ClinicalTrials.gg
CompletedNCT04019444Updated Jun 3, 2024Results posted

Dosage-Escalation Study of the Safety and Immunogenicity of a Novel Rabies Vaccine ChAd155-RG vs. the Comparator RABAVERT Vaccine in Healthy Adult Subjects

A Phase 1 interventional study of ChAd155-RG and Placebo in Rabies and Rabies Immunisation, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 1 site in United States. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-03.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Rabies with a site in United States — none open to participants now, none under way, none of them phase 3. Rabies · United States.

Enrollment
14th of 17
50 · median 130
Started
2019
with 3 others
Phase 1
3 of 19
none open now
Registered
16th of 19
by date

Among the 19 studies in Rabies with a site in United States, this one is the 14th largest by enrollment of the 17 interventional ones, is one of 4 that started in 2019, is one of 3 in phase 1, and was the 16th registered.

By phase

19 studies; the count open now beside each. This study's row is marked.

Phase 25 · 0 open
No phase3 · 0 open
Phase 1this study3 · 0 open
Phase 43 · 0 open
Observational2 · 0 open
Phase 1/21 · 0 open
Phase 2/31 · 0 open
Phase 31 · 0 open

By the year they started

First in 2008; this study’s year is marked. 4 started in 2019.

Size and results

Median enrollment 130 across the 17 interventional studies, 263 across the 2 observational. Of the 19 that completed or were terminated, 9 (47%) have results posted.

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Download CSVWith an account: the 19 studies in Rabies with a site in United States as a file.
02

Study summary

This is a single-center, observer-blinded, dosage-escalation trial to evaluate the safety, tolerability, reactogenicity, and immunogenicity of ChAd155-RG compared with RABAVERT in rabies virus-naïve healthy male and non-pregnant female adult subjects ages 18-49. There are 4 dose groups: Group A will receive ChAd155-RG at the lower dosage (5x1010vp) on Day 1, then placebo injections on Days 8, 15, and 22; Group B will receive ChAd155-RG at the higher dosage (1x1011vp) on Day 1, then placebo injections on Days 8, 15, and 22; Group C will receive ChAd155-RG at the higher dosage (1x1011vp) on Days 1 and 15, and placebo injections on Days 8 and 22; Group D will receive RABAVERT at the standard dose (1 mL) on Days 1, 8, and 22, and a placebo injection on Day 15. Since this is a dosage-escalation study, sentinel subjects will be used at each dosage level before non-sentinel subjects will be enrolled. The study will be conducted at Emory University Vaccine and Treatment Evaluation Unit (VTEU). This trial is expected to take approximately 48 months to complete. The duration of each subject's participation is approximately 13 months, from recruitment through the last study visit. The primary objectives of this study are: 1) Assessment of the safety, tolerability, and reactogenicity of one dose of ChAd155-RG at 5x1010vp per dose, or one or two doses of ChAd155-RG at 1x1011vp per dose; 2) Comparison of the safety, tolerability, and reactogenicity of one or two doses of ChAd155-RG, with three doses of RABAVERT.

Read the detailed description

This is a single-center, observer-blinded, Phase 1, dosage-escalation trial to evaluate the safety, tolerability, reactogenicity, and immunogenicity of ChAd155-RG compared with RABAVERT in rabies virus-naïve healthy male and non-pregnant female adult subjects ages 18-49. Subjects who have never received a licensed or investigational rabies virus vaccine, or an Ad-based investigational vaccine, and who have never been exposed to a rabid animal will be eligible for enrollment. There are 4 dose groups: Group A will receive ChAd155-RG at the lower dosage (5x1010vp) on Day 1, then placebo injections on Days 8, 15, and 22; Group B will receive ChAd155-RG at the higher dosage (1x1011vp) on Day 1, then placebo injections on Days 8, 15, and 22; Group C will receive ChAd155-RG at the higher dosage (1x1011vp) on Days 1 and 15, and placebo injections on Days 8 and 22; Group D will receive RABAVERT at the standard dose (1 mL) on Days 1, 8, and 22, and a placebo injection on Day 15. Since this is a dosage-escalation study, sentinel subjects will be used at each dosage level before non-sentinel subjects will be enrolled. The SMC will review the available safety, reactogenicity, AE, and lab data of all the sentinel subjects, and will decide if the remaining non-sentinel subjects should be enrolled. The study will be conducted at Emory University Vaccine and Treatment Evaluation Unit (VTEU). This trial is expected to take approximately 48 months to complete. The duration of each subject's participation is approximately 13 months, from recruitment through the last study visit. The primary objectives of this study are: 1) Assessment of the safety, tolerability, and reactogenicity of one dose of ChAd155-RG at 5x1010vp per dose, or one or two doses of ChAd155-RG at 1x1011vp per dose; 2) Comparison of the safety, tolerability, and reactogenicity of one or two doses of ChAd155-RG, with three doses of RABAVERT. The secondary objective is to assess the serum rabies VNA levels by a standard, WHO-approved, RFFIT, as assessed by immune response kinetics (through approximately 12 months after first dose of vaccine), seroconversion rates, and peak GMT in each treatment arm.

03

Conditions studied

  • Rabies
  • Rabies Immunisation

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Keywords

  • Adults
  • ChAd155-RG
  • Dosage-Escalation
  • Healthy
  • Immunogenicity
  • RABAVERT
  • Rabies
  • Safety
  • Vaccine
04

Who can participate

Ages eligible
18 Years to 49 Years
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

  1. Must be a male or female aged 18-49 years old (inclusive) at the time of first vaccination.
  2. Must be able to provide written .
  3. Must have a (BMI) = / >18.5 and \<35.0 kg/m\^2
  4. Must be in good health based on physical examination, vital signs*, medical history, safety labs**, and the investigator's clinical judgment.

    *Vital signs must be within the normal ranges. If a subject has elevated systolic or diastolic blood pressure, subject may rest for 10 minutes in a quiet room and the blood pressure may be retaken.

    **Safety lab normal ranges will be those used by the reference clinical lab. Protocol-specific criteria for individual subjects are listed in criteria #5.

  5. Must have acceptable* lab values within 28 days before enrollment. *Acceptable values include:

    • : women >11.6 g/dL, men >13.1 g/dL
    • White blood cells: >3,700 but \<10,900 cells/mm\^3
    • : = / >1,500 cells/mm\^3
    • Absolute lymphocyte count: = / >850 cells/mm\^3
    • : >139,000 but \<401,000 per mm\^3
    • Urine dipstick (clean urine sample): protein \<1+, glucose negative
    • and aspartate transaminase (ALT, AST) \<1.1 x institutional (ULN)
    • Total \<1.1x institutional ULN
    • Blood urea nitrogen (BUN) \<1 x institutional ULN
    • Serum creatinine \<1x institutional ULN
    • If lab screening tests are out of range, repeating them is permitted once, provided there is an alternative explanation for the out-of-range value.
  6. Women of * must have a negative serum pregnancy test at screening and negative urine pregnancy tests within 24 hours before each vaccination.

    • Women of non-childbearing potential, defined as (any age with amenorrhea for = / >12 months without other known or suspected cause for amenorrhea), or surgically sterile [hysterectomy, bilateral tubal ligation, bilateral oophorectomy, or successful Essure(R) placement (permanent, non-surgical, non-hormonal sterilization)] with documented confirmation test = / >3 months after the procedure), are not required to use methods.
  7. Women of childbearing potential must use an acceptable method of contraception* from 28 days before the first vaccination until = / >60 days after the last vaccination.

    *Acceptable methods of contraception include: prescription oral contraceptives, contraceptive injections, intrauterine device (IUD), implants, vaginal ring, double-barrier method, contraceptive patch, male partner who had a vasectomy at least 6 months prior to study enrollment, abstinence (defined as refraining from heterosexual intercourse during participation in this trial [from 28 days before the first vaccination until = / >60 days after the last vaccination]).

  8. Female subjects must agree to not donate eggs (ova, oocytes) from the start of screening until = / >60 days after the last vaccination.
  9. Male subjects who have not had a vasectomy* and are sexually active with a woman of childbearing potential must agree to use an acceptable method of contraception**.

    *Men who have had a vasectomy must have had the procedure performed at least 6 months prior to study enrollment.

    **Acceptable methods of contraception must be used from the first vaccination until = / >60 days after the last vaccination, and include: abstinence (defined as refraining from heterosexual intercourse with a female partner of childbearing potential during participation in this trial [from 28 days before the first vaccination until = / >60 days after the last vaccination]; a double-barrier method, such as condom with spermicidal foam/gel/film/cream/suppository and partner with occlusive cap (diaphragm, cervical/vault caps); if the female partner is using an acceptable method of contraception (see Inclusion Criterion #7), a single-barrier method for the male subject is acceptable.

  10. Male subjects must agree to not donate sperm from the start of screening until = / >60 days after the last vaccination.
  11. Must be available and willing to participate for the duration of this trial.
  12. Must have a means to be contacted by telephone.

Exclusion criteria

Exclusion Criteria:

  1. Was ever vaccinated with a licensed or rabies vaccine* or was diagnosed with rabies exposure, infection, or disease.

    *Includes RABAVERT and Imovax. Subject's verbal history will suffice.

  2. Has a higher risk than the average US resident with regard to exposure to rabies, per the Rabavert package insert and rabies vaccination recommendations from the CDC*.

    • People at high risk of exposure to rabies, such as veterinarians, animal handlers, rabies laboratory workers, spelunkers, and rabies biologics production workers.
    • People whose activities bring them into frequent contact with rabies virus or with possibly rabid animals.
    • International travelers who are likely to come in contact with animals in parts of the world where rabies is common.
  3. Was ever vaccinated with a licensed or investigational Ad vector or Ad vaccine.
  4. Is currently taking chloroquine or hydroxychloroquine.
  5. Was diagnosed with laboratory-confirmed COVID-19 (PCR or antigen-based test) in the preceding 28 days.
  6. Positive serology for antibody, antibody, or surface antigen (HBsAg).
  7. Has known allergy or history of anaphylaxis or other serious adverse reaction to a vaccine or vaccine products*.

    *Including egg products, aminoglycosides, gelatin, sorbitol, tris (hydroxymethyl)-amino methane (THAM), or any of the constituents of the study vaccines.

  8. Has severe allergy or anaphylaxis to latex.
  9. Has an acute illness or temperature = / >38.0 Degrees Celsius on Day 1*.

    *Subjects with fever or acute illness on the day of vaccination may be re-assessed and enrolled if healthy or only minor residual symptoms remain within 3 days.

  10. Female subjects who are pregnant or breastfeeding, or planning to become pregnant while enrolled in this trial and at least 60 days after last vaccination.
  11. Has history of disease, or cardiac, pulmonary, hepatic, rheumatologic, or renal disease by history, physical examination, and/or lab studies.
  12. Has history of other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved cure*.

    *Subjects with a history of skin cancer must not be vaccinated at the previous tumor site.

  13. Has known or suspected congenital or acquired immunodeficiency, or recent history or current use of therapy*.

    *Anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term (= / >2 weeks within the previous 3 months) systemic therapy (at a dosage of = / >0.5 mg/kg/day). Intranasal or topical prednisone (or equivalent) are allowed.

  14. Is post-organ and/or stem cell transplant, whether or not on chronic immunosuppressive therapy.
  15. Had major surgery (per the investigator's judgment) within 4 weeks before study entry or planned major surgery during this trial.
  16. Has history of diabetes mellitus type 1 or type 2, including cases controlled with diet alone.

    *Note: history of isolated gestational diabetes is not an exclusion criterion.

  17. Has history of thyroidectomy, or thyroid disease requiring medication in the last 12 months.
  18. Has history of hypertension, even if medically controlled.

    *Note: Vital signs must be normal by protocol toxicity grading scale. In the event of an abnormal heart rate or blood pressure due to physiological variation or activity, the subject may rest for 10 minutes in a quiet room, and then blood pressure and/or heart rate re-measured. Repeated vital signs may be used to determine eligibility.

  19. Received from 30 days before first vaccination until 30 days after final vaccination*.

    *Not including licensed or authorized COVID-19 vaccines.

  20. Received killed or inactivated vaccines from 14 days before first vaccination until 30 days after final vaccination*.

    *Not including licensed COVID-19 vaccines

  21. Received experimental therapeutic agents within 3 months before first vaccination or plans to receive any experimental therapeutic agents during this trial*.

    *That that in the opinion of the investigator would interfere with safety or immunogenicity assessments.

  22. Is currently participating or plans to participate in another clinical study which would involve receipt of the following:*

    * An investigational product, blood drawing, or an invasive medical procedure that would require administration of anesthetics, intravenous (IV) dyes, or removal of tissue during this trial and, in the opinion of the investigator, would interfere with safety or immunogenicity assessments.

    -Includes endoscopy, bronchoscopy, and administration of IV contrast.

  23. Received blood products or immunoglobulin in the 3 months before study entry or planned use during this trial.
  24. Donated a unit of blood or blood products within 8 weeks before Day 1 or plans to donate blood or blood products during this trial.
  25. Has major psychiatric illness in the past 12 months that in the opinion of the investigator would preclude participation.
  26. Has current alcohol use or current or past abuse of recreational or narcotic drugs by history as judged by the investigator to potentially interfere with study adherence.
  27. Has a history of chronic urticaria.
  28. Has tattoos, scars, or other marks on both deltoid areas which would, in the opinion of the investigator, interfere with assessment of the vaccination site.
  29. Is a site employee* or staff who are paid entirely or partially by/through the OCRR contract for this trial, or staff who are supervised by the Principal Investigator (PI) or sub-investigators.

    *Including the PI, sub-investigators listed on Form FDA 1572 or Investigator of Record Form.

  30. In the opinion of the investigator cannot communicate reliably, is unlikely to adhere to the requirements of this trial, or has any condition which would limit the ability to complete this trial.
  31. Has history of Guillain-Barre syndrome, meningitis, encephalitis, neuroparalysis, transient paralysis, myelitis, retrobulbar neuritis, multiple sclerosis, vertigo, or visual disturbances.
  32. Has a history of arterial or venous thrombosis, or thrombocytopenia that required medical attention.
Terms in these criteria, in plain language(21)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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).

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Arm A

    One dose (1 ml (5x10\^10 vp)) of ChAd155-RG vaccine administered intramuscularly on Day 1, and 1 ml of matching placebo administered intramuscularly on Days 8, 15, 22. N=14 (3 sentinel, 11 non-sentinel)

    Biological: ChAd155-RG · Other: Placebo

  • Experimental
    Arm B

    One dose (1 ml (1x10\^11 vp)) of ChAd155-RG vaccine administered intramuscularly on Day 1, and 1 ml of matching placebo administered intramuscularly on Days 8, 15, 22. N=14 (3 sentinel, 11 non-sentinel)

    Biological: ChAd155-RG · Other: Placebo

  • Experimental
    Arm C

    Two doses (1 ml (1x10\^11 vp) each) of ChAd155-RG vaccine administered intramuscularly on Day 1 (first dose) and Day 15 (second dose), and 1 ml of matching placebo administered intramuscularly on Days 8 and 22. N=10

    Biological: ChAd155-RG · Other: Placebo

  • Active comparator
    Arm D

    Three doses (1 ml each) of RABAVERT vaccine administered intramuscularly on Day 1 (first dose), Day 8 (second dose), and Day 22 (third dose), and 1 ml of matching placebo administered intramuscularly on Day 15. N=12 (2 sentinel, 10 non-sentinel)

    Other: Placebo · Biological: Rabies Vaccine

Interventions

  • BiologicalChAd155-RG

    The ChAd155-RG Vaccine consists of a replication-defective group C ChAd, ChAd155, expressing RG under the control of the CMV promoter. The RG sequence cloned into the ChAd155 vector is a medoid, a natural viral strain with the highest average percent of amino acid identity among all RG sequences annotated in the NCBI database. The selected RG (NCBI strain AGN94271) shares an average 94% percent identity to the RGs in current vaccines.

  • OtherPlacebo

    0.9% Sodium Chloride, USP injection.

  • BiologicalRabies Vaccine

    The RABAVERT Vaccine is an inactivated, purified chick embryo cell vaccine (PCECV). It consists of lyophilized rabies virus (strain Flury LEP) that has been propagated in chicken fibroblasts, inactivated with beta-propiolactone, and concentrated and purified by centrifugation

06

What researchers measure

Primary outcomes

  1. Number and Percentage of Participants With Solicited Injection Site Reactogenicity Events in Each Treatment Arm and Overall

    Injection site reactogenicity events were solicited on a memory aid completed by participants from the time of each vaccination through Day 7 following each vaccination. Injection site reactogenicity events included pruritus, erythema, ecchymosis, induration/swelling, pain, and tenderness. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of injection site event reported. Participants reporting no injection site events are counted under "None".

    Time frame: Day 1 through Day 29

  2. Number and Percentage of Participants With Solicited Systemic Reactogenicity Events in Each Treatment Arm and Overall

    Systemic reactogenicity events were solicited on a memory aid completed by participants from the time of each vaccination through Day 7 following each vaccination. Systemic reactogenicity events included fever, chills/shivering/sweating, fatigue, malaise, myalgia and arthralgia (exclusive of the injection site), headache, and nausea. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of systemic event reported. Participants reporting no systemic events are counted under "None".

    Time frame: Day 1 through Day 29

  3. Number and Percentage of Participants With Serious Adverse Events (SAEs) Considered Study Vaccine-Related in Each Treatment Arm and Overall

    An AE or suspected AE was considered "serious" if, in the view of either the investigator or sponsor, it resulted in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. Events were determined to be related if there was a reasonable possibility that the study product caused the AE; that is, there was evidence to suggest a causal relationship between the study product and the AE. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no vaccine-related SAEs are counted under "None".

    Time frame: Day 1 through Day 381

  4. Number and Percentage of Participants With Study Vaccine-related Lab Adverse Events (AEs) in Each Treatment Arm and Overall

    Clinical safety lab parameters evaluated after receipt of vaccine (on Days 2, 8, 16, and Day 22) included WBCs, hemoglobin, platelets, absolute neutrophil count, absolute lymphocyte count, ALT, AST, total bilirubin, BUN, and creatinine. Lab events were assessed for relatedness and were determined to be related if there was a reasonable possibility that the study product caused the AE; that is, there was evidence to suggest a causal relationship between the study product and the AE. Each lab event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no lab events are counted under "None".

    Time frame: Day 1 through Day 22

  5. Number and Percentage of Participants With Unsolicited Study Vaccine-related Adverse Events (AEs) in Each Treatment Arm and Overall

    Adverse events were defined as any untoward medical occurrence in a patient or clinical investigation participant administered a study product regardless of its causal relationship to the study product administration. Unsolicited, non-serious AEs were collected from participants from Day 1 through Day 28 after the last vaccination (Day 50). Events were determined to be related if there was a reasonable possibility that the study product caused the AE; that is, there was evidence to suggest a causal relationship between the study product and the AE. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no vaccine-related AEs are counted under "None".

    Time frame: Day 1 through Day 50

  6. Number and Percentage of Participants With New Onset of a Chronic Medical Condition in Each Treatment Arm and Overall

    Participants were queried at each visit for the occurrence of new onset chronic medical conditions throughout the duration of the study.

    Time frame: Day 1 through Day 381

  7. Number and Percentage of Participants With Serious Adverse Events (SAEs) in Each Treatment Arm and Overall

    An AE or suspected AE was considered "serious" if, in the view of either the investigator or sponsor, it resulted in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no SAEs are counted under "None".

    Time frame: Day 1 through Day 381

Secondary outcomes

  1. Percentage of Participants Seroconverting to Rabies Virus in Each Treatment Arm and Overall

    Serum samples for rabies VNA were collected prior to vaccination (Day 1) and on Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381. Results from the rabies VNA RFFIT assay were reported in IU/mL, with a typical range of 1-15 IU/mL. Results beyond 15 IU/mL required dilution and retesting per the lab's standard operating procedures. The lower limit of quantification for the RFFIT assay is 0.1 IU/mL; values below the LLOQ were imputed as 1/2 the LLOQ, or 0.05 IU/mL. Seroconverting to rabies virus is defined as VNA concentration =0.5 IU/mL post-vaccination.

    Time frame: Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381

  2. Rabies VNA Geometric Mean Titer

    Serum samples for rabies VNA were collected prior to vaccination (Day 1) and on Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381. Results from the rabies VNA RFFIT assay were reported in IU/mL, with a typical range of 1-15 IU/mL. Results beyond 15 IU/mL required dilution and retesting per the lab's standard operating procedures. The lower limit of quantification for the RFFIT assay is 0.1 IU/mL; values below the LLOQ were imputed as 1/2 the LLOQ, or 0.05 IU/mL. The geometric mean titer was calculated for each study arm at each immunogenicity time point.

    Time frame: Day 1, Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381

  3. Peak Rabies VNA Geometric Mean Titer

    Serum samples for rabies VNA were collected prior to vaccination (Day 1) and on Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381. Results from the rabies VNA RFFIT assay were reported in IU/mL, with a typical range of 1-15 IU/mL. Results beyond 15 IU/mL required dilution and retesting per the lab's standard operating procedures. The lower limit of quantification for the RFFIT assay is 0.1 IU/mL; values below the LLOQ were imputed as 1/2 the LLOQ, or 0.05 IU/mL. Peak geometric mean titer was defined for each study arm as the geometric mean of the highest titer per participant across all post-vaccination antibody timepoints.

    Time frame: Day 8 through Day 381

07

Results

Posted Apr 10, 2024

Participant flow

Participants were healthy adult volunteers meeting all protocol-defined eligibility criteria. Participants were recruited through IRB-approved flyers on the Emory University campus, social media, list serves, clinical trial recruitment websites, a HIPAA-compliant clinical trials database to identify participants of previous trials at the Hope Clinic who had agreed to future contact, presentations by Hope Clinic faculty, and word-of-mouth. Enrollment occurred between 19SEP2019 and 07MAR2022.

Participant flow — Overall Study
MilestoneLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERT
Started14141012
Completed1413811
Not completed0121
Withdrew: Withdrawal by subject0101
Withdrew: Solicited event0020

Outcome measures

PrimaryNumber and Percentage of Participants With Solicited Injection Site Reactogenicity Events in Each Treatment Arm and Overall

Injection site reactogenicity events were solicited on a memory aid completed by participants from the time of each vaccination through Day 7 following each vaccination. Injection site reactogenicity events included pruritus, erythema, ecchymosis, induration/swelling, pain, and tenderness. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of injection site event reported. Participants reporting no injection site events are counted under "None".

Time frame:
Day 1 through Day 29
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Solicited Injection Site Reactogenicity Events in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
None32005
Mild10118938
Moderate11237
Severe00000
PrimaryNumber and Percentage of Participants With Solicited Systemic Reactogenicity Events in Each Treatment Arm and Overall

Systemic reactogenicity events were solicited on a memory aid completed by participants from the time of each vaccination through Day 7 following each vaccination. Systemic reactogenicity events included fever, chills/shivering/sweating, fatigue, malaise, myalgia and arthralgia (exclusive of the injection site), headache, and nausea. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of systemic event reported. Participants reporting no systemic events are counted under "None".

Time frame:
Day 1 through Day 29
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Solicited Systemic Reactogenicity Events in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
None31149
Mild543315
Moderate585523
Severe11103
PrimaryNumber and Percentage of Participants With Serious Adverse Events (SAEs) Considered Study Vaccine-Related in Each Treatment Arm and Overall

An AE or suspected AE was considered "serious" if, in the view of either the investigator or sponsor, it resulted in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. Events were determined to be related if there was a reasonable possibility that the study product caused the AE; that is, there was evidence to suggest a causal relationship between the study product and the AE. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no vaccine-related SAEs are counted under "None".

Time frame:
Day 1 through Day 381
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Serious Adverse Events (SAEs) Considered Study Vaccine-Related in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
None1414101250
Mild00000
Moderate00000
Severe00000
PrimaryNumber and Percentage of Participants With Study Vaccine-related Lab Adverse Events (AEs) in Each Treatment Arm and Overall

Clinical safety lab parameters evaluated after receipt of vaccine (on Days 2, 8, 16, and Day 22) included WBCs, hemoglobin, platelets, absolute neutrophil count, absolute lymphocyte count, ALT, AST, total bilirubin, BUN, and creatinine. Lab events were assessed for relatedness and were determined to be related if there was a reasonable possibility that the study product caused the AE; that is, there was evidence to suggest a causal relationship between the study product and the AE. Each lab event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no lab events are counted under "None".

Time frame:
Day 1 through Day 22
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Study Vaccine-related Lab Adverse Events (AEs) in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
None863825
Mild554317
Moderate13217
Severe00101
PrimaryNumber and Percentage of Participants With Unsolicited Study Vaccine-related Adverse Events (AEs) in Each Treatment Arm and Overall

Adverse events were defined as any untoward medical occurrence in a patient or clinical investigation participant administered a study product regardless of its causal relationship to the study product administration. Unsolicited, non-serious AEs were collected from participants from Day 1 through Day 28 after the last vaccination (Day 50). Events were determined to be related if there was a reasonable possibility that the study product caused the AE; that is, there was evidence to suggest a causal relationship between the study product and the AE. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no vaccine-related AEs are counted under "None".

Time frame:
Day 1 through Day 50
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Unsolicited Study Vaccine-related Adverse Events (AEs) in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
None1413101148
Mild01012
Moderate00000
Severe00000
PrimaryNumber and Percentage of Participants With New Onset of a Chronic Medical Condition in Each Treatment Arm and Overall

Participants were queried at each visit for the occurrence of new onset chronic medical conditions throughout the duration of the study.

Time frame:
Day 1 through Day 381
Reported as:
Count of participants · Participants
Number and Percentage of Participants With New Onset of a Chronic Medical Condition in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
Number and Percentage of Participants With New Onset of a Chronic Medical Condition in Each Treatment Arm and Overall00000
PrimaryNumber and Percentage of Participants With Serious Adverse Events (SAEs) in Each Treatment Arm and Overall

An AE or suspected AE was considered "serious" if, in the view of either the investigator or sponsor, it resulted in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. Each event was graded as mild, moderate, or severe. Participants are counted according to their maximum severity of event reported. Participants reporting no SAEs are counted under "None".

Time frame:
Day 1 through Day 381
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Serious Adverse Events (SAEs) in Each Treatment Arm and Overall
ParticipantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
None1414101250
Mild00000
Moderate00000
Severe00000
SecondaryPercentage of Participants Seroconverting to Rabies Virus in Each Treatment Arm and Overall

Serum samples for rabies VNA were collected prior to vaccination (Day 1) and on Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381. Results from the rabies VNA RFFIT assay were reported in IU/mL, with a typical range of 1-15 IU/mL. Results beyond 15 IU/mL required dilution and retesting per the lab's standard operating procedures. The lower limit of quantification for the RFFIT assay is 0.1 IU/mL; values below the LLOQ were imputed as 1/2 the LLOQ, or 0.05 IU/mL. Seroconverting to rabies virus is defined as VNA concentration =0.5 IU/mL post-vaccination.

Time frame:
Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381
Reported as:
Number · percentage of participants
Percentage of Participants Seroconverting to Rabies Virus in Each Treatment Arm and Overall
percentage of participantsLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
Day 80 (0 to 24.7)0 (0 to 23.2)0 (0 to 30.8)0 (0 to 28.5)0 (0 to 7.4)
Day 1543 (17.7 to 71.1)57 (28.9 to 82.3)89 (51.8 to 99.7)82 (48.2 to 97.7)65 (49.5 to 77.8)
Day 2250 (23 to 77)64 (35.1 to 87.2)100 (69.2 to 100)100 (71.5 to 100)76 (61.1 to 86.7)
Day 2964 (35.1 to 87.2)62 (31.6 to 86.1)100 (66.4 to 100)100 (71.5 to 100)79 (64.3 to 89.3)
Day 9140 (12.2 to 73.8)70 (34.8 to 93.3)67 (22.3 to 95.7)100 (63.1 to 100)68 (49.5 to 82.6)
Day 18129 (8.4 to 58.1)40 (12.2 to 73.8)33 (7.5 to 70.1)91 (58.7 to 99.8)48 (32.5 to 63.3)
Day 38129 (8.4 to 58.1)22 (2.8 to 60)13 (0.3 to 52.7)63 (24.5 to 91.5)31 (17 to 47.6)
SecondaryRabies VNA Geometric Mean Titer

Serum samples for rabies VNA were collected prior to vaccination (Day 1) and on Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381. Results from the rabies VNA RFFIT assay were reported in IU/mL, with a typical range of 1-15 IU/mL. Results beyond 15 IU/mL required dilution and retesting per the lab's standard operating procedures. The lower limit of quantification for the RFFIT assay is 0.1 IU/mL; values below the LLOQ were imputed as 1/2 the LLOQ, or 0.05 IU/mL. The geometric mean titer was calculated for each study arm at each immunogenicity time point.

Time frame:
Day 1, Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381
Reported as:
Geometric mean · titer
Rabies VNA Geometric Mean Titer
titerLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
Day 10.05 (0.05 to 0.06)0.05 (NA to NA)0.05 (NA to NA)0.05 (NA to NA)0.05 (0.05 to 0.05)
Day 80.05 (0.05 to 0.06)0.05 (NA to NA)0.05 (NA to NA)0.06 (0.05 to 0.09)0.05 (0.05 to 0.06)
Day 150.41 (0.15 to 1.16)0.54 (0.25 to 1.16)0.78 (0.44 to 1.38)0.89 (0.39 to 2.03)0.60 (0.40 to 0.89)
Day 220.7 (0.28 to 1.76)0.79 (0.39 to 1.6)1.65 (0.86 to 3.17)2.35 (1.13 to 4.88)1.13 (0.78 to 1.66)
Day 290.67 (0.27 to 1.65)0.68 (0.33 to 1.40)1.30 (0.73 to 2.31)10.58 (6.48 to 17.30)1.45 (0.91 to 2.33)
Day 910.28 (0.10 to 0.80)0.49 (0.24 to 0.98)0.44 (0.20 to 0.96)2.49 (1.28 to 4.88)0.60 (0.38 to 0.95)
Day 1810.20 (0.08 to 0.50)0.37 (0.16 to 0.86)0.19 (0.10 to 0.37)0.92 (0.43 to 1.97)0.33 (0.22 to 0.51)
Day 3810.14 (0.06 to 0.31)0.16 (0.07 to 0.34)0.16 (0.07 to 0.34)0.84 (0.36 to 1.99)0.21 (0.14 to 0.33)
SecondaryPeak Rabies VNA Geometric Mean Titer

Serum samples for rabies VNA were collected prior to vaccination (Day 1) and on Day 8, Day 15, Day 22, Day 29, Day 91, Day 181, and Day 381. Results from the rabies VNA RFFIT assay were reported in IU/mL, with a typical range of 1-15 IU/mL. Results beyond 15 IU/mL required dilution and retesting per the lab's standard operating procedures. The lower limit of quantification for the RFFIT assay is 0.1 IU/mL; values below the LLOQ were imputed as 1/2 the LLOQ, or 0.05 IU/mL. Peak geometric mean titer was defined for each study arm as the geometric mean of the highest titer per participant across all post-vaccination antibody timepoints.

Time frame:
Day 8 through Day 381
Reported as:
Geometric mean · titer
Peak Rabies VNA Geometric Mean Titer
titerLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTAll Participants
Peak Rabies VNA Geometric Mean Titer0.94 (0.37 to 2.36)0.90 (0.44 to 1.84)1.65 (0.86 to 3.17)10.63 (6.50 to 17.38)1.79 (1.15 to 2.79)

Adverse events

Collected over Non-serious, unsolicited AEs were collected from Day 1 through Day 50. Serious adverse events and all-cause mortality were collected from Day 1 through Day 381.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Low Dose ChAd155-RG0/14 (0%)0/14 (0%)13/14 (92.9%)
High Dose ChAd155-RG (x1)0/14 (0%)0/14 (0%)14/14 (100%)
High Dose ChAd155-RG (x2)0/10 (0%)0/10 (0%)10/10 (100%)
RABAVERT0/12 (0%)0/12 (0%)12/12 (100%)
Most frequent other events
Showing 10 of 38
Most frequent other events
EventLow Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERT
Vaccination site painGeneral disorders9/1411/1410/1011/12
HeadacheNervous system disorders9/1413/147/105/12
FatigueGeneral disorders8/1411/149/106/12
MalaiseGeneral disorders6/1410/146/104/12
Feeling of body temperature changeGeneral disorders5/146/147/103/12
MyalgiaMusculoskeletal and connective tissue disorders4/149/145/104/12
PyrexiaGeneral disorders1/140/144/103/12
NauseaGastrointestinal disorders3/141/143/101/12
Vaccination site erythemaGeneral disorders2/142/143/103/12
Lymphocyte count decreasedInvestigations1/143/143/101/12

Baseline characteristics

Age, Continuous
Age, Continuous(years)Low Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTTotal
Mean30.7 ± 10.130.4 ± 8.628.6 ± 5.826.8 ± 4.429.2 ± 7.7
Sex: Female, Male
Sex: Female, Male(Participants)Low Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTTotal
Female7107933
Male743317
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Low Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTTotal
Hispanic or Latino11103
Not Hispanic or Latino131391247
Unknown or Not Reported00000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Low Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTTotal
American Indian or Alaska Native00000
Asian11125
Native Hawaiian or Other Pacific Islander00000
Black or African American04116
White1188936
More than one race01001
Unknown or Not Reported20002
Region of Enrollment
Region of Enrollment(participants)Low Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTTotal
United States1414101250
BMI
BMI(kg/m^2)Low Dose ChAd155-RGHigh Dose ChAd155-RG (x1)High Dose ChAd155-RG (x2)RABAVERTTotal
Mean27.7 ± 4.327.5 ± 3.525.2 ± 3.626.5 ± 3.126.9 ± 3.7
08

Study locations

1 site
  • The Hope Clinic of Emory University
    Decatur, Georgia 30030-1705, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2019 to primary completion in Mar 2023, 42 months.

Results were first posted in Apr 2024, 1 year after primary completion.

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

Registered
Jul 11, 2019
First posted
Jul 15, 2019
StartActual
Sep 19, 2019
Primary completionActual
Mar 24, 2023
CompletionActual
Mar 24, 2023
Results first posted
Apr 10, 2024
Last update
Jun 3, 2024
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 Jun 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04019444
Responsible party
Sponsor
First posted
Jul 15, 2019
Start date
Sep 19, 2019
Primary completion
Mar 24, 2023
Completion
Mar 24, 2023
Results posted
Apr 10, 2024
Last update
Jun 3, 2024

Oversight

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

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