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CompletedNCT03965962Updated Sep 18, 2025Results posted

Study of Purified Vero Rabies Vaccine Compared With Two Reference Rabies Vaccines in a Simulated Post-Exposure Regimen in Adults

A Phase 3 interventional study of VRVg-2 and Purified Inactivated Rabies Vaccine in Rabies (Healthy Volunteers), sponsored by Sanofi Pasteur, a Sanofi Company. Completed at 2 sites in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-18.

Sponsored by Sanofi Pasteur, a Sanofi Company (part of Sanofi) · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
640
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

To demonstrate that Purified Vero Rabies Vaccine - Serum Free Vaccine generation 2 (VRVg-2) was non-inferior to Verorab and Imovax Rabies vaccines when co-administered with human rabies immunoglobulin (HRIG), in terms of proportion of participants achieving a rabies virus neutralizing antibody (RVNA) titer greater than or equal to (>=) 0.5 international units per milliliter (IU/mL) at Day 28, i.e., 14 days after the fourth vaccine injection.

Secondary Objective:

  • To describe the safety profile of VRVg-2 versus Verorab and Imovax Rabies vaccines when co-administered with HRIG, as well as that of VRVg-2, after each vaccine injection.
  • To demonstrate that the proportion of participants in the VRVg-2 + HRIG group achieving an RVNA titer >= 0.5 IU/mL at Day 28 was at least 95 percent (%).
  • To describe the immune response induced by VRVg-2 versus Verorab and Imovax Rabies vaccines when co-administered with HRIG, as well as that induced by VRVg-2, at Day 14 (7 days after the third injection), at Day 28 (14 days after the fourth injection) and at Day 42 (14 days after the last injection).
Read the detailed description

Study duration per participant was approximately 7 months including: 1 day of screening and vaccination, a total of 5 vaccine injections over a 28-day period, 1 safety-follow up visit at Day 42, 1 safety follow-up/end of study visit at Day 56 and a 6-month safety follow-up call after last vaccine administration.

02

Conditions studied

  • Rabies (Healthy Volunteers)

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03

In context

Rabies

114 studies on the registry are indexed under Rabies; 15 are open to participants now.

This study's enrollment of 640 is above the median of 201 across 104 interventional studies indexed under Rabies.

Browse Rabies studies →

Lead sponsor

Sanofi Pasteur, a Sanofi Company is the lead sponsor of 374 studies on the registry; 4 are open to participants now.

Of its 94 completed or terminated interventional studies of FDA-regulated products, 73 (78%) have results posted.

First submitted after Sanofi Pasteur became part of Sanofi.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men or women aged >=18 years on the day of inclusion (>= 18 years means from the day of the 18th birthday onwards, with no upper age limit).
  • Able to attend all scheduled visits and to comply with all trial procedures.
  • (BMI): 18.5 kilograms per square meter (kg/m\^2) less than or equal to (\<=) BMI \<=30 kg/m\^2.

Exclusion criteria

Exclusion criteria:

  • Pregnant, or lactating, or of and not using an effective method of or abstinence from at least 4 weeks prior to the first vaccination until at least 4 weeks after the last vaccination. To be considered of non-childbearing potential, a female must be for at least 1 year, or surgically sterile.
  • Participation at the time of study enrollment or, planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
  • Receipt of any vaccine in the 4 weeks (28 days) preceding the first trial vaccination or planned receipt of any vaccine prior to Visit 7.
  • Previous vaccination against rabies (in pre- or post-exposure regimen) with either the trial vaccines or another vaccine.
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months.
  • Known or suspected congenital or acquired immunodeficiency; or receipt of therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
  • At high risk for rabies exposure during the trial (veterinarians and their staff, animal handlers, rabies researchers, and certain laboratory workers, persons whose activities bring them into frequent contact with rabies virus or potentially rabid bats, raccoons, skunks, cats, dogs, or other species at risk for having rabies, people travelling where rabies was enzootic).
  • Known systemic to any of the vaccine or HRIG components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances.
  • Self-reported thrombocytopenia, contraindicating IM vaccination.
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination.
  • Current alcohol or substance abuse that, in the opinion of the investigator, might interfere with the trial conduct of completion.
  • Chronic illness that, in the opinion of the investigator, was at a stage where it might interfere with trial conduct or completion.
  • Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature >=38.0 degree Celsius). A prospective participant should not be included in the study until the condition had resolved or the febrile event had subsided.
  • Personal history of Guillain-Barré syndrome.
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study.

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
640 participants (actual)

Study arms

  • Experimental
    Group 1: VRVg-2 + HRIG

    Participants received 0.5 milliliters (mL) intramuscular (IM) injection of VRVg-2 formulation on Days 0, 3, 7, 14 and 28 along with HRIG injection at Day 0.

    Biological: VRVg-2 · Biological: Rabies immune globulin (human)

  • Active comparator
    Group 2: Verorab + HRIG

    Participants received 0.5 mL IM injection of Verorab on Days 0, 3, 7, 14 and 28 along with HRIG injection at Day 0.

    Biological: Purified Inactivated Rabies Vaccine · Biological: Rabies immune globulin (human)

  • Active comparator
    Group 3: Imovax Rabies + HRIG

    Participants received 1 mL IM injection of Imovax Rabies on Days 0, 3, 7, 14 and 28 along with HRIG injection at Day 0.

    Biological: Human Diploid Cell Vaccine (HDCV) · Biological: Rabies immune globulin (human)

  • Experimental
    Group 4: VRVg-2

    Participants received 0.5 mL IM injection of VRVg-2 formulation on Days 0, 3, 7, 14 and 28.

    Biological: VRVg-2

Interventions

  • BiologicalVRVg-2

    Pharmaceutical form: Powder and solvent for suspension for injection; Route of administration: IM

  • BiologicalPurified Inactivated Rabies Vaccine

    Pharmaceutical form: Powder and solvent for suspension for injection; Route of administration: IM

    Also known as: Verorab®

  • Pharmaceutical form: Powder and solvent for suspension for injection; Route of administration: IM

    Also known as: IMOVAX® Rabies

  • BiologicalRabies immune globulin (human)

    Pharmaceutical form: Solution for injection; Route of administration: IM

    Also known as: IMOGAM® Rabies-HT

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Rabies Virus Neutralizing Antibody (RVNA) Titers Greater Than or Equal to (>=) 0.5 International Units Per Milliliter (IU/mL)-Non-Inferiority Analysis

    RVNA titer against rabies virus was assessed using the Rapid Fluorescent Focus Inhibition test (RFFIT) assay method.

    Time frame: Day 28

Secondary outcomes

  1. Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.5 IU/mL

    RVNA titer against rabies virus was assessed using the RFFIT assay method. Immune response of VRVg-2 was considered sufficient if the lower limit of the 95% CI for percentage of participants in Group 1 with RVNA titers \>=0.5 IU/mL was not less than 95% at Day 28, when the primary non-inferiority objective was achieved at Day 28.

    Time frame: Day 0 (pre-vaccination), Day 14, Day 28 and Day 42

  2. Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.2 IU/mL (Lower Limit of Quantification [LLOQ])

    RVNA titer against rabies virus was assessed using the RFFIT assay method. Lower limit of quantitation (LLOQ) for the RFFIT assay was 0.2 IU/mL.

    Time frame: Day 0 (pre-vaccination), Day 14, Day 28 and Day 42

  3. Rabies Virus Neutralizing Antibody (RVNA) Geometric Mean Titers (GMTs) Against Rabies Virus

    RVNA GMT against rabies virus was assessed using the RFFIT assay method.

    Time frame: Day 0 (pre-vaccination), Day 14, Day 28 and Day 42

  4. Geometric Mean Titer Ratio (GMTR) of Rabies Virus Neutralizing Antibody Titers

    RVNA titer against rabies virus was assessed using the RFFIT assay method. GMTRs were calculated as the ratio of GMTs post vaccination (i.e., on Day 14, 28 and Day 42) and pre-vaccination on Day 0.

    Time frame: Day 0 (pre-vaccination), Day 14, Day 28 and Day 42

  5. Percentage of Participants With Determined Complete and Determined Incomplete Virus Neutralization

    Virus neutralization was defined as complete (absence of fluorescent cells) and incomplete (presence of fluorescent cells) at the participant/timepoint level at the starting dilution (1/5) of RFFIT assay. Percentage of participants with determined complete and determined incomplete virus neutralization were reported.

    Time frame: Day 0 (pre-vaccination), Day 14, Day 28 and Day 42

  6. Number of Participants With Immediate Unsolicited Adverse Events (AEs)

    An AE was defined as any untoward medical occurrence in a participant who received study vaccine and does not necessary had to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the case report book (CRB) in terms of diagnosis and/or onset post-vaccination. All participants were observed for 30 minutes after any vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs in the CRB. Immediate AEs considered as related to vaccination were recorded as immediate unsolicited adverse reactions (ARs).

    Time frame: Within 30 minutes after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)

  7. Number of Participants With Solicited Injection Site Reactions

    A solicited reaction (SR) was an expected AR observed and reported under conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRB and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited injection site reactions included pain, erythema and swelling at and around the injection site.

    Time frame: Within 7 days after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)

  8. Number of Participants With Solicited Systemic Reactions

    SR was an expected AR observed and reported under conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRB and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited systemic reactions included fever, headache, malaise and myalgia.

    Time frame: Up to 7 days after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)

  9. Number of Participants With Unsolicited Adverse Events

    An AE was defined as any untoward medical occurrence in a participant who received study vaccine and does not necessary had to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the CRB in terms of diagnosis and/or onset post-vaccination.

    Time frame: Up to 28 days after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)

  10. Number of Participants With Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)

    An AE was defined as any untoward medical occurrence in a participant who received study vaccine and does not necessary had to have a causal relationship with treatment. An SAE was any untoward medical occurrence that at any dose resulted in death, life-threatening, initial or prolonged inpatient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect or a medically important event. An AESI was defined as one of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was appropriate. All SAEs and AESIs occurring during the study that were related to the product administered were reported by the Investigator to the Independent Ethics Committee/Institutional Review Board. Relatedness to study vaccine was based on Investigator's discretion.

    Time frame: From Baseline (Day 0) up to 6 months after last vaccination (i.e., up to Month 7)

07

Results

Posted Mar 11, 2022

Participant flow

The study was conducted at 2 active centers in France.

Participant flow — Overall Study
MilestoneGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Started320107107106
Vaccination 1 (day 0)318107107106
Vaccination 2 (day 3)317104107106
Vaccination 3 (day 7)311103105105
Vaccination 4 (day 14)301101101103
Vaccination 5 (day 28)294989798
Safety analysis set (safas)320107107104
Completed29510297100
Not completed255106
Withdrew: Adverse event1000
Withdrew: Protocol violation214105
Withdrew: Lost to follow-up0100
Withdrew: Withdrawal by subject3001

Outcome measures

PrimaryPercentage of Participants With Rabies Virus Neutralizing Antibody (RVNA) Titers Greater Than or Equal to (>=) 0.5 International Units Per Milliliter (IU/mL)-Non-Inferiority Analysis

RVNA titer against rabies virus was assessed using the Rapid Fluorescent Focus Inhibition test (RFFIT) assay method.

Time frame:
Day 28
Reported as:
Number · percentage of participants
Percentage of Participants With Rabies Virus Neutralizing Antibody (RVNA) Titers Greater Than or Equal to (>=) 0.5 International Units Per Milliliter (IU/mL)-Non-Inferiority Analysis
percentage of participantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIG
Percentage of Participants With Rabies Virus Neutralizing Antibody (RVNA) Titers Greater Than or Equal to (>=) 0.5 International Units Per Milliliter (IU/mL)-Non-Inferiority Analysis99.6 (97.7 to 100)100 (95.3 to 100)98.7 (93.1 to 100)
Statistical analysis
  • Group 1 VRVg-2+HRIG vs Group 2 Verorab+HRIG · Difference in percentage: -0.42 · 95% CI -2.33 to 4.35
  • Group 1 VRVg-2+HRIG vs Group 3 Imovax Rabies+HRIG · Difference in percentage: 0.86 · 95% CI -1.32 to 6.50
SecondaryPercentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.5 IU/mL

RVNA titer against rabies virus was assessed using the RFFIT assay method. Immune response of VRVg-2 was considered sufficient if the lower limit of the 95% CI for percentage of participants in Group 1 with RVNA titers \>=0.5 IU/mL was not less than 95% at Day 28, when the primary non-inferiority objective was achieved at Day 28.

Time frame:
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Reported as:
Number · percentage of participants
Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.5 IU/mL
percentage of participantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Day 00 (0 to 1.5)0 (0 to 4.7)0 (0 to 4.6)0 (0 to 4.7)
Day 1492.5 (88.1 to 95.6)88.0 (78.4 to 94.4)94.1 (85.6 to 98.4)97.1 (89.9 to 99.6)
Day 2899.6 (97.7 to 100)100 (95.3 to 100)98.7 (93.1 to 100)100 (95.3 to 100)
Day 42100 (98.4 to 100)100 (95.1 to 100)98.7 (92.9 to 100)100 (95.3 to 100)
SecondaryPercentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.2 IU/mL (Lower Limit of Quantification [LLOQ])

RVNA titer against rabies virus was assessed using the RFFIT assay method. Lower limit of quantitation (LLOQ) for the RFFIT assay was 0.2 IU/mL.

Time frame:
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Reported as:
Number · percentage of participants
Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.2 IU/mL (Lower Limit of Quantification [LLOQ])
percentage of participantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Day 00 (0 to 1.5)0 (0 to 4.7)0 (0 to 4.6)0 (0 to 4.7)
Day 1499.5 (97.4 to 100)100 (95.2 to 100)98.5 (92.1 to 100)100 (94.8 to 100)
Day 28100 (98.5 to 100)100 (95.3 to 100)98.7 (93.1 to 100)100 (95.3 to 100)
Day 42100 (98.4 to 100)100 (95.1 to 100)100 (95.3 to 100)100 (95.3 to 100)
SecondaryRabies Virus Neutralizing Antibody (RVNA) Geometric Mean Titers (GMTs) Against Rabies Virus

RVNA GMT against rabies virus was assessed using the RFFIT assay method.

Time frame:
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Reported as:
Geometric mean · IU/mL
Rabies Virus Neutralizing Antibody (RVNA) Geometric Mean Titers (GMTs) Against Rabies Virus
IU/mLGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Day 00.100 (0.100 to 0.101)0.100 (NA to NA)0.100 (NA to NA)0.101 (0.099 to 0.102)
Day 142.40 (2.09 to 2.76)1.86 (1.44 to 2.41)1.83 (1.46 to 2.28)5.41 (4.24 to 6.90)
Day 286.49 (5.75 to 7.34)5.03 (3.94 to 6.44)5.51 (4.35 to 6.96)12.4 (10.5 to 14.5)
Day 4213.6 (12.3 to 15.0)9.47 (7.96 to 11.3)10.7 (8.97 to 12.7)19.8 (17.5 to 22.5)
SecondaryGeometric Mean Titer Ratio (GMTR) of Rabies Virus Neutralizing Antibody Titers

RVNA titer against rabies virus was assessed using the RFFIT assay method. GMTRs were calculated as the ratio of GMTs post vaccination (i.e., on Day 14, 28 and Day 42) and pre-vaccination on Day 0.

Time frame:
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Reported as:
Geometric mean · ratio
Geometric Mean Titer Ratio (GMTR) of Rabies Virus Neutralizing Antibody Titers
ratioGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Day 14/Day 024.0 (20.8 to 27.6)18.6 (14.4 to 24.1)18.3 (14.6 to 22.8)53.7 (42.1 to 68.4)
Day 28/Day 064.8 (57.3 to 73.2)50.3 (39.4 to 64.4)55.1 (43.5 to 69.6)123 (105 to 144)
Day 42/Day 0135 (122 to 149)94.7 (79.6 to 113)107 (89.7 to 127)197 (173 to 224)
SecondaryPercentage of Participants With Determined Complete and Determined Incomplete Virus Neutralization

Virus neutralization was defined as complete (absence of fluorescent cells) and incomplete (presence of fluorescent cells) at the participant/timepoint level at the starting dilution (1/5) of RFFIT assay. Percentage of participants with determined complete and determined incomplete virus neutralization were reported.

Time frame:
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Reported as:
Number · percentage of participants
Percentage of Participants With Determined Complete and Determined Incomplete Virus Neutralization
percentage of participantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Day 0: Complete Neutralization0.4 (0 to 2.4)0 (0 to 4.9)0 (0 to 5.0)1.4 (0 to 7.3)
Day 0: Incomplete Neutralization99.6 (97.6 to 100)100 (95.1 to 100)100 (95.0 to 100)98.6 (92.7 to 100)
Day 14: Complete Neutralization98.7 (96.2 to 99.7)100 (95.2 to 100)98.7 (92.8 to 100)98.7 (93.0 to 100)
Day 14: Incomplete Neutralization1.3 (0.3 to 3.8)0 (0 to 4.8)1.3 (0 to 7.2)1.3 (0 to 7.0)
Day 28: Complete Neutralization100 (98.5 to 100)100 (95.3 to 100)98.7 (93.1 to 100)100 (95.3 to 100)
Day 28: Incomplete Neutralization0 (0 to 1.5)0 (0 to 4.7)1.3 (0 to 6.9)0 (0 to 4.7)
Day 42: Complete Neutralization100 (98.4 to 100)100 (95.3 to 100)100 (95.4 to 100)100 (95.3 to 100)
Day 42: Incomplete Neutralization0 (0 to 1.6)0 (0 to 4.7)0 (0 to 4.6)0 (0 to 4.7)
SecondaryNumber of Participants With Immediate Unsolicited Adverse Events (AEs)

An AE was defined as any untoward medical occurrence in a participant who received study vaccine and does not necessary had to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the case report book (CRB) in terms of diagnosis and/or onset post-vaccination. All participants were observed for 30 minutes after any vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs in the CRB. Immediate AEs considered as related to vaccination were recorded as immediate unsolicited adverse reactions (ARs).

Time frame:
Within 30 minutes after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)
Reported as:
Count of participants · Participants
Number of Participants With Immediate Unsolicited Adverse Events (AEs)
ParticipantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Post-any vaccination3001
Post-vaccination 13001
Post-vaccination 20000
Post-vaccination 30000
Post-vaccination 40000
Post-vaccination 50000
SecondaryNumber of Participants With Solicited Injection Site Reactions

A solicited reaction (SR) was an expected AR observed and reported under conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRB and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited injection site reactions included pain, erythema and swelling at and around the injection site.

Time frame:
Within 7 days after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Injection Site Reactions
ParticipantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Pain Post-any vaccination142374944
Pain Post-vaccination 171192523
Pain Post-vaccination 284171720
Pain Post-vaccination 373142323
Pain Post-vaccination 469122927
Pain Post-vaccination 540122421
Erythema Post-any vaccination5531
Erythema Post-vaccination 10110
Erythema Post-vaccination 20000
Erythema Post-vaccination 30110
Erythema Post-vaccination 43311
Erythema Post-vaccination 52110
Swelling Post-any vaccination5110
Swelling Post-vaccination 11000
Swelling Post-vaccination 20000
Swelling Post-vaccination 32010
Swelling Post-vaccination 42000
Swelling Post-vaccination 51100
SecondaryNumber of Participants With Solicited Systemic Reactions

SR was an expected AR observed and reported under conditions (nature and onset) prelisted (i.e., solicited) in the protocol and CRB and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited systemic reactions included fever, headache, malaise and myalgia.

Time frame:
Up to 7 days after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Systemic Reactions
ParticipantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Fever Post-any vaccination4241
Fever Post-vaccination 10010
Fever Post-vaccination 20010
Fever Post-vaccination 32110
Fever Post-vaccination 40021
Fever Post-vaccination 52110
Headache Post-any vaccination107353836
Headache Post-vaccination 144201817
Headache Post-vaccination 22610106
Headache Post-vaccination 338131614
Headache Post-vaccination 42910514
Headache Post-vaccination 5237513
Malaise Post-any vaccination34131413
Malaise Post-vaccination 120754
Malaise Post-vaccination 27351
Malaise Post-vaccination 39446
Malaise Post-vaccination 48116
Malaise Post-vaccination 56022
Myalgia Post-any vaccination118373833
Myalgia Post-vaccination 158172320
Myalgia Post-vaccination 25011914
Myalgia Post-vaccination 350131512
Myalgia Post-vaccination 43581417
Myalgia Post-vaccination 52681011
SecondaryNumber of Participants With Unsolicited Adverse Events

An AE was defined as any untoward medical occurrence in a participant who received study vaccine and does not necessary had to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the CRB in terms of diagnosis and/or onset post-vaccination.

Time frame:
Up to 28 days after any and each vaccination (Vaccination 1, 2, 3, 4 and 5)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited Adverse Events
ParticipantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Post-any vaccination145463942
Post-vaccination 147221210
Post-vaccination 2275115
Post-vaccination 331978
Post-vaccination 43791411
Post-vaccination 560111221
SecondaryNumber of Participants With Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)

An AE was defined as any untoward medical occurrence in a participant who received study vaccine and does not necessary had to have a causal relationship with treatment. An SAE was any untoward medical occurrence that at any dose resulted in death, life-threatening, initial or prolonged inpatient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect or a medically important event. An AESI was defined as one of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was appropriate. All SAEs and AESIs occurring during the study that were related to the product administered were reported by the Investigator to the Independent Ethics Committee/Institutional Review Board. Relatedness to study vaccine was based on Investigator's discretion.

Time frame:
From Baseline (Day 0) up to 6 months after last vaccination (i.e., up to Month 7)
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)
ParticipantsGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
SAE4403
SAE related to study vaccine0200
AESI0000
AESI related to study vaccine0000

Adverse events

Collected over Unsolicited AE data were collected from Day 0 (post-vaccination 1) up to 28 days post any vaccination. SR data were collected within 7 days post any vaccination. SAE data were collected from Baseline (Day 0) up to 6 months after last vaccination (i.e., up to Month 7). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1 VRVg-2+HRIG0/320 (0%)4/320 (1.3%)204/320 (63.8%)
Group 2 Verorab+HRIG0/107 (0%)4/107 (3.7%)59/107 (55.1%)
Group 3 Imovax Rabies+HRIG0/107 (0%)0/107 (0%)66/107 (61.7%)
Group 4 VRVg-20/104 (0%)3/104 (2.9%)67/104 (64.4%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Meningioma BenignNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/3200/1070/1071/104
Ischaemic StrokeNervous system disorders0/3200/1070/1071/104
EndometriosisReproductive system and breast disorders0/3200/1070/1071/104
General Physical Health DeteriorationGeneral disorders0/3201/1070/1070/104
ErysipelasInfections and infestations0/3201/1070/1070/104
DyskinesiaNervous system disorders0/3201/1070/1070/104
SciaticaNervous system disorders0/3201/1070/1070/104
Abortion SpontaneousPregnancy, puerperium and perinatal conditions0/3201/1070/1070/104
Ligament InjuryInjury, poisoning and procedural complications1/3200/1070/1070/104
Cervical RadiculopathyNervous system disorders1/3200/1070/1070/104
Most frequent other events
Most frequent other events
EventGroup 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2
Injection Site PainGeneral disorders142/32037/10749/10744/104
HeadacheNervous system disorders113/32035/10741/10740/104
MyalgiaMusculoskeletal and connective tissue disorders118/32037/10738/10734/104
MalaiseGeneral disorders34/32013/10714/10713/104
FatigueGeneral disorders3/3206/1071/1071/104

Baseline characteristics

Analysis was performed on all randomized participants.

Age, Continuous
Age, Continuous(years)Group 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2Total Title
Mean46.0 ± 14.746.2 ± 14.846.3 ± 15.646.4 ± 15.046.1 ± 14.9
Sex: Female, Male
Sex: Female, Male(Participants)Group 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2Total Title
Female196616560382
Male124464246258
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1 VRVg-2+HRIGGroup 2 Verorab+HRIGGroup 3 Imovax Rabies+HRIGGroup 4 VRVg-2Total Title
American Indian or Alaska Native22004
Asian41308
Native Hawaiian or Other Pacific Islander00000
Black or African American910111
White301102104105612
More than one race11002
Unknown or Not Reported30003
08

Study locations

2 sites
  • Investigational Site Number 2500002
    Gières, 38610, France
  • Investigational Site Number 2500001
    Rennes, 35000, France
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References and documents

Publications

  • Pineda-Pena AC, Jiang Q, Petit C, Korejwo-Peyramond J, Donazzolo Y, Latreille M, Homery MC, Babin V, Benamor S, Pichon S, Guinet-Morlot F, Minutello AM. Immunogenicity and Safety of a Purified Vero Rabies Vaccine-Serum Free, Compared With 2 Licensed Vaccines, in a Simulated Rabies Post-Exposure Regimen in Healthy Adults in France: A Randomized, Controlled, Phase 3 Trial. Clin Infect Dis. 2024 Jun 14;78(6):1748-1756. doi: 10.1093/cid/ciae137. PubMed 38478634 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2019 to primary completion in Dec 2020, 17 months.

Results were first posted in Mar 2022, 1 year 2 months after primary completion.

Of 19 phase 3 interventional studies under Rabies, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 21. This study's 17 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
May 24, 2019
First posted
May 29, 2019
StartActual
Jul 1, 2019
Primary completionActual
Dec 22, 2020
CompletionActual
Jul 1, 2021
Results first posted
Mar 11, 2022
Last update
Sep 18, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03965962
Responsible party
Sponsor
First posted
May 29, 2019
Start date
Jul 1, 2019
Primary completion
Dec 22, 2020
Completion
Jul 1, 2021
Results posted
Mar 11, 2022
Last update
Sep 18, 2025

Study contacts

Clinical Sciences & Operations
study director · Sanofi Pasteur, a Sanofi Company

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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