ClinicalTrials.gg
CompletedNCT07672626Updated Jun 29, 2026

Safety and Immune Response of a Rabies Vaccine With the Essen Schedule and a Two-Dose Booster

A Phase 3 interventional study of the tested vaccine and the control vaccine in Vaccine, sponsored by Jiangsu Province Centers for Disease Control and Prevention. Completed at 1 site in China. Open to participants aged 10 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-29.

Sponsored by Jiangsu Province Centers for Disease Control and Prevention · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Registered 3 years 11 months after the study started (first participant enrolled Jul 2022, registered Jun 2026).
Phase
Phase 3
Study type
Interventional
Enrollment
1,200
Allocation
Randomized
Ages
10 Years to 60 Years
Sex
All
01

Study summary

Rabies is caused by rabies virus with a 100% mortality rate in humans. Most of cases occur in Africa and Asia, mainly in underserved populations. Rabies is a vaccine-preventable disease in both humans and animals. Over the years, the Vero cell rabies vaccine has been recognized by the World Health Organization (WHO) and the European Union, and is widely used globally. Currently, one of the post-exposure prophylaxis (PEP) regimens recommended by the World Health Organization (WHO) is the five-dose "Essen" regimen (1-1-1-1-1), involving one intramuscular dose administered on days 0, 3, 7, 14, and 28 respectively. This clinical trial was to assess the immunogenicity and safety of a freeze-dried human rabies vaccine (Vero Cell) in healthy population for the large-scale developing, and explore the booster vaccination.

Read the detailed description

Rabies is caused by rabies virus with a case fatality rate approaching 100% in humans. Studies reported that about 59000 human deaths and over 3.7 million disability-adjusted life years lost every year. Most of cases occur in Africa and Asia, mainly in underserved populations, with approximately 40% of cases in children aged \<15 years. Fortunately, rabies is a vaccine-preventable disease in both humans and animals. Post-exposure prophylaxis (PEP), is the critical intervention for preventing the onset of the disease.

Conventional Vero cell rabies vaccines have been used globally for decades, demonstrating excellent safety and immunogenicity. However, their production typically requires the use of animal-derived components, such as fetal bovine serum or human serum albumin, in the cell culture medium. This practice raises potential concerns regarding the risk of contamination with adventitious agents, batch-to-batch variability, and the potential for allergic reactions. To address these limitations, a new generation of purified Vero rabies vaccine produced in serum-free medium has been developed. This vaccine uses the same Pitman-Moore virus strain as the traditional vaccines but is manufactured without any human or animal serum-derived components, significantly reducing the risk of extraneous protein contamination and representing a substantial advancement in vaccine technology and safety. The shift to a serum-free production process, while a clear advantage for safety, raises critical questions regarding the vaccine's immunogenicity and the duration of protection it confers.

This study aims to systematically evaluate the available evidence of the serum-free Vero cell rabies vaccine. First, we will critically assess its immunogenicity in PEP settings. Second, we will assess the long-term persistence of protective antibody titers following primary vaccination. Finally, we will discuss the rationale for and evidence on booster vaccination strategies.

02

Conditions studied

  • Vaccine

Keywords

  • human rabies vaccine (Vero Cell), immunogenicity, safety, Essen regimen
03

In context

Lead sponsor

Jiangsu Province Centers for Disease Control and Prevention is the lead sponsor of 77 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
10 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • Healthy subjects aged 10-60 years as established by medical history and clinical examination
  • The subjects are able to understand and sign the
  • Female subjects aged 18-60 years must have a negative urine pregnancy test result and commit to using for 2 months following the first vaccine dose in this study.
  • Subjects who can and will comply with the requirements of the protocol
  • Subjects with temperature ≤37.0°C on axillary setting

Exclusion Criteria:

Exclusion Criteria for the first dose:

  • Subject who was administered human rabies vaccine or rabies immunoglobulin.
  • Subject that has a medical history of any of the following: allergic history, or allergic to any ingredient of vaccine, especially allergic to neomycin.
  • Has been diagnosed or suspected of having an immune deficiency, disease, or immune system disorder.
  • History of thyroidectomy, or thyroid disease requiring treatmentin the past 12 months
  • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with injections or blood draws
  • History of epilepsy, convulsions or convulsions, or a family history of psychosis.
  • Absence of spleen, functional absence of spleen, and any circumstances leading to absence of spleen or splenectomy.
  • Have a malignant tumor in active phase, or a tumor that have been treated but not clearly cured, or may relapse during the study period.
  • In the past 6 months, there have been therapy, cytotoxic therapy, inhaled (excluding corticosteroid spray therapy for allergic rhinitis, and surface corticosteroid therapy for acute non-complicated dermatitis).
  • Taking anti-TB or treatment.
  • Any prior administration of immunoglobulin or blood products in last 3 months.
  • Coagulopathy (such as coagulation factor deficiency, coagulative disorders, abnormalities) or obvious bruising or coagulation impairment
  • Any prior administration of other research drugs in last 30 days
  • Any prior administration of attenuated in last 4 weeks
  • Any prior administration of subunit or inactivated vaccines in last 2 weeks
  • Have acute diseases, severe chronic diseases, acute exacerbation of chronic diseases, or those with fever
  • Suspected or have a history of injury caused by warm-blooded mammals in last 3 months.
  • Women who are breastfeeding, pregnant, or planning to become pregnant in 2 months past the first dose.
  • Use of antipyretic, analgesic, or antiallergic drugs within 3 days
  • Having used other or unregistered products (drugs or vaccines) within 6 months prior to the vaccination of the study vaccine, or having plans to participate in other clinical studies after enrollment in this clinical study (except for emergency-use novel coronavirus vaccines, but the vaccination details must be recorded in the concomitant medication section)
  • Planning to move out of the local area or be away from the local area for a long time before the end of the study;
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Exclusion Criteria for other doses:

  • Any incidences in the first dose exclusion criteria occur after inclusion
  • Grade 3 or higher systemic adverse reactions related to this study, or intolerable injection site adverse reactions, that occurred between the previous vaccination and the current vaccination.
  • Any serious adverse events caused by vaccination.
  • Other reactions that in the opinion of the investigator ( include: severely serious symptom of pain, swelling, Limitation of motion, continuous high fever, headache and other Systemic or local reactions )
Terms in these criteria, in plain language(9)

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.

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
1,200 participants (actual)

Study arms

  • Experimental
    the tested group

    receive the lyophilized human rabies vaccine (Vero Cells) produced by Shanghai Rongsheng Biotech Co., Ltd.

    Biological: the tested vaccine

  • Active comparator
    the control group

    receive the lyophilized human rabies vaccine (Vero Cells) produced by Liaoning Chengda Biotechnology Co., Ltd.

    Biological: the control vaccine

  • Experimental
    Sub tested A

    Subjects from the tested group with freeze-dried human rabies vaccine (Vero Cell) (Shanghai Rongsheng Biotech Co., Ltd.) vaccinated according to booster schedule on day 0,3 at month 3 following the full-course immunization.

    Biological: the tested vaccine

  • Experimental
    Sub tested B

    Subjects from the experimental 1 with freeze-dried human rabies vaccine (Vero Cell) (Shanghai Rongsheng Biotech Co., Ltd.) vaccinated according to booster schedule on day 0,3 at month 12 following the full-course immunization.

    Biological: the tested vaccine

Interventions

  • Biologicalthe tested vaccine

    The tested vaccine is a lyophilized human rabies vaccine (Vero Cells) produced by Shanghai Rongsheng Biotech Co., Ltd.

  • Biologicalthe control vaccine

    The control vaccine is a lyophilized human rabies vaccine (Vero Cells) produced by Liaoning Chengda Biotechnology Co., Ltd.

06

What researchers measure

Primary outcomes

  1. Seroconversion rate of rabies virus-specific neutralizing antibodies (RFFIT) in pre-immunization seronegative subjects.

    Percentage of participants with rabies virus neutralizing antibody concentration ≥0.5 IU/ml, the experimental group is non-inferior to the control group, non-inferiority margin for seroconversion rate:-5%.

    Time frame: 14 days following the 5 doses full-course immunization

  2. Geometric mean concentration (GMC) of rabies virus-specific neutralizing antibodies in pre-immunization seronegative subjects.

    GMC, concentration of participants with rabies virus neutralizing antibody concentration, the experimental group is non-inferior to the control group, non-inferiority margin for GMC ratio:0.67.

    Time frame: 14 days following the 5 doses full-course immunization

  3. Seroconversion rate of rabies virus-specific neutralizing antibodies (RFFIT) in pre-immunization seronegative subjects.

    Seroconversion rate, percentage of participants with rabies virus neutralizing antibody concentration ≥0.5 IU/ml, the experimental group is non-inferior to the control group, non-inferiority margin for seroconversion rate:-5%.

    Time frame: 14 days following the first dose

  4. Geometric mean concentration (GMC) of rabies virus-specific neutralizing antibodies in pre-immunization seronegative subjects.

    GMC, concentration of participants with rabies virus neutralizing antibody concentration, the experimental group is non-inferior to the control group, non-inferiority margin for GMC ratio:0.67.

    Time frame: 14 days following the first dose

Secondary outcomes

  1. Percentage of participants with rabies virus neutralizing antibody concentration ≥0.5 IU/ml or increase by 4 folds after vaccination

    Time frame: 7、14 days post the first dose and 14 days post the 5 doses full-course immunization

  2. Geometric mean concentration (GMC) of rabies virus-specific neutralizing antibodies

    Time frame: 7、14 days post the first dose and 14 days post the 5 doses full-course immunization

  3. Percentage of participants with rabies virus neutralizing antibody concentration ≥0.5 IU/ml after vaccination.

    Time frame: Month 3、6、12 following the 5 doses full-course immunization

  4. GMC of rabies virus neutralizing antibody

    Time frame: Month 3、6、12 following the 5 doses full-course immunization

  5. Proportion of subjects reporting adverse events

    Time frame: Day 30 post-each dose

  6. Proportion of subjects with Serious Adverse Events occurring throughout the trial

    Time frame: Day 0 up to month 12 following the full-course immunization

Other outcomes

  1. Percentage of participants with rabies virus neutralizing antibody concentration ≥0.5 IU/ml or increase by 4 folds after booster vaccination

    Time frame: 14 days post booster vaccination

  2. GMC of rabies virus neutralizing antibody after booster vaccination

    Time frame: 14 days post booster vaccination

  3. Proportion of subjects reporting adverse events after booster vaccination

    Time frame: 30 days post booster vaccination

07

Study locations

1 site
  • Pizhou county Center for Disease Control and Prevention
    Pizhou, Jiangsu, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2022 to primary completion in Aug 2024, 25 months.

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

Registered
Jun 23, 2026
First posted
Jun 29, 2026
StartActual
Jul 19, 2022
Primary completionActual
Aug 26, 2024
CompletionActual
Dec 16, 2024
Last update
Jun 29, 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 Jun 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07672626
Lead sponsor
Jiangsu Province Centers for Disease Control and Prevention
Responsible party
Fengcai Zhu (Principal Investigator, Jiangsu Province Centers for Disease Control and Prevention) — Principal investigator
First posted
Jun 29, 2026
Start date
Jul 19, 2022
Primary completion
Aug 26, 2024
Completion
Dec 16, 2024
Last update
Jun 29, 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 Jun 2026. You cannot join it, but the record below documents what was studied.

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