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TerminatedNCT04162600Updated Nov 8, 2024

Safety and Immunogenicity of the Candidate Rabies Vaccine ChAdOx2 RabG

A Phase 1 interventional study of ChAdOx2 RabG and Inactivated Rabies Vaccine in Rabies, sponsored by University of Oxford. Terminated at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-08.

Sponsored by University of Oxford · Phase 1, Interventional, and Treatment

Why this study was terminated
Since acceptable safety, tolerability, and immunogenicity was demonstrated at the highest dose tested (group 3, fully recruited), there was no scientific or ethical justification to recruit more participants into the mid-dose group (group 2).
Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a first-in-human, open-label, dose escalation, phase I clinical trial to assess the safety and immunogenicity of the candidate ChAdOx2 RabG vaccine in healthy UK volunteers aged 18-65. The vaccine will be administered intramuscularly (IM).

Read the detailed description

Volunteers will be recruited and vaccinated at the Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Oxford. There will be 3 study groups and it is anticipated that a total of 12 volunteers will be enrolled. Staggered enrolment will apply between study groups and for the first three volunteers within each group.

The study includes an optional extended follow-up period, lasting one month and starting one year after vaccination. Volunteers will receive a complete pre-exposure prophylactic course of an existing rabies vaccine, allowing study of the immunological memory (recall response) induced by ChAdOx2 RabG. A second optional element of the study is the collection of saliva samples at each visit for the study of shedding of EBV and CMV.

02

Conditions studied

  • Rabies

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Keywords

  • Vaccine
03

In context

Rabies

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

This study's enrollment of 18 is below the median of 201 across 104 interventional studies indexed under Rabies.

Browse Rabies studies →

Lead sponsor

University of Oxford is the lead sponsor of 812 studies on the registry; 119 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  1. Healthy adults aged 18 to 65 years.
  2. Able and willing (in the Investigator's opinion) to comply with all study requirements.
  3. Willing to allow the investigators to discuss the volunteer's medical history with their GP.
  4. For females only, willingness to practice continuous effective during the study and a negative pregnancy test on the day(s) of screening and vaccination(s).
  5. Agreement to refrain from blood donation during the course of the study.
  6. Provide written .

Exclusion Criteria:

  1. Participation in another research study involving receipt of an product in the 30 days preceding enrolment, or planned use during the study period. To be re- confirmed at the enrolment visit.
  2. Prior receipt of an investigational vaccine likely to impact on interpretation of the trial data (e.g. Adenovirus vectored vaccine).
  3. Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate.
  4. Any confirmed or suspected or immunodeficient state, including infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical are allowed).
  5. History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  6. Any history of hereditary angioedema, acquired angioedema, or idiopathic angioedema.
  7. Any history of anaphylaxis in relation to vaccination.
  8. Pregnancy, lactation or willingness/intention to become pregnant during the study.
  9. History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  10. History of serious psychiatric condition likely to affect participation in the study.
  11. Bleeding disorder (eg. Factor deficiency, coagulopathy or disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture.
  1. Individuals who have previously experienced episodes of capillary leak syndrome.
  1. History of confirmed major thrombotic event (including cerebral venous sinus thrombosis, deep vein thrombosis, pulmonary embolism).
  1. History of antiphospholipid syndrome. 16. History of prior receipt of unfractionated heparin. 17. History of heparin induced thrombocytopenia. 18. Any other serious chronic illness requiring hospital specialist supervision.
  1. Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week. 20. Suspected or known injecting drug abuse in the 5 years preceding enrolment. 21. Detectable circulating surface antigen (HBsAg). 22. Seropositive for virus (antibodies to HCV). 23. Any abnormal finding on screening biochemistry or haematology blood tests or urinalysis. 24. Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data.
  1. Inability of the study team to contact the volunteer's GP to confirm medical history and safety to participate. 26. Receipt of any prior rabies vaccine, including an incomplete course. 27. Require or will require rabies vaccination during the first 8 weeks of the study period (e.g. through planned travel to high risk enzootic areas of through work which may lead to exposure and for which rabies vaccination is usually required/recommended).

Exclusion criteria for optional follow-up

  1. Receiving rabies vaccination following the completion of the first 8 weeks of follow-up but before the optional extended follow-up period will exclude participants from taking part in the optional follow-up period.
  2. History of allergic reactions to amphotericin B, chlortetracycline, neomycin, polymyxin, streptomycin, or to any antibiotics of the same groups will exclude participants from receiving certain IRVs (as per the relevant SmPC) during the optional extended follow-up period, but will not exclude participants from receiving ChAdOx2 RabG.
Terms in these criteria, in plain language(10)

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    5 x 10^9 vp of ChAdOx2 RabG

    Volunteers will receive a standalone dose of ChAdOx2 RabG 5 x 10\^9 vp vaccination intramuscularly. Optional extended follow-up, volunteers will receive a complete pre-exposure prophylactic course of an existing rabies vaccine.

    Biological: ChAdOx2 RabG · Biological: Inactivated Rabies Vaccine

  • Experimental
    2.5 x 10^10 vp of ChAdOx2 RabG

    Volunteers will receive a standalone dose of ChAdOx2 RabG 2.5 x 10\^10 vp vaccination intramuscularly. Optional extended follow-up, volunteers will receive a complete pre-exposure prophylactic course of an existing rabies vaccine.

    Biological: ChAdOx2 RabG · Biological: Inactivated Rabies Vaccine

  • Experimental
    5 x 10^10 vp of ChAdOx2 RabG

    Volunteers will receive a standalone dose of ChAdOx2 RabG 5 x 10\^10 vp vaccination intramuscularly. Optional extended follow-up, volunteers will receive a complete pre-exposure prophylactic course of an existing rabies vaccine.

    Biological: ChAdOx2 RabG · Biological: Inactivated Rabies Vaccine

Interventions

  • BiologicalChAdOx2 RabG

    Single dose of ChAdOx2 RabG at different concentrations: 5 x 10\^9 vp, 2.5 x 10\^10 vp, 5 x 10\^10 vp

  • BiologicalInactivated Rabies Vaccine

    A complete pre-exposure prophylactic course of an existing rabies vaccine, ≥2.5 international units.

  • BiologicalChAdOx2 RabG

    Single dose of ChAdOx2 RabG at different concentrations: 5 x 10\^9 vp, 2.5 x 10\^10 vp, 5 x 10\^10 vp

  • BiologicalChAdOx2 RabG

    Single dose of ChAdOx2 RabG at different concentrations: 5 x 10\^9 vp, 2.5 x 10\^10 vp, 5 x 10\^10 vp.

  • BiologicalInactivated Rabies Vaccine

    A complete pre-exposure prophylactic course of an existing rabies vaccine, ≥2.5 international units.

  • BiologicalInactivated Rabies Vaccine

    A complete pre-exposure prophylactic course of an existing rabies vaccine, ≥2.5 international units.

06

What researchers measure

Primary outcomes

  1. Safety and tolerability of ChAdOx2 RabG in healthy volunteers given as a standalone vaccine at different doses assessed by the occurrence of solicited adverse events.

    Occurrence of solicited local and systemic adverse events (i.e: pain, redness, swelling and pruritus at injection site and temperature, feverishness, myalgia, arthralgia, malaise, headache, fatigue and nausea).

    Time frame: Assessment of solicited AEs in the first 7 days post vaccination

  2. Safety and tolerability of ChAdOx2 RabG in healthy volunteers given as a standalone vaccine at different doses assessed by the occurrence of solicited adverse events.

    Occurrence of unsolicited local and systemic adverse events

    Time frame: Unsolicited AEs to be assessed up to 28 days post vaccination.

  3. Safety and tolerability of ChAdOx2 RabG in healthy volunteers given as a standalone vaccine at different doses assessed by the occurrence of serious adverse events.

    Occurrence of serious adverse events

    Time frame: SAEs will be collected from enrolment until the end of the follow-up period.(8 weeks)

  4. Safety and tolerability of ChAdOx2 RabG in healthy volunteers given as a standalone vaccine at different doses assessed by the occurrence of solicited adverse events.

    Occurrence of laboratory adverse events defined as clinically significant changes from baseline. Haematology (Full Blood Count) and Biochemistry (Kidney and Liver Function Tests) will be assessed.

    Time frame: At Day 0 (baseline), day 2, day 7, day 28 and day 56 post vaccination

Secondary outcomes

  1. Immunogenicity of the ChAdOx2 RabG vaccine

    Rapid fluorescent focus inhibition test (RFFIT) of virus neutralising antibody

    Time frame: Day 365

Other outcomes

  1. Immunological memory induced by ChAdOx2 RabG

    Virus neutralizing antibody will be measured before and in the course of immunisation with IRVs during an optional extended follow-up.

    Time frame: Between days 365 and 386

  2. Timecourse of EBV and CMV shedding

    Measured by quantitative PCR.

    Time frame: Study Duration (386 days)

  3. Level of EBV and CMV shedding

    Measured by quantitative PCR.

    Time frame: Study Duration (386 days)

07

Study locations

1 site
  • CCVTM, University of Oxford, Churchill Hospital
    Oxford, OX3 7LE, United Kingdom
08

References and documents

Publications

  • Jenkin D, Ritchie AJ, Aboagye J, Fedosyuk S, Thorley L, Provstgaad-Morys S, Sanders H, Bellamy D, Makinson R, Xiang ZQ, Bolam E, Tarrant R, Ramos Lopez F, Platt A, Poulton I, Green C, Ertl HCJ, Ewer KJ, Douglas AD. Safety and immunogenicity of a simian-adenovirus-vectored rabies vaccine: an open-label, non-randomised, dose-escalation, first-in-human, single-centre, phase 1 clinical trial. Lancet Microbe. 2022 Sep;3(9):e663-e671. doi: 10.1016/S2666-5247(22)00126-4. Epub 2022 Jul 27. PubMed 35907430 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04162600
Responsible party
Sponsor
First posted
Nov 14, 2019
Start date
Jan 2, 2020
Primary completion
Jul 10, 2024
Completion
Jul 10, 2024
Last update
Nov 8, 2024

Study contacts

Alexander D Douglas
principal investigator · Jenner Institute

Oversight

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

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This study is terminated, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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