A Phase 2/3 interventional study of HRIG and HyperRAB in Healthy, sponsored by Bio Products Laboratory. Completed at 2 sites in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-25.
Sponsored by Bio Products Laboratory · Phase 2/3, Interventional, and Treatment
A prospective, randomized, blinded, parallel-group, non-inferiority, phase II/III study of the safety and effectiveness of simulated post-exposure prophylaxis with BPL HRIG with co-administration of active rabies vaccine in healthy subjects.
Each subject will undergo a total of 9 visits. Subjects' eligibility will be assessed at Screening, which can occur up to 28 days prior to dosing. Following a repeat eligibility check at Day 0, eligible subjects will be randomized and dosed with the randomized treatment (BPL HRIG + vaccine or Comparator HRIG + vaccine) on Day 0. Further assessments will be conducted on Days 3, 5, 7, 14, 28, 49 and the end of study assessment on Day 140. Vaccine will be administered on Day 0, 3, 7, 14 and 28.
Exclusion Criteria
Currently receiving or have received within the past 6 months (prior to Day 0):
20 IU/kg dose HRIG + active rabies vaccine
Drug: HRIG · Biological: RabAvert
20 IU/kg dose HRIG + active rabies vaccine
Drug: HyperRAB · Biological: RabAvert
A 20 IU/kg dose of BPL HRIG will be given on Day 0 via IM injection.
A 20 IU/kg dose of Comparator HRIG will be given on Day 0 via IM injection.
Also known as: HRIG
A 1.0 ml dose of active vaccine (2.5 IU/ml) will be given IM on 5 occasions: on Days 0, 3, 7, 14, and 28.
Also known as: active rabies vaccine
Proportion of Subjects With Anti-rabies Antibody Titer of ≥0.5 IU/mL
Non-inferiority in terms of the proportion of subjects with anti-rabies antibody titer of ≥0.5 IU/mL after study drug administration using a non-inferiority margin of 10%.
Time frame: Day 14
Analysis of AUC0-7d
The AUC0-7d for BPL HRIG and vaccine versus comparator HRIG and vaccine using a non inferiority margin of 20%.
Time frame: Day 0 to Day 7
RVNA Geometric Mean Titers at Days 3, 5, 7 and 14
Comparison of the geometric mean titers (GMTs) for antirabies antibody titer after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine. The median peak RVNA titer occurred at Day 14, which is reflected in the analysis. The RVNA titer to peak geometric mean is analyzed using a repeated measures analysis. The inferential test compares RVNA values between BPL HRIG and HyperRab in a single analysis across all visits at or below the visit at which peak titer is observed. The geometric mean values presented represent a mean across all visits from baseline through and including Day 14.
Time frame: Days 3, 5, 7 and 14
Proportion of Subjects Reaching Antirabies Antibody Titer of ≥ 0.5 IU/mL by Visit
The proportion of subjects reaching antirabies antibody titer of ≥ 0.5 IU/mL after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine.
Time frame: Days 3, 5, 7, 14, 28, 49, and 140
Proportion of Subjects Reaching Antirabies Antibody Titer of ≥ LLOQ of the Assay by Visit
The proportion of subjects reaching antirabies antibody titer of ≥ LLOQ of the assay at each visit after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine.
Time frame: Days 3, 5, 7, 14, 28, 49, and 140
RVNA Geometric Mean Titers at Days 14, 28, 49 and 140
Comparison of the GMTs for antirabies antibody titer after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine to assess the inhibitory effects of BPL HRIG on active immunization relative to that of the comparator HRIG.
Time frame: Days 14, 28, 49 and 140
| Milestone | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Started | 81 | 81 |
| Completed | 68 | 74 |
| Not completed | 13 | 7 |
Non-inferiority in terms of the proportion of subjects with anti-rabies antibody titer of ≥0.5 IU/mL after study drug administration using a non-inferiority margin of 10%.
| Participants | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Proportion of Subjects With Anti-rabies Antibody Titer of ≥0.5 IU/mL | 73 | 72 |
The AUC0-7d for BPL HRIG and vaccine versus comparator HRIG and vaccine using a non inferiority margin of 20%.
| day*IU/mL | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Analysis of AUC0-7d | 1.10 (1.02 to 1.20) | 1.32 (1.21 to 1.44) |
Comparison of the geometric mean titers (GMTs) for antirabies antibody titer after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine. The median peak RVNA titer occurred at Day 14, which is reflected in the analysis. The RVNA titer to peak geometric mean is analyzed using a repeated measures analysis. The inferential test compares RVNA values between BPL HRIG and HyperRab in a single analysis across all visits at or below the visit at which peak titer is observed. The geometric mean values presented represent a mean across all visits from baseline through and including Day 14.
| IU/mL | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Through Day 14 | 0.37 (0.35 to 0.39) | 0.38 (0.36 to 0.40) |
| Day 3 | 0.18 (0.16 to 0.20) | 0.21 (0.19 to 0.24) |
| Day 5 | 0.19 (0.18 to 0.21) | 0.24 (0.21 to 0.26) |
| Day 7 | 0.23 (0.21 to 0.26) | 0.26 (0.23 to 0.29) |
| Day 14 | 12.30 (10.15 to 14.90) | 8.38 (6.54 to 10.74) |
The proportion of subjects reaching antirabies antibody titer of ≥ 0.5 IU/mL after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine.
| Participants | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Day 0 | 0 | 0 |
| Day 3 | 0 | 1 |
| Day 5 | 0 | 1 |
| Day 7 | 3 | 2 |
| Day 14 | 73 | 72 |
| Day 28 | 73 | 73 |
| Day 49 | 73 | 72 |
| Day 140 | 60 | 65 |
The proportion of subjects reaching antirabies antibody titer of ≥ LLOQ of the assay at each visit after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine.
| Participants | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Day 0 | 0 | 0 |
| Day 3 | 70 | 73 |
| Day 5 | 71 | 74 |
| Day 7 | 73 | 74 |
| Day 14 | 73 | 74 |
| Day 28 | 73 | 74 |
| Day 49 | 73 | 72 |
| Day 140 | 62 | 71 |
Comparison of the GMTs for antirabies antibody titer after administration of BPL HRIG and vaccine versus comparator HRIG and vaccine to assess the inhibitory effects of BPL HRIG on active immunization relative to that of the comparator HRIG.
| IU/mL | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| Day 14 | 12.30 (10.15 to 14.90) | 8.38 (6.54 to 10.74) |
| Day 28 | 10.18 (8.39 to 12.34) | 7.78 (6.26 to 9.66) |
| Day 49 | 10.91 (8.94 to 13.32) | 7.78 (6.34 to 9.56) |
| Day 140 | 2.72 (2.21 to 3.34) | 2.02 (1.62 to 2.53) |
Collected over 20 weeks treatment. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| BPL HRIG + RabAvert | 0/81 (0%) | 0/81 (0%) | 19/81 (23.5%) |
| Comparator HyperRab + RabAvert | 0/81 (0%) | 0/81 (0%) | 19/81 (23.5%) |
| Event | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert |
|---|---|---|
| HeadacheNervous system disorders | 5/81 | 10/81 |
| Vaccination site painGeneral disorders | 9/81 | 2/81 |
| Upper respiratory tract infectionInfections and infestations | 5/81 | 7/81 |
| Age, Continuous(years) | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert | Total |
|---|---|---|---|
| Mean | 41.37 ± 15.0 | 44.56 ± 15.4 | 42.96 ± 15.2 |
| Sex: Female, Male(Participants) | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert | Total |
|---|---|---|---|
| Female | 56 | 54 | 110 |
| Male | 25 | 27 | 52 |
| Ethnicity (NIH/OMB)(Participants) | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert | Total |
|---|---|---|---|
| Hispanic or Latino | 2 | 3 | 5 |
| Not Hispanic or Latino | 79 | 78 | 157 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 2 | 2 |
| Asian | 1 | 2 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 16 | 15 | 31 |
| White | 62 | 59 | 121 |
| More than one race | 1 | 1 | 2 |
| Unknown or Not Reported | 1 | 2 | 3 |
| Region of Enrollment(participants) | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert | Total |
|---|---|---|---|
| United States | 81 | 81 | 162 |
| Weight(kg) | BPL HRIG + RabAvert | Comparator HyperRab + RabAvert | Total |
|---|---|---|---|
| Mean | 74.61 ± 12.5 | 74.51 ± 13.2 | 74.56 ± 12.8 |
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