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TerminatedNCT05382650Updated Nov 13, 2025

Survey of Human Rabies Immune Globulin Safety in Children

An observational study in Rabies, Rabies Human and Rabies Virus Infection, sponsored by The Methodist Hospital Research Institute. Terminated at 2 sites in United States. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2025-11-13.

Sponsored by The Methodist Hospital Research Institute · Observational

Why this study was terminated
Slow enrollment
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
35
Ages
Up to 17 Years
Sex
All
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Study summary

This observational study will be conducted across the Houston Methodist system, including all hospital-based and freestanding emergency departments (ED), and up to 4 additional sites in the United States. The safety of human rabies immune globulin (HRIG) 300 IU/mL product (HyperRAB®) in pediatric patients has not been fully established. The purpose of this study is to evaluate the safety of HRIG 300 IU/mL when given to pediatric patients per standard of care for rabies postexposure prophylaxis (PEP) in the ED.

Read the detailed description

BACKGROUND: Rabies PEP consists of thorough wound cleansing, administration of HRIG 20 IU/kg body weight, and 4 to 5 doses of rabies vaccine. The safety of HRIG 300 IU/mL has been confirmed only for adult patients. Although the safety of HRIG 300 IU/mL in the pediatric population has not been fully established, there is no age limit on the FDA approved indication for HRIG 300 IU/mL, and it is routinely administered to pediatric patients as standard of care in the United States.

STUDY DESIGN: This observational, multicenter, prospective study will collect information on safety events that occur up to 30 days after standard of care administration of HRIG 300 IU/mL among pediatric patients (age ≤17 years) at up to 5 study sites in the United States. Safety data will be collected using surveys and chart review of the health record. All participants will receive HRIG 300 IU/mL per standard of care prior to joining this study. The day of HRIG 300 IU/mL administration will be defined as day 0. The study will conduct Survey 1 on day 2 and Survey 2 on day 10 to collect information on adverse events (AEs). Investigators will review the electronic health record on day 30 to collect additional information on AEs. If a serious adverse event is detected during Survey 1, Survey 2, or the 30-day chart review and is not previously documented as being resolved or stabilized the study will conduct Survey 3 on day 30.

02

Conditions studied

  • Rabies
  • Rabies Human
  • Rabies Virus Infection
  • Pediatrics

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Keywords

  • Pediatrics
  • Rabies post-exposure prophylaxis
  • Rabies PEP
  • Rabies immune globulin
  • Rabies IG
  • Adverse events
03

In context

Rabies

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

Browse Rabies studies →

Lead sponsor

The Methodist Hospital Research Institute is the lead sponsor of 160 studies on the registry; 59 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 18 (64%) have results posted.

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

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Pediatric patients who received HRIG 300 IU/mL as part of routine medical care for rabies PEP during an ED visit in up to 5 study sites in the United States

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. Received HRIG 300 IU/mL for rabies PEP during an ED encounter visit
  2. Aged ≤17 years

Exclusion criteria

Exclusion Criteria

  1. HRIG 300 IU/mL dose given is \<18 IU/kg or >22 IU/kg
  2. Patient is admitted or transferred to a hospital from the ED for further management of injuries related to the animal exposure
  3. Patient has a history of rabies vaccine or rabies immune globulin administration
  4. Legally authorized representative (parent) does not speak English if patient is \<7 years old
  5. Legally authorized representative (parent) or patient does not speak English if patient is 7 to 17 years old
  6. Inability to obtain consent

    1. More than 3 days passed since HRIG 300 IU/mL administration prior to screen
    2. Unable to contact legally authorized representative (parent) and/or patient within 3 days of HRIG 300 IU/mL administration
    3. Legally authorized representative (parent) and/or patient declined participation
  7. Administration sites for HRIG are unknown
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
35 participants (actual)
Patient registry
No

Interventions

  • BiologicalHuman rabies immune globulin 300 IU/mL

    All participants in this single-cohort observational study will receive human rabies immune globulin 300 IU/mL at a dose of 20 IU/kg per standard of care.

06

What researchers measure

Primary outcomes

  1. Incidence of local and systemic adverse events (AEs) within 2 days of HRIG 300 IU/mL administration

    Proportion of patients with 1 or more AEs deemed as possibly/definitely related to HRIG 300 IU/mL administration

    Time frame: Within 2 days of HRIG 300 IU/mL administration

Secondary outcomes

  1. Cumulative incidence of all local and systemic AEs within 10 days of HRIG 300 IU/mL administration

    Proportion of patients with 1 or more AEs deemed as possibly/definitely related to HRIG 300 IU/mL administration

    Time frame: Within 10 days of HRIG 300 IU/mL administration

  2. Cumulative incidence of all local and systemic AEs within 30 days of HRIG 300 IU/mL administration

    Proportion of patients with 1 or more AEs deemed as possibly/definitely related to HRIG 300 IU/mL administration

    Time frame: Within 30 days of HRIG 300 IU/mL administration

  3. Cumulative incidence of all local and systemic serious adverse events (SAEs) within 30 days of HRIG 300 IU/mL administration

    Proportion of patients with 1 or more SAE deemed as possibly/definitely related to HRIG 300 IU/mL administration. An AE is considered "serious" if any of the following outcomes occur: * Death * Life-threatening AE (life-threatening in the definition of "serious" refers to an event in which the participant was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe) * In-patient hospitalization or prolongation of existing hospitalization * A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions * An important medical event (refers to events which may not be immediately life-threatening, or result in death, or hospitalization, but from medical and scientific judgment, may jeopardize the participant or/and may require medical or surgical intervention to prevent one of the other outcomes listed above).

    Time frame: Within 30 days of HRIG 300 IU/mL administration

  4. Type and severity of individual local and systemic AEs detected within 30 days of HRIG 300 IU/mL administration

    Proportions of AEs that are local vs systemic and proportions of AEs that are mild, moderate, or severe among AEs deemed as possibly/definitely related to HRIG 300 IU/mL administration

    Time frame: Within 30 days of HRIG 300 IU/mL administration

07

Study locations

2 sites
  • Houston Methodist
    Houston, Texas 77030, United States
  • Texas Children's Hospital
    Houston, Texas 77030, United States
08

References and documents

Publications

  • Manning SE, Rupprecht CE, Fishbein D, Hanlon CA, Lumlertdacha B, Guerra M, Meltzer MI, Dhankhar P, Vaidya SA, Jenkins SR, Sun B, Hull HF; Advisory Committee on Immunization Practices Centers for Disease Control and Prevention (CDC). Human rabies prevention--United States, 2008: recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2008 May 23;57(RR-3):1-28. PubMed 18496505 ↗
  • Hwang GS, Rizk E, Bui LN, Iso T, Sartain EI, Tran AT, Swan JT. Adherence to guideline recommendations for human rabies immune globulin patient selection, dosing, timing, and anatomical site of administration in rabies postexposure prophylaxis. Hum Vaccin Immunother. 2020;16(1):51-60. doi: 10.1080/21645515.2019.1632680. Epub 2019 Aug 1. PubMed 31210569 ↗
  • Hanna K, Cruz MC, Mondou E, Corsi E, Vandeberg P. Safety and neutralizing rabies antibody in healthy subjects given a single dose of rabies immune globulin caprylate/chromatography purified. Clin Pharmacol. 2018 Jun 26;10:79-88. doi: 10.2147/CPAA.S166454. eCollection 2018. PubMed 29983597 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05382650
Responsible party
Michael Sirimaturos (Administrative Specialist - System Critical Care Services Leader, The Methodist Hospital Research Institute) — Principal investigator
First posted
May 19, 2022
Start date
Feb 22, 2023
Primary completion
Sep 17, 2025
Completion
Oct 15, 2025
Last update
Nov 13, 2025

Study contacts

Michael Sirimaturos, PharmD
principal investigator · The Methodist Hospital Research Institute

Oversight

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

Not currently enrolling

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

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