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CompletedNCT04478084Updated Sep 19, 2025

Study of Purified Vero Rabies Vaccine Compared With a Reference Rabies Vaccine as Simulated Rabies Post-Exposure Prophylaxis in Adult and Pediatric Population in Thaïland

A Phase 3 interventional study of Purified vero rabies vaccine - serum free VRVg-2 and Purified inactivated rabies vaccine in Rabies (Healthy Volunteers), sponsored by Sanofi Pasteur, a Sanofi Company. Completed at 3 sites in Thailand. Open to participants aged 1 Year and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-19.

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

Phase
Phase 3
Study type
Interventional
Enrollment
403
Allocation
Randomized
Ages
1 Year and older
Sex
All
01

Study summary

Primary Objective:

To describe the immune response induced by VRVg-2 and Verorab vaccine at Day 14 (to assess the immune response after 3 doses [2-2-2]) and Day 42 (to assess the immune response after 4 doses [2-2-2-0-2]) when administered as standalone in healthy pediatric population or co-administered with HRIG (Group 5 and Group 6) at Day 0 in healthy adults.

Secondary Objectives:

  • To describe the immune response induced by VRVg-2 and Verorab vaccine at Day 14 (to assess the immune response after 3 doses [2-2-2]) when co-administered with ERIG (Group 3 and Group 4) at Day 0 in healthy adults
  • To describe the immune response induced by VRVg-2 and Verorab vaccine at D90 (to assess the immune response 90 days post-rabies simulated exposure) when administered as standalone in healthy pediatric population or co-administered with HRIG (Group 5 and Group 6) at Day 0 in healthy adults
  • To describe the safety profile of VRVg-2 and Verorab vaccine as standalone in pediatric population or when co-administered with ERIG (Group 3 and Group 4) or HRIG (Group 5 and Group 6) at Day 0 in adults, after each vaccination.
Read the detailed description

The duration of each participant's participation in the study is approximately 7 months (28 day-vaccination period followed by 6 month safety follow-up period).

02

Conditions studied

  • Rabies (Healthy Volunteers)

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Keywords

  • Rabies 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 403 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
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

Inclusion criteria :

  • Aged ≥ 1 year on the day of inclusion
  • Participant (adult ≥ 18 years without upper age limit) or participant and participant's parent/LAR (child ≥ 1 to \< 18 years) are able to attend all scheduled visits and to comply with all study procedures

The following criterion only applies to healthy adults ≥ 18 years:

- (BMI): 18.5 kg/m2 ≤ BMI ≤ 30 kg/m2

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 and until 1 month after each vaccination. To be considered of non-childbearing potential, a female must be pre-menarche or for at least 1 year, or surgically sterile.
  • Participation at the time of study enrollment or, planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks (28 days) preceding the first study vaccination or planned receipt of any vaccine prior to Visit 8 (D90)
  • Previous vaccination against rabies (in pre- or post-exposure regimen) with either the study vaccines or another vaccine
  • Bite by, or exposure to a potentially rabid animal in the previous 6 months without post-exposure prophylaxis
  • 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
  • Known systemic to any of the study/control vaccine components or, for adults, to ERIG Group 3 and Group 4) or HRIG (Group 5 and Group 6), or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
  • Positive skin test to ERIG at Visit 1 for only adult participants enrolled in Group 3 and Group 4 as per superseded Protocol version 5.0
  • Self-reported thrombocytopenia
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Current alcohol or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C). A prospective subject should not be included in the study until the condition has resolved or the febrile event has 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
  • Receipt of chloroquine or hydroxychloroquine up to 2 months prior to the study or through to study until Visit 8

The above information is not intended to contain all considerations relevant to a patient'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
403 participants (actual)

Study arms

  • Experimental
    Group 1: pediatric participants; VRVg-2

    VRVg-2 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28

    Biological: Purified vero rabies vaccine - serum free VRVg-2

  • Active comparator
    Group 2: pediatric participants; Verorab

    Verorab 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28

    Biological: Purified inactivated rabies vaccine

  • Experimental
    Group 3: adult participants; VRVG-2 + ERIG

    VRVg-2 8 injections: 2 at Day 0, 2 at Day 3 and 2 at Day 7 \+ ERIG at D0

    Biological: Purified vero rabies vaccine - serum free VRVg-2 · Biological: Equine rabies immunoglobulins (ERIG) (only Group 3 and Group 4)

  • Active comparator
    Group 4: adult participants; Verorab + ERIG

    Verorab 8 injections: 2 at Day 0, 2 at Day 3 and 2 at Day 7 \+ ERIG at D0

    Biological: Purified inactivated rabies vaccine · Biological: Equine rabies immunoglobulins (ERIG) (only Group 3 and Group 4)

  • Experimental
    Group 5: adult participants; VRVG-2 + HRIG

    VRVg-2 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28 \+ HRIG at D0

    Biological: Purified vero rabies vaccine - serum free VRVg-2 · Biological: Human rabies immunoglobulins (HRIG) (only Group 5 and Group 6)

  • Active comparator
    Group 6: adult participants; Verorab + HRIG

    Verorab 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28 \+ HRIG at D0

    Biological: Purified inactivated rabies vaccine · Biological: Human rabies immunoglobulins (HRIG) (only Group 5 and Group 6)

Interventions

  • BiologicalPurified vero rabies vaccine - serum free VRVg-2

    Pharmaceutical form:freeze-dried Route of administration: intradermal

  • BiologicalPurified inactivated rabies vaccine

    Pharmaceutical form:freeze-dried Route of administration: intradermal

    Also known as: Verorab®

  • BiologicalEquine rabies immunoglobulins (ERIG) (only Group 3 and Group 4)

    Pharmaceutical form: liquid/solution in 5 mL vials Route of administration: intramuscular

    Also known as: ERIG

  • BiologicalHuman rabies immunoglobulins (HRIG) (only Group 5 and Group 6)

    Pharmaceutical form: liquid/solution in 2 mL vials Route of administration: intramuscular

    Also known as: IMOGAM® Rabies-HT

06

What researchers measure

Primary outcomes

  1. Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL

    RVNA titers will be measured by rapid fluorescent focus inhibition test (RFFIT)

    Time frame: Day 14 (post-vaccination)

  2. Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) 0.5 IU/mL

    RVNA titers will be measured by RFFIT

    Time frame: Day 42 (post-vaccination)

  3. Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification

    RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL

    Time frame: Day 14 (post-vaccination)

  4. Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification

    RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL

    Time frame: Day 42 (post-vaccination)

  5. Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants

    RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 14 RVNA ratios Day14/Day0 will be calculated

    Time frame: Day 14 (post-vaccination)

  6. Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants

    RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 42 RVNA ratios Day42/Day0 will be calculated

    Time frame: Day 42 (post-vaccination)

Secondary outcomes

  1. Number of participants reporting immediate adverse events (AEs)

    Includes unsolicited (spontaneously reported) systemic AEs

    Time frame: Within 30 minutes post-vaccination

  2. Percentage of participants reporting solicited injection site reactions

    Solicited injection site reactions: * tenderness, erythema, swelling in toddlers (aged ≥ 1 year to \< 2 years) * pain, erythema, and swelling in children (aged 2 years to \< 12 years), in adolescents and adults (aged ≥ 12 years)

    Time frame: Within 7 days post-vaccination

  3. Percentage of participants reporting solicited systemic reactions

    Solicited systemic reactions: * fever, vomiting, crying abnormal, drowsiness, appetite lost, irritability in toddlers (aged ≥ 1 year to \< 2 years) * fever, headache, malaise and myalgia in children (aged 2 years to \< 12 years), adolescents or adults (aged ≥ 12 years)

    Time frame: Between Day 0 and Day 3, between Day 3 and Day 7, and during the 7 days following the remaining vaccinations

  4. Number of participants reporting unsolicited injection site AEs

    Unsolicited (spontaneously reported) injection site AEs

    Time frame: Within 28 days post-vaccination

  5. Number of participants reporting unsolicited systemic AEs

    Unsolicited (spontaneously reported) systemic AEs

    Time frame: Between each vaccination and up to 28 days after the last vaccination

  6. Number of participants reporting serious adverse events (SAEs)

    SAEs, including adverse event of special interest (AESIs)

    Time frame: Up to 6 months post-vaccination

  7. Percentage of participants in Group 3 and Group 4 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL

    RVNA titers will be measured by RFFIT

    Time frame: Day 14 (post-vaccination)

  8. Number of Participants in Group 3 and Group 4 achieving RVNA titer greater than or equal to (≥) lower limit of quantification

    RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL

    Time frame: Day 14 (post-vaccination)

  9. Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 3 and Group 4 Participants

    RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 14 RVNA ratios Day14/Day0 will be calculated

    Time frame: Day 14 (post-vaccination)

  10. Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL

    RVNA titers will be measured by RFFIT

    Time frame: Day 90 (post-vaccination)

  11. Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification

    RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL

    Time frame: Day 90 (post-vaccination)

  12. Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants

    RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 90 RVNA ratios Day90/Day0 will be calculated

    Time frame: Day 90 (post-vaccination)

07

Study locations

3 sites
  • Investigational Site Number :7640004
    Bangkok, 10400, Thailand
  • Investigational Site Number :7640002
    Bangkok, Thailand
  • Investigational Site Number :7640003
    Khon Kaen, 40002, Thailand
08

References and documents

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

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04478084
Responsible party
Sponsor
First posted
Jul 20, 2020
Start date
Aug 4, 2020
Primary completion
Mar 19, 2022
Completion
Jul 21, 2022
Last update
Sep 19, 2025

Study contacts

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

Oversight

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

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