Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study

This phase III clinical trial aimed to assess the safety and demonstrate the immunogenicity of a candidate freeze-dried purified Vero cell-based rabies vaccine (PVRV-WIBP) developed for human use. A cohort of 40 participants in stage 1 and 1956 subjects in stage 2 with an age range of 10–50 years we...

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Main Authors: Xiaoyuan Huang, Jing Liang, Lili Huang, Xuanxuan Nian, Wei Chen, Jiayou Zhang, Xiao Xu, Xuan Lin, Yue Wang, Jinrong Shi, Lanxin Jia, Qingliang Li, Qianxi Wang, Kai Duan, Xinguo Li, Yaqi Ji, Feixia Peng, Wei Zhang, Zhiqiang Xie, Yanxia Wang, Xiaoming Yang
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2023.2211896
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author Xiaoyuan Huang
Jing Liang
Lili Huang
Xuanxuan Nian
Wei Chen
Jiayou Zhang
Xiao Xu
Xuan Lin
Yue Wang
Jinrong Shi
Lanxin Jia
Qingliang Li
Qianxi Wang
Kai Duan
Xinguo Li
Yaqi Ji
Feixia Peng
Wei Zhang
Zhiqiang Xie
Yanxia Wang
Xiaoming Yang
author_facet Xiaoyuan Huang
Jing Liang
Lili Huang
Xuanxuan Nian
Wei Chen
Jiayou Zhang
Xiao Xu
Xuan Lin
Yue Wang
Jinrong Shi
Lanxin Jia
Qingliang Li
Qianxi Wang
Kai Duan
Xinguo Li
Yaqi Ji
Feixia Peng
Wei Zhang
Zhiqiang Xie
Yanxia Wang
Xiaoming Yang
author_sort Xiaoyuan Huang
collection DOAJ
description This phase III clinical trial aimed to assess the safety and demonstrate the immunogenicity of a candidate freeze-dried purified Vero cell-based rabies vaccine (PVRV-WIBP) developed for human use. A cohort of 40 participants in stage 1 and 1956 subjects in stage 2 with an age range of 10–50 years were recruited for the phase III clinical trial. For safety analysis in stage 1, 20 participants received either 4-dose or 5-dose regimen of PVRV-WIBP. In stage 2, 1956 subjects were randomly divided into the 5-dose PVRV-WIBP, 5-dose PVRV-LNCD, and 4-dose PVRV-WIBP groups. The serum neutralizing antibody titer against rabies was determined on day 7 or 14 and day 35 or 42. Adverse reactions were recorded for more than 6 months. Most adverse reactions, which were mild and moderate in severity, occurred and resolved within 1 week after each injection in the PVRV-WIBP (4 and 5 doses) and PVRV-LNCD (5 doses) groups. All three groups achieved complete seroconversion 14 days after the initial dose and 14 days after completing the full vaccination schedule, the susceptible subjects in the PVRV-WIBP group (4-dose or 5-dose regimen) displayed higher neutralizing antibody titers against the rabies virus compared to those in the PVRV-LNCD group (5-dose regimen). PVRV-WIBP induced non-inferior immune responses versus PVRV-LNCD as assessed by seroconversion rate. PVRV-WIBP was well tolerated and non-inferior to PVRV-LNCD in healthy individuals aged 10–50 years. The results indicated that PVRV-WIBP (both 4- and 5-dose schedules) could be an alternative to rabies post-exposure prophylaxis.
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spelling doaj.art-0fdd32ef718c47b78bbb074f13df0ef02023-09-26T13:25:49ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-01-0119110.1080/21645515.2023.22118962211896Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical studyXiaoyuan Huang0Jing Liang1Lili Huang2Xuanxuan Nian3Wei Chen4Jiayou Zhang5Xiao Xu6Xuan Lin7Yue Wang8Jinrong Shi9Lanxin Jia10Qingliang Li11Qianxi Wang12Kai Duan13Xinguo Li14Yaqi Ji15Feixia Peng16Wei Zhang17Zhiqiang Xie18Yanxia Wang19Xiaoming Yang20National Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesHenan Provincial Center for Disease Control and PreventionNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesNational Engineering Technology Research Center for Combined VaccinesHenan Provincial Center for Disease Control and PreventionHenan Provincial Center for Disease Control and PreventionHenan Provincial Center for Disease Control and PreventionNational Engineering Technology Research Center for Combined VaccinesThis phase III clinical trial aimed to assess the safety and demonstrate the immunogenicity of a candidate freeze-dried purified Vero cell-based rabies vaccine (PVRV-WIBP) developed for human use. A cohort of 40 participants in stage 1 and 1956 subjects in stage 2 with an age range of 10–50 years were recruited for the phase III clinical trial. For safety analysis in stage 1, 20 participants received either 4-dose or 5-dose regimen of PVRV-WIBP. In stage 2, 1956 subjects were randomly divided into the 5-dose PVRV-WIBP, 5-dose PVRV-LNCD, and 4-dose PVRV-WIBP groups. The serum neutralizing antibody titer against rabies was determined on day 7 or 14 and day 35 or 42. Adverse reactions were recorded for more than 6 months. Most adverse reactions, which were mild and moderate in severity, occurred and resolved within 1 week after each injection in the PVRV-WIBP (4 and 5 doses) and PVRV-LNCD (5 doses) groups. All three groups achieved complete seroconversion 14 days after the initial dose and 14 days after completing the full vaccination schedule, the susceptible subjects in the PVRV-WIBP group (4-dose or 5-dose regimen) displayed higher neutralizing antibody titers against the rabies virus compared to those in the PVRV-LNCD group (5-dose regimen). PVRV-WIBP induced non-inferior immune responses versus PVRV-LNCD as assessed by seroconversion rate. PVRV-WIBP was well tolerated and non-inferior to PVRV-LNCD in healthy individuals aged 10–50 years. The results indicated that PVRV-WIBP (both 4- and 5-dose schedules) could be an alternative to rabies post-exposure prophylaxis.http://dx.doi.org/10.1080/21645515.2023.2211896rabies vaccinesafetyimmunogenicity
spellingShingle Xiaoyuan Huang
Jing Liang
Lili Huang
Xuanxuan Nian
Wei Chen
Jiayou Zhang
Xiao Xu
Xuan Lin
Yue Wang
Jinrong Shi
Lanxin Jia
Qingliang Li
Qianxi Wang
Kai Duan
Xinguo Li
Yaqi Ji
Feixia Peng
Wei Zhang
Zhiqiang Xie
Yanxia Wang
Xiaoming Yang
Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study
Human Vaccines & Immunotherapeutics
rabies vaccine
safety
immunogenicity
title Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study
title_full Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study
title_fullStr Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study
title_full_unstemmed Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study
title_short Safety and immunogenicity of rabies vaccine (PVRV-WIBP) in healthy Chinese aged 10–50 years old: Randomized, blinded, parallel controlled phase III clinical study
title_sort safety and immunogenicity of rabies vaccine pvrv wibp in healthy chinese aged 10 50 years old randomized blinded parallel controlled phase iii clinical study
topic rabies vaccine
safety
immunogenicity
url http://dx.doi.org/10.1080/21645515.2023.2211896
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