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CompletedNCT04594551Updated Sep 19, 2025

Study of Purified Vero Rabies Vaccine Compared With a Reference Rabies Vaccine as Simulated Rabies Post-Exposure Prophylaxis in Adults in Thaïland

A Phase 3 interventional study of Purified vero rabies vaccine - serum free 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 18 Years 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
201
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

To describe the immune response induced by VRVg-2 and Verorab vaccines at D14 and D35 when co-administered with Human Rabies Immunoglobulins (HRIG) at D0, according to the Zagreb (2-1-1) IM regimen in healthy adult subjects.

Secondary Objective:

Immunogenicity To describe the immune response induced by VRVg-2 and Verorab vaccines at D90 when co-administered with HRIG at D0, according to the Zagreb (2-1-1) IM regimen in healthy adult subjects.

Safety To describe the safety profile of VRVg-2 and Verorab vaccines when co administered with HRIG at D0, after each vaccination.

Read the detailed description

The duration of each subject's participation in the study will be approximately 7 months (21 day-vaccination period followed by 6 months safety follow-up period).

02

Conditions studied

  • Rabies (Healthy Volunteers)

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Keywords

  • Rabies
03

In context

Rabies

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

This study's enrollment of 201 is close to 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

  • Aged ≥ 18 years on the day of inclusion
  • Able to attend all scheduled visits and to comply with all study procedures
  • (BMI): 18.5 kg/m2 ≤ BMI ≤ 30 kg/m2s

Exclusion criteria

Exclusion criteria:

  • Subject is 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 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 7 (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 to human rabies immunoglobulin (HRIG), or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
  • Self-reported thrombocytopenia, contraindicating intramuscular (IM) vaccination
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination
  • 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 7

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
201 participants (actual)

Study arms

  • Experimental
    Group 1: VRVg-2 + HRIG

    VRVg-2 4 injections: 2 at Day 0, 1 at Day 7, 1 at Day 21 \+ HRIG at D0

    Biological: Purified vero rabies vaccine - serum free · Biological: Human rabies immunoglobulins

  • Active comparator
    Group 2: Verorab + HRIG

    Verorab 4 injections: 2 at Day 0, 1 at Day 7, 1 at Day 21 \+ HRIG at D0

    Biological: Purified inactivated rabies vaccine · Biological: Human rabies immunoglobulins

Interventions

  • BiologicalPurified vero rabies vaccine - serum free

    Pharmaceutical form:freeze-dried - Route of administration: intramuscular

    Also known as: VRVg-2

  • BiologicalPurified inactivated rabies vaccine

    Pharmaceutical form:freeze-dried - Route of administration: intramuscular

    Also known as: Verorab

  • BiologicalHuman rabies immunoglobulins

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

    Also known as: HRIG

06

What researchers measure

Primary outcomes

  1. Percentage of participants 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 achieving RVNA titer greater than or equal to (≥) 0.5 IU/mL

    RVNA titers will be measured by RFFIT

    Time frame: Day 35 (post-vaccination)

  3. Number of Participants 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 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 35 (post-vaccination)

  5. Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination)

    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)

    RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 35 - RVNA ratios Day35/Day0 will be calculated

    Time frame: Day 35 (post-vaccination)

Secondary outcomes

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

    Unsolicited (spontaneously reported) systematic AEs

    Time frame: Within 30 minutes post-vaccination

  2. Percentage of participants reporting solicited injection site and systemic reactions

    Solicited injection site reactions: \- pain, erythema, and swelling in adults (aged ≥ 18 years) Solicited systemic reactions: \- fever, headache, malaise and myalgia in adults (aged ≥ 18 years)

    Time frame: Within 7 days post-vaccination

  3. Number of participants reporting unsolicited injection site AEs

    Unsolicited injection site AEs

    Time frame: Within 28 days post-vaccination

  4. Number of participants reporting unsolicited systemic AEs

    Unsolicited systemic AEs

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

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

    SAEs, including adverse event of special interest (AESIs)

    Time frame: Up to 6 months after last vaccination

  6. Percentage of participants 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)

  7. Number of Participants 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)

  8. Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination)

    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 7640002
    Bangkok, 10330, Thailand
  • Investigational site number 7640001
    Bangkok, 10400, Thailand
  • Investigational site number 7640003
    Bangkok, 10700, 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
NCT04594551
Responsible party
Sponsor
First posted
Oct 20, 2020
Start date
Oct 11, 2020
Primary completion
Jun 23, 2021
Completion
Jun 23, 2021
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 ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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