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Phase II/III Study of the Safety and Effectiveness of HRIG With Active Rabies Vaccine in Healthy Subjects (KAMRAB-003)

Primary Purpose

Rabies

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Active rabies vaccine (US-FDA approved)
Sponsored by
Kamada, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Rabies

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Able and willing to sign an informed consent.
  • Healthy male or female subjects of 18 - 75 years of age inclusive who have not previously been immunized against rabies.
  • Ability to comply with completion of a home diary.
  • No previous exposure to Rabies epidemic, Rabies vaccine and/or Rabies Immune globulin.
  • No significant abnormalities in serum hematology, serum chemistry and serum immunogenic markers (C3, C4 and C50) according to the Principal Investigator's judgment.
  • No significant abnormalities in urinalysis according to the Principal Investigator's judgment.
  • No significant abnormalities in ECG per investigator judgment.
  • Non-pregnant, non-lactating female subjects, whose screening pregnancy test is negative and who are using contraceptive methods deemed reliable by the investigator, or who are more than 5 years post-menopausal or surgically sterilized.
  • Male subjects must be using at least one effective contraceptive method before study start and throughout the entire duration of the study.

Exclusion Criteria:

  • History or laboratory evidence of immunoglobulin A deficiency.
  • A history of previous administration of rabies vaccine or HRIG.
  • History of live virus vaccine administration, e.g., measles vaccine, within the last 3 months.
  • History of anaphylactic or anaphylactoid hypersensitivity reactions to chicken egg; history of mild allergic reactions to chicken egg, e.g., skin rash only, is not an exclusion criterion
  • History of hypersensitivity reaction to any of the following components of active rabies vaccine (US-FDA approved) e.g.: neomycin, bovine gelatin, trace amounts of chicken protein, chlortetracycline, and amphotericin B and in accordance with the product insert of the vaccine.
  • History of hypersensitivity reaction to any of the components in an equivalent active Rabies vaccine.
  • History of allergy to blood or blood products.
  • History of bleeding disorders.
  • Fever at the time of the start of the infusion. (Oral temperature >38ºC.)
  • Clinically significant intercurrent illnesses including: cardiac, hepatic, renal, endocrine, neurological, hematological, neoplastic, immunological, skeletal or other) that in the opinion of the investigator, could interfere with the safety, compliance or other aspects of this study.
  • Evidence of active systemic infection that required treatment with antibiotics within 2 weeks of the time of drug administration.
  • Evidence of uncontrolled hypertension (systolic blood pressure of >150 mm Hg, and/or diastolic blood pressure of >100 mm Hg).
  • Heart rate >120/min.
  • Weight > 93.75 kg
  • Pregnancy and/or lactation.
  • Woman of child-bearing potential not taking adequate contraception deemed reliable by the investigator.
  • All types of malignancies except for basal and squamous cell (scaly or plate-like) skin cancer or situ cervical carcinoma must be in remission for a minimum of 5 years., For non-melanoma skin cancers and carcinoma in-situ of the cervix may be enrolled if treated and cured at the time of screening.
  • Previous organ transplant recipient.
  • Evidence of ongoing infection with Hepatitis A, C, or B, or HIV 1/2.
  • Presence of psychiatric disorder, other mental disorder or any other medical disorder which might impair the subject's ability to give informed consent or to comply with the requirements of the study protocol.
  • Previous enrolment in this study.
  • Participation in another clinical trial within 30 days prior to baseline visit.
  • Evidence of alcohol abuse or history of alcohol abuse or illegal and/or legally prescribed drugs in the past 10 years.
  • History of life threatening allergy, anaphylactic reaction, or systemic response to human plasma derived products.
  • Known hypersensitivity to any of the ingredients or excipients of the study drugs.
  • Any other factor that, in the opinion of the investigator, would prevent the subject from complying with the requirements of the protocol.

Sites / Locations

  • Prism Research Inc

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

KamRAB

FDA approved HRIG product

Arm Description

KamRAB 20 IU/kg body weight via IM injection, once on Day 0

Comparator product: Intramuscular (IM) injection once on Day 0 in the same manner and at the same dosage as KamRAB.

Outcomes

Primary Outcome Measures

The Difference Between KamRAB and HRIG Comparator, in the Proportions of Subjects With Serum Anti-rabies IgG Antibody Concentration ≥ 0.5 IU/mL

Secondary Outcome Measures

Full Information

First Posted
November 28, 2013
Last Updated
August 31, 2021
Sponsor
Kamada, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02040090
Brief Title
Phase II/III Study of the Safety and Effectiveness of HRIG With Active Rabies Vaccine in Healthy Subjects
Acronym
KAMRAB-003
Official Title
A Prospective, Randomized, Double-Blind, Non Inferiority, Phase II/III Study of the Safety and Efficacy of Simulated Post-Exposure Prophylaxis With Kamada Human Rabies Immune Globulin (KamRAB) and Active Rabies Vaccine in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
August 2014 (Actual)
Study Completion Date
August 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kamada, Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to: 1. Evaluate the safety and tolerability of KamRAB in comparison with Human rabies immune globulin (HRIG) comparator product. 2. To assess whether KamRAB interferes with the development of self active antibodies when given simultaneously with active rabies vaccine, as compared to the HRIG comparator product, also given in conjunction with the active rabies vaccine.
Detailed Description
This is a prospective, randomized, double-blind, and single period non-inferiority and safety study conducted at a single study site. Subjects were randomized into the following two groups: Group A: KamRAB (20 IU/kg by weight [bw]) intramuscular (IM), rabies vaccine (1.0 mL; ≥2.5 IU/mL) IM Group B: Human rabies immune globulin (HRIG) Comparator product (20 IU/kg bw) IM, rabies vaccine (1.0 mL; ≥2.5 IU/mL) IM The primary endpoint was a dichotomous (0-1) variable, defined by reaching an anti-rabies immunoglobulin G (IgG) concentration ≥0.5 IU/mL on Day 14. The primary hypothesis was that the proportion of KamRAB + vaccine recipients with anti-rabies concentration ≥0.5 IU/mL on Day 14 would not be less than the corresponding proportion of HRIG Comparator subjects by as much as 0.1. The safety and tolerability of the study treatments was assessed based on: vital signs and physical examination findings, electrocardiogram (ECG), laboratory findings (hematology, clinical chemistry, and urinalysis) and the occurrence of adverse events (AEs) after drug administration

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rabies

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
118 (Actual)

8. Arms, Groups, and Interventions

Arm Title
KamRAB
Arm Type
Experimental
Arm Description
KamRAB 20 IU/kg body weight via IM injection, once on Day 0
Arm Title
FDA approved HRIG product
Arm Type
Active Comparator
Arm Description
Comparator product: Intramuscular (IM) injection once on Day 0 in the same manner and at the same dosage as KamRAB.
Intervention Type
Drug
Intervention Name(s)
Active rabies vaccine (US-FDA approved)
Other Intervention Name(s)
RabAvert®
Intervention Description
A 1.0 ml dose of active vaccine (2.5 IU/ml), will be given on 5 occasions, on Days 0, 3, 7, 14, and 28 On day 0, the day when the HRIG is given, the first vaccine dose could be given within few minutes from the time of HRIG injection was given and never be administered into the same anatomical site as the HRIG.
Primary Outcome Measure Information:
Title
The Difference Between KamRAB and HRIG Comparator, in the Proportions of Subjects With Serum Anti-rabies IgG Antibody Concentration ≥ 0.5 IU/mL
Time Frame
Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Able and willing to sign an informed consent. Healthy male or female subjects of 18 - 75 years of age inclusive who have not previously been immunized against rabies. Ability to comply with completion of a home diary. No previous exposure to Rabies epidemic, Rabies vaccine and/or Rabies Immune globulin. No significant abnormalities in serum hematology, serum chemistry and serum immunogenic markers (C3, C4 and C50) according to the Principal Investigator's judgment. No significant abnormalities in urinalysis according to the Principal Investigator's judgment. No significant abnormalities in ECG per investigator judgment. Non-pregnant, non-lactating female subjects, whose screening pregnancy test is negative and who are using contraceptive methods deemed reliable by the investigator, or who are more than 5 years post-menopausal or surgically sterilized. Male subjects must be using at least one effective contraceptive method before study start and throughout the entire duration of the study. Exclusion Criteria: History or laboratory evidence of immunoglobulin A deficiency. A history of previous administration of rabies vaccine or HRIG. History of live virus vaccine administration, e.g., measles vaccine, within the last 3 months. History of anaphylactic or anaphylactoid hypersensitivity reactions to chicken egg; history of mild allergic reactions to chicken egg, e.g., skin rash only, is not an exclusion criterion History of hypersensitivity reaction to any of the following components of active rabies vaccine (US-FDA approved) e.g.: neomycin, bovine gelatin, trace amounts of chicken protein, chlortetracycline, and amphotericin B and in accordance with the product insert of the vaccine. History of hypersensitivity reaction to any of the components in an equivalent active Rabies vaccine. History of allergy to blood or blood products. History of bleeding disorders. Fever at the time of the start of the infusion. (Oral temperature >38ºC.) Clinically significant intercurrent illnesses including: cardiac, hepatic, renal, endocrine, neurological, hematological, neoplastic, immunological, skeletal or other) that in the opinion of the investigator, could interfere with the safety, compliance or other aspects of this study. Evidence of active systemic infection that required treatment with antibiotics within 2 weeks of the time of drug administration. Evidence of uncontrolled hypertension (systolic blood pressure of >150 mm Hg, and/or diastolic blood pressure of >100 mm Hg). Heart rate >120/min. Weight > 93.75 kg Pregnancy and/or lactation. Woman of child-bearing potential not taking adequate contraception deemed reliable by the investigator. All types of malignancies except for basal and squamous cell (scaly or plate-like) skin cancer or situ cervical carcinoma must be in remission for a minimum of 5 years., For non-melanoma skin cancers and carcinoma in-situ of the cervix may be enrolled if treated and cured at the time of screening. Previous organ transplant recipient. Evidence of ongoing infection with Hepatitis A, C, or B, or HIV 1/2. Presence of psychiatric disorder, other mental disorder or any other medical disorder which might impair the subject's ability to give informed consent or to comply with the requirements of the study protocol. Previous enrolment in this study. Participation in another clinical trial within 30 days prior to baseline visit. Evidence of alcohol abuse or history of alcohol abuse or illegal and/or legally prescribed drugs in the past 10 years. History of life threatening allergy, anaphylactic reaction, or systemic response to human plasma derived products. Known hypersensitivity to any of the ingredients or excipients of the study drugs. Any other factor that, in the opinion of the investigator, would prevent the subject from complying with the requirements of the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Matson, M.D.
Organizational Affiliation
Prism Research Inc
Official's Role
Principal Investigator
Facility Information:
Facility Name
Prism Research Inc
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Phase II/III Study of the Safety and Effectiveness of HRIG With Active Rabies Vaccine in Healthy Subjects

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