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Intradermal Rabies Immunization Using NanoJect: A Comparative Study

Primary Purpose

Intradermal (ID) Vaccination Device

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
NanoJect device (DebioJect™)
Classical syringe (1mL Becton Dickinson (BD) Luer-Lock™) with a 25 Guage (G) needle (Terumo® Neolus)
Classical syringe (1mL BD Luer-Lock™) with a 22G needle (Terumo® Neolus)
Vaccin rabique Pasteur®
Placebo
Sponsored by
University of Lausanne Hospitals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Intradermal (ID) Vaccination Device

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Has completed the written informed consent process.
  • Is male or female aged 18 years and 50 years.
  • Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study.
  • Agrees to avoid elective surgery for the duration of the study.
  • For female subjects: agrees to avoid pregnancy through the duration of the study.
  • Is in good general health, confirmed by medical history, physical examination and screening laboratory tests.

Exclusion Criteria:

  • Oral body temperature 37.5 Celcius (C).
  • History or evidence of rabies vaccination or rabies contact.
  • Abnormal CBC (Complete Blood Count) laboratory values (>10% above Upper Limit of Normal (ULN) or >10% below Lower Limit of Normal (LLN)) and abnormal biochemistry values from blood collected at screening (>10% above ULN or >10% below LLN). Analysis can be repeated upon request of the clinician.
  • History or evidence of autoimmune disease.
  • History or evidence of any past, present, or future possible immunodeficiency state, including HIV 1 infection.
  • History or evidence of chronic hepatitis, including presence of anti-hepatitis B core antibodies or anti-hepatitis C antibodies.Participation in any other investigational study during the study period.
  • Received immunoglobulin or blood products within 90 days prior to study visit 2.
  • Received any investigational drug therapy or investigational vaccine within 180 days prior to study.
  • Received any licensed vaccine within 45 days prior to study visit 2 (note: the use of licensed vaccines medically indicated during the study is permitted at any time).
  • History or evidence of any treatment that, in the opinion of the investigator, may interfere with the vaccine response or compromise the safety of the subject.
  • Received Chloroquin and/or Proguanil treatment within 420 days prior to study.
  • Use of immunosuppressive drugs or anticoagulants.
  • All female subjects: currently pregnant or lactating/nursing; positive screening urine pregnancy test; or positive urine pregnancy test on the day of any study vaccination
  • History or evidence of allergic disease or reaction that, in the opinion of the investigator, may compromise the safety of the subject (Notably: allergy to active principle, excipients, polymyxin B, Streptomycin, Neomycin).
  • History or evidence of dermatologic disease that, in the opinion of the investigator, may interfere with the assessment of injection site reactions.
  • History or evidence of any other acute or chronic disease that, in the opinion of the investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine or compromise the safety of the subject.
  • Medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the subject will comply with the protocol.
  • History or evidence of any brain disease that, in the opinion of the investigator, may interfere with the vaccine and compromise the safety of the subject.
  • Abnormal urinalysis at the screening visit that, in the opinion of the investigator, is clinically significant.
  • Skin coloration (skin color, tattoo, freckles) that, in the opinion of the investigator, could interfere with injection reactogenicity assessment.
  • Body Mass Index (BMI)<= 18 and => 33 (weight/height2). Immediate need of rabies immunization.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Placebo Comparator

    Active Comparator

    Placebo Comparator

    Arm Label

    Vaccine injected ID with classical syringe

    Vaccine injected ID with NanoJect device (DebioJect™)

    Vaccine injected IM with classical syringe

    Arm Description

    Right forearm, ID with NanoJect device (DebioJect™) filled with placebo (0.1mL); Left forearm, ID with classical syringe filled with vaccine (0.1mL); Non-dominant deltoid, Intramuscular (IM) with classical syringe filled with placebo (0.5mL).

    Right forearm, ID with NanoJect device (DebioJect™) filled with vaccine (0.1mL); Left forearm, ID with classical syringe filled with placebo (0.1mL); Non-dominant deltoid, IM with classical syringe filled with placebo (0.5mL).

    Right forearm, ID with NanoJect device (DebioJect™) filled with placebo (0.1mL); Left forearm, ID with classical syringe filled with placebo (0.1mL); Non-dominant deltoid, IM with classical syringe filled with vaccine (0.5mL).

    Outcomes

    Primary Outcome Measures

    Number of Adverse Events as a Measure of Safety and Tolerability
    Pain Scores at needle insertion and at product injection as measured by the Visual Analog Scale
    Pain following product injection as a Measure of Safety and Tolerability
    Redness following product injection as a Measure of Safety and Tolerability
    Pruritus following product injection as a Measure of Safety and Tolerability

    Secondary Outcome Measures

    Titers of Immunoglobulin G (IgG) anti-rabies antibodies analyzed by Rapid Fluorescent Focus Inhibition Test (RFFIT) as a measure of Immunogenicity

    Full Information

    First Posted
    July 8, 2015
    Last Updated
    March 24, 2020
    Sponsor
    University of Lausanne Hospitals
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02538185
    Brief Title
    Intradermal Rabies Immunization Using NanoJect: A Comparative Study
    Official Title
    Intradermal Rabies Immunization Using NanoJect: A Comparative Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2013 (undefined)
    Primary Completion Date
    September 2014 (Actual)
    Study Completion Date
    September 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Lausanne Hospitals

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study is planned as a single-center, randomized, double-blind placebo-controlled, comparative Phase I, first-in-man study to assess the safety and tolerability of the NanoJect™ device, and the immunogenicity of the rabies vaccine "Vaccin rabique Pasteur®" delivered with the NanoJect™ device by ID route.
    Detailed Description
    This study will enroll 66 volunteers randomly assigned to one of the three study arms. Each volunteer will receive three injections at each of three vaccination visits. Total study duration per volunteer is 2 months.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Intradermal (ID) Vaccination Device

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    66 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Vaccine injected ID with classical syringe
    Arm Type
    Placebo Comparator
    Arm Description
    Right forearm, ID with NanoJect device (DebioJect™) filled with placebo (0.1mL); Left forearm, ID with classical syringe filled with vaccine (0.1mL); Non-dominant deltoid, Intramuscular (IM) with classical syringe filled with placebo (0.5mL).
    Arm Title
    Vaccine injected ID with NanoJect device (DebioJect™)
    Arm Type
    Active Comparator
    Arm Description
    Right forearm, ID with NanoJect device (DebioJect™) filled with vaccine (0.1mL); Left forearm, ID with classical syringe filled with placebo (0.1mL); Non-dominant deltoid, IM with classical syringe filled with placebo (0.5mL).
    Arm Title
    Vaccine injected IM with classical syringe
    Arm Type
    Placebo Comparator
    Arm Description
    Right forearm, ID with NanoJect device (DebioJect™) filled with placebo (0.1mL); Left forearm, ID with classical syringe filled with placebo (0.1mL); Non-dominant deltoid, IM with classical syringe filled with vaccine (0.5mL).
    Intervention Type
    Device
    Intervention Name(s)
    NanoJect device (DebioJect™)
    Intervention Description
    The investigational device used in this study is the NanoJect™ device developed by Debiotech company.
    Intervention Type
    Device
    Intervention Name(s)
    Classical syringe (1mL Becton Dickinson (BD) Luer-Lock™) with a 25 Guage (G) needle (Terumo® Neolus)
    Intervention Description
    The comparator device used for standard ID injections is a classical syringe (1mL BD Luer-Lock™) with a 25G needle (Terumo® Neolus)
    Intervention Type
    Device
    Intervention Name(s)
    Classical syringe (1mL BD Luer-Lock™) with a 22G needle (Terumo® Neolus)
    Intervention Description
    The comparator device used for standard IM injections is a classical syringe (1mL BD Luer-Lock™) with a 22G needle (Terumo® Neolus)
    Intervention Type
    Drug
    Intervention Name(s)
    Vaccin rabique Pasteur®
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Sodium Chloride (NaCl) 0,9%; B. Braun
    Primary Outcome Measure Information:
    Title
    Number of Adverse Events as a Measure of Safety and Tolerability
    Time Frame
    At the end of the study, at Day 56 (visit 5).
    Title
    Pain Scores at needle insertion and at product injection as measured by the Visual Analog Scale
    Time Frame
    At each product injection: Day 0 (visit 2), Day 7 (visit 3) and at Day 28 (visit 4).
    Title
    Pain following product injection as a Measure of Safety and Tolerability
    Time Frame
    Change between baseline and 30 minutes after each injection, the evening after each injection and daily up to 3 days after each injection (product injection visits: Day 0 (visit 2), Day 7 (visit 3) and at Day 28 (visit 4)).
    Title
    Redness following product injection as a Measure of Safety and Tolerability
    Time Frame
    Change between baseline and 30 minutes after each injection, the evening after each injection and daily up to 3 days after each injection (product injection visits: Day 0 (visit 2), Day 7 (visit 3) and at Day 28 (visit 4)).
    Title
    Pruritus following product injection as a Measure of Safety and Tolerability
    Time Frame
    Change between baseline and 30 minutes after each injection, the evening after each injection and daily up to 3 days after each injection (product injection visits: Day 0 (visit 2), Day 7 (visit 3) and at Day 28 (visit 4)).
    Secondary Outcome Measure Information:
    Title
    Titers of Immunoglobulin G (IgG) anti-rabies antibodies analyzed by Rapid Fluorescent Focus Inhibition Test (RFFIT) as a measure of Immunogenicity
    Time Frame
    Change between baseline and last study visit: Day 56 (visit 5).

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Has completed the written informed consent process. Is male or female aged 18 years and 50 years. Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study. Agrees to avoid elective surgery for the duration of the study. For female subjects: agrees to avoid pregnancy through the duration of the study. Is in good general health, confirmed by medical history, physical examination and screening laboratory tests. Exclusion Criteria: Oral body temperature 37.5 Celcius (C). History or evidence of rabies vaccination or rabies contact. Abnormal CBC (Complete Blood Count) laboratory values (>10% above Upper Limit of Normal (ULN) or >10% below Lower Limit of Normal (LLN)) and abnormal biochemistry values from blood collected at screening (>10% above ULN or >10% below LLN). Analysis can be repeated upon request of the clinician. History or evidence of autoimmune disease. History or evidence of any past, present, or future possible immunodeficiency state, including HIV 1 infection. History or evidence of chronic hepatitis, including presence of anti-hepatitis B core antibodies or anti-hepatitis C antibodies.Participation in any other investigational study during the study period. Received immunoglobulin or blood products within 90 days prior to study visit 2. Received any investigational drug therapy or investigational vaccine within 180 days prior to study. Received any licensed vaccine within 45 days prior to study visit 2 (note: the use of licensed vaccines medically indicated during the study is permitted at any time). History or evidence of any treatment that, in the opinion of the investigator, may interfere with the vaccine response or compromise the safety of the subject. Received Chloroquin and/or Proguanil treatment within 420 days prior to study. Use of immunosuppressive drugs or anticoagulants. All female subjects: currently pregnant or lactating/nursing; positive screening urine pregnancy test; or positive urine pregnancy test on the day of any study vaccination History or evidence of allergic disease or reaction that, in the opinion of the investigator, may compromise the safety of the subject (Notably: allergy to active principle, excipients, polymyxin B, Streptomycin, Neomycin). History or evidence of dermatologic disease that, in the opinion of the investigator, may interfere with the assessment of injection site reactions. History or evidence of any other acute or chronic disease that, in the opinion of the investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine or compromise the safety of the subject. Medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the subject will comply with the protocol. History or evidence of any brain disease that, in the opinion of the investigator, may interfere with the vaccine and compromise the safety of the subject. Abnormal urinalysis at the screening visit that, in the opinion of the investigator, is clinically significant. Skin coloration (skin color, tattoo, freckles) that, in the opinion of the investigator, could interfere with injection reactogenicity assessment. Body Mass Index (BMI)<= 18 and => 33 (weight/height2). Immediate need of rabies immunization.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Giuseppe Pantaleo
    Organizational Affiliation
    CHUV
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Intradermal Rabies Immunization Using NanoJect: A Comparative Study

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