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CompletedNCT07342257Updated Jan 15, 2026

SYN023 With Rabies Vaccine in Healthy Pediatric Subjects

A Phase 1 interventional study of SYN023 and Rabies Vaccine in Rabies Post-exposure Prophylaxis, sponsored by Synermore Biologics (Suzhou) Co., Ltd.. Completed at 1 site in China. Open to participants aged 0 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-15.

Sponsored by Synermore Biologics (Suzhou) Co., Ltd. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Nov 2024, registered Dec 2025).
Phase
Phase 1
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
0 Years to 17 Years
Sex
All
01

Study summary

This study is a randomized, double-blind, active-controlled design. The goal is to evaluate the safety, pharmacokinetics and pharmacodynamic of SYN023 in combination with rabies vaccine in healthy participants under 18 years of age.

Participants will:

  1. Be randomly assigned to receive one of two doses of SYN023 or a dose of HRIG by intramuscular injection on Day 0, along with the first dose of the rabies vaccine.
  2. Receive additional doses of the rabies vaccine on Days 3, 7, 14, and 28.
  3. Have all adverse events (within 42 days) and all serious adverse events (within 126 days) after PEP administration collected and recorded.
  4. Provide several blood samples for pharmacokinetics and pharmacodynamic testing.
02

Conditions studied

  • Rabies Post-exposure Prophylaxis

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Keywords

  • rabies
  • pediatric
  • post-exposure prophylaxis
  • SYN023
03

In context

Rabies

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

This study's enrollment of 108 is below the median of 201 across 104 interventional studies indexed under Rabies.

Browse Rabies studies →

Lead sponsor

Synermore Biologics (Suzhou) Co., Ltd. is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
0 Years to 17 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. Under 18 years of age at enrollment, male or female, with legal identification available.
  2. Legal guardians of the volunteers voluntarily agree to participate in the study and sign the Form (ICF). Specifically, for volunteers under 8 years old, ICF is signed by legal guardians while fully respecting the child's opinion; for volunteers aged 8-17 years, legal guardians sign the ICF while volunteers themselves sign the ICF for minor volunteers;
  3. Willing and able to comply with all study procedures, expected to be able to complete all follow-up visits and maintain contact throughout the study period;
  4. Female volunteers of must have a negative urine pregnancy test prior to product/vaccine administration, be non-lactating, and agree to use effective during the study;
  5. In good general health with normal physical examination findings, vital signs measurements, and axillary temperature ≤ 37.0℃.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with history of injection of rabies vaccine and/or rabies virus passive immunization agents such as equine immunoglobulin, equine purified F (ab') 2 fragment products and HRIG;
  2. Subjects with history of being bitten by a dog, cat, ferret, fox, ferret, skunk, bat or raccoon (wound with skin damage) in the past 6 months;
  3. Subjects who have had pyrexia (≥ 37.3℃) or other acute illness within 7 days before enrollment, or are in acute exacerbation of chronic diseases;
  4. History or current presence of any or immunodeficiency disorders (including but not limited to systemic lupus erythematosus, ankylosing spondylitis, autoimmune thyroid disease, infection, etc.);
  5. Subjects with loss of splenic function or functional impairment, such as asplenia due to any condition (e.g., splenectomy);
  6. Subjects with a history of severe allergy to previous vaccination requiring medical intervention, such as generalized urticaria, allergic laryngeal edema, Henoch-Schonlein purpura, local allergic necrosis reaction (Arthus reaction), angioneurotic edema and anaphylactic shock; or known to any component contained in the products/vaccine;
  7. History or current presence of any systemic disease or poorly controlled chronic condition that may interfere with safety or efficacy evaluations as determined by the investigator, including but not limited to hematologic disorders, hepatic/renal diseases, gastrointestinal disorders, respiratory diseases, , or history of major organ transplantation, etc.;
  8. History or current presence of severe neurological disorders (e.g., epilepsy, convulsions or seizures [excluding febrile seizures], encephalopathy) or psychiatric illness, or family history of psychiatric disorders;
  9. Presence of coagulation abnormalities (e.g., coagulation factor deficiency, disorders);
  10. Administration of immunoglobulins or blood products within 3 months prior to enrollment, or planned use during the study;
  11. Receipt of systemic or other immunomodulatory therapies within 3 months prior to enrollment, including but not limited to systemic (e.g., prednisone ≥ 2 mg/kg/day for > 2 weeks), or cytotoxic therapy, or planned administration during the trial;
  12. Participation in other clinical trials within 3 months prior to enrollment, or planned participation during the study;
  13. Administration of within 14 days or subunit/inactivated vaccines within 7 days prior to enrollment;
  14. Presence of skin lesions, inflammation, ulcers, rashes, or scars at the intended injection site that may interfere with administration or local reaction assessment;
  15. Any other condition considered by the investigator to render the participant unsuitable for study participation.
Terms in these criteria, in plain language(12)

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.

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.

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.

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.

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.

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.

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.

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.

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.

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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
108 participants (actual)

Study arms

  • Experimental
    Low-dose SYN023 combined with rabies vaccine

    A single intramuscular injection of SYN023 at low dose combined with the Chinese licensed Vero Cell Rabies Vaccine (Essen 5-dose regimen)

    Biological: SYN023 · Biological: Rabies Vaccine

  • Experimental
    High-dose SYN023 combined with rabies vaccine

    A single intramuscular injection of SYN023 at high dose combined with the Chinese licensed Vero Cell Rabies Vaccine (Essen 5-dose regimen)

    Biological: SYN023 · Biological: Rabies Vaccine

  • Active comparator
    HRIG combined with rabies vaccine

    A single intramuscular injection of Human rabies immunoglobulin (HRIG)combined with the Chinese licensed Vero Cell Rabies Vaccine (Essen 5-dose regimen)

    Biological: Rabies Vaccine · Biological: HRIG

Interventions

  • BiologicalSYN023

    SYN023 should be administered intramuscularly at sites distant from the vaccine injection site, either at the gluteus maximus or vastus lateralis muscles. The investigator should determine appropriate injection sites for multiple-point administration based on the participant's age and body weight. It is recommended that not more than 6 mL be administered per single gluteus maximus or vastus lateralis muscle, with not more than 4 mL per single injection site (younger children may require reduced volumes per muscle and per injection site based on individual circumstances); Injection time: Day 0.

    Also known as: Zamerovimab and Mazorelvimab Injection

  • BiologicalRabies Vaccine

    Dosage and administration of Rabies vaccine for human use: 0.5 mL, intramuscular injection in the deltoid muscle; Injection time: Days 0, 3, 7, 14, and 28 (Essen 5-dose regimen).

    Also known as: Freeze-dried Rabies Vaccine for Human Use (Vero Cells)

  • BiologicalHRIG

    HRIG should be administered intramuscularly at sites distant from the vaccine injection site, either in the gluteus maximus or vastus lateralis muscles. The investigator should determine appropriate injection sites for multiple-point administration based on the participant's age and body weight. It is recommended that not more than 6 mL be administered per single gluteus maximus or vastus lateralis muscle, with not more than 4 mL per single injection site (younger children may require reduced volumes per muscle and per injection site based on individual circumstances); Injection time: Day 0.

    Also known as: Human Rabies Immunoglobulin

06

What researchers measure

Primary outcomes

  1. Incidence of adverse drug reactions (ADRs) and adverse events (AEs)

    Time frame: 42 days

  2. Incidence of serious adverse events (SAEs)

    Time frame: 126 days

Secondary outcomes

  1. Incidence of adverse reactions and adverse events

    Time frame: 30 minutes and 7 days

  2. Rabies Virus Neutralizing Activity (RVNA) of Geometric Mean Concentration (GMC)

    Rabies Virus Neutralizing Activity (RVNA) was assessed using Rapid Fluorescent Focus Inhibition Test (RFFIT).

    Time frame: Days 3, 7, 14, 42, 98 and 126

  3. Percentage of Participants With Rabies Virus Neutralizing Activity (RVNA) ≥0.5 IU/mL

    Rabies Virus Neutralizing Activity (RVNA) was assessed using Rapid Fluorescent Focus Inhibition Test (RFFIT).

    Time frame: Days 3, 7, 14, 42, 98 and 126

  4. Area Under the Efficacy Curve for the Geometric Mean Concentration (GMC) of Rabies Virus Neutralizing Activity (RVNA)

    Rabies Virus Neutralizing Activity (RVNA) was assessed using Rapid Fluorescent Focus Inhibition Test (RFFIT). Area Under the Efficacy Curve for the GMC of RVNA from Study Day 0 to Day 14 after administration (AUEC0-14)

    Time frame: Day 0 to Day 14

  5. Maximum serum concentration (Cmax)

    Cmax for SYN023 mAb components CTB011 and CTB012 will be estimated at Day 0 (pre-dose), Day 3, Day 7, Day 14, Day 42, Day 98 and Day 126 post-dose, using non compartmental analysis.

    Time frame: 126 days

  6. Time to maximum concentration (Tmax)

    Tmax for SYN023 mAb components CTB011 and CTB012 will be estimated at Day 0 (pre-dose), Day 3, Day 7, Day 14, Day 42, Day 98 and Day 126 post-dose, using non compartmental analysis.

    Time frame: 126 days

  7. Area under the concentration-time curve (AUC0-t and AUC0-∞)

    AUC0-t and AUC0-∞ for SYN023 mAb components CTB011 and CTB012 will be estimated at Day 0 (pre-dose), Day 3, Day 7, Day 14, Day 42, Day 98 and Day 126 post-dose, using non compartmental analysis.

    Time frame: 126 days

  8. Terminal half-life (t1/2)

    t1/2 for SYN023 mAb components CTB011 and CTB012 will be estimated at Day 0 (pre-dose), Day 3, Day 7, Day 14, Day 42, Day 98 and Day 126 post-dose, using non compartmental analysis.

    Time frame: 126 days

07

Study locations

1 site
  • Yuping Dong Autonomous County Center for Disease Control and Prevention
    Tongren, Guizhou 554000, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2024 to primary completion in May 2025, 5 months.

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

Registered
Dec 24, 2025
First posted
Jan 15, 2026
StartActual
Nov 30, 2024
Primary completionActual
May 9, 2025
CompletionActual
Jul 23, 2025
Last update
Jan 15, 2026
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 Jan 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07342257
Lead sponsor
Synermore Biologics (Suzhou) Co., Ltd.
Collaborators
Guizhou Center for Disease Control and Prevention
Responsible party
Sponsor
First posted
Jan 15, 2026
Start date
Nov 30, 2024
Primary completion
May 9, 2025
Completion
Jul 23, 2025
Last update
Jan 15, 2026

Oversight

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

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

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Studies of the drug tested here: SYN023

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