lethal without treatment, post-exposure prophylaxis (PEP) can effectively prevent fatalities if administered promptly following potential exposure.

About YSJA Rabies Vaccine

The YSJA rabies vaccine is LakeShore Biopharma's flagship product, with over 100 million doses sold since its market approval. The company aims to solidify its position as a leading rabies vaccine supplier through this clinical trial and other ongoing efforts. LakeShore Biopharma is dedicated to discovering, developing, manufacturing, and delivering new generations of vaccines and therapeutic biologics for infectious diseases and cancer.
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Reference News

[1]
LakeShore Biopharma Granted Phase III Clinical Trial Approval to Explore Simplified ... - Stock Titan
stocktitan.net · Oct 25, 2024

LakeShore Biopharma granted NMPA approval for a Phase III trial in China to test a simplified four-dose regimen for its ...

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